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Edmund W Tai, MD

Hematology/Oncology · Los Altos

NPI 1487669933

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
2 carriers
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health. That is not proof they admit you there this week.

Plans that list them

14 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Tai’s office at (650) 254-5200 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G50493 · Current

Licensed to practise in California · since 1983 · expires 2026-12-31 · Albert Einstein College of Medicine of Yeshiva University.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$3,043,746

Medicare paid this office $3,043,746 for 18,491 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Insertion of needle into vein for collection of blood sample16,994$290,700$9
Injection, daratumumab, 10 mg and hyaluronidase-fihj11$287,287None
Injection, pembrolizumab, 1 mg12$196,583None
Blood test, comprehensive group of blood chemicals9,048$133,607$10
Blood test, lipids (cholesterol and triglycerides)8,867$127,474$13
See all 210 services
Every Original Medicare service billed
Insertion of needle into vein for collection of blood sample16,994$290,700$9
Injection, daratumumab, 10 mg and hyaluronidase-fihj11$287,287None
Injection, pembrolizumab, 1 mg12$196,583None
Blood test, comprehensive group of blood chemicals9,048$133,607$10
Blood test, lipids (cholesterol and triglycerides)8,867$127,474$13
Blood test, thyroid stimulating hormone (tsh)5,259$102,871$16
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7,950$95,707$8
Hemoglobin a1c level6,728$78,473$10
Parathormone (parathyroid hormone) level1,166$61,236$40
Blood test, basic group of blood chemicals (calcium, total)4,619$48,773$8
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus341$48,660$139
Return visit (30+ min)165$40,832$116
Psa (prostate specific antigen) measurement, total1,522$35,139$18
Cyanocobalamin (vitamin b-12) level1,969$31,399$15
Ferritin (blood protein) level1,501$26,177$13
Vitamin d-3 level884$25,997$29
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg11$25,892$114
Natriuretic peptide (heart and blood vessel protein) level508$25,583$38
Complete blood cell count (red cells, white blood cell, platelets), automated test3,124$25,116$6
Creatinine level to test for kidney function or muscle injury3,226$22,624$5
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique270$21,672$69
Prostate cancer screening; prostate specific antigen test (psa)970$18,352$19
Administration of chemotherapy into vein, 1 hour or less65$17,552$142
Urine microalbumin (protein) level2,621$17,019$6
Manual urinalysis test with examination using microscope, automated3,496$15,718$3
Tuberculosis test, enumeration of t-cells155$15,484$98
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b105$14,677$140
Liver function blood test panel1,306$13,913$8
Iron binding capacity1,234$13,375$9
Leuprolide acetate (for depot suspension), 7.5 mg24$13,255None
Thyroxine (thyroid chemical), free1,052$13,150$9
Bacterial colony count, urine1,262$12,915$8
Breath test analysis for helicobacter pylori174$12,080$66
Testing for presence of drug, by chemistry analyzers185$11,596$61
Kidney function blood test panel760$11,278$8
Measurement of immunoglobulin light chains222$11,035$17
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less94$10,648$67
Iron level1,263$10,125$6
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution771$8,729$8
Folic acid level, serum555$8,410$14
Measurement c-reactive protein for detection of infection or inflammation1,206$8,391$5
Magnesium level934$8,347$7
Blood test, clotting time552$7,215$4
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle13$7,095$78
Blood creatinine level1,066$6,849$5
Bacterial culture for aerobic isolates629$6,753$8
Testosterone (hormone) level, total193$6,325$25
Uric acid level, blood1,041$5,906$4
Protein measurement, serum410$5,148$11
Total protein level, urine899$5,064$4
Detection test by nucleic acid for hepatitis b virus, quantification109$4,948$42
Phosphate level621$4,850$5
Short return visit (20+ min)57$4,714$79
Red blood cell sedimentation rate, to detect inflammation, automated1,345$4,667$3
Thyroid hormone, t3 measurement, free198$4,533$17
Measurement of antibody for assessment of autoimmune disorder, any method53$4,217$18
Immunologic analysis technique on serum (immunofixation)173$4,136$22
Cortisol (hormone) measurement, total156$3,793$16
Creatine kinase (cardiac enzyme) level, total507$3,746$6
Carcinoembryonic antigen (cea) protein level106$3,530$19
Detection test by nucleic acid for organism, quantification15$3,526$42
Administration of additional new drug or substance into vein, 1 hour or less29$3,513$69
Liver enzyme (sgpt), level573$3,341$5
Lipase (fat enzyme) level431$3,204$7
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous181$3,202$18
Troponin (protein) analysis, quantitative225$3,177$12
Screening test for autoimmune disorder257$3,105$12
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)64$2,907$45
Bcg live intravesical instillation, 1 mg16$2,753None
Protein measurement, body fluid155$2,724$17
Alpha-fetoprotein (afp) level, serum148$2,605$16
Microscopic examination for white blood cells with manual cell count411$2,574$4
Immunologic analysis for detection of tumor antigen, quantitative; ca 12577$2,569$20
Instillation of anti-cancer drug into bladder19$2,506$81
Measurement of complement (immune system proteins), antigen,96$2,448$12
Detection test by nucleic acid for clostridium difficile, amplified probe technique63$2,374$37
Ldl cholesterol level211$2,366$10
Bacterial culture, any other source except urine, blood or stool, aerobic252$2,366$8
Stool culture, additional pathogens125$2,341$9
Measurement of total estradiol (hormone)64$2,314$27
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen42$2,263$50
Calcium level, ionized147$2,253$13
Automated urinalysis test905$2,241$2
Stool analysis for blood, by fecal hemoglobin determination by immunoassay142$2,239$16
Lactate dehydrogenase (enzyme) level255$2,235$6
Blood potassium level410$2,122$5
Detection test by nucleic acid for hiv-1 virus, quantification22$2,085$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,027$107
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types52$1,788$34
Bacterial urine culture202$1,768$8
Tacrolimus level44$1,750$13
Albumin (protein) level306$1,716$5
Measurement of antibody (ige) to allergic substance, crude allergen extract, each19$1,668$5
Coagulation function measurement, d-dimer; quantitative154$1,597$10
Blood glucose (sugar) level352$1,528$4
Prolactin (milk producing hormone) level75$1,519$19
Cardiolipin antibody (tissue antibody) measurement25$1,496$25
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle28$1,466$38
Administration of drug for helicobacter pylori174$1,409$8
Bacterial culture, any source, except blood, anaerobic141$1,392$9
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour27$1,371$21
Digoxin level, total87$1,327$13
Injection of drug or substance under skin or into muscle46$1,283$14
Administration of chemotherapy into vein, each additional hour20$1,275$29
Calcium level, total208$1,250$5
Injection of additional new drug or substance into vein34$1,195$16
Red blood count, automated test266$1,184$4
Stool culture125$1,171$9
Special gram or giemsa stain for microorganism238$1,150$4
Measurement of dna antibody, native or double stranded80$1,134$13
Liver enzyme (sgot), level182$1,119$5
Injection of drug or substance into vein27$1,103$37
Amylase (enzyme) level144$1,067$6
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's49$1,066$15
Administration of additional new drug or substance into vein using push technique14$1,058$59
Injection, zoledronic acid, 1 mg39$1,042None
Blood sodium level164$1,034$5
Detection test by immunoassay with direct visual observation for other organism61$1,008$16
Bilirubin level, direct185$970$5
Gonadotropin, luteinizing (reproductive hormone) level52$962$18
Measurement of antibody for rheumatoid arthritis assessment75$952$13
Detection test by immunoassay technique for giardia (intestinal parasite)79$933$12
Microsomal antibodies (autoantibody) measurement64$927$14
Detection test by immunoassay technique for hepatitis b surface antigen88$911$10
Gonadotropin, follicle stimulating (reproductive hormone) level47$902$18
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less18$901$30
Immunologic analysis technique on body fluid, other fluids with concentration30$892$29
Bacterial blood culture48$890$10
Screening test for pathogenic organisms132$865$7
Glutamyltransferase (liver enzyme) level85$830$7
Psa (prostate specific antigen) measurement, free43$793$18
Ige (immune system protein) level46$758$16
Thyroglobulin (thyroid protein) antibody measurement42$748$16
Beta 2 glycoprotein 1 antibody (autoantibody) measurement11$748$25
Rheumatoid factor level126$739$6
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-927$714$20
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)57$693$12
Detection test by immunoassay technique for cryptosporidium (parasite)51$682$13
Haptoglobin (serum protein) level46$666$12
Dehydroepiandrosterone (dhea-s) hormone level29$632$22
Thyroglobulin (thyroid related hormone) level34$630$16
Culture for acid-fast bacilli29$614$11
Hepatitis b surface antibody measurement56$590$11
Detection test by nucleic acid for herpes simplex virus, amplified probe technique17$585$34
Ammonia level26$584$14
C-peptide (protein) level24$571$20
Apolipoprotein level21$558$21
Coagulation assessment blood test, plasma or whole blood92$547$6
Gammaglobulin (immune system protein) measurement44$545$9
Lipoprotein (a) level37$533$14
Hepatitis c antibody measurement38$531$14
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique15$516$34
Measurement of antibody for assessment of autoimmune disorder, titer45$514$11
Hepatitis b core antibody measurement42$508$12
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)53$506$7
Special fluorescent and/or acid fast stain for microorganism49$502$5
Dihydroxyvitamin d, 1, 25 level13$490$38
Thyroid hormone, t3 measurement, total31$487$14
Analysis of substance using immunoassay technique, multiple step method42$475$11
Urine osmolality (concentration) measurement62$474$7
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity36$470$13
Urine calcium level77$467$6
Urine sodium level77$451$5
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool31$451$14
Beta-2 microglobulin (protein) level22$444$16
Injection, carboplatin, 50 mg14$444None
Blood osmolality (concentration) measurement61$428$6
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique12$413$34
Homocysteine (amino acid) level21$404$18
Injection, fosaprepitant, 1 mg18$392None
Detection test by nucleic acid for organism, amplified probe technique11$378$34
Concentration of specimen for infectious agents29$373$7
Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion13$367$20
Measurement of hepatitis a antibody30$364$12
Measurement of hepatitis a antibody (igm)33$364$11
Irrigation of implanted venous access drug delivery device14$359$24
Insulin measurement, total28$358$11
Somatomedin (growth factor) level17$354$21
Stool lactoferrin (immune system protein) analysis15$348$19
Fungal culture (mold or yeast)33$338$8
Progesterone (reproductive hormone) level13$307$20
Analysis for antibody to rubella (german measles virus)21$296$14
Analysis for antibody to rubeola (measles virus)22$278$13
Ceruloplasmin (protein) level26$274$11
Identification of mycobacteria (tb or tb like organism)11$258$14
Identification of organisms by immunologic analysis, other than immunofluorescence method42$254$5
Valproic acid level, total16$252$13
Bacterial culture for anaerobic isolates28$238$8
Blood count, hemoglobin88$227$2
Fungal culture (mold or yeast) of skin, hair, or nail27$219$8
Analysis for antibody to mumps virus16$217$13
Culture for identification of yeast16$192$10
Fungal culture, yeast17$192$10
Red blood cell antibody detection test, direct32$190$5
Protein c antigen (clotting inhibitor) measurement14$190$14
Body fluid cell count with cell identification30$176$5
Crystal identification from tissue or body fluid24$172$7
Phosphatase (enzyme) level, alkaline30$170$5
Lactic acid level14$170$11
Urea nitrogen level to assess kidney function, quantitative37$155$4
Bilirubin level, total27$143$5
Antithrombin iii antigen (clotting inhibitor) activity11$128$12
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)14$107$5
Fibrinogen (factor 1) activity measurement11$105$10
Stool analysis for blood to screen for colon tumors24$103$4
Infusion, normal saline solution, 250 cc95$72None
Urinalysis using microscope24$70$3
Injection, ondansetron hydrochloride, per 1 mg24$37None
Injection, dexamethasone sodium phosphate, 1 mg21$34None
Injection, diphenhydramine hcl, up to 50 mg18$17None

Who their Medicare patients are

18,491 Original Medicare patients in 2024. Average age 76 · Under 65 3% · 85 and older 17% · Women 57% · Also on Medicaid 10% · Health risk score 0.97. At or below the middle of the specialty; the typical hematology-oncology clinician is at 2.04.

Conditions among them: High blood pressure 67% · Diabetes 25% · Coronary heart disease 22% · Chronic kidney disease 21% · Cancer 17% · Atrial fibrillation 16% · Depression 13% · Heart failure 11% · COPD 7% · Dementia 6% · Stroke 5%.

The office billed $14,040,846, Medicare allowed $3,408,678 and paid $3,043,746; for 238,680 services of 433 kinds; $1,286,261 of it was for drugs given in the office and $1,757,485 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202418,491238,680760.97$14,040,846$3,043,746
202322,273376,869760.92$20,934,532$4,544,568
202223,457356,941760.92$19,542,284$4,695,077
202122,696384,282760.93$20,480,833$5,036,888
202020,491359,980751.00$19,518,160$5,144,994
201921,544379,102751.00$19,771,095$4,849,893
201820,837392,780751.00$20,001,525$5,306,496
201719,728360,381751.00$16,799,407$4,417,996
201618,313333,233750.98$15,331,780$3,948,303
201517,305250,198750.99$13,179,723$3,207,309
201416,412240,992740.94$12,494,398$2,921,690
201314,713221,515740.97$11,178,802$2,627,217

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 252 services

Original Medicare services billed in 2023
Insertion of needle into vein for collection of blood sample20,280$441,306$8
Injection, daratumumab, 10 mg and hyaluronidase-fihj15$376,806None
Injection, pembrolizumab, 1 mg19$345,376None
Blood test, comprehensive group of blood chemicals12,141$209,912$10
Blood test, lipids (cholesterol and triglycerides)12,976$204,559$13
Blood test, thyroid stimulating hormone (tsh)7,454$162,726$16
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10,644$153,084$8
Hemoglobin a1c level8,744$127,249$10
Vitamin d-3 level3,059$108,477$29
Parathormone (parathyroid hormone) level1,500$92,890$40
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg14$91,558None
Blood test, basic group of blood chemicals (calcium, total)6,707$78,285$8
Psa (prostate specific antigen) measurement, total2,105$58,614$18
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r700$54,023$74
Cyanocobalamin (vitamin b-12) level3,059$50,170$15
Return visit (30+ min)167$45,177$112
Bacterial colony count, urine3,142$40,399$8
Complete blood cell count (red cells, white blood cell, platelets), automated test4,287$38,858$6
Ferritin (blood protein) level1,849$37,263$13
Tuberculosis test, enumeration of t-cells365$37,108$98
Natriuretic peptide (heart and blood vessel protein) level681$35,538$38
Creatinine level to test for kidney function or muscle injury4,222$33,927$5
Prostate cancer screening; prostate specific antigen test (psa)1,549$29,307$19
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg12$27,019$21
Administration of chemotherapy into vein, 1 hour or less92$26,419$144
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,792$25,200$8
Manual urinalysis test with examination using microscope, automated4,903$25,127$3
Testing for presence of drug, by chemistry analyzers323$24,868$61
Urine microalbumin (protein) level3,452$24,719$6
Liver function blood test panel1,729$21,282$8
Thyroxine (thyroid chemical), free1,370$19,435$9
Leuprolide acetate (for depot suspension), 7.5 mg28$18,906None
Bacterial culture for aerobic isolates1,435$18,524$8
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within700$18,008$25
Iron binding capacity1,440$17,753$9
Kidney function blood test panel953$17,258$9
Breath test analysis for helicobacter pylori233$16,397$66
Measurement of immunoglobulin light chains464$15,761$17
Protein measurement, serum913$14,242$11
Measurement c-reactive protein for detection of infection or inflammation1,822$14,132$5
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus97$13,838$140
Magnesium level1,237$13,482$7
Iron level1,481$13,479$6
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less96$13,285$69
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen248$12,870$50
Detection test by nucleic acid for hepatitis b virus, quantification183$12,678$42
Measurement of antibody for assessment of autoimmune disorder, any method150$10,722$17
Detection test for gardnerella vaginalis (bacteria), direct probe technique433$10,672$20
Detection test for candida species (yeast), direct probe technique432$10,629$20
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique430$10,587$20
Uric acid level, blood1,665$10,546$4
Folic acid level, serum686$10,343$14
Blood creatinine level1,438$10,282$5
Immunologic analysis technique on serum (immunofixation)382$10,036$22
Testosterone (hormone) level, total263$9,988$25
Cortisol (hormone) measurement, total315$9,847$16
Blood test, clotting time704$9,273$4
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)201$9,129$45
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous512$9,057$18
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$8,995$110
Gammaglobulin (immune system protein) measurement620$8,681$9
Detection test by nucleic acid for organism, quantification21$8,354$42
New patient visit (45+ min)62$8,120$131
Total protein level, urine1,093$8,096$4
Phosphate level805$7,849$5
Detection test by nucleic acid for clostridium difficile, amplified probe technique194$7,711$36
Screening test for autoimmune disorder604$7,585$12
Red blood cell sedimentation rate, to detect inflammation, automated1,932$7,518$3
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle22$7,465$80
Measurement of antibody (ige) to allergic substance, crude allergen extract, each106$7,369$5
Alpha-fetoprotein (afp) level, serum297$7,320$16
Detection test by nucleic acid for hiv-1 virus, quantification39$7,315$82
Protein measurement, body fluid384$7,215$17
Creatine kinase (cardiac enzyme) level, total787$6,715$6
Immunologic analysis for detection of tumor antigen, quantitative; ca 125127$6,647$20
Bacterial culture, any other source except urine, blood or stool, aerobic634$6,624$8
Thyroid hormone, t3 measurement, free244$6,565$17
Stool culture, additional pathogens339$6,558$9
Short return visit (20+ min)60$6,433$80
Tacrolimus level66$6,286$13
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique85$6,098$69
Measurement of complement (immune system proteins), antigen,227$6,045$12
Bacterial urine culture566$5,860$8
Calcium level, ionized333$5,856$13
Liver enzyme (sgpt), level932$5,770$5
Troponin (protein) analysis, quantitative397$5,597$12
Stool analysis for blood, by fecal hemoglobin determination by immunoassay333$5,569$16
Lipase (fat enzyme) level690$5,504$7
Carcinoembryonic antigen (cea) protein level125$4,961$19
Immunologic analysis technique on body fluid, other fluids with concentration141$4,487$29
Administration of additional new drug or substance into vein, 1 hour or less34$4,384$71
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types125$4,368$34
Automated urinalysis test1,488$3,945$2
Microscopic examination for white blood cells with manual cell count576$3,904$4
Bacterial culture, any source, except blood, anaerobic366$3,878$9
Lactate dehydrogenase (enzyme) level318$3,670$6
Ldl cholesterol level320$3,647$10
Coagulation function measurement, d-dimer; quantitative336$3,553$10
Beta 2 glycoprotein 1 antibody (autoantibody) measurement46$3,323$25
Stool culture338$3,275$9
Special gram or giemsa stain for microorganism614$3,110$4
Measurement of total estradiol (hormone)76$3,001$27
Measurement of tissue transglutaminase234$2,972$11
Blood potassium level539$2,947$5
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)12$2,903$0
Detection test by immunoassay technique for influenza virus98$2,769$14
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour29$2,761$22
Measurement of antibody for rheumatoid arthritis assessment216$2,749$13
Blood glucose (sugar) level602$2,737$4
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,719$160
Microsomal antibodies (autoantibody) measurement186$2,695$14
Detection test by immunoassay with direct visual observation for other organism150$2,678$16
Ige (immune system protein) level149$2,661$16
Administration of chemotherapy into vein, each additional hour33$2,643$30
Detection of gliadin (deamidated) (dgp) antibody196$2,516$12
Dihydroxyvitamin d, 1, 25 level61$2,431$37
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-944$2,365$20
Rheumatoid factor level398$2,321$6
Psa (prostate specific antigen) measurement, free113$2,289$18
Detection test by nucleic acid for hepatitis c virus, quantification36$2,267$42
Detection test by immunoassay technique for hepatitis b surface antigen194$2,223$10
Thyroglobulin (thyroid protein) antibody measurement117$2,214$16
Albumin (protein) level343$2,206$5
Detection test by immunoassay technique for giardia (intestinal parasite)171$2,101$12
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle35$2,082$37
Calcium level, total318$2,021$5
Bacterial blood culture110$2,012$10
Injection of additional new drug or substance into vein52$1,997$17
Injection of drug or substance under skin or into muscle59$1,943$14
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)145$1,937$12
Administration of drug for helicobacter pylori232$1,909$8
Prolactin (milk producing hormone) level90$1,899$19
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less31$1,895$31
Administration of additional new drug or substance into vein using push technique14$1,874$60
Digoxin level, total117$1,873$13
Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique27$1,858$69
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique51$1,857$34
Liver enzyme (sgot), level263$1,810$5
Amylase (enzyme) level203$1,759$6
Screening test for pathogenic organisms261$1,739$6
Thyroglobulin (thyroid related hormone) level83$1,716$16
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool115$1,704$14
Dehydroepiandrosterone (dhea-s) hormone level73$1,678$22
Detection test by nucleic acid for herpes simplex virus, amplified probe technique46$1,651$34
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique47$1,616$34
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets12$1,597$133
Bilirubin level, direct266$1,532$5
Red blood count, automated test326$1,466$4
Injection of drug or substance into vein25$1,455$37
Culture for acid-fast bacilli60$1,449$11
Beta-2 microglobulin (protein) level48$1,412$16
Blood sodium level201$1,404$5
Cardiolipin antibody (tissue antibody) measurement52$1,377$24
Detection test by immunoassay technique for cryptosporidium (parasite)94$1,286$14
Somatomedin (growth factor) level48$1,250$21
Analysis of substance using immunoassay technique, multiple step method106$1,220$11
Measurement of dna antibody, native or double stranded68$1,213$13
Special fluorescent and/or acid fast stain for microorganism130$1,172$5
Measurement of antibody for assessment of autoimmune disorder, titer92$1,160$11
Homocysteine (amino acid) level58$1,159$18
Screening test for antibody to noninfectious agent97$1,157$12
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)113$1,114$7
C-peptide (protein) level45$1,101$20
Gonadotropin, luteinizing (reproductive hormone) level55$1,089$18
Haptoglobin (serum protein) level74$1,085$12
Hepatitis c antibody measurement77$1,076$14
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity77$1,053$13
Lipoprotein (a) level70$1,052$14
Glutamyltransferase (liver enzyme) level84$1,024$7
Urine osmolality (concentration) measurement126$1,009$7
Hepatitis b surface antibody measurement87$986$10
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies42$982$23
Identification of organisms by genetic analysis, direct probe technique21$943$20
Blood osmolality (concentration) measurement121$933$6
Urine sodium level156$931$5
Concentration of specimen for infectious agents67$930$7
Measurement of hepatitis a antibody75$911$12
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-311$897$20
Bacterial culture for anaerobic isolates94$895$8
Gonadotropin, follicle stimulating (reproductive hormone) level45$892$18
Ammonia level33$871$14
Urine calcium level139$871$6
Injection, zoledronic acid, 1 mg30$865None
Detection test by nucleic acid for organism, amplified probe technique23$839$34
Hepatitis b core antibody measurement69$823$12
Identification of organisms by immunologic analysis, other than immunofluorescence method115$818$5
Coagulation assessment blood test, plasma or whole blood131$798$6
Insulin measurement, total58$735$11
Measurement of hepatitis a antibody (igm)62$706$11
Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion23$689$21
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid20$640$18
Sex hormone binding globulin (protein) level25$589$21
Analysis for antibody to rubeola (measles virus)44$568$13
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg13$558None
Irrigation of implanted venous access drug delivery device15$542$27
Apolipoprotein level26$533$20
Ceruloplasmin (protein) level45$516$11
Valproic acid level, total30$491$13
Thyroid hormone, t3 measurement, total32$487$14
Fungal culture (mold or yeast) of skin, hair, or nail58$454$8
Fungal culture (mold or yeast)53$453$8
Infusion into a vein for hydration, each additional hour16$433$14
Alpha-1-antitrypsin (protein) blood test, total31$408$13
Progesterone (reproductive hormone) level17$401$20
Procalcitonin (hormone) level15$400$27
Red blood cell antibody detection test, direct65$391$5
Hepatitis b core antibody (igm) measurement23$380$12
Syphilis detection test84$359$4
Protein c antigen (clotting inhibitor) measurement26$353$14
Analysis for antibody to rubella (german measles virus)25$353$14
Protein s (clotting inhibitor) measurement17$345$15
Culture for identification of yeast31$344$10
Fungal culture, yeast27$324$10
Blood count, hemoglobin123$322$2
Analysis for antibody to mumps virus25$320$13
Injection, fosaprepitant, 1 mg14$312None
Identification of mycobacteria (tb or tb like organism)14$301$14
Analysis for antibody to cytomegalovirus (cmv)20$296$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen18$285$15
Analysis for antibody (igm) to cytomegalovirus (cmv)16$281$17
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)16$259$16
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen19$257$13
Urea nitrogen level to assess kidney function, quantitative53$248$4
Body fluid cell count with cell identification37$231$5
Lactic acid level20$227$11
Transferrin (iron binding protein) level16$225$13
Fibrinogen (factor 1) activity measurement20$219$10
Phosphatase (enzyme) level, alkaline33$208$5
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)30$186$5
Antithrombin iii antigen (clotting inhibitor) activity16$186$12
Cryoglobulin (protein) measurement27$184$6
Screening test for red blood cell antibodies17$182$10
Urinalysis using microscope58$176$3
Bilirubin level, total27$167$5
Crystal identification from tissue or body fluid21$165$7
Analysis for antibody to varicella-zoster virus (chicken pox)13$164$13
Creatinine clearance measurement to test for kidney function16$148$9
Stool analysis for blood to screen for colon tumors34$146$4
Analysis for antibody, treponema pallidum11$143$13
Infusion, normal saline solution, 250 cc112$92None
Tissue preparation for culture14$86$6
Injection, ondansetron hydrochloride, per 1 mg47$82None
Urine potassium level16$78$5
Injection, dexamethasone sodium phosphate, 1 mg41$75None
Platelet count, automated test11$66$4
Blood group typing (abo)21$64$3
Blood typing for rh (d) antigen21$64$3
Screening test for mononucleosis (mono)11$61$5
Total protein level, blood13$50$4
Infusion, normal saline solution , 1000 cc13$50None
Glucose (sugar) level on body fluid11$50$4
Injection, diphenhydramine hcl, up to 50 mg26$31None

