| 10060 | I&d abscess simple/single | Dermatology | 1.19 | 3.85 | $129 | Details → |
| 10061 | I&d abscess comp/multiple | Dermatology | 2.39 | 6.59 | $220 | Details → |
| 11042 | Dbrdmt subq tis 1st 20sqcm/< | Dermatology | 0.98 | 3.97 | $133 | Details → |
| 11043 | Dbrdmt musc&/fsca 1st 20/< | Dermatology | 2.63 | 7.17 | $239 | Details → |
| 11055 | Paring/cutg b9 hyprker les 1 | Dermatology | 0.34 | 2.10 | $70 | Details → |
| 11056 | Parng/cutg b9 hyprkr les 2-4 | Dermatology | 0.49 | 2.43 | $81 | Details → |
| 11057 | Parng/cutg b9 hyprkr les >4 | Dermatology | 0.63 | 2.66 | $89 | Details → |
| 11102 | Tangntl bx skin single les | Dermatology | 0.64 | 2.86 | $96 | Details → |
| 11103 | Tangntl bx skin ea sep/addl | Dermatology | 0.37 | 1.46 | $49 | Details → |
| 11104 | Punch bx skin single lesion | Dermatology | 0.81 | 3.63 | $121 | Details → |
| 11105 | Punch bx skin ea sep/addl | Dermatology | 0.44 | 1.81 | $60 | Details → |
| 11106 | Incal bx skn single les | Dermatology | 0.98 | 4.53 | $151 | Details → |
| 11107 | Incal bx skn ea sep/addl | Dermatology | 0.53 | 2.12 | $71 | Details → |
| 11200 | Rmvl skin tags up to&inc 15 | Dermatology | 0.80 | 2.76 | $92 | Details → |
| 11201 | Rmvl skin tags ea addl 10 | Dermatology | 0.28 | 0.55 | $18 | Details → |
| 11300 | Shave skin lesion 0.5 cm/< | Dermatology | 0.59 | 2.89 | $97 | Details → |
| 11301 | Shave skin lesion 0.6-1.0 cm | Dermatology | 0.88 | 3.48 | $116 | Details → |
| 11302 | Shave skin lesion 1.1-2.0 cm | Dermatology | 1.02 | 3.94 | $132 | Details → |
| 11303 | Shave skin lesion >2.0 cm | Dermatology | 1.22 | 4.41 | $147 | Details → |
| 11305 | Shave skin lesion 0.5 cm/< | Dermatology | 0.78 | 3.03 | $101 | Details → |
| 11306 | Shave skin lesion 0.6-1.0 cm | Dermatology | 0.94 | 3.53 | $118 | Details → |
| 11307 | Shave skin lesion 1.1-2.0 cm | Dermatology | 1.17 | 3.96 | $132 | Details → |
| 11308 | Shave skin lesion >2.0 cm | Dermatology | 1.42 | 4.21 | $141 | Details → |
| 11310 | Shave skin lesion 0.5 cm/< | Dermatology | 0.78 | 3.34 | $112 | Details → |
| 11311 | Shave skin lesion 0.6-1.0 cm | Dermatology | 1.07 | 3.96 | $132 | Details → |
| 11312 | Shave skin lesion 1.1-2.0 cm | Dermatology | 1.27 | 4.51 | $151 | Details → |
| 11313 | Shave skin lesion >2.0 cm | Dermatology | 1.64 | 5.29 | $177 | Details → |
| 11400 | Exc tr-ext b9+marg 0.5 cm< | Dermatology | 0.88 | 3.83 | $128 | Details → |
| 11401 | Exc tr-ext b9+marg 0.6-1 cm | Dermatology | 1.25 | 4.64 | $155 | Details → |
| 11402 | Exc tr-ext b9+marg 1.1-2 cm | Dermatology | 1.41 | 5.12 | $171 | Details → |
| 11403 | Exc tr-ext b9+marg 2.1-3cm | Dermatology | 1.79 | 5.98 | $200 | Details → |
| 11404 | Exc tr-ext b9+marg 3.1-4 cm | Dermatology | 2.06 | 6.92 | $231 | Details → |
| 11406 | Exc tr-ext b9+marg >4.0 cm | Dermatology | 3.43 | 9.99 | $334 | Details → |
| 11420 | Exc h-f-nk-sp b9+marg 0.5/< | Dermatology | 1.00 | 3.74 | $125 | Details → |