2022: 251 services

Original Medicare services billed in 2022
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r5,097$486,185$74
Injection, pembrolizumab, 1 mg25$372,838None
Injection, daratumumab, 10 mg and hyaluronidase-fihj11$208,786None
Blood test, lipids (cholesterol and triglycerides)13,026$204,637$13
Blood test, comprehensive group of blood chemicals11,665$203,364$10
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within5,001$157,635$25
Blood test, thyroid stimulating hormone (tsh)7,153$155,297$17
Insertion of needle into vein for collection of blood sample20,191$151,245$3
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10,309$150,480$8
Hemoglobin a1c level8,452$126,028$10
Vitamin d-3 level2,846$102,735$29
Parathormone (parathyroid hormone) level1,360$83,775$41
Blood test, basic group of blood chemicals (calcium, total)6,898$79,531$8
Psa (prostate specific antigen) measurement, total2,067$56,683$18
Cyanocobalamin (vitamin b-12) level2,911$45,885$15
Bacterial colony count, urine3,055$40,424$8
Return visit (30+ min)159$38,479$113
Complete blood cell count (red cells, white blood cell, platelets), automated test4,209$37,632$6
Ferritin (blood protein) level1,804$37,430$13
Tuberculosis test, enumeration of t-cells364$37,107$98
Creatinine level to test for kidney function or muscle injury4,134$33,439$5
Natriuretic peptide (heart and blood vessel protein) level599$30,611$39
Prostate cancer screening; prostate specific antigen test (psa)1,597$30,436$19
Administration of chemotherapy into vein, 1 hour or less102$29,690$151
Injection, infliximab, excludes biosimilar, 10 mg14$27,299None
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,836$25,881$9
Manual urinalysis test with examination using microscope, automated4,916$25,324$3
Urine microalbumin (protein) level3,436$24,361$6
Testing for presence of drug, by chemistry analyzers297$22,710$61
Liver function blood test panel1,731$20,643$8
Bacterial culture for aerobic isolates1,542$19,862$8
Thyroxine (thyroid chemical), free1,368$18,716$9
Iron binding capacity1,401$17,541$9
Breath test analysis for helicobacter pylori232$16,173$66
Kidney function blood test panel846$15,223$9
Iron level1,436$13,306$6
Measurement c-reactive protein for detection of infection or inflammation1,630$12,987$5
Detection test by nucleic acid for hepatitis b virus, quantification180$12,965$42
Protein measurement, serum844$12,742$11
Magnesium level1,116$12,539$7
Injection, darbepoetin alfa, 1 microgram (non-esrd use)13$12,391None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less84$12,008$73
Detection test for candida species (yeast), direct probe technique468$11,913$20
Detection test for gardnerella vaginalis (bacteria), direct probe technique467$11,902$20
Uric acid level, blood2,110$11,897$4
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique467$11,877$20
Measurement of antibody for assessment of autoimmune disorder, any method169$11,594$18
Immunologic analysis technique on serum (immunofixation)433$11,442$22
Measurement of immunoglobulin light chains332$11,255$17
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous614$10,945$18
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)237$10,848$46
Folic acid level, serum687$10,708$14
Testosterone (hormone) level, total269$10,542$25
Blood creatinine level1,388$9,699$5
Blood test, clotting time754$8,655$4
Immunologic analysis for detection of tumor antigen, quantitative; ca 125140$8,546$21
Long return visit (40+ min)39$8,415$159
Cortisol (hormone) measurement, total268$8,370$16
Detection test by nucleic acid for clostridium difficile, amplified probe technique212$8,267$37
Gammaglobulin (immune system protein) measurement560$8,227$9
Total protein level, urine1,060$8,158$4
Measurement of antibody (ige) to allergic substance, crude allergen extract, each87$7,780$5
Phosphate level772$7,752$5
Screening test for autoimmune disorder588$7,687$12
Red blood cell sedimentation rate, to detect inflammation, automated1,885$7,569$3
Detection test by nucleic acid for hiv-1 virus, quantification39$7,227$83
Alpha-fetoprotein (afp) level, serum280$7,117$17
Bacterial culture, any other source except urine, blood or stool, aerobic674$6,883$8
Leuprolide acetate (for depot suspension), 7.5 mg11$6,777None
Protein measurement, body fluid361$6,749$18
Measurement of complement (immune system proteins), antigen,239$6,345$12
Creatine kinase (cardiac enzyme) level, total712$6,298$6
Stool culture, additional pathogens319$6,267$9
Liver enzyme (sgpt), level976$6,194$5
Stool analysis for blood, by fecal hemoglobin determination by immunoassay356$5,962$16
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody127$5,560$42
Tacrolimus level72$5,513$14
New patient visit (45+ min)37$5,503$149
Thyroid hormone, t3 measurement, free211$5,297$17
Bacterial urine culture509$5,260$8
Lipase (fat enzyme) level660$5,155$7
Immunologic analysis technique on body fluid, other fluids with concentration162$4,898$29
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle17$4,846$84
Short return visit (20+ min)47$4,840$86
Troponin (protein) analysis, quantitative349$4,839$12
Carcinoembryonic antigen (cea) protein level131$4,423$19
Calcium level, ionized243$4,263$13
Automated urinalysis test1,453$3,813$2
Detection test by nucleic acid for organism, quantification18$3,660$42
Detection test by immunoassay technique for influenza virus131$3,642$14
New patient visit (60+ min)19$3,642$192
Lactate dehydrogenase (enzyme) level341$3,541$6
Administration of additional new drug or substance into vein, 1 hour or less25$3,496$73
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types100$3,495$35
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$3,471$94
Microscopic examination for white blood cells with manual cell count532$3,395$4
Ldl cholesterol level294$3,393$10
Bacterial culture, any source, except blood, anaerobic313$3,376$9
Blood potassium level604$3,354$5
Special gram or giemsa stain for microorganism643$3,290$4
Beta 2 glycoprotein 1 antibody (autoantibody) measurement44$3,261$25
Measurement of total estradiol (hormone)77$3,199$28
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less42$3,148$32
Stool culture319$3,134$9
Nephelometry, test method using light95$3,046$14
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies123$3,015$24
Coagulation function measurement, d-dimer; quantitative267$2,886$10
Detection test by immunoassay technique for hepatitis b surface antigen257$2,831$10
Microsomal antibodies (autoantibody) measurement192$2,820$14
Measurement of tissue transglutaminase219$2,816$11
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique66$2,541$34
Blood glucose (sugar) level533$2,522$4
Measurement of antibody for rheumatoid arthritis assessment194$2,494$13
Ige (immune system protein) level136$2,409$16
Hepatitis c antibody measurement166$2,383$14
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,353$181
Rheumatoid factor level384$2,328$6
Administration of chemotherapy into vein, each additional hour35$2,290$31
Digoxin level, total139$2,267$13
Detection test by nucleic acid for hepatitis c virus, quantification41$2,240$42
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour19$2,225$22
Detection of gliadin (deamidated) (dgp) antibody179$2,223$11
Detection test by immunoassay technique for giardia (intestinal parasite)180$2,174$12
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique62$2,161$34
Injection of additional new drug or substance into vein41$2,122$17
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-939$2,094$21
Liver enzyme (sgot), level284$2,039$5
Psa (prostate specific antigen) measurement, free101$2,014$18
Administration of drug for helicobacter pylori231$1,882$8
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)142$1,855$12
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen36$1,824$51
Blood sodium level261$1,782$5
Calcium level, total268$1,747$5
Thyroglobulin (thyroid protein) antibody measurement93$1,712$16
Amylase (enzyme) level210$1,683$6
Detection test by immunoassay with direct visual observation for other organism99$1,641$16
Bacterial blood culture82$1,581$10
Beta-2 microglobulin (protein) level57$1,576$16
Prolactin (milk producing hormone) level78$1,567$19
Culture for acid-fast bacilli74$1,557$11
Red blood count, automated test319$1,525$4
Albumin (protein) level245$1,515$5
Dihydroxyvitamin d, 1, 25 level37$1,497$37
Hepatitis b surface antibody measurement136$1,494$11
Thyroglobulin (thyroid related hormone) level76$1,490$16
Bilirubin level, direct265$1,436$5
Hepatitis b core antibody measurement116$1,434$12
Measurement of antibody for assessment of autoimmune disorder, titer119$1,428$11
Screening test for antibody to noninfectious agent112$1,397$12
Haptoglobin (serum protein) level95$1,392$12
Dehydroepiandrosterone (dhea-s) hormone level56$1,361$22
Analysis of substance using immunoassay technique, multiple step method116$1,358$11
Gonadotropin, luteinizing (reproductive hormone) level63$1,334$18
Cardiolipin antibody (tissue antibody) measurement52$1,329$25
Injection of drug or substance into vein30$1,318$41
Measurement of dna antibody, native or double stranded71$1,249$14
Screening test for pathogenic organisms185$1,227$7
Special fluorescent and/or acid fast stain for microorganism121$1,220$5
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle18$1,209$36
Administration of additional new drug or substance into vein using push technique13$1,184$62
Injection, zoledronic acid, 1 mg42$1,179None
Detection test by nucleic acid for herpes simplex virus, amplified probe technique34$1,177$35
Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique17$1,170$69
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-317$1,152$21
Glutamyltransferase (liver enzyme) level86$1,123$7
Urine osmolality (concentration) measurement127$1,077$7
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)63$1,051$16
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool70$1,051$14
Concentration of specimen for infectious agents86$1,035$7
Injection of drug or substance under skin or into muscle41$1,011$14
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test29$1,010$35
C-peptide (protein) level44$1,008$21
Detection test by immunoassay technique for cryptosporidium (parasite)72$995$14
Somatomedin (growth factor) level42$986$21
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)107$982$7
Urine sodium level162$975$5
Identification of organisms by immunologic analysis, other than immunofluorescence method132$953$5
Homocysteine (amino acid) level46$920$18
Gonadotropin, follicle stimulating (reproductive hormone) level47$915$18
Measurement of hepatitis a antibody73$899$12
Sex hormone binding globulin (protein) level36$895$21
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity64$895$13
Blood osmolality (concentration) measurement109$881$7
Coagulation assessment blood test, plasma or whole blood141$871$6
Identification of organisms by genetic analysis, direct probe technique18$871$20
Thyroid hormone, t3 measurement, total46$813$14
Ammonia level30$763$14
Syphilis detection test175$755$4
Bacterial culture for anaerobic isolates80$740$8
Urine calcium level108$672$6
Detection test by nucleic acid for organism, amplified probe technique12$621$35
Lipoprotein (a) level40$607$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid24$589$18
Fungal culture (mold or yeast)56$574$8
Injection, fosaprepitant, 1 mg17$568None
Analysis for antibody to rubeola (measles virus)43$559$13
Valproic acid level, total33$535$13
Ceruloplasmin (protein) level49$530$11
Protein s (clotting inhibitor) measurement24$514$15
Measurement of hepatitis a antibody (igm)41$462$11
Injection, paclitaxel, 1 mg14$456None
Detection test by immunoassay technique for other organism35$441$12
Culture for identification of yeast34$428$10
Red blood cell antibody detection test, direct65$420$5
Blood count, hemoglobin152$419$2
Insulin measurement, total33$406$11
Analysis for antibody, treponema pallidum31$406$13
Hepatitis b core antibody (igm) measurement26$383$12
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen22$377$15
Fungal culture (mold or yeast) of skin, hair, or nail47$370$8
Screening test for red blood cell antibodies36$369$10
Injection, carboplatin, 50 mg16$355None
Protein c antigen (clotting inhibitor) measurement24$355$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen24$349$13
Transferrin (iron binding protein) level21$341$13
Analysis for antibody (igm) to cytomegalovirus (cmv)18$332$17
Carbamazepine level, total21$317$14
Urea nitrogen level to assess kidney function, quantitative46$313$4
Analysis for antibody to cytomegalovirus (cmv)20$312$14
Body fluid cell count with cell identification49$309$6
Analysis for antibody to herpes simplex virus, type 216$306$19
Fungal culture, yeast25$306$10
Progesterone (reproductive hormone) level12$288$21
Alpha-1-antitrypsin (protein) blood test, total21$279$13
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)31$270$5
Analysis for antibody to varicella-zoster virus (chicken pox)21$268$13
Apolipoprotein level12$250$21
Detection test by immunoassay technique for shiga-like toxin (bacterial toxin)21$248$12
Crystal identification from tissue or body fluid32$246$7
Analysis for antibody to rubella (german measles virus)17$241$14
Fibrinogen (factor 1) activity measurement20$230$10
Analysis for antibody to mumps virus17$219$13
Antithrombin iii antigen (clotting inhibitor) activity17$210$12
Analysis for antibody to herpes simplex virus, type 116$209$13
Phosphatase (enzyme) level, alkaline38$205$5
Lithium level24$203$7
Phenytoin level, total13$196$13
Lactic acid level15$171$11
Stool analysis for blood to screen for colon tumors37$160$4
Cryoglobulin (protein) measurement23$147$6
Blood typing for rh (d) antigen48$145$3
Blood group typing (abo)47$143$3
Urinalysis using microscope39$121$3
Bilirubin level, total20$109$5
Urine potassium level20$108$5
Injection, dexamethasone sodium phosphate, 1 mg45$78None
Total protein level, body fluid13$59$4
Glucose (sugar) level on body fluid13$58$4
Total protein level, blood13$51$4
Injection, ondansetron hydrochloride, per 1 mg43$48None
Injection, diphenhydramine hcl, up to 50 mg24$40None

2021: 255 services

Original Medicare services billed in 2021
Injection, pembrolizumab, 1 mg23$503,608None
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r4,836$454,648$75
Injection, daratumumab, 10 mg and hyaluronidase-fihj11$232,155None
Blood test, lipids (cholesterol and triglycerides)12,508$200,696$13
Blood test, comprehensive group of blood chemicals11,129$198,919$11
Blood test, thyroid stimulating hormone (tsh)6,977$151,884$17
Insertion of needle into vein for collection of blood sample19,795$151,116$3
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9,838$148,634$8
Hemoglobin a1c level7,938$122,702$10
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within3,638$109,650$25
Vitamin d-3 level2,770$100,380$30
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg13$89,431None
Blood test, basic group of blood chemicals (calcium, total)6,911$81,001$8
Parathormone (parathyroid hormone) level1,338$79,462$41
Injection, denosumab, 1 mg14$51,955None
Psa (prostate specific antigen) measurement, total1,855$51,184$18
Injection, infliximab, excludes biosimilar, 10 mg14$51,160None
Return visit (30+ min)152$48,105$115
Administration of chemotherapy into vein, 1 hour or less118$42,017$161
Cyanocobalamin (vitamin b-12) level2,440$40,384$15
Bacterial colony count, urine2,921$38,223$8
Natriuretic peptide (heart and blood vessel protein) level679$36,548$39
Ferritin (blood protein) level1,660$34,340$14
Tuberculosis test, enumeration of t-cells328$33,742$100
Creatinine level to test for kidney function or muscle injury4,084$32,649$5
Complete blood cell count (red cells, white blood cell, platelets), automated test3,295$31,514$6
Prostate cancer screening; prostate specific antigen test (psa)1,399$27,015$19
Manual urinalysis test with examination using microscope, automated4,815$24,776$3
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,699$24,026$9
Urine microalbumin (protein) level3,378$23,484$6
Nephelometry, test method using light379$21,476$14
Liver function blood test panel1,696$20,949$8
Bacterial culture for aerobic isolates1,421$18,823$8
Thyroxine (thyroid chemical), free1,295$17,188$9
Iron binding capacity1,386$17,080$9
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less99$16,734$79
Kidney function blood test panel897$16,414$9
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody274$15,251$42
Breath test analysis for helicobacter pylori217$15,212$67
Leuprolide acetate (for depot suspension), 7.5 mg21$14,991None
Testing for presence of drug, by chemistry analyzers190$14,446$61
Protein measurement, serum939$14,280$11
Measurement c-reactive protein for detection of infection or inflammation1,675$13,630$5
Measurement of antibody for assessment of autoimmune disorder, any method187$13,377$18
Iron level1,433$13,126$6
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)276$12,793$46
Immunologic analysis technique on serum (immunofixation)461$12,618$22
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous667$12,039$18
New patient visit (45+ min)79$11,792$149
Magnesium level1,002$11,443$7
Folic acid level, serum692$10,899$15
Detection test for candida species (yeast), direct probe technique410$10,798$20
Detection test for gardnerella vaginalis (bacteria), direct probe technique406$10,746$20
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique406$10,708$20
Blood creatinine level1,519$10,457$5
Testosterone (hormone) level, total221$9,207$26
Detection test by nucleic acid for clostridium difficile, amplified probe technique224$8,982$37
Immunologic analysis for detection of tumor antigen, quantitative; ca 125126$8,844$21
Screening test for autoimmune disorder648$8,729$12
Total protein level, urine1,118$8,721$4
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle22$8,551$88
Blood test, clotting time749$8,133$4
Red blood cell sedimentation rate, to detect inflammation, automated1,984$8,090$3
Protein measurement, body fluid429$8,041$18
Detection test by nucleic acid for hepatitis b virus, quantification138$7,913$43
Bacterial culture, any other source except urine, blood or stool, aerobic726$7,878$9
Uric acid level, blood1,245$7,792$5
Short return visit (20+ min)76$7,711$79
Measurement of complement (immune system proteins), antigen,264$7,576$12
Measurement of antibody (ige) to allergic substance, crude allergen extract, each86$7,543$5
Cortisol (hormone) measurement, total260$7,514$16
Phosphate level722$7,428$5
Liver enzyme (sgpt), level1,141$7,413$5
Alpha-fetoprotein (afp) level, serum279$7,075$17
Stool analysis for blood, by fecal hemoglobin determination by immunoassay418$6,961$16
Creatine kinase (cardiac enzyme) level, total775$6,678$7
Troponin (protein) analysis, quantitative502$6,609$12
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)11$6,455$1
Stool culture, additional pathogens324$6,363$9
Administration of additional new drug or substance into vein, 1 hour or less35$6,055$78
Thyroid hormone, t3 measurement, free213$5,777$17
Lipase (fat enzyme) level647$4,954$7
Beta 2 glycoprotein 1 antibody (autoantibody) measurement62$4,900$25
Tacrolimus level54$4,847$14
Immunologic analysis technique on body fluid, other fluids with concentration154$4,813$29
Carcinoembryonic antigen (cea) protein level142$4,770$19
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less45$4,467$34
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$4,394$96
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen83$4,361$51
Hepatitis c antibody measurement289$4,181$14
Bacterial culture, any source, except blood, anaerobic365$4,053$9
Lactate dehydrogenase (enzyme) level368$3,953$6
Bacterial urine culture403$3,947$8
Blood potassium level681$3,876$5
Special gram or giemsa stain for microorganism712$3,749$4
Detection test by nucleic acid for hiv-1 virus, quantification29$3,732$85
Ldl cholesterol level321$3,714$10
Calcium level, ionized208$3,713$14
Administration of chemotherapy into vein, each additional hour40$3,636$33
Automated urinalysis test1,300$3,563$2
Microscopic examination for white blood cells with manual cell count527$3,459$4
Coagulation function measurement, d-dimer; quantitative319$3,410$10
Injection of additional new drug or substance into vein59$3,357$18
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types94$3,315$35
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour23$3,303$23
Stool culture324$3,181$9
Measurement of antibody for rheumatoid arthritis assessment240$3,098$13
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies122$3,058$24
Microsomal antibodies (autoantibody) measurement195$2,976$15
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,963$185
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-960$2,793$21
Analysis of substance using immunoassay technique, multiple step method209$2,776$11
Gammaglobulin (immune system protein) measurement229$2,769$9
Ige (immune system protein) level141$2,635$16
Rheumatoid factor level423$2,623$6
Blood glucose (sugar) level572$2,539$4
Instillation of anti-cancer drug into bladder12$2,480$89
Measurement of total estradiol (hormone)67$2,441$28
Measurement of antibody for assessment of autoimmune disorder, titer183$2,396$11
Liver enzyme (sgot), level307$2,376$5
Psa (prostate specific antigen) measurement, free105$2,280$18
Detection test by immunoassay technique for giardia (intestinal parasite)180$2,216$12
Long return visit (40+ min)11$2,118$177
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle29$2,097$35
Bacterial blood culture120$2,096$10
Thyroglobulin (thyroid protein) antibody measurement103$2,021$16
Cardiolipin antibody (tissue antibody) measurement69$1,960$25
Thyroglobulin (thyroid related hormone) level87$1,831$16
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)134$1,809$12
Administration of drug for helicobacter pylori216$1,772$8
Calcium level, total284$1,762$5
Blood sodium level279$1,753$5
Beta-2 microglobulin (protein) level63$1,747$16
Measurement of dna antibody, native or double stranded87$1,690$14
Haptoglobin (serum protein) level99$1,661$13
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique43$1,659$35
Homocysteine (amino acid) level79$1,649$18
Injection, zoledronic acid, 1 mg41$1,626None
Detection test by immunoassay technique for hepatitis b surface antigen147$1,620$10
Amylase (enzyme) level227$1,607$6
Red blood count, automated test334$1,572$4
Screening test for antibody to noninfectious agent126$1,551$12
Prolactin (milk producing hormone) level72$1,512$19
Albumin (protein) level221$1,475$5
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique41$1,474$35
Administration of additional new drug or substance into vein using push technique11$1,469$67
Culture for acid-fast bacilli67$1,415$11
Identification of organisms by immunologic analysis, other than immunofluorescence method187$1,393$5
Infusion into a vein for hydration, 31-60 minutes16$1,354$39
Injection of drug or substance under skin or into muscle41$1,335$14
Bilirubin level, direct228$1,329$5
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,329$66
Detection test by nucleic acid for hepatitis c virus, quantification25$1,328$43
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test37$1,298$35
Digoxin level, total81$1,288$13
Injection, fosaprepitant, 1 mg20$1,287None
Special fluorescent and/or acid fast stain for microorganism129$1,280$5
Detection test by immunoassay technique for cryptosporidium (parasite)90$1,271$14
Dihydroxyvitamin d, 1, 25 level30$1,271$39
Dehydroepiandrosterone (dhea-s) hormone level54$1,267$22
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool83$1,237$14
Screening test for pathogenic organisms177$1,223$7
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)69$1,190$17
Detection test by immunoassay technique for influenza virus41$1,159$14
Gonadotropin, luteinizing (reproductive hormone) level48$1,130$19
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity76$1,114$13
Detection test by nucleic acid for herpes simplex virus, amplified probe technique30$1,088$35
Injection of drug or substance into vein21$1,076$45
Glutamyltransferase (liver enzyme) level76$979$7
Urine osmolality (concentration) measurement112$921$7
Thyroid hormone, t3 measurement, total55$902$14
Hepatitis b core antibody measurement70$892$12
Urine sodium level147$879$5
Blood osmolality (concentration) measurement105$873$7
Screening test for red blood cell antibodies85$870$10
Somatomedin (growth factor) level34$850$21
Concentration of specimen for infectious agents61$848$7
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)101$845$7
Syphilis detection test187$828$4
Identification of organisms by genetic analysis, direct probe technique19$822$20
Irrigation of implanted venous access drug delivery device20$820$28
C-peptide (protein) level36$812$21
Fungal culture (mold or yeast)78$799$8
Hepatitis b surface antibody measurement71$782$11
Sex hormone binding globulin (protein) level26$782$22
Measurement of hepatitis a antibody63$781$12
Ceruloplasmin (protein) level68$741$11
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-312$728$21
Coagulation assessment blood test, plasma or whole blood116$715$6
Injection, paclitaxel, 1 mg14$683None
Urine calcium level107$661$6
Gonadotropin, follicle stimulating (reproductive hormone) level33$650$19
Bacterial culture for anaerobic isolates73$622$8
Measurement of substance using immunoassay technique16$620$14
Culture for identification of yeast47$568$10
Injection, carboplatin, 50 mg22$511None
Measurement of hepatitis a antibody (igm)45$507$11
Blood count, hemoglobin159$485$2
Ammonia level23$481$15
Valproic acid level, total27$460$14
Insulin measurement, total34$457$11
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid22$454$18
Analysis for antibody, treponema pallidum32$424$13
Alpha-1-antitrypsin (protein) blood test, total30$417$13
Prealbumin (protein) level13$409$15
Transferrin (iron binding protein) level26$383$13
Hepatitis b core antibody (igm) measurement22$377$12
Body fluid cell count with cell identification60$370$6
Fungal culture (mold or yeast) of skin, hair, or nail48$367$8
Carbamazepine level, total20$364$15
Protein s (clotting inhibitor) measurement16$352$15
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen22$336$15
Lipoprotein (a) level23$329$14
Analysis for antibody to rubeola (measles virus)24$309$13
Blood typing for rh (d) antigen98$296$3
Blood group typing (abo)97$293$3
Protein c antigen (clotting inhibitor) measurement21$291$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen22$289$13
Red blood cell antibody detection test, direct47$280$5
Analysis for antibody to cytomegalovirus (cmv)19$273$14
Urea nitrogen level to assess kidney function, quantitative62$269$4
Lithium level27$258$7
Lactic acid level21$255$12
Analysis for antibody (igm) to cytomegalovirus (cmv)15$253$17
Immunologic analysis for detection of antigen or antibody16$252$12
Infusion into a vein for hydration, each additional hour11$248$15
Crystal identification from tissue or body fluid32$235$7
Phenytoin level, total14$225$13
Phosphatase (enzyme) level, alkaline39$223$5
Analysis for antibody to herpes simplex virus, type 212$217$18
Fungal culture, yeast19$206$10
Antithrombin iii antigen (clotting inhibitor) activity17$201$12
Creatine kinase (cardiac enzyme) level, mb fraction only16$185$12
Analysis for antibody to varicella-zoster virus (chicken pox)14$180$13
Stool analysis for blood to screen for colon tumors40$175$4
Analysis for antibody to rubella (german measles virus)11$158$14
Cryoglobulin (protein) measurement23$155$6
Creatinine clearance measurement to test for kidney function15$151$9
Analysis for antibody to herpes simplex virus, type 112$149$12
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)20$147$7
Bilirubin level, total25$146$5
Urinalysis using microscope45$140$3
Injection, dexamethasone sodium phosphate, 1 mg57$135None
Fibrinogen (factor 1) activity measurement13$126$10
Cerebrospinal fluid, or amniotic fluid albumin (protein) level15$117$8
Total protein level, body fluid23$96$4
Glucose (sugar) level on body fluid23$94$4
Nasal smear for eosinophils (allergy related white blood cells)16$89$6
Injection, ondansetron hydrochloride, per 1 mg47$86None
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)17$86$5
Infusion, normal saline solution , 1000 cc16$81None
Total protein level, blood16$62$4
Urine potassium level11$56$5
Injection, diphenhydramine hcl, up to 50 mg29$43None
Infusion, normal saline solution, 250 cc14$8None

2020: 256 services

Original Medicare services billed in 2020
Injection, pembrolizumab, 1 mg20$479,452None
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r3,900$462,670$100
Blood test, lipids (cholesterol and triglycerides)11,201$173,647$13
Blood test, comprehensive group of blood chemicals9,644$170,639$10
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8,738$130,441$8
Blood test, thyroid stimulating hormone (tsh)6,120$129,760$17
Insertion of needle into vein for collection of blood sample17,954$127,650$3
Injection, rituximab, 10 mg12$106,533None
Hemoglobin a1c level6,882$103,219$10
Injection, pegfilgrastim, 6 mg11$89,026None
Injection, infliximab, excludes biosimilar, 10 mg15$83,900None
Vitamin d-3 level2,046$72,145$29
Blood test, basic group of blood chemicals (calcium, total)6,225$70,672$8
Parathormone (parathyroid hormone) level1,135$67,051$41
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg12$63,971None
Administration of chemotherapy into vein, 1 hour or less132$56,847$150
Injection, denosumab, 1 mg16$54,009None
Psa (prostate specific antigen) measurement, total1,603$44,094$18
Bacterial colony count, urine2,560$32,360$8
Cyanocobalamin (vitamin b-12) level1,975$32,138$15
Return visit (30+ min)120$31,342$98
Tuberculosis test, enumeration of t-cells297$30,398$100
Natriuretic peptide (heart and blood vessel protein) level564$29,028$39
Creatinine level to test for kidney function or muscle injury3,705$28,787$5
Ferritin (blood protein) level1,346$26,926$14
Complete blood cell count (red cells, white blood cell, platelets), automated test2,680$25,483$6
Prostate cancer screening; prostate specific antigen test (psa)1,265$24,302$19
Leuprolide acetate (for depot suspension), 7.5 mg26$22,344None
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,527$21,157$9
Urine microalbumin (protein) level3,095$20,960$6
Manual urinalysis test with examination using microscope, automated4,212$20,822$3
Bacterial culture for aerobic isolates1,475$19,309$8
Short return visit (20+ min)158$18,997$66
Nephelometry, test method using light310$17,525$14
Liver function blood test panel1,406$16,100$8
Kidney function blood test panel847$15,648$9
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less86$14,674$75
Iron binding capacity1,152$13,959$9
Thyroxine (thyroid chemical), free1,103$13,931$9
Testing for presence of drug, by chemistry analyzers156$11,743$61
Protein measurement, serum773$11,736$11
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle14$11,537$85
Measurement c-reactive protein for detection of infection or inflammation1,379$11,376$5
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)246$11,345$46
Iron level1,239$11,069$6
Immunologic analysis technique on serum (immunofixation)390$10,448$22
Measurement of antibody for assessment of autoimmune disorder, any method131$10,141$18
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous564$10,124$18
Gammaglobulin (immune system protein) measurement614$9,501$9
Immunologic analysis for detection of tumor antigen, quantitative; ca 125122$9,492$21
Magnesium level796$9,187$7
Blood creatinine level1,400$9,135$5
Folic acid level, serum567$8,841$15
Detection test for gardnerella vaginalis (bacteria), direct probe technique339$8,723$20
Detection test for candida species (yeast), direct probe technique338$8,704$20
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique337$8,683$20
Total protein level, urine1,012$7,754$4
Testosterone (hormone) level, total190$7,519$25
Blood test, clotting time692$7,447$4
Bacterial culture, any other source except urine, blood or stool, aerobic702$7,307$9
Liver enzyme (sgpt), level1,093$7,103$5
Red blood cell sedimentation rate, to detect inflammation, automated1,705$7,102$3
Measurement of complement (immune system proteins), antigen,238$6,888$12
Phosphate level651$6,827$5
Measurement of antibody (ige) to allergic substance, crude allergen extract, each82$6,796$5
Administration of chemotherapy into vein, each additional hour55$6,535$32
Administration of additional new drug or substance into vein, 1 hour or less38$6,523$73
Stool analysis for blood, by fecal hemoglobin determination by immunoassay378$6,451$16
Protein measurement, body fluid336$6,166$18
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less58$6,117$33
New patient visit (45+ min)40$6,091$152
Uric acid level, blood962$6,060$4
Screening test for autoimmune disorder450$5,823$12
Detection test by nucleic acid for hepatitis b virus, quantification99$5,729$42
Alpha-fetoprotein (afp) level, serum245$5,718$17
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody125$5,645$42
Creatine kinase (cardiac enzyme) level, total665$5,587$6
Cortisol (hormone) measurement, total187$5,364$16
Carcinoembryonic antigen (cea) protein level122$5,277$19
Detection test by immunoassay technique for influenza virus181$5,090$14
Stool culture, additional pathogens260$5,086$9
Injection, fosaprepitant, 1 mg14$4,980None
Tacrolimus level60$4,809$14
Troponin (protein) analysis, quantitative358$4,679$12
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen83$4,268$51
Injection of additional new drug or substance into vein71$4,268$17
Lipase (fat enzyme) level539$4,208$7
Analysis of substance using immunoassay technique, multiple step method338$4,177$11
Hepatitis c antibody measurement293$4,175$14
Thyroid hormone, t3 measurement, free184$4,142$17
Detection test by nucleic acid for hiv-1 virus, quantification31$3,796$84
Bacterial culture, any source, except blood, anaerobic347$3,793$9
Immunologic analysis technique on body fluid, other fluids with concentration126$3,751$29
Detection test by nucleic acid for clostridium difficile, amplified probe technique84$3,635$37
Lactate dehydrogenase (enzyme) level342$3,628$6
Ldl cholesterol level316$3,598$10
Beta 2 glycoprotein 1 antibody (autoantibody) measurement46$3,597$25
Blood potassium level647$3,445$5
Microscopic examination for white blood cells with manual cell count506$3,346$4
Special gram or giemsa stain for microorganism643$3,280$4
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies133$3,229$24
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)225$3,069$12
Ige (immune system protein) level155$3,003$16
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour25$2,912$23
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types79$2,890$35
Coagulation function measurement, d-dimer; quantitative255$2,806$10
Red blood cells, leukocytes reduced, each unit11$2,770$115
Automated urinalysis test1,049$2,744$2
Infusion into a vein for hydration, 31-60 minutes13$2,727$36
Administration of additional new drug or substance into vein using push technique17$2,644$63
Liver enzyme (sgot), level334$2,555$5
Stool culture260$2,543$9
Measurement of antibody for rheumatoid arthritis assessment194$2,534$13
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,449$98
New patient visit (60+ min)13$2,380$183
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle34$2,339$33
Blood glucose (sugar) level535$2,270$4
Microsomal antibodies (autoantibody) measurement154$2,236$14
Measurement of total estradiol (hormone)59$2,225$28
Calcium level, ionized135$2,218$14
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-934$2,173$21
Injection of drug or substance under skin or into muscle51$2,128$14
Rheumatoid factor level319$1,964$6
Bacterial urine culture214$1,956$8
Detection test by immunoassay technique for hepatitis b surface antigen162$1,831$10
Psa (prostate specific antigen) measurement, free85$1,829$18
Injection, zoledronic acid, 1 mg41$1,829None
Bacterial blood culture104$1,814$10
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test52$1,811$35
Beta-2 microglobulin (protein) level62$1,785$16
Detection test by immunoassay technique for giardia (intestinal parasite)147$1,774$12
Measurement of dna antibody, native or double stranded77$1,666$14
Amylase (enzyme) level226$1,661$6
Detection test by nucleic acid for hepatitis c virus, quantification31$1,654$42
Screening test for antibody to noninfectious agent116$1,620$12
Blood sodium level282$1,601$5
Digoxin level, total95$1,544$13
Haptoglobin (serum protein) level107$1,540$13
Red blood count, automated test280$1,519$4
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique41$1,468$33
Injection of drug or substance into vein32$1,462$41
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,428$68
Calcium level, total237$1,415$5
Thyroglobulin (thyroid protein) antibody measurement80$1,368$16
Bilirubin level, direct243$1,328$5
Thyroglobulin (thyroid related hormone) level71$1,279$16
Cardiolipin antibody (tissue antibody) measurement47$1,266$25
Culture for acid-fast bacilli66$1,254$11
Albumin (protein) level193$1,189$5
Prolactin (milk producing hormone) level60$1,177$19
Gonadotropin, luteinizing (reproductive hormone) level51$1,159$18
Identification of organisms by genetic analysis, direct probe technique26$1,113$20
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique34$1,088$32
Measurement of antibody for assessment of autoimmune disorder, titer89$1,077$11
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)63$1,074$17
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool71$1,058$14
Special fluorescent and/or acid fast stain for microorganism105$985$5
Glutamyltransferase (liver enzyme) level65$979$7
Thyroid hormone, t3 measurement, total60$960$14
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity68$954$13
Detection test by nucleic acid for herpes simplex virus, amplified probe technique26$943$35
Homocysteine (amino acid) level47$929$18
Hepatitis b core antibody measurement74$924$12
Injection, oxaliplatin, 0.5 mg11$911None
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg13$903None
Identification of organisms by immunologic analysis, other than immunofluorescence method122$885$5
Dehydroepiandrosterone (dhea-s) hormone level35$863$22
Transfusion of blood or blood products14$855$39
Hepatitis b surface antibody measurement75$854$11
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-316$849$21
Sex hormone binding globulin (protein) level29$844$22
Injection, carboplatin, 50 mg21$838None
Gonadotropin, follicle stimulating (reproductive hormone) level43$832$18
Screening test for red blood cell antibodies82$815$10
Irrigation of implanted venous access drug delivery device22$806$26
Detection test by immunoassay technique for cryptosporidium (parasite)55$771$14
Dihydroxyvitamin d, 1, 25 level18$766$38
Bacterial culture for anaerobic isolates82$764$8
C-peptide (protein) level35$746$21
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)79$736$7
Collection of blood sample from implanted device13$719$26
Infusion into a vein for hydration, each additional hour14$708$14
Measurement of hepatitis a antibody56$702$12
Somatomedin (growth factor) level29$696$21
Concentration of specimen for infectious agents54$695$7
Ammonia level37$652$14
Fungal culture (mold or yeast)66$628$8
Screening test for pathogenic organisms92$627$7
Valproic acid level, total37$605$13
Coagulation assessment blood test, plasma or whole blood97$598$6
Syphilis detection test137$598$4
Injection, paclitaxel, 1 mg12$576None
Urine osmolality (concentration) measurement72$574$7
Urine sodium level95$555$5
Blood osmolality (concentration) measurement74$523$7
Measurement of substance using immunoassay technique14$509$15
Prealbumin (protein) level13$507$14
Measurement of hepatitis a antibody (igm)42$504$11
Urine calcium level78$492$6
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique13$448$34
Injection, fluorouracil, 500 mg12$427None
Analysis for antibody, treponema pallidum31$422$13
Blood count, hemoglobin143$409$2
Transferrin (iron binding protein) level31$393$13
Ceruloplasmin (protein) level37$389$11
Analysis for antibody to rubeola (measles virus)30$384$13
Hepatitis b core antibody (igm) measurement19$375$12
Red blood cell antibody detection test, direct65$375$5
Insulin measurement, total28$365$11
Office for the evaluation and management of established patient that may not require presence of healthcare professional13$361$24
Culture for identification of yeast27$360$10
Body fluid cell count with cell identification59$345$6
Analysis for antibody to cytomegalovirus (cmv)24$343$14
Lipoprotein (a) level23$342$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid16$325$18
Identification of mycobacteria (tb or tb like organism)16$319$14
Carbamazepine level, total19$319$14
Blood group typing (abo)98$306$3
Blood typing for rh (d) antigen98$306$3
Fungal culture (mold or yeast) of skin, hair, or nail39$299$8
Alpha-1-antitrypsin (protein) blood test, total21$280$13
Fibrinogen (factor 1) activity measurement27$271$10
Creatine kinase (cardiac enzyme) level, mb fraction only23$264$11
Protein s (clotting inhibitor) measurement12$260$15
Lithium level26$257$7
Analysis for antibody (igm) to cytomegalovirus (cmv)15$251$17
Protein c antigen (clotting inhibitor) measurement18$248$14
Cryoglobulin (protein) measurement32$244$6
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen16$244$15
Crystal identification from tissue or body fluid31$240$7
Stool analysis for blood to screen for colon tumors55$239$4
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen16$209$13
Urea nitrogen level to assess kidney function, quantitative46$208$4
Fungal culture, yeast19$206$10
Injection, dexamethasone sodium phosphate, 1 mg60$195None
Phosphatase (enzyme) level, alkaline36$191$5
Analysis for antibody to rubella (german measles virus)13$185$14
Phenytoin level, total13$184$13
Infusion, normal saline solution , 1000 cc11$181None
Triglycerides level12$165$6
Creatinine clearance measurement to test for kidney function17$160$9
Analysis for antibody to mumps virus12$155$13
Analysis for antibody to varicella-zoster virus (chicken pox)12$153$13
Antithrombin iii antigen (clotting inhibitor) activity12$142$12
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)26$137$5
Urinalysis using microscope43$137$3
Injection, ondansetron hydrochloride, per 1 mg57$120None
Bilirubin level, total23$115$5
Total protein level, blood29$113$4
Nasal smear for eosinophils (allergy related white blood cells)18$110$6
Total protein level, body fluid19$76$4
Glucose (sugar) level on body fluid19$74$4
Cholesterol level15$73$4
Injection, diphenhydramine hcl, up to 50 mg41$68None
Injection, furosemide, up to 20 mg11$9None
Infusion, normal saline solution, 250 cc15$8None

2019: 252 services

Original Medicare services billed in 2019
Injection, pembrolizumab, 1 mg20$378,409None
Blood test, lipids (cholesterol and triglycerides)11,923$205,222$15
Blood test, comprehensive group of blood chemicals9,988$191,974$11
Blood test, thyroid stimulating hormone (tsh)6,709$159,316$18
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9,589$158,805$8
Injection, rituximab, 10 mg18$155,593None
Insertion of needle into vein for collection of blood sample19,780$151,067$3
Hemoglobin a1c level7,003$122,719$11
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)13$109,288None
Injection, bortezomib, 0.1 mg12$103,111None
Blood test, basic group of blood chemicals (calcium, total)7,113$91,088$9
Injection, infliximab, excludes biosimilar, 10 mg14$82,249None
Parathormone (parathyroid hormone) level1,197$78,795$45
Vitamin d-3 level2,013$77,840$32
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg13$64,424None
Injection, darbepoetin alfa, 1 microgram (non-esrd use)12$60,420None
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg11$52,930None
Psa (prostate specific antigen) measurement, total1,661$51,718$20
Administration of chemotherapy into vein, 1 hour or less124$50,631$150
Injection, denosumab, 1 mg18$48,079None
Bacterial colony count, urine2,949$42,183$9
Return visit (30+ min)149$41,893$98
Cyanocobalamin (vitamin b-12) level2,239$40,447$16
Creatinine level to test for kidney function or muscle injury3,934$34,178$6
Ferritin (blood protein) level1,466$31,901$15
Complete blood cell count (red cells, white blood cell, platelets), automated test2,934$30,688$7
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,844$28,619$9
Tuberculosis test, enumeration of t-cells286$28,514$98
Natriuretic peptide (heart and blood vessel protein) level576$27,444$38
Bacterial culture for aerobic isolates1,862$27,043$9
Manual urinalysis test with examination using microscope, automated4,717$26,223$3
Prostate cancer screening; prostate specific antigen test (psa)1,289$25,819$20
Urine microalbumin (protein) level3,253$24,160$6
Liver function blood test panel1,685$21,973$9
Kidney function blood test panel931$19,733$9
Iron binding capacity1,318$17,795$10
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)388$17,584$45
Thyroxine (thyroid chemical), free1,151$16,375$10
Nephelometry, test method using light229$16,241$15
Leuprolide acetate (for depot suspension), 7.5 mg19$16,117None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less93$15,150$75
Iron level1,412$14,198$7
Short return visit (20+ min)135$14,075$63
Protein measurement, serum827$13,881$12
Measurement c-reactive protein for detection of infection or inflammation1,425$13,482$6
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle18$13,329$84
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous750$13,268$18
Blood creatinine level1,808$12,885$6
Measurement of antibody for assessment of autoimmune disorder, any method147$12,314$19
Immunologic analysis technique on serum (immunofixation)400$11,763$24
Bacterial culture, any other source except urine, blood or stool, aerobic958$10,892$9
Detection test for candida species (yeast), direct probe technique392$10,661$22
Detection test for gardnerella vaginalis (bacteria), direct probe technique392$10,656$22
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique390$10,613$22
Testosterone (hormone) level, total246$10,541$28
Folic acid level, serum608$10,250$16
Gammaglobulin (immune system protein) measurement609$10,048$10
Magnesium level807$9,930$7
Immunologic analysis for detection of tumor antigen, quantitative; ca 125117$9,295$23
Total protein level, urine1,136$9,242$4
Screening test for autoimmune disorder606$8,706$13
Detection test by nucleic acid for hiv-1 virus, quantification41$8,684$92
Blood test, clotting time766$8,658$4
Stool culture, additional pathogens391$8,538$10
Stool analysis for blood, by fecal hemoglobin determination by immunoassay452$8,537$17
Liver enzyme (sgpt), level1,228$8,378$6
Red blood cell sedimentation rate, to detect inflammation, non-automated1,391$8,237$4
New patient visit (45+ min)50$7,487$150
Protein measurement, body fluid366$7,307$19
Detection test by immunoassay technique for influenza virus255$7,120$14
Alpha-fetoprotein (afp) level, serum255$7,078$18
Measurement of complement (immune system proteins), antigen,220$7,026$13
Creatine kinase (cardiac enzyme) level, total761$7,020$7
Uric acid level, blood1,029$6,916$5
Phosphate level652$6,867$5
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)12$6,736$1
Administration of additional new drug or substance into vein, 1 hour or less38$6,704$72
Injection, fosaprepitant, 1 mg15$6,621None
Troponin (protein) analysis, quantitative496$6,249$12
Testing for presence of drug, by chemistry analyzers95$6,207$63
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less60$6,129$32
Thyroid hormone, t3 measurement, free245$6,033$18
Beta 2 glycoprotein 1 antibody (autoantibody) measurement70$5,894$27
Hepatitis c antibody measurement366$5,768$16
Administration of chemotherapy into vein, each additional hour54$5,761$31
Tuberculosis test, gamma interferon84$5,737$67
Carcinoembryonic antigen (cea) protein level136$5,617$21
Tacrolimus level51$5,545$15
Cortisol (hormone) measurement, total186$5,467$18
Lipase (fat enzyme) level638$5,375$7
Analysis of substance using immunoassay technique, multiple step method389$5,224$12
Detection test by nucleic acid for clostridium difficile, amplified probe technique123$5,044$38
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types118$4,770$38
Measurement of antibody (ige) to allergic substance, crude allergen extract, each64$4,769$6
Injection of additional new drug or substance into vein79$4,748$17
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)311$4,553$13
Bacterial culture, any source, except blood, anaerobic380$4,454$10
Blood potassium level774$4,356$5
Stool culture391$4,263$10
Special gram or giemsa stain for microorganism758$4,211$5
Ldl cholesterol level341$3,852$10
Detection test by nucleic acid for hepatitis c virus, quantification66$3,685$47
Automated urinalysis test1,217$3,661$2
Microscopic examination for white blood cells with manual cell count580$3,599$4
Blood glucose (sugar) level752$3,548$4
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies132$3,486$26
Coagulation function measurement, d-dimer; quantitative298$3,484$11
Detection test by nucleic acid for hepatitis b virus, quantification65$3,359$47
Lactate dehydrogenase (enzyme) level281$3,218$7
Bacterial blood culture157$3,181$11
Immunologic analysis technique on body fluid, other fluids with concentration89$3,100$32
Red blood cell sedimentation rate, to detect inflammation, automated828$3,074$3
Measurement of antibody for rheumatoid arthritis assessment214$3,069$14
Analysis for antibody to rubeola (measles virus)207$2,902$14
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour30$2,894$22
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test76$2,890$38
Rheumatoid factor level421$2,876$6
Calcium level, ionized157$2,876$15
Injection of drug or substance under skin or into muscle54$2,835$17
Detection test by immunoassay technique for giardia (intestinal parasite)213$2,805$13
Microsomal antibodies (autoantibody) measurement173$2,782$16
Liver enzyme (sgot), level333$2,648$6
Ige (immune system protein) level128$2,448$18
Cardiolipin antibody (tissue antibody) measurement75$2,232$28
Measurement of total estradiol (hormone)58$2,178$30
Amylase (enzyme) level269$2,141$7
Calcium level, total320$2,134$6
Injection, zoledronic acid, 1 mg43$2,126None
Measurement of dna antibody, native or double stranded90$2,041$15
Haptoglobin (serum protein) level100$2,040$14
Screening test for antibody to noninfectious agent128$2,015$13
Thyroglobulin (thyroid protein) antibody measurement96$1,974$17
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,894$95
Digoxin level, total104$1,893$14
Measurement of antibody for assessment of autoimmune disorder, titer141$1,866$12
Administration of additional new drug or substance into vein using push technique15$1,858$62
Injection of drug or substance into vein42$1,833$38
Blood sodium level297$1,822$5
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle27$1,768$32
Red blood count, automated test308$1,744$4
Thyroglobulin (thyroid related hormone) level80$1,696$17
Detection test by immunoassay technique for hepatitis b surface antigen137$1,654$11
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-937$1,610$23
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity102$1,588$14
Prolactin (milk producing hormone) level62$1,561$21
Psa (prostate specific antigen) measurement, free60$1,534$20
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique40$1,528$38
Beta-2 microglobulin (protein) level48$1,511$18
Culture for acid-fast bacilli79$1,494$12
Albumin (protein) level213$1,458$5
Irrigation of implanted venous access drug delivery device30$1,399$27
Bacterial urine culture136$1,322$9
Special fluorescent and/or acid fast stain for microorganism135$1,315$6
Identification of organisms by immunologic analysis, other than immunofluorescence method156$1,244$6
Homocysteine (amino acid) level60$1,225$18
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool74$1,221$16
Thyroid hormone, t3 measurement, total66$1,204$15
Injection, paclitaxel, 1 mg21$1,170None
Gonadotropin, luteinizing (reproductive hormone) level47$1,147$20
Bilirubin level, direct156$1,070$5
Gonadotropin, follicle stimulating (reproductive hormone) level49$1,045$20
Analysis for antibody to rubella (german measles virus)65$1,019$16
Identification of organisms by genetic analysis, direct probe technique23$982$22
Syphilis detection test200$981$5
Dehydroepiandrosterone (dhea-s) hormone level32$960$24
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)106$946$8
Screening test for pathogenic organisms125$929$7
Detection test by immunoassay technique for cryptosporidium (parasite)68$928$13
Analysis for antibody to mumps virus64$909$14
Detection test by nucleic acid for herpes simplex virus, amplified probe technique23$879$38
Measurement of hepatitis a antibody64$876$13
Screening test for red blood cell antibodies85$846$10
Valproic acid level, total41$841$15
C-peptide (protein) level37$840$22
Sex hormone binding globulin (protein) level26$828$24
Concentration of specimen for infectious agents68$814$7
Fungal culture (mold or yeast)78$796$9
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-317$793$23
Glutamyltransferase (liver enzyme) level62$792$8
Hepatitis b core antibody (igm) measurement49$782$13
Transferrin (iron binding protein) level42$769$14
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique18$764$38
Coagulation assessment blood test, plasma or whole blood113$756$7
Ammonia level41$746$16
Hepatitis b core antibody measurement56$735$13
Injection, carboplatin, 50 mg22$711None
Creatine kinase (cardiac enzyme) level, mb fraction only53$704$13
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique16$688$38
Measurement of hepatitis a antibody (igm)53$674$12
Dihydroxyvitamin d, 1, 25 level16$671$42
Somatomedin (growth factor) level25$648$23
Hepatitis b surface antibody measurement52$620$12
Measurement of substance using immunoassay technique19$615$17
Bacterial culture for anaerobic isolates63$602$9
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid25$514$20
Collection of blood sample from implanted device12$506$27
Blood count, hemoglobin167$499$3
Urine calcium level69$486$7
Progesterone (reproductive hormone) level16$477$23
Phenytoin level, total22$477$14
Carbamazepine level, total26$460$16
Insulin measurement, total31$443$12
Body fluid cell count with cell identification69$441$6
Blood osmolality (concentration) measurement50$432$7
Urine osmolality (concentration) measurement49$430$7
Protein s (clotting inhibitor) measurement20$419$16
Urine sodium level69$413$5
Culture for identification of yeast29$405$11
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen24$400$17
Fungal culture (mold or yeast) of skin, hair, or nail41$378$8
Office for the evaluation and management of established patient that may not require presence of healthcare professional15$372$22
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when perfor12$369$31
Hdl cholesterol level41$366$9
Lipoprotein (a) level21$353$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen24$343$14
Protein c antigen (clotting inhibitor) measurement22$340$15
Alpha-1-antitrypsin (protein) blood test, total23$336$15
Ceruloplasmin (protein) level28$327$12
Urea nitrogen level to assess kidney function, quantitative65$318$4
Blood group typing (abo)93$313$3
Blood typing for rh (d) antigen93$313$3
Crystal identification from tissue or body fluid38$308$8
Lithium level30$295$7
Red blood cell antibody detection test, direct45$294$6
Analysis for antibody, treponema pallidum18$288$14
Stool analysis for blood to screen for colon tumors62$266$4
Fungal culture, yeast22$247$11
Analysis for antibody to cytomegalovirus (cmv)15$235$16
Phosphatase (enzyme) level, alkaline38$225$6
Creatinine clearance measurement to test for kidney function20$216$10
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)36$196$5
Cholesterol level41$194$5
Fibrinogen (factor 1) activity measurement18$191$10
Cryoglobulin (protein) measurement27$190$7
Analysis for antibody to varicella-zoster virus (chicken pox)13$182$14
Injection, dexamethasone sodium phosphate, 1 mg57$161None
Cerebrospinal fluid, or amniotic fluid albumin (protein) level19$160$8
Bilirubin level, total20$158$5
Detection test by immunoassay technique for shiga-like toxin (bacterial toxin)12$157$13
Injection, ondansetron hydrochloride, per 1 mg48$154None
Total protein level, body fluid32$140$4
Urinalysis using microscope36$139$3
Antithrombin iii antigen (clotting inhibitor) activity11$136$12
Glucose (sugar) level on body fluid28$133$4
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)13$107$8
Total protein level, blood24$96$4
Tissue preparation for culture12$83$6
Injection, diphenhydramine hcl, up to 50 mg51$76None
Urine potassium level12$61$5
Screening test for mononucleosis (mono)11$59$5
Body fluid ph level12$55$4
Infusion, normal saline solution, 250 cc23$12None