| 11421 | Exc h-f-nk-sp b9+marg 0.6-1 | Dermatology | 1.43 | 4.77 | $159 | Details → |
| 11422 | Exc h-f-nk-sp b9+marg 1.1-2 | Dermatology | 1.64 | 5.38 | $180 | Details → |
| 11423 | Exc h-f-nk-sp b9+marg 2.1-3 | Dermatology | 2.01 | 6.25 | $209 | Details → |
| 11424 | Exc h-f-nk-sp b9+marg 3.1-4 | Dermatology | 2.42 | 7.30 | $244 | Details → |
| 11426 | Exc h-f-nk-sp b9+marg >4 cm | Dermatology | 3.99 | 10.18 | $340 | Details → |
| 11440 | Exc face-mm b9+marg 0.5 cm/< | Dermatology | 1.02 | 4.25 | $142 | Details → |
| 11441 | Exc face-mm b9+marg 0.6-1 cm | Dermatology | 1.49 | 5.20 | $174 | Details → |
| 11442 | Exc face-mm b9+marg 1.1-2 cm | Dermatology | 1.73 | 5.81 | $194 | Details → |
| 11443 | Exc face-mm b9+marg 2.1-3 cm | Dermatology | 2.28 | 6.89 | $230 | Details → |
| 11444 | Exc face-mm b9+marg 3.1-4 cm | Dermatology | 3.11 | 8.63 | $288 | Details → |
| 11446 | Exc face-mm b9+marg >4 cm | Dermatology | 4.68 | 11.93 | $398 | Details → |
| 11600 | Exc tr-ext mal+marg 0.5 cm/< | Dermatology | 1.59 | 5.94 | $198 | Details → |
| 11601 | Exc tr-ext mal+marg 0.6-1 cm | Dermatology | 2.02 | 6.80 | $227 | Details → |
| 11602 | Exc tr-ext mal+marg 1.1-2 cm | Dermatology | 2.21 | 7.20 | $240 | Details → |
| 11603 | Exc tr-ext mal+marg 2.1-3 cm | Dermatology | 2.75 | 8.27 | $276 | Details → |
| 11604 | Exc tr-ext mal+marg 3.1-4 cm | Dermatology | 3.09 | 9.31 | $311 | Details → |
| 11606 | Exc tr-ext mal+marg >4 cm | Dermatology | 4.89 | 13.88 | $464 | Details → |
| 11620 | Exc h-f-nk-sp mal+marg 0.5/< | Dermatology | 1.60 | 5.95 | $199 | Details → |
| 11621 | Exc s/n/h/f/g mal+mrg 0.6-1 | Dermatology | 2.03 | 6.84 | $228 | Details → |
| 11622 | Exc s/n/h/f/g mal+mrg 1.1-2 | Dermatology | 2.35 | 7.48 | $250 | Details → |
| 11623 | Exc s/n/h/f/g mal+mrg 2.1-3 | Dermatology | 3.03 | 8.84 | $295 | Details → |
| 11624 | Exc s/n/h/f/g mal+mrg 3.1-4 | Dermatology | 3.53 | 10.16 | $339 | Details → |
| 11626 | Exc s/n/h/f/g mal+mrg >4 cm | Dermatology | 4.49 | 12.55 | $419 | Details → |
| 11640 | Exc f/e/e/n/l mal+mrg 0.5cm< | Dermatology | 1.63 | 6.06 | $202 | Details → |
| 11641 | Exc f/e/e/n/l mal+mrg 0.6-1 | Dermatology | 2.12 | 7.10 | $237 | Details → |
| 11642 | Exc f/e/e/n/l mal+mrg 1.1-2 | Dermatology | 2.55 | 7.99 | $267 | Details → |
| 11643 | Exc f/e/e/n/l mal+mrg 2.1-3 | Dermatology | 3.33 | 9.46 | $316 | Details → |
| 11644 | Exc f/e/e/n/l mal+mrg 3.1-4 | Dermatology | 4.23 | 11.76 | $393 | Details → |
| 11646 | Exc f/e/e/n/l mal+mrg >4 cm | Dermatology | 6.10 | 15.43 | $515 | Details → |
| 11981 | Insertion drug dlvr implant | GYN | 1.11 | 3.22 | $108 | Details → |
| 11982 | Remove drug implant device | GYN | 1.31 | 3.43 | $115 | Details → |
| 11983 | Remove/insert drug implant | GYN | 1.86 | 4.33 | $145 | Details → |
| 12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | Dermatology | 0.82 | 3.41 | $114 | Details → |
| 12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | Dermatology | 1.11 | 4.17 | $139 | Details → |