2018: 331 services

Original Medicare services billed in 2018
Injection, pembrolizumab, 1 mg15$412,020None
Blood test, lipids (cholesterol and triglycerides)11,724$224,745$16
Blood test, comprehensive group of blood chemicals10,007$213,357$13
Blood test, thyroid stimulating hormone (tsh)6,831$180,230$20
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9,600$174,942$9
Insertion of needle into vein for collection of blood sample19,181$146,826$3
Injection, rituximab, 100 mg11$146,140None
Injection, pegfilgrastim, 6 mg15$136,471None
Hemoglobin a1c level6,747$130,278$12
Blood test, basic group of blood chemicals (calcium, total)7,131$103,623$10
Vitamin d-3 level2,098$90,386$36
Parathormone (parathyroid hormone) level1,106$79,873$49
Injection, denosumab, 1 mg14$74,136None
Psa (prostate specific antigen) measurement, total1,663$56,670$22
Administration of chemotherapy into vein, 1 hour or less94$54,824$148
Bacterial colony count, urine2,887$46,397$10
Cyanocobalamin (vitamin b-12) level2,051$41,417$18
Complete blood cell count (red cells, white blood cell, platelets), automated test3,002$36,797$8
Creatinine level to test for kidney function or muscle injury3,792$35,991$6
Return visit (30+ min)130$32,920$92
Natriuretic peptide (heart and blood vessel protein) level569$31,724$41
Ferritin (blood protein) level1,229$30,807$16
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,739$29,914$10
Manual urinalysis test with examination using microscope, automated4,855$29,397$4
Bacterial culture for aerobic isolates1,665$26,056$10
Prostate cancer screening; prostate specific antigen test (psa)1,139$25,354$22
Tuberculosis test, gamma interferon328$24,843$75
Urine microalbumin (protein) level3,024$24,681$7
Liver function blood test panel1,663$23,862$10
Kidney function blood test panel896$21,301$10
Gammaglobulin (immune system protein) measurement563$20,778$11
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle21$18,599$84
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)399$18,123$45
Iron binding capacity1,124$17,508$11
Thyroxine (thyroid chemical), free1,076$16,697$11
Nephelometry, test method using light216$16,246$15
Blood creatinine level2,008$15,910$6
Testing for presence of drug, by chemistry analyzers199$14,571$65
Short return visit (20+ min)144$14,301$65
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous738$14,207$19
Iron level1,207$13,943$8
Protein measurement, serum763$13,936$13
Testosterone (hormone) level, total336$13,751$25
Immunologic analysis technique on serum (immunofixation)356$13,424$27
Measurement c-reactive protein for detection of infection or inflammation1,356$13,036$6
Bacterial culture, any other source except urine, blood or stool, aerobic978$12,675$10
Leuprolide acetate (for depot suspension), 7.5 mg17$12,354None
Red blood cell sedimentation rate, to detect inflammation, non-automated1,926$12,099$4
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less60$11,861$75
Detection test for candida species (yeast), direct probe technique368$11,637$24
Detection test for gardnerella vaginalis (bacteria), direct probe technique368$11,635$24
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique368$11,635$24
Blood test, clotting time934$10,530$5
Liver enzyme (sgpt), level1,324$10,264$6
Detection test by immunoassay technique for influenza virus336$9,840$14
Total protein level, urine1,070$9,785$4
Folic acid level, serum519$9,759$18
Detection test by nucleic acid for hepatitis b virus, quantification122$9,587$52
Measurement of antibody for assessment of autoimmune disorder, any method103$9,486$21
Screening test for autoimmune disorder578$9,107$14
Immunologic analysis for detection of tumor antigen, quantitative; ca 125104$8,771$25
Magnesium level688$8,573$8
Administration of additional new drug or substance into vein, 1 hour or less38$8,314$70
Breath test analysis for helicobacter pylori155$8,195$49
Creatine kinase (cardiac enzyme) level, total759$8,087$8
Protein measurement, body fluid378$8,087$20
Stool analysis for blood, by fecal hemoglobin determination by immunoassay390$7,907$19
Measurement of antibody (ige) to allergic substance, crude allergen extract, each78$7,658$6
Alpha-fetoprotein (afp) level, serum251$7,546$20
Analysis of substance using immunoassay technique, multiple step method322$7,454$14
Injection of additional new drug or substance into vein70$7,326$18
Uric acid level, blood977$7,282$5
Flow cytometry technique for dna or cell analysis, each additional marker50$7,184$7
Hepatitis c antibody measurement407$7,161$17
Tacrolimus level48$7,130$17
Detection test by nucleic acid for clostridium difficile, amplified probe technique136$7,029$42
Injection, fosaprepitant, 1 mg11$6,888None
Carcinoembryonic antigen (cea) protein level132$6,813$23
Beta 2 glycoprotein 1 antibody (autoantibody) measurement69$6,710$30
Lipase (fat enzyme) level675$6,525$8
Thyroid hormone, t3 measurement, free224$6,354$20
Phosphate level536$6,125$6
Detection test by nucleic acid for hepatitis c virus, quantification84$5,747$52
Blood potassium level869$5,702$6
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)343$5,699$15
Microscopic examination for white blood cells with manual cell count709$5,697$4
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types126$5,605$42
Cardiolipin antibody (tissue antibody) measurement76$5,410$30
Measurement of complement (immune system proteins), antigen,161$5,358$14
Troponin (protein) analysis, quantitative396$5,125$12
Administration of chemotherapy into vein using push technique11$5,048$115
Injection, tbo-filgrastim, 1 microgram11$4,918None
Special gram or giemsa stain for microorganism762$4,883$5
Bacterial culture, any source, except blood, anaerobic364$4,841$11
Detection test by nucleic acid for hiv-1 virus, quantification24$4,839$103
New patient visit (45+ min)33$4,826$146
Stool culture395$4,752$11
Detection test by nucleic acid for organism, quantification11$4,664$52
Blood glucose (sugar) level828$4,467$5
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less47$4,417$32
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test98$4,161$42
Administration of chemotherapy into vein, each additional hour31$4,144$32
Injection of drug or substance under skin or into muscle54$4,056$21
Automated urinalysis test1,151$3,906$3
New patient visit (60+ min)21$3,876$185
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies128$3,876$29
Immunologic analysis technique on body fluid, other fluids with concentration121$3,873$29
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour20$3,726$22
Red blood cells, leukocytes reduced, each unit11$3,669$108
Ldl cholesterol level290$3,628$11
Detection test by immunoassay technique for hepatitis b surface antigen246$3,366$12
Amylase (enzyme) level369$3,331$8
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique76$3,328$42
Measurement of antibody for rheumatoid arthritis assessment208$3,275$16
Calcium level, ionized157$3,209$17
Coagulation function measurement, d-dimer; quantitative250$3,156$12
Cortisol (hormone) measurement, total144$3,109$20
Injection, zoledronic acid, 1 mg33$3,108None
Lactate dehydrogenase (enzyme) level239$3,086$7
Injection of drug or substance into vein40$3,074$48
Detection test by immunoassay technique for giardia (intestinal parasite)204$3,040$14
Long return visit (40+ min)24$3,002$120
Bacterial blood culture128$2,941$12
Stool culture, additional pathogens123$2,920$11
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses76$2,863$7
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique68$2,861$42
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,809$94
Ige (immune system protein) level131$2,776$20
Rheumatoid factor level367$2,747$7
Liver enzyme (sgot), level318$2,711$6
Blood sodium level357$2,556$6
Microsomal antibodies (autoantibody) measurement143$2,538$17
Digoxin level, total114$2,505$16
Thyroglobulin (thyroid protein) antibody measurement110$2,470$19
Measurement of dna antibody, native or double stranded114$2,339$16
Biopsy and aspiration of bone marrow sample for diagnosis13$2,226$171
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool113$2,140$17
Prolactin (milk producing hormone) level75$2,133$23
Thyroglobulin (thyroid related hormone) level85$2,088$19
Irrigation of implanted venous access drug delivery device31$2,024$27
Calcium level, total263$2,012$6
Bacterial urine culture182$1,948$10
Measurement of substance using immunoassay technique, by radioimmunoassay45$1,915$18
Culture for acid-fast bacilli88$1,839$13
Psa (prostate specific antigen) measurement, free60$1,825$22
Measurement of total estradiol (hormone)46$1,784$33
Stool calprotectin (protein) level60$1,734$24
Collagen cross links test, (urine test to evaluate bone health)71$1,671$21
Beta-2 microglobulin (protein) level47$1,659$20
Identification of organisms by immunologic analysis, other than immunofluorescence method161$1,646$6
Concentration of specimen for infectious agents83$1,607$8
Screening test for antibody to noninfectious agent95$1,596$12
Haptoglobin (serum protein) level64$1,583$15
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity90$1,566$16
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle26$1,545$32
Gene analysis (janus kinase 2) variant15$1,529$96
Administration of additional new drug or substance into vein using push technique12$1,527$61
Special fluorescent and/or acid fast stain for microorganism140$1,518$7
Organic acid level112$1,509$13
Measurement of substance using immunoassay technique59$1,489$16
Red blood count, automated test241$1,488$5
Analysis for antibody to rubeola (measles virus)94$1,465$15
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-931$1,385$25
Creatine kinase (cardiac enzyme) level, mb fraction only89$1,361$14
Detection test by nucleic acid for herpes simplex virus, amplified probe technique31$1,359$42
Gonadotropin, luteinizing (reproductive hormone) level51$1,317$22
Vitamin b-1 (thiamine) level113$1,307$11
Measurement of antibody for assessment of autoimmune disorder, titer84$1,286$13
Thyroid hormone, t3 measurement, total70$1,282$17
Detection of infectious agent antibody, quantitative43$1,282$9
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-315$1,278$25
Measurement of hepatitis a antibody85$1,267$15
Transfusion of blood or blood products15$1,243$38
Hepatitis b core antibody (igm) measurement67$1,241$14
Antibody identification test for white blood cell antibodies66$1,224$17
Infusion into a vein for hydration, 31-60 minutes11$1,215$49
Gonadotropin, follicle stimulating (reproductive hormone) level52$1,197$22
Hepatitis b core antibody measurement82$1,195$15
Hepatitis b surface antibody measurement90$1,169$13
Coagulation assessment blood test, plasma or whole blood144$1,132$7
Adrenocorticotropic hormone (acth) level38$1,116$9
Vitamin b-6 level77$1,112$13
Homocysteine (amino acid) level53$1,110$20
Syphilis detection test207$1,102$5
Albumin (protein) level142$1,041$6
Valproic acid level, total47$1,016$16
Detection of pancreatic elastase (enzyme) in stool69$957$14
Erythropoietin (protein) level47$927$19
Fungal culture (mold or yeast)82$925$10
T cell count and ratio, including ratio56$907$12
Testosterone (hormone) level, free96$900$7
Dehydroepiandrosterone (dhea-s) hormone level31$888$27
Screening test for pathogenic organisms103$874$8
Thyroid stimulating immune globulins (thyroid related protein) level25$861$33
C-peptide (protein) level31$856$25
Glutamyltransferase (liver enzyme) level61$854$9
Measurement of hepatitis a antibody (igm)62$844$14
Detection test by immunoassay technique for cryptosporidium (parasite)56$821$14
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid22$812$22
Injection, carboplatin, 50 mg16$801None
Carbamazepine level, total32$793$18
Ammonia level38$790$18
Urine calcium level106$769$6
Transferrin (iron binding protein) level28$757$15
Special stain for parasites176$756$4
Smear for parasites175$752$4
Protein s (clotting inhibitor) measurement30$742$19
Sex hormone binding globulin (protein) level30$739$21
Heavy metal level17$712$25
Flow cytometry technique for dna or cell analysis, first marker50$707$13
Prealbumin (protein) level18$706$18
Bacterial culture for anaerobic isolates65$694$10
Detection test by nucleic acid for organism, amplified probe technique14$679$42
Virus isolation, centrifuge enhanced15$663$24
Screening test for red blood cell antibodies66$660$10
Dihydroxyvitamin d, 1, 25 level14$652$47
Collection of blood sample from implanted device14$643$26
Somatomedin (growth factor) level21$643$26
Total cell count for b cells (white blood cells)54$636$9
T cells count, total54$636$9
Office for the evaluation and management of established patient that may not require presence of healthcare professional26$628$21
Blood count, hemoglobin187$604$3
Infusion into a vein for hydration, each additional hour13$585$14
Bilirubin level, direct59$581$6
Phenytoin level, total22$577$16
Body fluid cell count with cell identification74$569$7
Analysis for antibody to coccidioides (bacteria)31$567$14
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique13$552$42
Analysis for antibody to herpes simplex virus, type 222$535$21
Identification of organisms by genetic analysis, direct probe technique12$534$24
Flow cytometry technique for dna or cell analysis, 16 or more markers48$529$11
Fungal culture (mold or yeast) of skin, hair, or nail54$522$9
Metanephrines level24$506$17
Antithrombin iii antigen (clotting inhibitor) activity34$502$14
Hiv antigen/antibody, combination assay, screening17$495$29
Crystal identification from tissue or body fluid51$479$9
Protein c antigen (clotting inhibitor) measurement28$469$17
Lipoprotein (a) level28$465$15
Urine sodium level73$460$5
Urea nitrogen level to assess kidney function, quantitative80$456$5
Analysis for antibody bacteria17$454$7
Urine osmolality (concentration) measurement50$454$8
Catecholamines (organic nitrogen) level16$452$22
Lithium level35$451$8
Blood osmolality (concentration) measurement49$448$8
Aldosterone hormone level26$437$12
Analysis for antibody to mumps virus27$426$16
Stool analysis for blood to screen for colon tumors99$425$4
Fungal culture, yeast30$425$12
Analysis for detection of tumor marker12$422$22
Analysis for antibody to rubella (german measles virus)24$418$17
Phosphatase (enzyme) level, alkaline58$414$6
Analysis for antibody (igm) to cytomegalovirus (cmv)20$408$20
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen22$407$19
Hdl cholesterol level41$407$10
Alpha-1-antitrypsin (protein) blood test, total24$407$16
Lipoprotein level, quantitation of lipoprotein particle number(s)12$378$31
Insulin measurement, total24$373$14
Stool fat or lipids analysis, qualitative60$371$6
Culture for identification of yeast26$362$12
Apolipoprotein level18$357$20
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen22$349$16
Analysis for antibody to cytomegalovirus (cmv)20$348$17
Infrared analysis of stone29$341$11
Ceruloplasmin (protein) level26$338$13
Zinc level33$334$9
Analysis for antibody to tetanus bacteria (clostridium tetanus)19$326$16
Glycated protein level48$325$6
Analysis for antibody to herpes simplex virus, type 119$317$14
Stool lactoferrin (immune system protein) analysis13$309$24
Chemical analysis using chromatography technique12$307$24
Measurement of complement (immune system proteins), total hemolytic22$304$13
Renin (kidney enzyme) level25$302$10
Creatinine clearance measurement to test for kidney function24$295$11
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)14$287$11
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)19$280$8
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)29$275$8
Blood group typing (abo)71$275$4
Blood typing for rh (d) antigen71$275$4
Cholesterol level50$274$5
Analysis for antibody, treponema pallidum18$273$14
Bilirubin level, total28$273$6
Detection test by immunoassay technique for hepatitis be surface antigen20$265$8
Copper level28$265$9
Analysis for antibody to varicella-zoster virus (chicken pox)17$265$16
Vitamin e level20$265$13
Chromium level to test for poisoning or deficiency11$256$21
Total protein level, blood60$248$4
Cortisol (hormone) measurement, free17$248$15
G6pd (enzyme) level21$246$12
Angiotensin l - converting enzyme (ace) level26$239$9
Blood viscosity measurement13$238$11
Levetiracetam level14$216$14
Injection, dexamethasone sodium phosphate, 1 mg58$216None
Thyroid hormone, t3 measurement, reverse12$209$14
Vitamin a level17$204$11
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)29$195$6
Aldolase (enzyme) level29$193$6
Alpha-1-antitrypsin (protein) blood test, phenotype11$193$18
Red blood cell antibody detection test, direct26$189$7
Clotting factor x assessment test, diluted15$185$12
Analysis for antibody to aspergillus (fungus)20$185$7
Urinalysis using microscope46$184$4
Phenobarbital level11$180$15
Cerebrospinal fluid, or amniotic fluid albumin (protein) level18$160$8
Triglycerides level15$153$7
Lamotrigine level13$153$9
Immunologic analysis for detection of antigen or antibody18$138$8
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)16$136$9
Fibrinogen (factor 1) activity measurement13$134$10
Total protein level, body fluid25$133$4
Cryoglobulin (protein) measurement17$133$8
Glucose (sugar) level on body fluid23$124$5
Folic acid level, rbc20$123$6
Hemoglobin analysis and measurement, chromatography13$110$8
Lead level11$108$9
Body fluid ph level23$103$4
Urine potassium level20$98$4
Phosphatase (enzyme) measurement, alkaline, isoenzymes12$93$6
Thyroxine (thyroid chemical), total11$89$8
Injection, ondansetron hydrochloride, per 1 mg42$77None
Platelet count, automated test12$70$5
Oxalate level14$70$4
Screening test for mononucleosis (mono)11$69$6
Uric acid level14$63$4
All potassium hydroxide (koh) preparations11$63$6
Citrate level12$51$3
Urine phosphate level12$51$3
Urine sulfate (acid) level12$51$3
Injection, diphenhydramine hcl, up to 50 mg36$51None
Infusion, normal saline solution, 250 cc11$43None

2017: 328 services

Original Medicare services billed in 2017
Blood test, thyroid stimulating hormone (tsh)6,996$198,462$23
Blood test, comprehensive group of blood chemicals9,694$198,146$13
Blood test, lipids (cholesterol and triglycerides)11,335$194,473$14
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9,399$186,121$10
Injection, rituximab, 100 mg13$161,109None
Injection, pegfilgrastim, 6 mg13$139,495None
Insertion of needle into vein for collection of blood sample18,078$135,259$3
Hemoglobin a1c level6,154$133,525$13
Vitamin d-3 level2,271$104,269$40
Blood test, basic group of blood chemicals (calcium, total)6,599$93,176$10
Injection, darbepoetin alfa, 1 microgram (non-esrd use)13$79,848None
Parathormone (parathyroid hormone) level985$76,139$55
Psa (prostate specific antigen) measurement, total1,514$56,946$25
Injection, denosumab, 1 mg14$51,622None
Bacterial colony count, urine2,747$48,281$11
Cyanocobalamin (vitamin b-12) level2,089$46,785$20
Administration of chemotherapy into vein, 1 hour or less96$46,686$143
Complete blood cell count (red cells, white blood cell, platelets), automated test3,210$42,456$9
Return visit (30+ min)127$40,299$97
Creatinine level to test for kidney function or muscle injury3,619$35,815$7
Natriuretic peptide (heart and blood vessel protein) level557$34,429$46
Ferritin (blood protein) level1,158$32,256$18
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,638$31,279$12
Manual urinalysis test with examination using microscope, automated4,833$31,251$4
Urine microalbumin (protein) level2,861$25,347$8
Prostate cancer screening; prostate specific antigen test (psa)1,023$25,299$25
Bacterial culture for aerobic isolates1,411$24,019$11
Tuberculosis test, gamma interferon270$22,631$83
Kidney function blood test panel877$22,011$11
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous907$19,376$21
Liver function blood test panel1,503$18,608$9
Gammaglobulin (immune system protein) measurement484$18,481$9
Testing for presence of drug, by chemistry analyzers194$16,403$73
Thyroxine (thyroid chemical), free963$15,290$12
Testosterone (hormone) level, total369$15,216$25
Nephelometry, test method using light175$15,051$15
Iron binding capacity1,081$14,988$9
Protein measurement, serum743$14,849$14
Iron level1,143$14,665$9
Short return visit (20+ min)125$13,417$62
Immunologic analysis technique on serum (immunofixation)345$13,077$30
Blood creatinine level1,980$12,655$5
Detection test by nucleic acid for hepatitis b virus, quantification133$12,431$57
Red blood cell sedimentation rate, to detect inflammation, non-automated1,806$12,254$5
Detection test for candida species (yeast), direct probe technique372$12,214$27
Detection test for gardnerella vaginalis (bacteria), direct probe technique372$12,211$27
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique372$12,210$27
Measurement c-reactive protein for detection of infection or inflammation1,159$12,144$7
Bacterial culture, any other source except urine, blood or stool, aerobic836$11,860$12
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle12$10,924$77
Magnesium level780$10,432$9
Blood test, clotting time824$10,305$5
Folic acid level, serum492$10,095$20
Leuprolide acetate (for depot suspension), 7.5 mg16$9,797None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less52$9,794$71
Total protein level, urine926$9,132$5
Flow cytometry technique for dna or cell analysis, each additional marker66$8,913$7
Carcinoembryonic antigen (cea) protein level146$8,700$25
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$8,644$92
Stool analysis for blood, by fecal hemoglobin determination by immunoassay364$8,512$21
Red blood cells, leukocytes reduced, each unit17$8,370$112
Injection of additional new drug or substance into vein78$8,324$23
Liver enzyme (sgpt), level1,572$7,885$4
Screening test for autoimmune disorder465$7,881$16
Immunologic analysis for detection of tumor antigen, quantitative; ca 12594$7,799$28
Injection, tbo-filgrastim, 1 microgram11$7,755None
Protein measurement, body fluid333$7,736$22
Detection test by nucleic acid for hepatitis c virus, quantification69$7,599$58
Microscopic examination for white blood cells with manual cell count820$7,579$5
Hepatitis c antibody measurement381$7,465$19
Alpha-fetoprotein (afp) level, serum226$7,436$22
Thyroid hormone, t3 measurement, free260$7,386$23
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types149$7,360$47
Breath test analysis for helicobacter pylori139$7,301$49
Detection test by nucleic acid for hiv-1 virus, quantification24$6,978$114
Detection test by nucleic acid for clostridium difficile, amplified probe technique130$6,757$47
Analysis of substance using immunoassay technique, multiple step method301$6,666$12
Injection of drug or substance under skin or into muscle64$6,503$25
Measurement of antibody for assessment of autoimmune disorder, any method82$6,233$18
Administration of additional new drug or substance into vein, 1 hour or less34$6,192$67
Lipase (fat enzyme) level579$6,095$9
Detection test by immunoassay technique for influenza virus241$6,050$12
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)310$5,977$19
Detection test by immunoassay technique for hepatitis b surface antigen407$5,883$14
Measurement of antibody (ige) to allergic substance, crude allergen extract, each61$5,762$7
Cardiolipin antibody (tissue antibody) measurement52$5,714$34
Beta 2 glycoprotein 1 antibody (autoantibody) measurement51$5,576$34
Creatine kinase (cardiac enzyme) level, total754$5,176$5
Uric acid level, blood895$5,094$4
Stool culture369$4,981$13
Translocation analysis (bcr/abl1) major breakpoint18$4,954$142
Troponin (protein) analysis, quantitative350$4,787$13
Bacterial culture, any source, except blood, anaerobic318$4,677$13
Special gram or giemsa stain for microorganism665$4,591$6
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)325$4,503$12
Tacrolimus level44$4,449$18
Administration of chemotherapy into vein, each additional hour40$4,440$28
Blood glucose (sugar) level916$4,426$4
Detection of infectious agent antibody, quantitative47$4,233$15
Automated urinalysis test1,139$4,231$3
Measurement of complement (immune system proteins), antigen,118$4,113$15
Blood potassium level881$4,064$4
New patient visit (45+ min)28$3,885$139
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies121$3,876$32
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test81$3,805$47
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less49$3,764$31
Bacterial blood culture144$3,745$14
Injection of drug or substance into vein33$3,432$58
Amylase (enzyme) level339$3,289$9
Ldl cholesterol level231$3,277$13
Coagulation function measurement, d-dimer; quantitative220$3,228$14
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision87$3,098$36
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool143$3,017$19
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses73$2,992$8
Immunologic analysis technique on body fluid, other fluids with concentration94$2,937$29
Cortisol (hormone) measurement, total114$2,909$22
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique60$2,901$46
Detection test by immunoassay technique for giardia (intestinal parasite)215$2,796$12
Administration of chemotherapy into vein using push technique11$2,768$115
Digoxin level, total111$2,713$18
Ige (immune system protein) level108$2,700$22
Stool calprotectin (protein) level76$2,639$26
Measurement of antibody for rheumatoid arthritis assessment149$2,630$17
Phosphate level374$2,585$4
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-927$2,574$28
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique54$2,513$47
Organic acid level182$2,481$13
Identification of organisms by immunologic analysis, other than immunofluorescence method242$2,473$7
Bacterial urine culture239$2,408$9
Rheumatoid factor level284$2,371$7
Beta-2 microglobulin (protein) level44$2,371$22
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,357$181
Thyroglobulin (thyroid protein) antibody measurement95$2,308$20
Measurement of dna antibody, native or double stranded110$2,307$17
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour16$2,298$19
Prolactin (milk producing hormone) level73$2,228$26
Lactate dehydrogenase (enzyme) level249$2,203$5
Microsomal antibodies (autoantibody) measurement122$2,203$17
Psa (prostate specific antigen) measurement, free62$2,127$25
Hepatitis b core antibody measurement126$2,083$16
Thyroglobulin (thyroid related hormone) level78$2,045$22
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$2,008$65
Injection, zoledronic acid, 1 mg26$1,969None
Hepatitis b surface antibody measurement130$1,906$14
Blood sodium level435$1,877$4
Injection, carboplatin, 50 mg22$1,802None
Administration of additional new drug or substance into vein using push technique13$1,802$64
Analysis test by nucleic acid for hepatitis c virus15$1,773$118
Collagen cross links test, (urine test to evaluate bone health)67$1,639$22
Testosterone (hormone) level, free155$1,637$8
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle28$1,618$33
Thyroid hormone, t3 measurement, total76$1,590$19
Red blood count, automated test246$1,564$5
Haptoglobin (serum protein) level79$1,550$17
Vitamin b-1 (thiamine) level127$1,538$11
Creatine kinase (cardiac enzyme) level, mb fraction only94$1,516$15
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity79$1,514$17
Gene analysis (janus kinase 2) variant16$1,513$95
Measurement of total estradiol (hormone)33$1,504$37
Virus isolation, centrifuge enhanced29$1,499$26
Concentration of specimen for infectious agents73$1,490$9
Liver enzyme (sgot), level302$1,479$3
Erythropoietin (protein) level72$1,468$19
Culture for acid-fast bacilli73$1,438$13
Vitamin b-6 level100$1,436$13
Irrigation of implanted venous access drug delivery device27$1,381$25
Antibody identification test for white blood cell antibodies81$1,364$16
Long return visit (40+ min)11$1,354$123
Transfusion of blood or blood products16$1,336$36
Measurement of antibody for assessment of autoimmune disorder, titer79$1,303$15
Measurement of substance using immunoassay technique60$1,301$17
Measurement of hepatitis a antibody77$1,285$16
Coagulation assessment blood test, plasma or whole blood143$1,269$8
New patient visit (30+ min)12$1,216$101
Calcium level, total262$1,214$4
Gonadotropin, luteinizing (reproductive hormone) level42$1,195$25
Syphilis detection test199$1,189$6
Detection test by nucleic acid for organism, amplified probe technique16$1,180$47
Infusion into a vein for hydration, each additional hour19$1,156$15
T cell count and ratio, including ratio53$1,148$12
Gonadotropin, follicle stimulating (reproductive hormone) level45$1,134$25
Measurement of substance using immunoassay technique, by radioimmunoassay37$1,126$18
Injection, paclitaxel, 1 mg15$1,123None
Valproic acid level, total45$1,111$18
Special stain for parasites255$1,108$4
Smear for parasites255$1,104$4
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid22$1,073$24
Metanephrines level47$1,031$18
Screening test for antibody to noninfectious agent53$1,005$11
Analysis for antibody to rubeola (measles virus)57$987$17
Homocysteine (amino acid) level40$968$23
Total cell count for b cells (white blood cells)54$960$10
T cells count, total54$955$10
Dihydroxyvitamin d, 1, 25 level18$932$52
Gene analysis (hemochromatosis) common variants13$922$71
Calcium level, ionized115$898$7
Special fluorescent and/or acid fast stain for microorganism87$882$7
Detection test by nucleic acid for herpes simplex virus, amplified probe technique16$844$44
Dehydroepiandrosterone (dhea-s) hormone level28$837$30
Fungal culture (mold or yeast)67$836$11
Flow cytometry technique for dna or cell analysis, first marker66$833$12
Sex hormone binding globulin (protein) level26$829$24
Thyroid stimulating immune globulins (thyroid related protein) level24$828$33
Adrenocorticotropic hormone (acth) level35$804$9
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-317$802$28
Protein s (clotting inhibitor) measurement30$797$20
Identification of organisms by genetic analysis, direct probe technique15$782$27
Hepatitis b core antibody (igm) measurement46$760$16
Measurement of hepatitis a antibody (igm)49$757$15
Carbamazepine level, total31$744$20
Detection of pancreatic elastase (enzyme) in stool56$724$12
Urine calcium level93$723$7
Detection test by immunoassay technique for cryptosporidium (parasite)56$711$12
Analysis for antibody to coccidioides (bacteria)32$705$15
Screening test for pathogenic organisms78$702$9
Catecholamines (organic nitrogen) level29$693$22
Fungal culture (mold or yeast) of skin, hair, or nail54$663$10
Flow cytometry technique for dna or cell analysis, 16 or more markers60$653$11
Analysis for antibody to varicella-zoster virus (chicken pox)29$641$17
Ammonia level25$627$20
Phenytoin level, total26$624$18
C-peptide (protein) level19$588$28
Protein c antigen (clotting inhibitor) measurement31$571$18
Hdl cholesterol level51$564$11
Culture for identification of yeast30$555$14
Analysis for antibody to rubella (german measles virus)28$555$19
Urine osmolality (concentration) measurement41$550$9
Analysis for antibody to mumps virus29$540$17
Stool lactoferrin (immune system protein) analysis21$537$26
Somatomedin (growth factor) level20$524$21
G6pd (enzyme) level39$510$13
Analysis for antibody to tetanus bacteria (clostridium tetanus)23$508$19
Antithrombin iii antigen (clotting inhibitor) activity33$506$15
Body fluid cell count with cell identification63$503$7
Bacterial culture for anaerobic isolates43$496$11
Urine sodium level70$496$6
Transferrin (iron binding protein) level21$493$17
Stool analysis for blood to screen for colon tumors109$476$4
Blood count, hemoglobin121$468$3
Aldosterone hormone level29$459$12
Analysis for antibody bacteria17$454$7
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen21$452$21
Fungal culture, yeast29$444$14
Cortisol (hormone) measurement, free17$433$18
Lithium level31$427$9
Blood osmolality (concentration) measurement37$427$9
All potassium hydroxide (koh) preparations72$425$6
Alpha-1-antitrypsin (protein) blood test, total23$401$17
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen21$388$18
Analysis for antibody to cytomegalovirus (cmv)19$387$19
Crystal identification from tissue or body fluid36$384$10
Glutamyltransferase (liver enzyme) level38$381$5
Total cell count for natural killer cells (white blood cell)15$377$22
Heavy metal level11$374$25
Virus isolation19$367$19
Blood group typing (abo)86$364$4
Blood typing for rh (d) antigen86$364$4
Screening test for red blood cell antibodies63$359$5
Insulin measurement, total22$354$15
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)17$350$11
Renin (kidney enzyme) level29$343$11
Glycated protein level48$335$6
Measurement of complement (immune system proteins), total hemolytic21$333$14
Stool fat or lipids analysis, qualitative46$322$7
Urea nitrogen level to assess kidney function, quantitative88$318$3
Analysis for antibody (igm) to cytomegalovirus (cmv)14$317$23
Analysis for antibody to aspergillus (fungus)27$308$7
Creatinine clearance measurement to test for kidney function24$305$13
Analysis for antibody to herpes simplex virus, type 217$299$17
Alpha-1-antitrypsin (protein) blood test, phenotype15$292$19
Zinc level28$291$9
Phosphatase (enzyme) level, alkaline76$287$3
Analysis for antibody, treponema pallidum17$283$14
Red blood cell antibody detection test, direct32$281$7
Albumin (protein) level101$275$2
Lipoprotein (a) level19$272$14
Intrinsic factor (stomach protein) antibody measurement21$272$12
Clotting factor x assessment test, diluted22$268$12
Urine vanillylmandelic acid15$262$15
Infrared analysis of stone21$261$11
Ceruloplasmin (protein) level18$260$14
Urinalysis using microscope50$260$4
Measurement of complement fixation tests (immune system proteins)12$256$13
Injection, dexamethasone sodium phosphate, 1 mg64$242None
Levetiracetam level14$231$14
Angiotensin l - converting enzyme (ace) level27$230$9
Cholesterol level55$219$4
Analysis for antibody to herpes simplex virus, type 117$209$12
Fibrinogen (factor 1) activity measurement14$206$11
Arsenic level14$203$15
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening11$203$18
Copper level19$189$9
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)22$187$9
Total protein level, blood76$180$2
Detection test by immunoassay technique for hepatitis be surface antigen21$174$8
Lead level17$172$10
Folic acid level, rbc26$172$6
Aldolase (enzyme) level28$170$6
Lamotrigine level15$163$9
Mercury level15$162$11
Cryoglobulin (protein) measurement16$144$8
Injection, hydrocortisone sodium succinate, up to 100 mg11$143None
Bilirubin level, direct40$142$3
Vitamin a level12$136$11
Immunologic analysis for detection of antigen or antibody17$123$7
Total protein level, body fluid25$118$5
Bilirubin level, total27$116$3
Injection, ondansetron hydrochloride, per 1 mg46$112None
Hydroxyindolacetic acid (product of metabolism) level20$99$4
Apolipoprotein level11$96$7
Phosphatase (enzyme) measurement, alkaline, isoenzymes13$93$6
Screening test for mononucleosis (mono)12$90$7
Infusion, normal saline solution, 250 cc34$90None
Special stain for inclusion bodies or parasites11$89$8
Triglycerides level12$82$3
Glucose (sugar) level on body fluid24$71$3
Cerebrospinal fluid, or amniotic fluid albumin (protein) level16$70$4
Injection, diphenhydramine hcl, up to 50 mg43$70None
Uric acid level16$70$4
Urine potassium level15$67$4
Urine phosphate level13$52$4
Oxalate level12$49$4
Citrate level12$47$4
Body fluid ph level11$38$3
Urine sulfate (acid) level11$38$3
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg12$33None
Detection of antimicrobial drug (antibiotic, antifungal, antiviral)15$33$2
Injection, furosemide, up to 20 mg16$25None

2016: 322 services

Original Medicare services billed in 2016
Blood test, thyroid stimulating hormone (tsh)6,573$184,077$22
Blood test, lipids (cholesterol and triglycerides)10,745$180,575$14
Blood test, comprehensive group of blood chemicals8,829$177,967$12
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8,761$173,877$10
Vitamin d-3 level3,232$150,648$39
Injection, infliximab, excludes biosimilar, 10 mg27$139,891None
Insertion of needle into vein for collection of blood sample16,952$128,546$3
Hemoglobin a1c level5,862$125,655$13
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg17$116,441None
Blood test, basic group of blood chemicals (calcium, total)6,506$91,439$10
Parathormone (parathyroid hormone) level888$71,148$55
Injection, rituximab, 100 mg11$71,034None
Injection, pegfilgrastim, 6 mg11$61,317None
Injection, darbepoetin alfa, 1 microgram (non-esrd use)16$57,224None
Psa (prostate specific antigen) measurement, total1,479$54,589$25
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)13$53,074None
Injection, denosumab, 1 mg12$46,155None
Bacterial colony count, urine2,506$43,466$11
Cyanocobalamin (vitamin b-12) level1,946$42,918$20
Complete blood cell count (red cells, white blood cell, platelets), automated test2,928$39,077$9
Administration of chemotherapy into vein, 1 hour or less100$36,900$138
Creatinine level to test for kidney function or muscle injury3,514$35,054$7
Return visit (30+ min)110$34,278$95
Natriuretic peptide (heart and blood vessel protein) level528$31,064$45
Manual urinalysis test with examination using microscope, automated4,633$29,746$4
Ferritin (blood protein) level1,071$29,468$18
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,499$29,016$12
Urine microalbumin (protein) level2,771$24,253$8
Prostate cancer screening; prostate specific antigen test (psa)870$21,367$25
Tuberculosis test, gamma interferon235$19,980$83
Kidney function blood test panel767$19,529$11
Liver function blood test panel1,383$18,288$9
Gammaglobulin (immune system protein) measurement504$17,689$9
Testosterone (hormone) level, total362$14,986$26
Iron binding capacity1,005$14,089$9
Iron level1,067$13,808$9
Magnesium level871$13,610$9
Bacterial culture for aerobic isolates825$13,397$11
Protein measurement, serum709$13,337$13
Nephelometry, test method using light172$12,984$14
Blood creatinine level2,066$12,955$5
Thyroxine (thyroid chemical), free809$12,881$12
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less88$12,841$70
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous591$12,553$21
Red blood cell sedimentation rate, to detect inflammation, non-automated1,756$12,083$5
Short return visit (20+ min)113$11,957$62
Detection test by nucleic acid for hepatitis b virus, quantification117$11,945$57
Immunologic analysis technique on serum (immunofixation)353$11,904$28
Bacterial culture, any other source except urine, blood or stool, aerobic814$11,882$11
Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when140$11,507$67
Flow cytometry technique for dna or cell analysis, each additional marker76$11,375$7
Measurement c-reactive protein for detection of infection or inflammation1,068$11,279$7
Leuprolide acetate (for depot suspension), 7.5 mg16$11,266None
Blood test, clotting time880$11,204$5
Detection test for candida species (yeast), direct probe technique306$10,433$27
Detection test for gardnerella vaginalis (bacteria), direct probe technique305$10,400$27
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique305$10,400$27
Folic acid level, serum475$9,724$19
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision269$9,515$35
Immunologic analysis for detection of tumor antigen, quantitative; ca 12583$9,271$28
Liver enzyme (sgpt), level1,765$8,961$4
Total protein level, urine891$8,810$5
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types178$8,572$47
Stool analysis for blood, by fecal hemoglobin determination by immunoassay361$8,447$21
Detection test by nucleic acid for hepatitis c virus, quantification71$8,222$57
Protein measurement, body fluid344$8,116$22
Carcinoembryonic antigen (cea) protein level126$8,026$25
Bacterial urine culture669$7,869$9
Hepatitis c antibody measurement397$7,776$19
Screening test for autoimmune disorder472$7,688$15
Microscopic examination for white blood cells with manual cell count796$7,274$5
Thyroid hormone, t3 measurement, free246$7,197$22
Analysis of substance using immunoassay technique, multiple step method297$6,919$12
Detection test by nucleic acid for clostridium difficile, amplified probe technique118$6,574$47
Detection test by nucleic acid for hiv-1 virus, quantification26$6,362$114
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle15$6,280$77
Injection of drug or substance into vein56$6,176$57
Alpha-fetoprotein (afp) level, serum176$5,947$22
Detection test by immunoassay technique for hepatitis b surface antigen407$5,746$14
Injection, tbo-filgrastim, 1 microgram12$5,705None
Injection of additional new drug or substance into vein71$5,411$23
Injection of drug or substance under skin or into muscle72$5,324$24
Creatine kinase (cardiac enzyme) level, total777$5,309$5
Special gram or giemsa stain for microorganism717$5,092$6
Lipase (fat enzyme) level463$4,896$9
Bacterial culture, any source, except blood, anaerobic336$4,858$13
Uric acid level, blood874$4,752$4
Injection, zoledronic acid, 1 mg59$4,714None
Blood glucose (sugar) level963$4,501$4
Stool culture342$4,496$13
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)232$4,420$19
Administration of additional new drug or substance into vein, 1 hour or less29$4,350$64
Blood potassium level978$4,239$4
New patient visit (45+ min)28$4,127$147
Troponin (protein) analysis, quantitative291$4,038$13
Tacrolimus level33$4,035$18
Automated urinalysis test1,091$3,952$3
Cardiolipin antibody (tissue antibody) measurement38$3,940$34
Measurement of antibody for assessment of autoimmune disorder, any method76$3,782$13
Measurement of complement (immune system proteins), antigen,116$3,755$13
Immunologic analysis technique on body fluid, other fluids with concentration109$3,699$30
Beta 2 glycoprotein 1 antibody (autoantibody) measurement34$3,668$34
Beta-2 microglobulin (protein) level65$3,488$22
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)262$3,469$12
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour32$3,399$18
Breath test analysis for helicobacter pylori71$3,398$48
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies105$3,391$32
Cortisol (hormone) measurement, total111$3,284$21
Ldl cholesterol level222$3,172$13
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique61$3,151$46
Amylase (enzyme) level322$3,093$9
Measurement of antibody (ige) to allergic substance, crude allergen extract, each26$3,040$7
Identification of organisms by immunologic analysis, other than immunofluorescence method309$3,019$7
Detection test by immunoassay technique for influenza virus118$3,019$12
Detection of infectious agent antibody, quantitative38$2,995$13
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses68$2,951$8
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool140$2,842$19
Measurement of antibody for rheumatoid arthritis assessment162$2,814$17
Administration of chemotherapy into vein, each additional hour33$2,721$28
Infusion into a vein for hydration, 31-60 minutes20$2,570$57
Bacterial blood culture111$2,533$14
Phosphate level372$2,483$4
Detection test by immunoassay technique for giardia (intestinal parasite)190$2,466$12
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$2,407$93
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)122$2,377$19
Dihydroxyvitamin d, 1, 25 level47$2,318$46
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique50$2,308$46
Lactate dehydrogenase (enzyme) level251$2,259$5
Coagulation function measurement, d-dimer; quantitative157$2,252$13
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg12$2,235None
Organic acid level150$2,203$13
Digoxin level, total97$2,199$18
Measurement of total estradiol (hormone)44$2,189$37
Measurement of dna antibody, native or double stranded102$2,161$16
Hepatitis b surface antibody measurement147$2,151$14
Rheumatoid factor level266$2,092$7
Injection, iron dextran, 50 mg11$2,082None
Thyroglobulin (thyroid protein) antibody measurement92$2,071$20
Blood sodium level484$2,037$4
Ige (immune system protein) level79$1,956$22
Drawing of blood for a medical problem11$1,933$97
Gonadotropin, luteinizing (reproductive hormone) level60$1,896$25
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms30$1,891$54
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity97$1,849$17
Long return visit (40+ min)12$1,750$135
Hepatitis b core antibody measurement106$1,733$16
Antibody identification test for white blood cell antibodies93$1,731$17
Administration of chemotherapy into vein using push technique11$1,716$114
Culture for acid-fast bacilli86$1,710$13
Thyroglobulin (thyroid related hormone) level66$1,709$21
Prolactin (milk producing hormone) level62$1,707$26
Haptoglobin (serum protein) level86$1,696$17
Irrigation of implanted venous access drug delivery device35$1,615$24
Liver enzyme (sgot), level356$1,615$3
Creatine kinase (cardiac enzyme) level, mb fraction only103$1,604$15
Concentration of specimen for infectious agents87$1,557$9
Vitamin b-1 (thiamine) level126$1,539$11
Thyroid hormone, t3 measurement, total70$1,526$19
T cell count and ratio, including ratio60$1,501$15
Coagulation assessment blood test, plasma or whole blood157$1,501$8
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-921$1,500$28
Red blood count, automated test248$1,490$5
Flow cytometry technique for dna or cell analysis, first marker77$1,439$17
Vitamin b-6 level98$1,435$13
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less25$1,408$31
Microsomal antibodies (autoantibody) measurement91$1,407$15
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle26$1,398$33
Testosterone (hormone) level, free158$1,374$7
Erythropoietin (protein) level67$1,354$19
Homocysteine (amino acid) level53$1,337$22
Analysis test by nucleic acid for hepatitis c virus11$1,313$119
Virus isolation31$1,298$41
Psa (prostate specific antigen) measurement, free39$1,277$25
Calcium level, total207$1,249$5
Measurement of substance using immunoassay technique, by radioimmunoassay42$1,244$18
Measurement of hepatitis a antibody74$1,240$17
Collagen cross links test, (urine test to evaluate bone health)58$1,194$20
Sex hormone binding globulin (protein) level31$1,160$26
Gonadotropin, follicle stimulating (reproductive hormone) level45$1,142$24
Infusion into a vein for hydration, each additional hour23$1,120$15
Measurement of substance using immunoassay technique46$1,082$17
Valproic acid level, total44$1,013$18
Special fluorescent and/or acid fast stain for microorganism96$993$7
Ammonia level27$992$19
Thyroid stimulating immune globulins (thyroid related protein) level26$974$34
Smear for parasites228$969$4
Special stain for parasites228$969$4
Fungal culture (mold or yeast)82$965$11
Calcium level, ionized114$932$7
Flow cytometry technique for dna or cell analysis, 16 or more markers75$923$12
Measurement of hepatitis a antibody (igm)59$916$15
Syphilis detection test149$914$6
Screening test for antibody to noninfectious agent53$865$10
T cells count, total54$827$10
Total cell count for b cells (white blood cells)54$827$10
Measurement of antibody for assessment of autoimmune disorder, titer54$820$15
Analysis for antibody to varicella-zoster virus (chicken pox)41$808$17
Phenytoin level, total30$797$18
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test17$796$47
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-315$778$28
Urine calcium level95$770$8
Detection of pancreatic elastase (enzyme) in stool60$768$12
Metanephrines level38$763$17
Injection, carboplatin, 50 mg20$754None
Dehydroepiandrosterone (dhea-s) hormone level25$742$30
Detection test by nucleic acid for organism, amplified probe technique15$722$42
Catecholamines (organic nitrogen) level25$720$25
Hepatitis b core antibody (igm) measurement44$703$16
Identification of organisms by genetic analysis, direct probe technique12$696$27
Analysis for antibody to mycoplasma (bacteria)21$656$14
Lithium level38$653$9
Stool calprotectin (protein) level23$651$24
Heavy metal level17$637$25
Urine sodium level89$635$6
Hdl cholesterol level54$624$11
Analysis for detection of tumor marker11$615$23
Analysis for antibody to tetanus bacteria (clostridium tetanus)27$609$19
Detection test by immunoassay technique for cryptosporidium (parasite)47$582$12
Body fluid cell count with cell identification71$573$7
Culture for identification of yeast32$570$14
All potassium hydroxide (koh) preparations93$559$6
Screening test for pathogenic organisms59$541$9
Stool analysis for blood to screen for colon tumors124$538$4
Measurement of complement (immune system proteins), total hemolytic38$525$12
Carbamazepine level, total20$525$19
Fungal culture (mold or yeast) of skin, hair, or nail47$525$10
Virus isolation, centrifuge enhanced13$522$26
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid12$509$24
Bacterial culture for anaerobic isolates40$496$11
Creatinine clearance measurement to test for kidney function35$492$13
Aldosterone hormone level30$491$12
Injection, paclitaxel, 1 mg11$486None
Transferrin (iron binding protein) level18$485$17
Cortisol (hormone) measurement, free19$481$18
Analysis for antibody to coccidioides (bacteria)20$475$15
Total cell count for natural killer cells (white blood cell)18$457$25
Crystal identification from tissue or body fluid46$449$10
Analysis for antibody bacteria16$432$7
Blood count, hemoglobin126$421$3
Urine osmolality (concentration) measurement41$419$9
C-peptide (protein) level15$417$28
Stool fat or lipids analysis, qualitative61$414$7
Fungal culture, yeast27$400$14
Somatomedin (growth factor) level15$400$18
Renin (kidney enzyme) level31$399$11
Chromium level to test for poisoning or deficiency15$396$22
Urea nitrogen level to assess kidney function, quantitative116$372$3
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)17$371$11
Red blood cell antibody detection test, direct45$366$7
Blood osmolality (concentration) measurement35$362$9
Chemical analysis using chromatography technique14$361$24
Zinc level32$345$9
Clotting factor viii (vw factor) antigen11$344$29
Lipoprotein level, quantitation of lipoprotein particle number(s)13$344$25
Stool lactoferrin (immune system protein) analysis13$341$26
Fibrinogen (factor 1) activity measurement21$340$11
Analysis for antibody (igm) to cytomegalovirus (cmv)15$337$22
Lipoprotein (a) level25$336$13
Antithrombin iii antigen (clotting inhibitor) activity21$334$15
Ceruloplasmin (protein) level23$330$14
Glutamyltransferase (liver enzyme) level36$324$5
Phenobarbital level14$321$15
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening17$311$18
Protein s (clotting inhibitor) measurement14$307$20
Adrenocorticotropic hormone (acth) level25$306$10
Protein c antigen (clotting inhibitor) measurement15$295$18
Blood viscosity measurement11$295$13
Glycated protein level39$288$6
G6pd (enzyme) level22$285$13
Mercury level20$280$13
Copper level29$279$9
Cholesterol level63$272$3
Analysis for antibody to cytomegalovirus (cmv)14$269$19
Mass spectrometry (laboratory testing method)11$265$24
Screening test for red blood cell antibodies45$256$5
Phosphatase (enzyme) level, alkaline56$256$4
Analysis for antibody, treponema pallidum16$252$13
Analysis for antibody to aspergillus (fungus)23$250$7
Blood group typing (abo)56$247$4
Blood typing for rh (d) antigen56$247$4
Albumin (protein) level94$246$2
Alpha-1-antitrypsin (protein) blood test, total13$233$18
Intrinsic factor (stomach protein) antibody measurement19$226$12
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen11$225$20
Analysis for antibody to virus11$222$16
Infrared analysis of stone16$218$11
Clotting factor x assessment test, diluted17$215$12
Insulin measurement, total13$198$15
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen11$193$18
Levetiracetam level13$190$15
Cryoglobulin (protein) measurement22$176$8
Measurement of complement function (immune system proteins)11$174$16
Aldolase (enzyme) level26$173$6
Angiotensin l - converting enzyme (ace) level19$172$9
Hemoglobin analysis and measurement, chromatography18$168$9
Urinalysis using microscope37$163$4
Detection test by immunoassay technique for hepatitis be surface antigen20$162$8
Vitamin a level13$162$11
Injection, dexamethasone sodium phosphate, 1 mg53$159None
Total protein level, body fluid31$157$5
Lead level17$157$8
Bilirubin level, direct46$154$3
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)17$149$7
Total protein level, blood87$147$1
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)15$138$9
Detection test by immunofluorescent technique for varicella (chicken pox) zoster virus11$136$12
Folic acid level, rbc21$131$6
Bilirubin level, total29$121$4
Screening test for mononucleosis (mono)17$117$7
Immunologic analysis for detection of antigen or antibody16$116$7
Injection, hydrocortisone sodium succinate, up to 100 mg12$114None
Triglycerides level16$112$3
Cerebrospinal fluid, or amniotic fluid albumin (protein) level24$109$4
Platelet count, automated test16$102$6
Glucose (sugar) level on body fluid27$95$3
Injection, ondansetron hydrochloride, per 1 mg41$73None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg16$64None
Urine potassium level14$64$5
Body fluid ph level13$58$4
Infusion, normal saline solution, 250 cc29$51None
Red blood cell concentration measurement16$38$2
Injection, diphenhydramine hcl, up to 50 mg31$26None