| 12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | Dermatology | 1.40 | 4.85 | $162 | Details → |
| 12005 | Rpr s/n/a/gen/trk12.6-20.0cm | Dermatology | 1.92 | 6.32 | $211 | Details → |
| 12006 | Rpr s/n/a/gen/trk20.1-30.0cm | Dermatology | 2.33 | 7.19 | $240 | Details → |
| 12011 | Rpr f/e/e/n/l/m 2.5 cm/< | Dermatology | 1.04 | 4.18 | $140 | Details → |
| 12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | Dermatology | 1.19 | 4.36 | $146 | Details → |
| 12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | Dermatology | 1.53 | 5.16 | $172 | Details → |
| 12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | Dermatology | 1.93 | 6.31 | $211 | Details → |
| 17000 | Destruct premalg lesion | Dermatology | 0.59 | 1.99 | $66 | Details → |
| 17003 | Destruct premalg les 2-14 | Dermatology | 0.04 | 0.19 | $6 | Details → |
| 17004 | Destroy premal lesions 15/> | Dermatology | 1.34 | 4.86 | $162 | Details → |
| 17110 | Destruction b9 les up to 14 | Dermatology | 0.68 | 3.33 | $111 | Details → |
| 17111 | Destruction b9 lesions 15/> | Dermatology | 0.95 | 3.89 | $130 | Details → |
| 17311 | Mohs 1 stage h/n/hf/g | Dermatology | 6.05 | 19.97 | $667 | Details → |
| 17312 | Mohs addl stage | Dermatology | 3.22 | 12.06 | $403 | Details → |
| 20550 | Njx 1 tendon sheath/ligament | Rheumatology | 0.73 | 1.81 | $60 | Details → |
| 20551 | Njx 1 tendon origin/insj | Rheumatology | 0.73 | 1.81 | $60 | Details → |
| 20552 | Njx 1/mlt trigger point 1/2 | Rheumatology | 0.64 | 1.55 | $52 | Details → |
| 20553 | Njx 1/mlt trigger points 3/> | Rheumatology | 0.73 | 1.79 | $60 | Details → |
| 20600 | Drain/inj joint/bursa w/o us | Rheumatology | 0.64 | 1.68 | $56 | Details → |
| 20604 | Drain/inj joint/bursa w/us | Rheumatology | 0.87 | 2.61 | $87 | Details → |
| 20605 | Drain/inj joint/bursa w/o us | Rheumatology | 0.66 | 1.71 | $57 | Details → |
| 20606 | Drain/inj joint/bursa w/us | Rheumatology | 0.98 | 2.82 | $94 | Details → |
| 20610 | Drain/inj joint/bursa w/o us | Rheumatology | 0.77 | 2.06 | $69 | Details → |
| 20611 | Drain/inj joint/bursa w/us | Rheumatology | 1.07 | 3.12 | $104 | Details → |
| 31622 | Dx bronchoscope/wash | Pulmonology | 2.47 | 8.45 | $282 | Details → |
| 31623 | Dx bronchoscope/brush | Pulmonology | 2.56 | 9.07 | $303 | Details → |
| 31625 | Bronchoscopy w/biopsy(s) | Pulmonology | 3.03 | 11.50 | $384 | Details → |
| 31628 | Bronchoscopy/lung bx each | Pulmonology | 3.46 | 12.23 | $408 | Details → |
| 32555 | Aspirate pleura w/ imaging | Radiology | 2.21 | 9.31 | $311 | Details → |
| 36245 | Ins cath abd/l-ext art 1st | Radiology | 4.53 | 35.89 | $1199 | Details → |
| 36246 | Ins cath abd/l-ext art 2nd | Radiology | 4.89 | 23.89 | $798 | Details → |
| 43235 | Egd diagnostic brush wash | GI | 2.04 | 9.66 | $323 | Details → |
| 43239 | Egd biopsy single/multiple | GI | 2.33 | 12.54 | $419 | Details → |
| 43248 | Egd guide wire insertion | GI | 2.84 | 13.71 | $458 | Details → |
| 43249 | Esoph egd dilation <30 mm | GI | 2.60 | 35.34 | $1180 | Details → |
| 45378 | Diagnostic colonoscopy | GI | 3.18 | 11.32 | $378 | Details → |
| 45380 | Colonoscopy and biopsy | GI | 3.47 | 14.37 | $480 | Details → |
| 45381 | Colonoscopy submucous njx | GI | 3.47 | 14.68 | $490 | Details → |
| 45384 | Colonoscopy w/lesion removal | GI | 3.97 | 16.15 | $539 | Details → |
| 45385 | Colonoscopy w/lesion removal | GI | 4.46 | 14.97 | $500 | Details → |
| 45388 | Colonoscopy w/ablation | GI | 4.76 | 79.62 | $2659 | Details → |
| 45390 | Colonoscopy w/resection | GI | 5.89 | 8.69 | See policy | Details → |
| 47000 | Needle biopsy of liver perq | Radiology | 1.61 | 8.62 | $288 | Details → |
| 49083 | Abd paracentesis w/imaging | Radiology | 1.95 | 8.51 | $284 | Details → |
| 57452 | Exam of cervix w/scope | GYN | 1.46 | 3.76 | $126 | Details → |
| 57454 | Bx/curett of cervix w/scope | GYN | 2.27 | 4.97 | $166 | Details → |
| 57455 | Biopsy of cervix w/scope | GYN | 1.94 | 4.82 | $161 | Details → |
| 57456 | Endocerv curettage w/scope | GYN | 1.80 | 4.51 | $151 | Details → |
| 57460 | Bx of cervix w/scope leep | GYN | 2.76 | 9.25 | $309 | Details → |
| 57461 | Conz of cervix w/scope leep | GYN | 3.34 | 10.46 | $349 | Details → |
| 58100 | Biopsy of uterus lining | GYN | 1.18 | 2.94 | $98 | Details → |
| 58110 | Bx done w/colposcopy add-on | GYN | 0.75 | 1.53 | $51 | Details → |
| 58120 | Dilation and curettage | GYN | 3.50 | 8.93 | $298 | Details → |
| 58300 | Insert intrauterine device | GYN | 0.98 | 3.16 | See policy | Details → |
| 58301 | Remove intrauterine device | GYN | 1.24 | 3.34 | $112 | Details → |
| 59400 | Obstetrical care | Obstetrics | 37.00 | 66.30 | See policy | Details → |
| 59409 | Obstetrical care | Obstetrics | 14.37 | 21.61 | See policy | Details → |
| 59410 | Obstetrical care | Obstetrics | 18.76 | 29.23 | See policy | Details → |
| 59425 | Antepartum care only | Obstetrics | 7.80 | 17.21 | $575 | Details → |
| 59426 | Antepartum care only | Obstetrics | 14.30 | 31.60 | $1055 | Details → |
| 59510 | Cesarean delivery | Obstetrics | 41.05 | 74.05 | See policy | Details → |
| 59514 | Cesarean delivery only | Obstetrics | 16.13 | 24.66 | See policy | Details → |
| 59515 | Cesarean delivery | Obstetrics | 22.79 | 36.67 | See policy | Details → |
| 60100 | Biopsy of thyroid | Endocrinology | 1.52 | 3.25 | $109 | Details → |
| 64615 | Chemodenerv musc migraine | Neurology | 1.80 | 4.70 | $157 | Details → |
| 70450 | Ct head/brain w/o dye | Radiology | 0.83 | 3.19 | $107 | Details → |
| 70460 | Ct head/brain w/dye | Radiology | 1.10 | 4.44 | $148 | Details → |
| 70470 | Ct head/brain w/o & w/dye | Radiology | 1.24 | 5.18 | $173 | Details → |
| 70486 | Ct maxillofacial w/o dye | Radiology | 0.83 | 3.84 | $128 | Details → |
| 70490 | Ct soft tissue neck w/o dye | Radiology | 1.25 | 4.48 | $150 | Details → |