2015: 302 services

Original Medicare services billed in 2015
Blood test, thyroid stimulating hormone (tsh)6,274$174,038$22
Blood test, comprehensive group of blood chemicals7,938$165,899$13
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8,076$163,109$10
Blood test, lipids (cholesterol and triglycerides)10,021$159,833$13
Vitamin d-3 level2,970$138,622$39
Injection, infliximab, excludes biosimilar, 10 mg26$131,794None
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg20$130,589None
Insertion of needle into vein for collection of blood sample16,157$120,127$3
Hemoglobin a1c level5,646$113,173$13
Blood test, basic group of blood chemicals (calcium, total)6,217$91,369$10
Parathormone (parathyroid hormone) level768$60,738$55
Psa (prostate specific antigen) measurement, total1,373$49,004$25
Cyanocobalamin (vitamin b-12) level1,850$40,768$20
Bacterial colony count, urine2,334$40,625$11
Complete blood cell count (red cells, white blood cell, platelets), automated test2,665$34,684$9
Natriuretic peptide (heart and blood vessel protein) level541$33,275$45
Creatinine level to test for kidney function or muscle injury3,312$32,128$7
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,451$27,375$12
Ferritin (blood protein) level976$26,683$18
Manual urinalysis test with examination using microscope, automated4,267$26,631$4
Injection, darbepoetin alfa, 1 microgram (non-esrd use)14$23,538None
Urine microalbumin (protein) level2,675$23,377$8
Prostate cancer screening; prostate specific antigen test (psa)926$22,715$25
Return visit (30+ min)71$21,553$98
Administration of chemotherapy into vein, 1 hour or less64$19,504$146
Tuberculosis test, gamma interferon231$19,372$82
Liver function blood test panel1,213$17,812$9
Leuprolide acetate (for depot suspension), 7.5 mg22$16,968None
Kidney function blood test panel639$16,339$11
Gammaglobulin (immune system protein) measurement448$15,144$9
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types296$14,087$47
Short return visit (20+ min)107$14,025$65
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less77$13,822$74
Testosterone (hormone) level, total339$13,818$26
Iron binding capacity937$12,765$9
Iron level991$12,592$9
Bacterial culture for aerobic isolates770$12,174$11
Thyroxine (thyroid chemical), free764$11,908$12
Magnesium level775$11,751$9
Blood test, clotting time883$11,317$5
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision319$11,270$35
Red blood cell sedimentation rate, to detect inflammation, non-automated1,662$11,175$5
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous516$10,950$21
Bacterial culture, any other source except urine, blood or stool, aerobic735$10,585$11
Nephelometry, test method using light147$10,570$14
Protein measurement, serum585$10,160$13
Measurement c-reactive protein for detection of infection or inflammation959$9,895$7
Folic acid level, serum479$9,887$20
Immunologic analysis for detection of tumor antigen, quantitative; ca 12573$9,607$28
Detection test by nucleic acid for hepatitis b virus, quantification102$9,596$57
Blood creatinine level1,921$9,189$4
Flow cytometry technique for dna or cell analysis, each additional marker55$9,013$8
Detection test for candida species (yeast), direct probe technique242$8,985$27
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique242$8,985$27
Detection test for gardnerella vaginalis (bacteria), direct probe technique241$8,958$27
Detection test by nucleic acid for hepatitis c virus, quantification71$8,825$57
Immunologic analysis technique on serum (immunofixation)261$8,690$28
Bacterial urine culture696$7,900$9
Detection test by nucleic acid for hiv-1 virus, quantification24$7,603$113
Total protein level, urine757$7,250$5
Thyroid hormone, t3 measurement, free249$7,142$22
Injection, zoledronic acid, 1 mg46$7,046None
Hepatitis c antibody measurement353$6,865$19
Screening test for autoimmune disorder413$6,764$15
Carcinoembryonic antigen (cea) protein level119$6,741$25
Protein measurement, body fluid277$6,645$22
Liver enzyme (sgpt), level1,919$6,357$3
Stool analysis for blood, by fecal hemoglobin determination by immunoassay268$6,252$21
Analysis of substance using immunoassay technique, multiple step method267$6,231$12
Injection of drug or substance into vein43$6,124$61
Detection test by nucleic acid for clostridium difficile, amplified probe technique117$6,117$46
Injection, tbo-filgrastim, 5 micrograms15$6,114None
Microscopic examination for white blood cells with manual cell count728$5,873$5
Detection test by immunoassay technique for hepatitis b surface antigen386$5,537$14
Alpha-fetoprotein (afp) level, serum153$5,524$22
Creatine kinase (cardiac enzyme) level, total771$4,871$5
Bacterial culture, any source, except blood, anaerobic320$4,636$13
Special gram or giemsa stain for microorganism656$4,615$6
Blood glucose (sugar) level1,057$4,412$4
Injection of drug or substance under skin or into muscle62$4,390$25
Lipase (fat enzyme) level417$4,326$9
Blood potassium level1,145$4,210$3
Uric acid level, blood784$4,158$4
Breath test analysis for helicobacter pylori46$3,943$73
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour31$3,910$19
Stool culture289$3,871$13
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique75$3,838$47
Troponin (protein) analysis, quantitative272$3,652$13
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique71$3,510$47
Immunologic analysis technique on body fluid, other fluids with concentration75$3,388$33
Automated urinalysis test934$3,366$3
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)161$3,064$19
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)212$2,955$12
Cortisol (hormone) measurement, total109$2,933$21
Amylase (enzyme) level320$2,922$9
Ldl cholesterol level214$2,915$13
Identification of organisms by immunologic analysis, other than immunofluorescence method309$2,906$7
Cardiolipin antibody (tissue antibody) measurement34$2,889$26
Tacrolimus level24$2,796$18
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)141$2,782$19
Injection of additional new drug or substance into vein40$2,774$24
Measurement of antibody for assessment of autoimmune disorder, any method57$2,726$14
Measurement of complement (immune system proteins), antigen,82$2,559$14
Measurement of antibody (ige) to allergic substance, crude allergen extract, each23$2,531$7
Creatine kinase (cardiac enzyme) level, mb fraction only156$2,486$15
Beta-2 microglobulin (protein) level49$2,482$22
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity133$2,456$17
Bacterial blood culture106$2,396$14
Detection test by immunoassay technique for influenza virus96$2,373$12
Lactate dehydrogenase (enzyme) level263$2,298$5
Detection test by immunoassay technique for giardia (intestinal parasite)171$2,241$12
Coagulation function measurement, d-dimer; quantitative152$2,167$14
Digoxin level, total91$2,031$18
Analysis test by nucleic acid for hepatitis c virus16$1,970$116
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses51$1,926$8
Thyroglobulin (thyroid protein) antibody measurement79$1,903$20
Organic acid level135$1,878$14
Rheumatoid factor level236$1,862$7
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool92$1,822$19
Drawing of blood for a medical problem11$1,813$101
Hepatitis b surface antibody measurement121$1,771$14
Vitamin b-1 (thiamine) level137$1,765$12
Blood sodium level490$1,760$3
Haptoglobin (serum protein) level94$1,723$17
Measurement of dna antibody, native or double stranded90$1,721$16
Administration of additional new drug or substance into vein, 1 hour or less15$1,685$67
Thyroglobulin (thyroid related hormone) level61$1,607$21
Homocysteine (amino acid) level64$1,597$22
Red blood count, automated test226$1,573$5
Virus isolation38$1,565$40
Prolactin (milk producing hormone) level55$1,556$25
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle32$1,513$34
Vitamin b-6 level101$1,513$14
Administration of chemotherapy into vein, each additional hour23$1,507$30
Flow cytometry technique for dna or cell analysis, first marker57$1,491$23
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening81$1,481$18
Gonadotropin, luteinizing (reproductive hormone) level51$1,452$24
Coagulation assessment blood test, plasma or whole blood158$1,424$8
Liver enzyme (sgot), level397$1,417$3
T cell count and ratio, including ratio60$1,400$13
Beta 2 glycoprotein 1 antibody (autoantibody) measurement32$1,388$13
Thyroid hormone, t3 measurement, total67$1,380$19
Culture for acid-fast bacilli62$1,363$13
Ige (immune system protein) level52$1,337$22
Hepatitis b core antibody measurement78$1,302$16
Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter15$1,296$81
Antibody identification test for white blood cell antibodies73$1,280$17
Screening test for red blood cell antibodies24$1,250$50
Phosphate level323$1,195$2
Erythropoietin (protein) level56$1,181$20
Testosterone (hormone) level, free131$1,171$7
Measurement of total estradiol (hormone)27$1,170$37
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-916$1,166$28
Microsomal antibodies (autoantibody) measurement68$1,165$16
Psa (prostate specific antigen) measurement, free35$1,104$25
Phenytoin level, total31$1,043$18
Measurement of hepatitis a antibody62$1,039$16
Detection of infectious agent antibody, quantitative21$1,024$8
Gonadotropin, follicle stimulating (reproductive hormone) level40$1,016$25
Calcium level, ionized121$1,010$7
Total cell count for b cells (white blood cells)56$957$9
T cells count, total56$953$9
Fungal culture (mold or yeast)78$952$11
Concentration of specimen for infectious agents64$944$9
Infusion into a vein for hydration, 31-60 minutes13$933$62
Measurement of substance using immunoassay technique37$881$17
Measurement of antibody for rheumatoid arthritis assessment108$876$8
Syphilis detection test146$869$6
Measurement of hepatitis a antibody (igm)55$838$15
Special stain for parasites194$836$4
Measurement of substance using immunoassay technique, by radioimmunoassay31$829$18
Smear for parasites192$828$4
Sex hormone binding globulin (protein) level24$825$27
Calcium level, total141$819$4
Hepatitis b core antibody (igm) measurement49$801$16
Flow cytometry technique for dna or cell analysis, 16 or more markers48$781$16
Ammonia level27$777$19
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-313$777$28
Special fluorescent and/or acid fast stain for microorganism64$768$7
Hdl cholesterol level68$764$11
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies24$763$32
Collagen cross links test, (urine test to evaluate bone health)34$705$19
Metanephrines level30$686$18
Dehydroepiandrosterone (dhea-s) hormone level21$682$30
Urine sodium level91$675$6
Valproic acid level, total32$662$18
Urine calcium level77$659$7
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid15$653$24
Thyroid stimulating immune globulins (thyroid related protein) level18$652$34
Irrigation of implanted venous access drug delivery device12$625$26
Analysis for antibody to hiv-1 and hiv-2 virus34$622$18
Urine osmolality (concentration) measurement57$600$9
All potassium hydroxide (koh) preparations96$596$6
Screening test for antibody to noninfectious agent40$583$11
Bacterial culture for anaerobic isolates41$571$11
Analysis for antibody to coccidioides (bacteria)21$566$15
Body fluid cell count with cell identification67$548$7
Blood osmolality (concentration) measurement53$547$9
Transferrin (iron binding protein) level19$545$17
Hormonal panel for adrenal gland assessment (adrenal gland insufficiency)13$544$42
Somatomedin (growth factor) level22$540$19
Detection of pancreatic elastase (enzyme) in stool44$540$12
Dihydroxyvitamin d, 1, 25 level33$534$15
Detection test by nucleic acid for organism, amplified probe technique11$515$47
Lithium level30$512$9
Culture for identification of yeast30$509$14
Detection test by immunoassay technique for cryptosporidium (parasite)40$508$12
Collection of blood sample from implanted device11$492$25
Carbamazepine level, total21$486$19
Virus isolation, centrifuge enhanced11$483$25
Analysis for antibody to varicella-zoster virus (chicken pox)23$481$17
Fungal culture, yeast31$468$14
Analysis for antibody to rubeola (measles virus)26$460$17
Analysis for antibody bacteria16$443$7
Phenobarbital level15$433$15
Screening test for pathogenic organisms47$433$9
Measurement of antibody for assessment of autoimmune disorder, titer28$432$15
Crystal identification from tissue or body fluid39$423$9
Stool lactoferrin (immune system protein) analysis16$403$25
Catecholamines (organic nitrogen) level14$401$27
Red blood cell antibody detection test, direct52$388$7
Urea nitrogen level to assess kidney function, quantitative104$379$3
Injection, carboplatin, 50 mg12$375None
Protein s (clotting inhibitor) measurement16$368$20
Intrinsic factor (stomach protein) antibody measurement28$343$12
Lactic acid level22$342$14
Stool analysis for blood to screen for colon tumors78$339$4
C-peptide (protein) level12$333$28
Aldosterone hormone level22$333$12
Protein c antigen (clotting inhibitor) measurement17$332$18
Blood count, hemoglobin89$327$3
Alpha-1-antitrypsin (protein) blood test, total18$323$18
Albumin (protein) level106$320$2
Analysis for antibody, treponema pallidum18$318$18
Glycated protein level47$308$6
Clotting factor x assessment test, diluted24$307$12
Insulin measurement, total20$305$15
Cholesterol level67$299$3
Stool fat or lipids analysis, qualitative43$299$7
Fungal culture (mold or yeast) of skin, hair, or nail29$298$10
Glutamyltransferase (liver enzyme) level39$296$5
Antithrombin iii antigen (clotting inhibitor) activity18$285$16
Analysis for antibody to rubella (german measles virus)14$283$19
Immunologic analysis for autoimmune disease, a, b, or c, single antigen18$282$16
Copper level28$281$10
Folic acid level, rbc45$281$6
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)13$279$11
Infusion into a vein for hydration, each additional hour11$273$16
Renin (kidney enzyme) level20$267$11
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen13$265$20
Infrared analysis of stone20$259$12
Ceruloplasmin (protein) level18$258$14
Creatinine clearance measurement to test for kidney function21$258$12
Analysis for antibody to mumps virus14$252$17
G6pd (enzyme) level19$246$13
Zinc level22$230$10
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen13$228$18
Apolipoprotein level12$220$18
Adrenocorticotropic hormone (acth) level21$216$10
Phosphatase (enzyme) level, alkaline66$215$3
Alpha-1-antitrypsin (protein) blood test, phenotype11$212$19
Aldolase (enzyme) level27$212$6
Triglycerides level14$207$4
Bilirubin level, direct65$206$3
Analysis for antibody to aspergillus (fungus)19$204$7
Cortisol (hormone) measurement, free11$202$18
Stool analysis for blood, by peroxidase activity41$200$4
Lipoprotein (a) level13$194$15
Identification of mycobacteria (tb or tb like organism)11$190$15
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter12$174$13
Mercury level12$165$14
Total protein level, body fluid31$165$5
Angiotensin l - converting enzyme (ace) level18$159$9
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)15$145$9
Measurement of complement (immune system proteins), total hemolytic16$144$9
Vitamin a level13$142$11
Cryoglobulin (protein) measurement18$138$8
Fibrinogen (factor 1) activity measurement11$136$11
Total protein level, blood84$131$1
Analysis for antibody to herpes simplex virus, type 215$127$7
Hemoglobin analysis and measurement, chromatography15$123$8
Blood group typing (abo)30$123$4
Blood typing for rh (d) antigen30$123$4
Immunologic analysis for detection of antigen or antibody16$118$7
Detection test by immunoassay technique for hepatitis be surface antigen15$118$8
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)13$115$9
Cerebrospinal fluid, or amniotic fluid albumin (protein) level23$105$4
Screening test for mononucleosis (mono)15$104$7
Urinalysis using microscope24$102$4
Thyroxine (thyroid chemical), total11$101$9
Vitamin measurement12$100$8
Analysis for antibody to herpes simplex virus, type 114$95$6
Lamotrigine level11$95$8
Phosphatase (enzyme) measurement, alkaline, isoenzymes14$91$6
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg12$88None
Glucose (sugar) level on body fluid25$87$3
Uric acid level14$77$5
Urine potassium level13$74$4
Injection, dexamethasone sodium phosphate, 1 mg29$61None
Bilirubin level, total28$60$2
Injection, ondansetron hydrochloride, per 1 mg24$25None
Injection, diphenhydramine hcl, up to 50 mg20$14None

2014: 279 services

Original Medicare services billed in 2014
Blood test, thyroid stimulating hormone (tsh)6,085$172,382$22
Blood test, lipids (cholesterol and triglycerides)9,749$164,003$14
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7,626$153,644$10
Blood test, comprehensive group of blood chemicals7,060$146,919$13
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg22$127,967None
Vitamin d-3 level2,623$122,005$39
Insertion of needle into vein for collection of blood sample15,387$116,376$3
Hemoglobin a1c level5,136$111,181$13
Blood test, basic group of blood chemicals (calcium, total)5,967$87,192$10
Injection, infliximab, excludes biosimilar, 10 mg19$82,959None
Parathormone (parathyroid hormone) level723$54,864$55
Psa (prostate specific antigen) measurement, total1,243$44,786$25
Cyanocobalamin (vitamin b-12) level1,847$40,604$20
Natriuretic peptide (heart and blood vessel protein) level664$40,570$45
Bacterial colony count, urine2,252$39,255$11
Injection, darbepoetin alfa, 1 microgram (non-esrd use)14$31,218None
Creatinine level to test for kidney function or muscle injury3,204$30,856$7
Complete blood cell count (red cells, white blood cell, platelets), automated test2,156$28,541$9
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,455$26,637$12
Ferritin (blood protein) level1,011$26,609$18
Manual urinalysis test with examination using microscope, automated3,978$24,604$4
Urine microalbumin (protein) level2,625$23,558$8
Prostate cancer screening; prostate specific antigen test (psa)922$22,672$25
Return visit (30+ min)84$21,739$94
Bacterial urine culture1,182$16,239$9
Kidney function blood test panel555$15,931$11
Tuberculosis test, gamma interferon179$15,269$82
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less85$15,187$70
Injection, zoledronic acid, 1 mg49$15,059None
Gammaglobulin (immune system protein) measurement415$14,943$9
Liver function blood test panel1,127$14,814$9
Iron binding capacity961$12,729$9
Administration of chemotherapy into vein, 1 hour or less45$12,499$136
Iron level1,019$12,456$9
Short return visit (20+ min)95$12,344$63
Testosterone (hormone) level, total308$12,307$27
Thyroxine (thyroid chemical), free785$12,087$12
Blood test, clotting time883$11,557$5
Detection test for human papillomavirus (HPV)229$11,065$47
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision306$10,839$35
Magnesium level713$10,711$9
Red blood cell sedimentation rate, to detect inflammation, non-automated1,660$10,701$5
Folic acid level, serum520$10,549$20
Nephelometry, test method using light141$10,431$15
Bacterial culture, any other source except urine, blood or stool, aerobic712$10,413$11
Blood creatinine level1,952$9,548$4
Flow cytometry technique for dna or cell analysis, each additional marker65$9,347$7
Leuprolide acetate (for depot suspension), 7.5 mg13$8,970None
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous397$8,444$21
Protein measurement, serum490$8,377$13
Stool analysis for blood, by fecal hemoglobin determination by immunoassay341$8,359$21
Measurement c-reactive protein for detection of infection or inflammation850$8,308$7
Thyroid hormone, t3 measurement, free283$8,070$22
Liver enzyme (sgpt), level2,260$8,039$3
Detection test by nucleic acid for hepatitis b virus, quantification87$7,846$57
Screening test for autoimmune disorder431$7,552$16
Immunologic analysis technique on serum (immunofixation)241$7,469$28
Carcinoembryonic antigen (cea) protein level133$7,432$25
Detection test for candida species (yeast), direct probe technique231$7,426$27
Detection test for gardnerella vaginalis (bacteria), direct probe technique231$7,426$27
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique231$7,426$27
Hepatitis c antibody measurement337$6,716$19
Detection test by nucleic acid for hepatitis c virus, quantification70$6,643$57
Total protein level, urine665$6,278$5
Alpha-fetoprotein (afp) level, serum158$5,787$22
Bacterial culture for aerobic isolates344$5,772$11
Immunologic analysis for detection of tumor antigen, quantitative; ca 12565$5,751$28
Protein measurement, body fluid239$5,678$23
Injection of drug or substance into vein41$5,598$56
Detection test by nucleic acid for hiv-1 virus, quantification26$5,274$76
Creatine kinase (cardiac enzyme) level, total831$5,221$5
Detection test by immunoassay technique for hepatitis b surface antigen353$5,100$14
Analysis of substance using immunoassay technique, multiple step method210$5,085$12
Lipase (fat enzyme) level455$4,720$9
Blood glucose (sugar) level1,116$4,640$4
Special gram or giemsa stain for microorganism637$4,535$6
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$4,413$90
Bacterial culture, any source, except blood, anaerobic294$4,362$13
Stool culture312$4,129$13
Blood potassium level1,127$4,099$3
Microscopic examination for white blood cells with manual cell count498$3,982$5
Detection test by nucleic acid for clostridium difficile, amplified probe technique80$3,962$47
Uric acid level, blood769$3,934$4
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour32$3,861$18
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique76$3,706$47
Injection of drug or substance under skin or into muscle49$3,640$24
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique73$3,565$47
Cardiolipin antibody (tissue antibody) measurement48$3,558$22
Breath test analysis for helicobacter pylori42$3,504$73
Amylase (enzyme) level348$3,358$9
Measurement of antibody (ige) to allergic substance, crude allergen extract, each29$3,346$7
Automated urinalysis test934$3,214$3
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)242$3,206$12
Measurement of antibody for assessment of autoimmune disorder, any method56$3,186$19
Analysis test by nucleic acid for hepatitis c virus24$3,063$123
Troponin (protein) analysis, quantitative225$3,051$13
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)135$2,728$19
Beta-2 microglobulin (protein) level44$2,617$22
Immunologic analysis technique on body fluid, other fluids with concentration72$2,585$31
Measurement of complement (immune system proteins), antigen,72$2,490$14
Digoxin level, total106$2,486$18
Hepatitis b surface antibody measurement170$2,441$14
Bacterial blood culture103$2,431$14
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool119$2,407$19
Injection of additional new drug or substance into vein31$2,373$22
Creatine kinase (cardiac enzyme) level, mb fraction only149$2,345$15
Detection test by immunoassay technique for giardia (intestinal parasite)179$2,292$12
Cortisol (hormone) measurement, total88$2,267$22
Thyroglobulin (thyroid protein) antibody measurement91$2,255$20
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses55$2,074$8
Ldl cholesterol level152$2,054$13
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$2,050$64
Liver enzyme (sgot), level526$2,024$3
Vitamin b-1 (thiamine) level153$2,017$11
Lactate dehydrogenase (enzyme) level231$1,994$5
Detection of infectious agent antibody, quantitative25$1,985$9
Coagulation function measurement, d-dimer; quantitative120$1,783$14
Tacrolimus level23$1,763$18
Rheumatoid factor level230$1,755$8
Thyroglobulin (thyroid related hormone) level60$1,750$21
Long return visit (40+ min)12$1,733$133
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity86$1,707$17
Administration of additional new drug or substance into vein, 1 hour or less14$1,574$63
Blood sodium level420$1,571$3
Haptoglobin (serum protein) level73$1,547$17
Red blood count, automated test247$1,538$5
T cell count and ratio, including ratio54$1,520$14
Coagulation assessment blood test, plasma or whole blood163$1,503$8
Measurement of total estradiol (hormone)35$1,457$37
Vitamin b-6 level93$1,436$13
Organic acid level93$1,413$14
Gonadotropin, luteinizing (reproductive hormone) level47$1,411$25
Measurement of dna antibody, native or double stranded59$1,381$17
Dna testing for genetic defects16$1,346$29
Calcium level, ionized174$1,334$7
Detection test by nucleic acid for organism, amplified probe technique19$1,327$46
Prolactin (milk producing hormone) level50$1,321$26
Beta 2 glycoprotein 1 antibody (autoantibody) measurement39$1,320$10
Culture for acid-fast bacilli61$1,319$13
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-918$1,308$28
Erythropoietin (protein) level59$1,301$20
Homocysteine (amino acid) level50$1,273$22
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-322$1,252$28
Administration of chemotherapy into vein, each additional hour17$1,250$28
Antibody identification test for white blood cell antibodies60$1,235$15
Thyroid hormone, t3 measurement, total60$1,175$19
Ige (immune system protein) level48$1,175$22
Measurement of hepatitis a antibody67$1,143$17
Phenytoin level, total33$1,117$18
Detection test by immunoassay technique for influenza virus45$1,117$12
Gonadotropin, follicle stimulating (reproductive hormone) level43$1,104$25
Fungal culture, yeast51$1,077$14
Chromosome analysis for genetic defects, analyze 100-300 cells15$1,074$54
Flow cytometry technique for dna or cell analysis, first marker65$1,065$15
Measurement of hepatitis a antibody (igm)69$1,054$15
Syphilis detection test173$1,043$6
Total cell count for b cells (white blood cells)51$1,014$10
Virus isolation24$1,013$42
T cells count, total51$1,005$10
Dihydroxyvitamin d, 1, 25 level62$1,004$16
Microsomal antibodies (autoantibody) measurement58$959$16
Fungal culture (mold or yeast)75$959$11
Phosphate level304$932$2
Testosterone (hormone) level, free119$932$7
Concentration of specimen for infectious agents63$923$9
Calcium level, total169$915$4
Hepatitis b core antibody measurement54$902$16
Valproic acid level, total40$896$18
Catecholamines (organic nitrogen) level25$878$28
Smear for parasites200$873$4
Special stain for parasites200$873$4
Hepatitis b core antibody (igm) measurement55$866$16
Flow cytometry technique for dna or cell analysis, 16 or more markers61$866$14
Psa (prostate specific antigen) measurement, free34$861$25
Thyroid stimulating immune globulins (thyroid related protein) level22$823$34
Measurement of substance using immunoassay technique, by radioimmunoassay34$790$17
Analysis for antibody to hiv-1 and hiv-2 virus43$788$18
Measurement of antibody for rheumatoid arthritis assessment109$762$7
Sex hormone binding globulin (protein) level19$756$29
Special fluorescent and/or acid fast stain for microorganism64$745$7
Collagen cross links test, (urine test to evaluate bone health)30$736$20
Metanephrines level34$705$17
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle17$702$32
Hdl cholesterol level61$690$11
Protein s (clotting inhibitor) measurement30$667$20
Glycated protein level71$635$6
Urine calcium level72$635$7
Measurement of substance using immunoassay technique26$606$17
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less11$601$30
Phospholipid antibody (autoimmune antibody) measurement22$592$10
Urine sodium level73$589$6
Analysis for antibody to varicella-zoster virus (chicken pox)27$586$17
All potassium hydroxide (koh) preparations92$580$6
Carbamazepine level, total25$565$19
Detection test by immunoassay technique for cryptosporidium (parasite)45$558$12
Protein c antigen (clotting inhibitor) measurement29$555$18
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening30$550$18
Ammonia level25$543$19
Dehydroepiandrosterone (dhea-s) hormone level18$535$30
Screening test for antibody to noninfectious agent43$524$10
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid11$509$24
Virus isolation, centrifuge enhanced12$497$26
Lithium level26$495$9
Crystal identification from tissue or body fluid49$481$9
Stool analysis for blood to screen for colon tumors109$473$4
Urine osmolality (concentration) measurement41$465$9
Lactic acid level25$457$14
Antithrombin iii antigen (clotting inhibitor) activity28$444$15
Analysis for antibody to mycoplasma (bacteria)15$441$15
Body fluid cell count with cell identification57$437$7
Bacterial culture for anaerobic isolates35$432$11
Albumin (protein) level134$429$2
Bilirubin level, direct149$426$2
Glutamyltransferase (liver enzyme) level56$422$4
Measurement of antibody for assessment of autoimmune disorder, titer28$416$14
Blood osmolality (concentration) measurement37$415$9
Phenobarbital level14$413$15
Alpha-1-antitrypsin (protein) blood test, total23$413$18
Aldosterone hormone level26$409$12
Clotting factor x assessment test, diluted29$390$12
Renin (kidney enzyme) level26$367$11
Urea nitrogen level to assess kidney function, quantitative110$366$3
Analysis for antibody, treponema pallidum20$360$17
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)16$343$11
Apolipoprotein level17$334$19
Creatinine clearance measurement to test for kidney function23$327$13
Phosphatase (enzyme) level, alkaline106$325$3
Red blood cell antibody detection test, direct38$324$7
Detection of pancreatic elastase (enzyme) in stool24$320$12
Analysis for antibody to tetanus bacteria (clostridium tetanus)15$315$19
Clotting factor viii (ahg) measurement11$311$24
Analysis for antibody to coccidioides (bacteria)18$307$15
Arsenic level18$299$14
Insulin measurement, total13$290$15
Blood count, hemoglobin89$287$3
Somatomedin (growth factor) level14$279$17
Ceruloplasmin (protein) level19$273$14
Infusion into a vein for hydration, each additional hour12$269$15
Blood viscosity measurement11$265$15
Fungal culture (mold or yeast) of skin, hair, or nail25$258$10
Cholesterol level63$254$3
Mercury level25$252$9
Stool fat or lipids analysis, qualitative36$249$7
Immunologic analysis for autoimmune disease, a, b, or c, single antigen16$238$15
Lead level23$228$9
Measurement of complement (immune system proteins), total hemolytic20$214$10
Fibrinogen (factor 1) activity measurement17$204$11
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen11$200$17
Angiotensin l - converting enzyme (ace) level22$197$9
Total protein level, blood109$195$1
Aldolase (enzyme) level26$189$6
Zinc level15$175$10
G6pd (enzyme) level13$168$13
Detection test by immunoassay technique for hepatitis be surface antigen20$165$8
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)18$164$8
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)18$159$8
Infrared analysis of stone13$153$12
Cortisol (hormone) measurement, free12$152$13
Triglycerides level18$151$3
Screening test for pathogenic organisms15$133$9
Copper level11$124$10
Cryoglobulin (protein) measurement16$123$8
Urinalysis using microscope25$118$4
Folic acid level, rbc17$108$6
Total protein level, body fluid21$103$5
Analysis for antibody to herpes simplex virus, type 217$101$5
Hemoglobin analysis and measurement, chromatography12$99$8
Urine potassium level17$93$5
Bilirubin level, total61$85$1
Analysis for antibody to herpes simplex virus, type 117$68$3
Blood group typing (abo)17$68$4
Blood typing for rh (d) antigen17$68$4
Glucose (sugar) level on body fluid19$64$3
Injection, dexamethasone sodium phosphate, 1 mg24$55None
Body fluid ph level12$55$4
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg13$54None
Injection, ondansetron hydrochloride, per 1 mg17$27None
Injection, diphenhydramine hcl, up to 50 mg13$16None
Infusion, normal saline solution, 250 cc12$13None

2013: 274 services

Original Medicare services billed in 2013
Blood test, thyroid stimulating hormone (tsh)5,349$155,011$23
Blood test, lipids (cholesterol and triglycerides)8,708$149,328$14
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7,112$144,811$11
Blood test, comprehensive group of blood chemicals6,230$130,931$13
Vitamin d-3 level2,459$117,382$40
Insertion of needle into vein for collection of blood sample13,727$105,539$3
Blood test, basic group of blood chemicals (calcium, total)5,242$77,612$10
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg14$75,011None
Hemoglobin a1c level4,647$70,504$9
Injection, infliximab, excludes biosimilar, 10 mg21$60,488None
Parathormone (parathyroid hormone) level573$45,745$54
Natriuretic peptide (heart and blood vessel protein) level698$44,444$46
Psa (prostate specific antigen) measurement, total1,118$39,799$25
Cyanocobalamin (vitamin b-12) level1,570$35,642$20
Bacterial colony count, urine1,933$32,962$11
Injection, darbepoetin alfa, 1 microgram (non-esrd use)21$32,494None
Creatinine level to test for kidney function or muscle injury2,853$28,230$7
Complete blood cell count (red cells, white blood cell, platelets), automated test1,943$27,563$9
Zoldedronic acid 1mg34$24,856$136
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1,304$24,068$12
Return visit (30+ min)82$23,395$91
Ferritin (blood protein) level827$23,315$18
Manual urinalysis test with examination using microscope, automated3,829$23,045$4
Urine microalbumin (protein) level2,349$21,053$8
Prostate cancer screening; prostate specific antigen test (psa)797$19,843$25
Tuberculosis test, gamma interferon214$18,929$83
Administration of chemotherapy into vein, 1 hour or less78$18,626$143
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less82$16,963$76
Kidney function blood test panel491$14,459$11
Bacterial urine culture1,038$14,386$9
Liver function blood test panel1,053$14,245$9
Hepatitis c antibody measurement636$12,515$19
Testosterone (hormone) level, total348$12,508$26
Gammaglobulin (immune system protein) measurement350$12,163$9
Thyroxine (thyroid chemical), free741$11,558$12
Iron binding capacity795$11,391$9
Short return visit (20+ min)93$11,326$62
Iron level836$11,068$9
Pap test, manual screening331$10,768$27
Stool analysis for blood, by fecal hemoglobin determination by immunoassay439$10,521$22
Bacterial culture, any other source except urine, blood or stool, aerobic710$10,478$12
Red blood cell sedimentation rate, to detect inflammation, non-automated1,494$10,114$5
Blood test, clotting time769$9,796$5
Blood creatinine level2,008$9,278$4
Flow cytometry technique for dna or cell analysis, each additional marker63$9,223$7
Liver enzyme (sgpt), level2,405$8,979$3
Magnesium level519$8,832$9
Detection test for human papillomavirus (HPV)178$8,695$47
Folic acid level, serum409$8,529$20
Nephelometry, test method using light106$8,219$15
Carcinoembryonic antigen (cea) protein level134$7,965$26
Measurement c-reactive protein for detection of infection or inflammation721$7,362$7
Immunologic analysis for detection of tumor antigen, quantitative; ca 12555$7,222$28
Screening test for autoimmune disorder389$7,193$16
Thyroid hormone, t3 measurement, free239$6,946$23
Leuprolide acetate (for depot suspension), 7.5 mg13$6,934None
Detection test by nucleic acid for hepatitis b virus, quantification70$6,908$58
Protein measurement, serum377$6,492$13
Total protein level, urine630$6,345$5
Bacterial culture for aerobic isolates352$5,627$11
Creatine kinase (cardiac enzyme) level, total820$5,610$5
Immunologic analysis technique on serum (immunofixation)180$5,579$28
Injection of drug or substance under skin or into muscle70$5,338$25
Blood glucose (sugar) level1,180$5,075$4
Detection test by nucleic acid for hiv-1 virus, quantification24$4,982$79
Blood potassium level1,340$4,961$3
Bacterial culture, any source, except blood, anaerobic324$4,863$13
Special gram or giemsa stain for microorganism653$4,597$6
Detection test for candida species (yeast), direct probe technique140$4,435$27
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle17$4,416$77
Detection test for gardnerella vaginalis (bacteria), direct probe technique139$4,404$27
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique139$4,402$27
Protein measurement, body fluid180$4,365$23
Microscopic examination for white blood cells with manual cell count364$4,301$5
Detection test by immunoassay technique for hepatitis b surface antigen300$4,276$14
Alpha-fetoprotein (afp) level, serum124$4,204$23
Detection test by nucleic acid for clostridium difficile, amplified probe technique78$4,170$47
Analysis of substance using immunoassay technique, multiple step method167$4,112$12
Lipase (fat enzyme) level344$3,805$9
Uric acid level, blood731$3,747$4
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour24$3,572$21
Amylase (enzyme) level336$3,483$9
Stool culture248$3,476$13
Beta-2 microglobulin (protein) level41$3,434$22
Detection test by nucleic acid for hepatitis c virus, quantification46$3,421$58
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$3,416$90
Troponin (protein) analysis, quantitative220$3,091$13
Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)210$2,828$13
Cardiolipin antibody (tissue antibody) measurement40$2,796$23
Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool133$2,695$19
Creatine kinase (cardiac enzyme) level, mb fraction only162$2,672$16
Bacterial blood culture112$2,574$14
Administration of additional new drug or substance into vein, 1 hour or less21$2,476$73
Liver enzyme (sgot), level616$2,432$3
Cortisol (hormone) measurement, total85$2,407$21
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique43$2,374$47
Measurement of complement (immune system proteins), antigen,77$2,357$13
Dna testing for genetic defects22$2,339$28
Measurement of antibody for assessment of autoimmune disorder, any method56$2,309$19
Automated urinalysis test651$2,283$3
Digoxin level, total96$2,265$18
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)109$2,258$19
Chromosome analysis for genetic defects, analyze 100-300 cells20$2,216$50
Hepatitis b surface antibody measurement143$2,118$15
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique37$2,089$47
Injection of additional new drug or substance into vein45$2,071$23
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$2,066$63
Vitamin b-1 (thiamine) level126$2,002$14
Tacrolimus level19$1,871$19
Detection test by immunoassay technique for giardia (intestinal parasite)141$1,857$13
Coagulation function measurement, d-dimer; quantitative124$1,844$14
Thyroglobulin (thyroid protein) antibody measurement72$1,816$20
Thyroglobulin (thyroid related hormone) level58$1,763$22
Rheumatoid factor level228$1,761$8
Gonadotropin, luteinizing (reproductive hormone) level52$1,706$25
Haptoglobin (serum protein) level62$1,705$17
Lactate dehydrogenase (enzyme) level172$1,691$5
Measurement of antibody (ige) to allergic substance, crude allergen extract, each24$1,674$7
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity85$1,628$18
Administration of chemotherapy into vein, each additional hour25$1,508$31
Immunologic analysis technique on body fluid, other fluids with concentration48$1,507$29
Red blood count, automated test216$1,480$5
Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses36$1,480$8
Ldl cholesterol level107$1,450$13
Dihydroxyvitamin d, 1, 25 level55$1,436$23
Virus isolation30$1,417$42
Thyroid hormone, t3 measurement, total65$1,409$19
T cell count and ratio, including ratio42$1,370$16
Homocysteine (amino acid) level50$1,369$23
Organic acid level78$1,340$16
Analysis test by nucleic acid for hepatitis c virus11$1,340$122
Coagulation assessment blood test, plasma or whole blood150$1,331$8
Measurement of dna antibody, native or double stranded56$1,282$18
Detection test by nucleic acid for organism, amplified probe technique21$1,279$47
Erythropoietin (protein) level47$1,248$25
Testosterone (hormone) level, free142$1,229$8
Infusion into a vein for hydration, 31-60 minutes16$1,191$60
Measurement of antibody for rheumatoid arthritis assessment117$1,184$10
Measurement of total estradiol (hormone)28$1,171$38
Measurement of hepatitis a antibody70$1,167$17
Sex hormone binding globulin (protein) level25$1,160$29
Gonadotropin, follicle stimulating (reproductive hormone) level43$1,159$25
Culture for acid-fast bacilli67$1,132$13
Prolactin (milk producing hormone) level42$1,126$26
Beta 2 glycoprotein 1 antibody (autoantibody) measurement32$1,122$11
Flow cytometry technique for dna or cell analysis, first marker63$1,107$17
Phenytoin level, total38$1,097$18
Ige (immune system protein) level48$1,070$22
Valproic acid level, total45$1,059$18
Fungal culture, yeast57$1,048$14
Detection test by immunoassay technique for influenza virus42$1,048$13
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-913$1,043$28
Special stain for parasites174$1,019$5
Vitamin b-6 level58$1,003$14
Smear for parasites172$999$5
Antibody identification test for white blood cell antibodies50$960$17
Microsomal antibodies (autoantibody) measurement57$958$16
Measurement of hepatitis a antibody (igm)60$928$15
Fungal culture (mold or yeast)74$921$11
Concentration of specimen for infectious agents77$878$9
Analysis for antibody to varicella-zoster virus (chicken pox)48$876$18
Phosphate level241$845$2
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less14$836$32
T cells count, total40$822$10
All potassium hydroxide (koh) preparations130$810$6
Flow cytometry technique for dna or cell analysis, 16 or more markers58$782$13
Mass spectrometry (laboratory testing method)15$775$20
Calcium level, total161$770$4
Blood sodium level201$759$3
Irrigation of implanted venous access drug delivery device16$727$25
Syphilis detection test119$722$6
Total cell count for b cells (white blood cells)40$721$9
Calcium level, ionized103$716$6
Hepatitis b core antibody measurement42$692$16
Analysis for antibody to hiv-1 and hiv-2 virus36$669$19
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision18$643$36
Special fluorescent and/or acid fast stain for microorganism69$633$7
Ammonia level23$612$20
Urine calcium level65$599$8
Measurement of antibody for assessment of autoimmune disorder, titer37$590$14
Measurement of substance using immunoassay technique27$579$18
Red blood cell antibody detection test, direct40$540$7
Carbamazepine level, total22$533$20
Virus isolation, centrifuge enhanced15$530$26
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid11$515$25
Bacterial culture for anaerobic isolates43$515$11
Protein s (clotting inhibitor) measurement20$515$21
Hepatitis b core antibody (igm) measurement29$495$16
Measurement of substance using immunoassay technique, by radioimmunoassay22$494$18
Metanephrines level20$480$19
Catecholamines (organic nitrogen) level14$474$25
Screening test for red blood cell antibodies12$468$36
Urine osmolality (concentration) measurement45$461$9
Detection of infectious agent antibody, quantitative22$460$8
Blood osmolality (concentration) measurement47$456$9
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous21$451$21
Urine sodium level59$429$6
Glutamyltransferase (liver enzyme) level35$428$5
Body fluid cell count with cell identification57$424$7
Psa (prostate specific antigen) measurement, free16$424$25
Lithium level25$421$9
Crystal identification from tissue or body fluid43$420$10
Glycated protein level44$418$6
Detection test by immunoassay technique for cryptosporidium (parasite)33$414$13
Protein c antigen (clotting inhibitor) measurement20$411$19
Clotting factor x assessment test, diluted29$411$12
Creatinine clearance measurement to test for kidney function30$410$13
Screening test for antibody to noninfectious agent28$397$11
Analysis for antibody to tetanus bacteria (clostridium tetanus)19$393$20
Dehydroepiandrosterone (dhea-s) hormone level12$390$30
Albumin (protein) level132$387$2
Stool analysis for blood to screen for colon tumors85$375$4
Bilirubin level, direct117$364$2
Immunologic analysis for autoimmune disease, a, b, or c, single antigen21$357$17
Fungal culture (mold or yeast) of skin, hair, or nail30$355$10
Phospholipid antibody (autoimmune antibody) measurement16$336$16
Infusion into a vein for hydration, each additional hour14$335$15
Collagen cross links test, (urine test to evaluate bone health)13$319$23
Lactic acid level19$318$14
Injection, carboplatin, 50 mg12$318None
Hdl cholesterol level26$301$11
Urea nitrogen level to assess kidney function, quantitative82$300$3
Somatomedin (growth factor) level15$293$20
Measurement of complement (immune system proteins), total hemolytic28$286$10
Quantitation of therapeutic drug16$266$15
Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen11$249$21
Ceruloplasmin (protein) level17$247$15
Screening test for pathogenic organisms27$242$9
Antithrombin iii antigen (clotting inhibitor) activity15$237$16
Alpha-1-antitrypsin (protein) blood test, total13$236$18
Phenobarbital level12$234$16
Phosphatase (enzyme) level, alkaline88$233$2
Aldosterone hormone level13$224$17
Blood viscosity measurement11$223$15
Blood count, hemoglobin64$221$3
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)22$221$7
Fibrinogen (factor 1) activity measurement16$219$12
Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen11$213$18
Cortisol (hormone) measurement, free12$211$18
Injection, ceftriaxone sodium, per 250 mg12$192None
Arsenic level12$185$14
Aldolase (enzyme) level20$184$6
Detection of pancreatic elastase (enzyme) in stool13$176$13
Triglycerides level18$172$4
Analysis for antibody to coccidioides (bacteria)11$171$16
G6pd (enzyme) level13$170$13
Total protein level, blood85$167$2
Mercury level14$166$12
Lipoprotein measurement11$162$12
Renin (kidney enzyme) level12$157$12
Analysis for antibody borrelia burgdorferi (lyme disease bacteria)15$153$10
Cholesterol level32$150$3
Folic acid level, rbc21$147$7
Lead level14$144$10
Cryoglobulin (protein) measurement15$140$8
Hemoglobin analysis and measurement, chromatography11$128$11
Stool fat or lipids analysis, qualitative17$124$7
Detection test by immunoassay technique for hepatitis be surface antigen15$123$8
Angiotensin l - converting enzyme (ace) level11$113$10
Vitamin e level11$111$10
Total protein level, body fluid20$99$5
Urinalysis using microscope23$99$4
Phosphatase (enzyme) measurement, alkaline, isoenzymes12$87$7
Glucose (sugar) level on body fluid17$87$5
Bilirubin level, total53$83$1
Blood group typing (abo)17$77$4
Blood typing for rh (d) antigen17$77$4
Analysis for antibody to herpes simplex virus, type 212$73$6
Analysis for antibody to herpes simplex virus, type 112$70$5
Injection, ondansetron hydrochloride, per 1 mg27$58None
Injection, dexamethasone sodium phosphate, 1 mg36$49None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg11$31None
5% dextrose/normal saline (500 ml = 1 unit)12$11None
Injection, diphenhydramine hcl, up to 50 mg12$8None

Medicaid work

$212,166 in 2024

Medicaid paid $212,166 for 21,810 billed services this clinician did in 2024, up to 303 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique155$20,773
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension176$16,934
Blood test, lipids (cholesterol and triglycerides)1,760$14,065
COMPREHENSIVE METABOLIC PANEL2,125$13,916
Measurement of vitamin D 25 hydroxy607$12,725
Thyroid stimulating hormone (TSH)963$10,749
Hemoglobin A1C level1,901$9,852
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count1,676$8,870
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique54$8,729
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique215$8,531
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique174$8,527
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique214$8,417
Medicaid work by year
202421,81069303$212,166
202337,99279291$288,995
202231,23071333$327,704
202132,98471285$346,783
202020,97161296$216,720
201912,4185394$170,230
201813,40355112$170,619
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension312$22,671
Blood test, lipids (cholesterol and triglycerides)2,829$19,184
COMPREHENSIVE METABOLIC PANEL3,303$18,509
Measurement of vitamin D 25 hydroxy1,041$16,919
Thyroid stimulating hormone (TSH)1,558$14,288
Hemoglobin A1C level3,098$13,915
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r191$13,342
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique344$13,086
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique341$13,086
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count3,034$11,878
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique62$9,249
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision207$6,266

2022

Largest Medicaid services in 2022
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r1,838$124,850
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension265$19,903
Blood test, lipids (cholesterol and triglycerides)2,250$15,812
COMPREHENSIVE METABOLIC PANEL2,659$15,378
Measurement of vitamin D 25 hydroxy821$13,183
Thyroid stimulating hormone (TSH)1,428$11,625
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique342$11,443
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique339$11,379
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count2,699$10,663
Hemoglobin A1C level2,275$10,658
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result232$5,165
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision172$4,239

2021

Largest Medicaid services in 2021
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r2,023$138,084
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension303$23,466
Blood test, lipids (cholesterol and triglycerides)2,347$16,504
Measurement of vitamin D 25 hydroxy808$12,874
Thyroid stimulating hormone (TSH)1,511$12,421
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique366$11,800
COMPREHENSIVE METABOLIC PANEL2,636$11,515
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique360$11,431
Hemoglobin A1C level2,250$9,373
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count2,652$8,592
HEPATITIS C ANTIBODY493$6,821
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result193$6,091

2020

Largest Medicaid services in 2020
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r954$67,700
Blood test, lipids (cholesterol and triglycerides)1,564$11,758
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension153$11,552
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique191$10,512
Thyroid stimulating hormone (TSH)1,070$9,401
COMPREHENSIVE METABOLIC PANEL1,771$9,191
Measurement of vitamin D 25 hydroxy497$8,536
Hemoglobin A1C level1,467$7,195
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count1,829$6,788
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique213$6,178
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique210$5,974
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision171$4,450

2019

Largest Medicaid services in 2019
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension201$16,152
Blood test, lipids (cholesterol and triglycerides)1,044$13,473
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique328$11,297
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique327$11,263
Thyroid stimulating hormone (TSH)669$10,746
COMPREHENSIVE METABOLIC PANEL958$10,542
Measurement of vitamin D 25 hydroxy354$9,289
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count1,027$8,277
Hemoglobin A1C level879$8,098
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result181$7,391
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision220$5,984
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result190$4,145

2018

Largest Medicaid services in 2018
Blood test, lipids (cholesterol and triglycerides)1,117$14,209
Thyroid stimulating hormone (TSH)744$12,074
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique339$11,341
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique333$11,116
Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon178$11,000
COMPREHENSIVE METABOLIC PANEL1,037$10,706
Measurement of vitamin D 25 hydroxy391$10,536
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count1,168$8,877
Hemoglobin A1C level881$8,137
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result162$6,616
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision232$6,170
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result224$4,897

Drugs they prescribed that Part D paid

$815,688

Pharmacies billed $815,688 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

354 generic and 144 brand-name prescriptions · $815,688 in drug cost · 27 antibiotic prescriptions to 11 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Jakafi25$319,334$12,773
Xarelto36$45,373$1,260
Eliquis48$44,996$937
Megestrol Acetate16$946$59
Hydroxyurea15$926$62
See all 12 drugs
Every Part D drug this clinician prescribed
Jakafi25$319,334$12,773
Xarelto36$45,373$1,260
Eliquis48$44,996$937
Megestrol Acetate16$946$59
Hydroxyurea15$926$62
Anastrozole61$855$14
Dexamethasone38$780$21
Acyclovir44$769$17
Folic Acid13$286$22
Potassium Chloride18$246$14
Lorazepam13$86$7
Sulfamethoxazole-Trimethoprim14$33$2

Year by year

Part D prescribing by year
2024498104None29%$815,688
2023641108NoneNone$1,919,079
20227071172% (13)None$2,214,086
20217651304% (31)32%$2,319,494
20208381294% (32)30%$2,149,196
20197921187% (56)24%$1,622,605
20186411115% (32)21%$915,600
201751610412% (64)14%$426,992
2016694969% (61)None$862,835
20155598511% (60)None$344,353
20145578111% (60)25%$684,216
2013611958% (51)28%$766,124

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 15 drugs

Part D drugs prescribed in 2023
Jakafi32$445,316$13,916
Alunbrig25$374,332$14,973
Calquence14$227,294$16,235
Xarelto23$37,981$1,651
Eliquis44$37,638$855
Abiraterone Acetate17$20,935$1,231
Anastrozole86$2,527$29
Hydroxyurea33$2,127$64
Acyclovir44$953$22
Dexamethasone27$589$22
Sulfamethoxazole-Trimethoprim23$461$20
Prednisone22$250$11
Ondansetron11$183$17
Prochlorperazine Maleate21$154$7
Lorazepam19$75$4

2022: 17 drugs

Part D drugs prescribed in 2022
Pomalyst31$586,901$18,932
Jakafi41$566,020$13,805
Alunbrig25$338,279$13,531
Kisqali12$76,861$6,405
Xarelto35$47,874$1,368
Eliquis50$30,473$609
Imatinib Mesylate14$4,107$293
Anastrozole92$2,668$29
Megestrol Acetate17$1,395$82
Hydroxyurea29$1,269$44
Acyclovir37$681$18
Mirtazapine24$449$19
Dexamethasone20$426$21
Sulfamethoxazole-Trimethoprim20$236$12
Prednisone24$190$8
Prochlorperazine Maleate14$171$12
Lorazepam23$75$3

2021: 23 drugs

Part D drugs prescribed in 2021
Pomalyst27$534,312$19,789
Jakafi35$434,200$12,406
Alunbrig25$354,426$14,177
Imbruvica18$264,775$14,710
Imatinib Mesylate19$42,746$2,250
Xarelto29$36,991$1,276
Eliquis40$26,187$655
Abiraterone Acetate12$22,385$1,865
Anastrozole93$3,571$38
Hydroxyurea27$1,313$49
Megestrol Acetate19$1,229$65
Dexamethasone23$556$24
Morphine Sulfate Er13$511$39
Acyclovir27$510$19
Potassium Chloride11$494$45
Hydrocodone-Acetaminophen13$417$32
Prochlorperazine Maleate23$290$13
Mirtazapine15$279$19
Warfarin14$264$19
Prednisone38$249$7
Lorazepam20$167$8
Sulfamethoxazole-Trimethoprim15$162$11
Furosemide12$66$6

2020: 23 drugs

Part D drugs prescribed in 2020
Pomalyst24$435,207$18,134
Imbruvica30$408,497$13,617
Alunbrig22$284,512$12,932
Jakafi13$178,179$13,706
Sprycel13$148,225$11,402
Abiraterone Acetate16$53,633$3,352
Xarelto32$34,641$1,083
Eliquis45$29,015$645
Anastrozole87$3,826$44
Hydroxyurea20$1,892$95
Raloxifene13$1,428$110
Megestrol Acetate19$1,242$65
Loperamide15$1,017$68
Dexamethasone31$881$28
Morphine Sulfate Er12$558$46
Acyclovir29$515$18
Prednisone53$467$9
Prochlorperazine Maleate25$318$13
Ondansetron16$304$19
Warfarin17$261$15
Hydrocodone-Acetaminophen11$249$23
Lorazepam25$148$6
Furosemide17$75$4

2019: 20 drugs

Part D drugs prescribed in 2019
Revlimid32$381,991$11,937
Alunbrig20$272,173$13,609
Imbruvica14$181,560$12,969
Pomalyst11$144,621$13,147
Sprycel11$101,569$9,234
Xarelto38$33,419$879
Eliquis16$7,622$476
Hydroxyurea28$2,889$103
Anastrozole81$2,321$29
Megestrol Acetate17$1,794$106
Raloxifene22$1,501$68
Dexamethasone25$836$33
Acyclovir46$585$13
Diphenoxylate-Atropine14$549$39
Hydrocodone-Acetaminophen14$424$30
Prednisone54$300$6
Letrozole18$233$13
Sulfamethoxazole-Trimethoprim17$229$13
Prochlorperazine Maleate23$220$10
Furosemide22$91$4

2018: 18 drugs

Part D drugs prescribed in 2018
Alunbrig23$359,581$15,634
Jakafi11$143,741$13,067
Zytiga16$97,484$6,093
Imatinib Mesylate16$30,535$1,908
Xarelto31$23,244$750
Hydroxyurea28$1,651$59
Anastrozole86$1,411$16
Megestrol Acetate20$1,196$60
Dexamethasone11$449$41
Letrozole21$414$20
Hydrocodone-Acetaminophen12$361$30
Prednisone38$341$9
Potassium Chloride11$319$29
Allopurinol11$279$25
Acyclovir17$193$11
Prochlorperazine Maleate17$92$5
Furosemide15$80$5
Lorazepam18$33$2

2017: 11 drugs

Part D drugs prescribed in 2017
Xarelto14$9,102$650
Anastrozole72$1,085$15
Megestrol Acetate17$991$58
Fentanyl12$917$76
Hydroxyurea12$576$48
Acetaminophen-Codeine14$381$27
Prednisone31$347$11
Hydrocodone-Acetaminophen15$257$17
Prochlorperazine Maleate18$142$8
Lorazepam18$133$7
Furosemide20$131$7

2016: 20 drugs

Part D drugs prescribed in 2016
Revlimid20$270,233$13,512
Sprycel17$86,436$5,084
Xarelto12$4,539$378
Exemestane19$4,305$227
Anastrozole73$1,797$25
Hydroxyurea15$1,331$89
Fentanyl11$894$81
Megestrol Acetate13$790$61
Potassium Chloride14$568$41
Hydrocodone-Acetaminophen15$558$37
Letrozole18$552$31
Prednisone52$523$10
Dexamethasone20$442$22
Doxazosin Mesylate23$419$18
Ondansetron25$346$14
Prochlorperazine Maleate33$298$9
Acetaminophen-Codeine13$272$21
Mirtazapine17$239$14
Lorazepam34$230$7
Alendronate12$104$9

2015: 15 drugs

Part D drugs prescribed in 2015
Revlimid23$232,771$10,120
Exemestane17$6,821$401
Fentanyl12$1,293$108
Anastrozole59$1,002$17
Bicalutamide13$755$58
Potassium Chloride15$670$45
Hydroxyurea19$633$33
Dexamethasone11$415$38
Oxycodone13$331$25
Mirtazapine32$328$10
Letrozole20$323$16
Prednisone36$291$8
Acetaminophen-Codeine13$278$21
Prochlorperazine Maleate11$54$5
Lorazepam11$41$4

2014: 14 drugs

Part D drugs prescribed in 2014
Revlimid26$245,058$9,425
Gleevec18$120,933$6,719
Sprycel16$54,488$3,406
Exemestane11$4,855$441
Anastrozole64$2,121$33
Megestrol Acetate16$720$45
Hydroxyurea20$719$36
Potassium Chloride15$641$43
Hydrocodone-Acetaminophen26$619$24
Ondansetron12$231$19
Prochlorperazine Maleate25$224$9
Prednisone20$133$7
Alendronate21$129$6
Lorazepam15$72$5

2013: 19 drugs

Part D drugs prescribed in 2013
Gleevec41$326,720$7,969
Afinitor13$104,863$8,066
Revlimid14$97,550$6,968
Tarceva16$57,047$3,565
Evista14$3,780$270
Anastrozole83$3,435$41
Hydroxyurea13$1,065$82
Megestrol Acetate17$1,045$61
Hydrocodone-Acetaminophen30$534$18
Potassium Chloride12$485$40
Dexamethasone28$483$17
Metformin15$304$20
Alendronate23$189$8
Zolpidem25$166$7
Prochlorperazine Maleate17$150$9
Mirtazapine15$146$10
Prednisone16$91$6
Furosemide11$47$4
Lorazepam12$45$4

Money from drug and device companies

$13,355 in 2025

Industry payments by year
20251533$11,160$13,355
2024836$22,235$27,414
2023635$21,368$27,269
2022753$29,605$35,549
2021712$5,400$5,480
2020631$21,595$25,789
2019748$20,630$25,127

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Takeda Pharmaceuticals U.S.A.Alunbrig$10,594
7 payments
  • Paid to speak or teach for Alunbrig · 2025-06-05 · $915
  • Consulting for Alunbrig · 2025-03-18 · $2,135
  • Travel for Alunbrig · 2025-02-06 · $981
  • Paid to speak or teach for Alunbrig · 2025-01-30 · $6,100
  • Meals for Alunbrig · 2025-01-16 · $117
  • Travel for Alunbrig · 2025-01-16 · $60
  • Travel for Alunbrig · 2025-01-16 · $287
AstraZeneca Pharmaceuticals LPCalquence$2,250
7 payments
  • Meals for Calquence · 2025-09-19 · $28
  • Consulting for Calquence · 2025-07-01 · $2,010
  • Meals for Enhertu · 2025-05-14 · $135
  • Meals for Enhertu · 2025-05-08 · $17
  • Meals for Enhertu · 2025-05-07 · $2
  • Meals · 2025-03-03 · $29
  • Meals for Enhertu · 2025-01-31 · $30
Genentech USAHerceptin$81
3 payments
  • Meals for Gazyva · 2025-12-18 · $29
  • Meals for Ocrevus Zunovo · 2025-03-24 · $22
  • Meals for Herceptin · 2025-01-27 · $30
Janssen BiotechRybrevant$77
2 payments
  • Meals for Rybrevant · 2025-10-13 · $41
  • Meals for Talvey · 2025-08-29 · $36
Secura BioCopiktra$53
2 payments
  • Meals for Copiktra · 2025-12-11 · $24
  • Meals for Copiktra · 2025-08-28 · $29
Daiichi SankyoDatroway$49
2 payments
  • Meals for Datroway · 2025-11-20 · $26
  • Meals for Datroway · 2025-09-05 · $23
See all 33 published payments
Every published payment
AbbvieMeals · 2025-12-20Venclexta$17
Genentech USAMeals · 2025-12-18Gazyva$29
Secura BioMeals · 2025-12-11Copiktra$24
Pharmacosmos TherapeuticsMeals · 2025-12-09Monoferric$23
Daiichi SankyoMeals · 2025-11-20Datroway$26
GlaxoSmithKlineMeals · 2025-11-06Blenrep$22
Janssen BiotechMeals · 2025-10-13Rybrevant$41
Merck Sharp & DohmeMeals · 2025-10-06Keytruda$27
Novartis PharmaceuticalsMeals · 2025-09-30Kisqali$35
PfizerMeals · 2025-09-23Ibrance$29
AstraZeneca Pharmaceuticals LPMeals · 2025-09-19Calquence$28
Daiichi SankyoMeals · 2025-09-05Datroway$23
Janssen BiotechMeals · 2025-08-29Talvey$36
Secura BioMeals · 2025-08-28Copiktra$29
AbbvieMeals · 2025-07-22Imbruvica$26
Array BiopharmaMeals · 2025-07-08Lorbrena$25
AstraZeneca Pharmaceuticals LPConsulting · 2025-07-01Calquence$2,010
Takeda Pharmaceuticals U.S.A.Paid to speak or teach · 2025-06-05Alunbrig$915
AstraZeneca Pharmaceuticals LPMeals · 2025-05-14Enhertu$135
AstraZeneca Pharmaceuticals LPMeals · 2025-05-08Enhertu$17
AstraZeneca Pharmaceuticals LPMeals · 2025-05-07Enhertu$2
Genentech USAMeals · 2025-03-24Ocrevus Zunovo$22
Takeda Pharmaceuticals U.S.A.Consulting · 2025-03-18Alunbrig$2,135
AstraZeneca Pharmaceuticals LPMeals · 2025-03-03None$29
Takeda Pharmaceuticals U.S.A.Travel · 2025-02-06Alunbrig$981
AstraZeneca Pharmaceuticals LPMeals · 2025-01-31Enhertu$30
Takeda Pharmaceuticals U.S.A.Paid to speak or teach · 2025-01-30Alunbrig$6,100
Genentech USAMeals · 2025-01-27Herceptin$30
Takeda Pharmaceuticals U.S.A.Meals · 2025-01-16Alunbrig$117
Takeda Pharmaceuticals U.S.A.Travel · 2025-01-16Alunbrig$60
Takeda Pharmaceuticals U.S.A.Travel · 2025-01-16Alunbrig$287
Stemline TherapeuticsMeals · 2025-01-13Orserdu$29
Lilly USAMeals · 2025-01-02Jaypirca$17
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $27,414

Payments by company in 2024
Takeda Pharmaceuticals U.S.A.Alunbrig$24,675
19 payments
  • Travel for Alunbrig · 2024-12-27 · $827
  • Paid to speak or teach for Alunbrig · 2024-08-23 · $1,220
  • Paid to speak or teach for Alunbrig · 2024-08-23 · $6,100
  • Travel for Alunbrig · 2024-08-20 · $690
  • Paid to speak or teach for Alunbrig · 2024-08-16 · $1,220
  • Travel for Alunbrig · 2024-08-12 · $81
  • Meals for Alunbrig · 2024-08-12 · $120
  • Travel for Alunbrig · 2024-07-10 · $519
  • Consulting for Alunbrig · 2024-05-31 · $4,880
  • Paid to speak or teach for Alunbrig · 2024-05-29 · $1,220
  • Travel for Alunbrig · 2024-05-06 · $872
  • Travel for Alunbrig · 2024-05-06 · $265
  • Meals for Alunbrig · 2024-05-06 · $73
  • Travel for Alunbrig · 2024-05-06 · $38
  • Paid to speak or teach for Alunbrig · 2024-04-25 · $5,250
  • Travel for Alunbrig · 2024-03-28 · $47
  • Meals for Alunbrig · 2024-03-28 · $125
  • Travel for Alunbrig · 2024-02-26 · $510
  • Travel for Alunbrig · 2024-02-26 · $618
AstraZeneca Pharmaceuticals LPEnhertu$2,563
6 payments
  • Meals · 2024-11-21 · $127
  • Consulting · 2024-11-16 · $2,345
  • Meals for Enhertu · 2024-08-29 · $14
  • Meals for Tagrisso · 2024-07-25 · $15
  • Meals for Calquence · 2024-05-28 · $27
  • Meals for Enhertu · 2024-05-28 · $34
Daiichi SankyoEnhertu$46
2 payments
  • Meals for Enhertu · 2024-12-19 · $17
  • Meals for Enhertu · 2024-04-26 · $29
Secura BioCopiktra$29
1 payment
  • Meals for Copiktra · 2024-08-29 · $29
Janssen BiotechRybrevant$28
1 payment
  • Meals for Rybrevant · 2024-10-16 · $28
Coherus BiosciencesUdenyca$26
1 payment
  • Meals for Udenyca · 2024-10-15 · $26
Gilead SciencesNone$25
1 payment
  • Meals · 2024-12-10 · $25
GlaxoSmithKlineOjjaara$22
1 payment
  • Meals for Ojjaara · 2024-08-16 · $22

2023: $27,269

Payments by company in 2023
Takeda Pharmaceuticals U.S.A.Alunbrig$25,117
22 payments
  • Paid to speak or teach for Alunbrig · 2023-06-28 · $1,050
  • Paid to speak or teach for Alunbrig · 2023-05-04 · $2,625
  • Education · 2023-04-19 · $80
  • Meals for Alunbrig · 2023-04-18 · $107
  • Travel for Alunbrig · 2023-04-14 · $830
  • Travel for Alunbrig · 2023-04-14 · $572
  • Travel for Alunbrig · 2023-04-14 · $200
  • Meals for Alunbrig · 2023-04-14 · $145
  • Travel for Alunbrig · 2023-04-14 · $274
  • Travel for Alunbrig · 2023-04-05 · $393
  • Paid to speak or teach for Alunbrig · 2023-03-30 · $5,250
  • Travel for Alunbrig · 2023-03-07 · $472
  • Paid to speak or teach for Alunbrig · 2023-03-03 · $5,250
  • Travel for Alunbrig · 2023-02-24 · $317
  • Travel for Alunbrig · 2023-02-22 · $322
  • Travel for Alunbrig · 2023-02-06 · $778
  • Paid to speak or teach for Alunbrig · 2023-02-03 · $5,250
  • Meals for Alunbrig · 2023-01-27 · $121
  • Travel for Alunbrig · 2023-01-26 · $780
  • Travel for Alunbrig · 2023-01-26 · $224
  • Meals for Alunbrig · 2023-01-26 · $20
  • Travel for Alunbrig · 2023-01-26 · $55
AstraZeneca Pharmaceuticals LPCalquence$2,063
7 payments
  • Meals for Enhertu · 2023-12-15 · $28
  • Meals for Calquence · 2023-10-05 · $14
  • Consulting for Calquence · 2023-09-11 · $1,943
  • Meals for Imfinzi · 2023-08-04 · $22
  • Meals for Enhertu · 2023-07-13 · $25
  • Meals for Enhertu · 2023-01-23 · $13
  • Meals for Calquence · 2023-01-20 · $18
Daiichi SankyoEnhertu$29
1 payment
  • Meals for Enhertu · 2023-07-13 · $29
PfizerIbrance$25
1 payment
  • Education for Ibrance · 2023-07-27 · $25
GenentechLunsumio$22
1 payment
  • Meals for Lunsumio · 2023-01-11 · $22
Janssen PharmaceuticalsNone$13
1 payment
  • Education · 2023-07-06 · $13

2022: $35,549

Payments by company in 2022
Takeda Pharmaceuticals U.S.A.Alunbrig$28,473
28 payments
  • Paid to speak or teach for Alunbrig · 2022-12-22 · $2,625
  • Paid to speak or teach for Alunbrig · 2022-12-08 · $1,050
  • Paid to speak or teach for Alunbrig · 2022-11-28 · $1,050
  • Paid to speak or teach for Alunbrig · 2022-10-20 · $2,625
  • Paid to speak or teach for Alunbrig · 2022-10-20 · $2,625
  • Meals for Alunbrig · 2022-10-14 · $126
  • Travel for Alunbrig · 2022-10-12 · $79
  • Meals for Alunbrig · 2022-09-30 · $125
  • Travel for Alunbrig · 2022-09-29 · $77
  • Education · 2022-09-28 · $99
  • Paid to speak or teach for Alunbrig · 2022-08-18 · $5,250
  • Travel for Alunbrig · 2022-08-18 · $843
  • Travel for Alunbrig · 2022-08-05 · $232
  • Travel for Alunbrig · 2022-08-05 · $88
  • Paid to speak or teach for Alunbrig · 2022-08-04 · $2,625
  • Meals for Alunbrig · 2022-08-04 · $16
  • Meals for Alunbrig · 2022-07-28 · $122
  • Travel for Alunbrig · 2022-07-27 · $19
  • Travel for Alunbrig · 2022-07-26 · $912
  • Paid to speak or teach for Alunbrig · 2022-04-07 · $1,050
  • Meals for Alunbrig · 2022-03-07 · $46
  • Meals for Exkivity · 2022-03-07 · $46
  • Travel for Alunbrig · 2022-03-04 · $462
  • Paid to speak or teach for Alunbrig · 2022-03-03 · $5,250
  • Travel for Alunbrig · 2022-02-22 · $329
  • Meals for Alunbrig · 2022-02-15 · $66
  • Travel for Alunbrig · 2022-02-15 · $107
  • Travel for Alunbrig · 2022-02-09 · $530
AstraZeneca Pharmaceuticals LPCalquence$3,986
16 payments
  • Meals for Enhertu · 2022-09-16 · $25
  • Meals for Enhertu · 2022-07-14 · $22
  • Consulting for Calquence · 2022-05-31 · $2,498
  • Meals for Calquence · 2022-05-14 · $74
  • Travel for Calquence · 2022-05-14 · $120
  • Meals for Calquence · 2022-05-14 · $26
  • Meals for Calquence · 2022-05-14 · $28
  • Travel for Calquence · 2022-05-13 · $361
  • Travel for Calquence · 2022-05-13 · $276
  • Travel for Calquence · 2022-05-13 · $199
  • Travel for Calquence · 2022-05-13 · $109
  • Meals for Calquence · 2022-05-13 · $93
  • Meals for Lynparza · 2022-05-11 · $114
  • Meals for Enhertu · 2022-04-29 · $12
  • Meals for Imfinzi · 2022-04-28 · $9
  • Meals for Enhertu · 2022-03-17 · $21
Genentech USAVenclexta$2,958
3 payments
  • Consulting for Venclexta · 2022-06-28 · $910
  • Consulting for Venclexta · 2022-06-01 · $910
  • Consulting for Venclexta · 2022-03-03 · $1,138
PfizerIbrance$72
2 payments
  • Meals for Ibrance · 2022-02-17 · $40
  • Education for Ibrance · 2022-02-08 · $32
Clovis OncologyRubraca$24
1 payment
  • Meals for Rubraca · 2022-08-22 · $24
Janssen Scientific AffairsImbruvica$23
1 payment
  • Meals for Imbruvica · 2022-09-26 · $23
GenentechPolivy$14
1 payment
  • Meals for Polivy · 2022-03-18 · $14

2021: $5,480

Payments by company in 2021
Takeda Pharmaceuticals U.S.A.Alunbrig$3,010
4 payments
  • Paid to speak or teach for Alunbrig · 2021-08-12 · $1,050
  • Paid to speak or teach for Alunbrig · 2021-05-27 · $1,050
  • Education for Iclusig · 2021-04-27 · $10
  • Paid to speak or teach for Alunbrig · 2021-04-09 · $900
PfizerIbrance$1,522
3 payments
  • Meals for Ibrance · 2021-12-20 · $9
  • Education for Inlyta · 2021-11-22 · $13
  • Honoraria for Ibrance · 2021-05-24 · $1,500
Bayer HealthCare PharmaceuticalsVitrakvi$900
1 payment
  • Consulting for Vitrakvi · 2021-04-28 · $900
AstraZeneca Pharmaceuticals LPNone$20
1 payment
  • Meals · 2021-07-15 · $20
Pharmacyclics LLC An AbbVieImbruvica$13
1 payment
  • Meals for Imbruvica · 2021-05-04 · $13
Gilead SciencesNone$12
1 payment
  • Education · 2021-06-01 · $12
Clovis OncologyRubraca$3
1 payment
  • Meals for Rubraca · 2021-06-16 · $3

2020: $25,789

Payments by company in 2020
Takeda Pharmaceuticals U.S.A.Alunbrig$20,406
22 payments
  • Paid to speak or teach for Alunbrig · 2020-12-22 · $1,125
  • Paid to speak or teach for Alunbrig · 2020-10-21 · $900
  • Paid to speak or teach for Alunbrig · 2020-07-14 · $900
  • Travel for Alunbrig · 2020-03-05 · $552
  • Paid to speak or teach for Alunbrig · 2020-02-20 · $4,500
  • Travel for Alunbrig · 2020-02-20 · $82
  • Meals · 2020-02-20 · $55
  • Travel for Alunbrig · 2020-02-12 · $517
  • Travel for Alunbrig · 2020-02-05 · $512
  • Travel for Alunbrig · 2020-02-05 · $595
  • Travel for Alunbrig · 2020-02-05 · $715
  • Paid to speak or teach for Alunbrig · 2020-01-28 · $2,250
  • Travel for Alunbrig · 2020-01-28 · $30
  • Travel for Alunbrig · 2020-01-28 · $125
  • Meals for Alunbrig · 2020-01-28 · $22
  • Meals · 2020-01-28 · $109
  • Travel for Alunbrig · 2020-01-27 · $17
  • Meals for Alunbrig · 2020-01-27 · $58
  • Paid to speak or teach for Alunbrig · 2020-01-27 · $4,500
  • Paid to speak or teach for Alunbrig · 2020-01-23 · $2,250
  • Meals · 2020-01-23 · $23
  • Travel for Alunbrig · 2020-01-02 · $569
AstraZeneca Pharmaceuticals LPTagrisso$3,455
2 payments
  • Consulting for Tagrisso · 2020-04-07 · $3,330
  • Meals for Tagrisso · 2020-01-30 · $125
GlaxoSmithKlineBlenrep$1,840
1 payment
  • Consulting for Blenrep · 2020-10-23 · $1,840
PfizerIbrance$60
4 payments
  • Meals for Ibrance · 2020-03-10 · $18
  • Meals for Ibrance · 2020-02-20 · $14
  • Meals for Ibrance · 2020-02-07 · $15
  • Meals for Xtandi · 2020-02-06 · $13
Merck Sharp & DohmeKeytruda$16
1 payment
  • Education for Keytruda · 2020-01-06 · $16
Karyopharm TherapeuticsXpovio$12
1 payment
  • Education for Xpovio · 2020-11-28 · $12

2019: $25,127

Payments by company in 2019
Takeda Pharmaceuticals U.S.A.Alunbrig$15,489
17 payments
  • Travel for Alunbrig · 2019-12-05 · $474
  • Travel for Alunbrig · 2019-10-18 · $911
  • Paid to speak or teach for Alunbrig · 2019-10-16 · $2,250
  • Meals · 2019-10-16 · $86
  • Paid to speak or teach for Alunbrig · 2019-10-12 · $3,150
  • Travel for Alunbrig · 2019-09-05 · $348
  • Travel for Alunbrig · 2019-09-05 · $528
  • Travel for Alunbrig · 2019-08-28 · $180
  • Travel for Alunbrig · 2019-08-28 · $48
  • Paid to speak or teach for Alunbrig · 2019-08-27 · $4,500
  • Meals · 2019-08-27 · $63
  • Paid to speak or teach for Alunbrig · 2019-08-27 · $1,350
  • Meals · 2019-08-20 · $34
  • Travel for Alunbrig · 2019-08-12 · $427
  • Paid to speak or teach for Alunbrig · 2019-07-30 · $1,125
  • Meals · 2019-07-30 · $1
  • Meals · 2019-07-30 · $15
Novartis PharmaceuticalsKisqali$6,480
5 payments
  • Travel for Kisqali · 2019-06-29 · $166
  • Travel for Kisqali · 2019-06-29 · $259
  • Consulting for Kisqali · 2019-06-29 · $5,585
  • Meals for Kisqali · 2019-06-29 · $111
  • Travel · 2019-06-28 · $359
Boehringer Ingelheim PharmaceuticalsGilotrif$2,670
1 payment
  • Paid to speak or teach for Gilotrif · 2019-01-07 · $2,670
AstraZeneca Pharmaceuticals LPImfinzi$259
2 payments
  • Meals · 2019-02-08 · $134
  • Meals for Imfinzi · 2019-01-15 · $125
PfizerIbrance$196
21 payments
  • Meals for Ibrance · 2019-12-19 · $6
  • Meals for Xtandi · 2019-12-16 · $9
  • Meals for Ibrance · 2019-09-26 · $10
  • Education for Ibrance · 2019-09-26 · $10
  • Meals for Ibrance · 2019-07-18 · $4
  • Meals for Ibrance · 2019-07-11 · $10
  • Meals for Xalkori · 2019-06-15 · $22
  • Meals for Xalkori · 2019-06-14 · $4
  • Meals for Ibrance · 2019-06-11 · $6
  • Meals for Ibrance · 2019-05-10 · $4
  • Meals for Xtandi · 2019-04-30 · $7
  • Meals for Ibrance · 2019-04-17 · $3
  • Meals for Xtandi · 2019-03-19 · $21
  • Meals for Ibrance · 2019-03-18 · $16
  • Education for Talzenna · 2019-03-18 · $11
  • Education for Ibrance · 2019-03-12 · $12
  • Education for Talzenna · 2019-03-12 · $11
  • Meals for Xtandi · 2019-03-07 · $15
  • Meals for Ibrance · 2019-03-05 · $5
  • Meals for Ibrance · 2019-02-11 · $4
  • Meals for Ibrance · 2019-01-15 · $5
EMD SeronoBavencio$20
1 payment
  • Meals for Bavencio · 2019-09-24 · $20
Seattle GeneticsAdcetris$12
1 payment
  • Education for Adcetris · 2019-03-13 · $12

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Merck Sharp & Dohme LLC · A Phase III Randomized, Placebo-Controlled Study of Pembrolizumab Mk-3475, Nsc #776864 in Addition To Paclitaxel and Carboplatin for Measurable Stage III Or Iva, Stage Ivb Or Recurrent Endometrial Cancer · 2023Their institution$17,384

Professional record

NPI
1487669933
Licence
CA G50493California G50493: Current · expires 2026-12-31
Trained
Albert Einstein College of Medicine of Yeshiva University, 1982
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207ZP0102X (207ZP0102X); Federal specialty code 207RH0003X (207RH0003X); Federal specialty code 207RI0001X (207RI0001X); Federal specialty code 207ZP0105X (207ZP0105X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-07-30
NPI last updated
2021-01-13
NPI record certified
2021-01-13

This is when the NPI record was last certified, not a medical board exam.