| 70491 | Ct soft tissue neck w/dye | Radiology | 1.35 | 5.49 | $183 | Details → |
| 70496 | Ct angiography head | Radiology | 1.71 | 8.20 | $274 | Details → |
| 70498 | Ct angiography neck | Radiology | 1.71 | 8.20 | $274 | Details → |
| 70544 | Mr angiography head w/o dye | Radiology | 1.17 | 6.43 | $215 | Details → |
| 70551 | Mri brain stem w/o dye | Radiology | 1.44 | 5.85 | $195 | Details → |
| 70552 | Mri brain stem w/dye | Radiology | 1.74 | 8.05 | $269 | Details → |
| 70553 | Mri brain stem w/o & w/dye | Radiology | 2.23 | 9.49 | $317 | Details → |
| 71045 | X-ray exam chest 1 view | Radiology | 0.18 | 0.76 | $25 | Details → |
| 71046 | X-ray exam chest 2 views | Radiology | 0.21 | 0.99 | $33 | Details → |
| 71047 | X-ray exam chest 3 views | Radiology | 0.26 | 1.23 | $41 | Details → |
| 71048 | X-ray exam chest 4+ views | Radiology | 0.30 | 1.35 | $45 | Details → |
| 71250 | Ct thorax dx c- | Radiology | 1.05 | 3.97 | $133 | Details → |
| 71260 | Ct thorax dx c+ | Radiology | 1.13 | 4.99 | $167 | Details → |
| 71270 | Ct thorax dx c-/c+ | Radiology | 1.22 | 5.86 | $196 | Details → |
| 71275 | Ct angiography chest | Radiology | 1.77 | 8.40 | $281 | Details → |
| 72020 | X-ray exam of spine 1 view | Radiology | 0.16 | 0.71 | $24 | Details → |
| 72040 | X-ray exam neck spine 2-3 vw | Radiology | 0.21 | 1.19 | $40 | Details → |
| 72050 | X-ray exam neck spine 4/5vws | Radiology | 0.26 | 1.65 | $55 | Details → |
| 72100 | X-ray exam l-s spine 2/3 vws | Radiology | 0.21 | 1.21 | $40 | Details → |
| 72110 | X-ray exam l-2 spine 4/>vws | Radiology | 0.25 | 1.60 | $53 | Details → |
| 72125 | Ct neck spine w/o dye | Radiology | 0.98 | 3.91 | $131 | Details → |
| 72131 | Ct lumbar spine w/o dye | Radiology | 0.98 | 3.89 | $130 | Details → |
| 72141 | Mri neck spine w/o dye | Radiology | 1.44 | 5.71 | $191 | Details → |
| 72148 | Mri lumbar spine w/o dye | Radiology | 1.44 | 5.74 | $192 | Details → |
| 72156 | Mri neck spine w/o & w/dye | Radiology | 2.23 | 9.52 | $318 | Details → |
| 72158 | Mri lumbar spine w/o & w/dye | Radiology | 2.23 | 9.53 | $318 | Details → |
| 72170 | X-ray exam of pelvis | Radiology | 0.17 | 0.84 | $28 | Details → |
| 72190 | X-ray exam of pelvis | Radiology | 0.24 | 1.30 | $43 | Details → |
| 72195 | Mri pelvis w/o dye | Radiology | 1.42 | 6.81 | $227 | Details → |
| 73030 | X-ray exam of shoulder | Radiology | 0.18 | 1.07 | $36 | Details → |
| 73080 | X-ray exam of elbow | Radiology | 0.17 | 0.99 | $33 | Details → |
| 73110 | X-ray exam of wrist | Radiology | 0.17 | 1.28 | $43 | Details → |
| 73130 | X-ray exam of hand | Radiology | 0.17 | 1.14 | $38 | Details → |
| 73221 | Mri joint upr extrem w/o dye | Radiology | 1.32 | 6.14 | $205 | Details → |
| 73560 | X-ray exam of knee 1 or 2 | Radiology | 0.16 | 1.03 | $34 | Details → |
| 73562 | X-ray exam of knee 3 | Radiology | 0.18 | 1.27 | $42 | Details → |
| 73610 | X-ray exam of ankle | Radiology | 0.17 | 1.11 | $37 | Details → |
| 73630 | X-ray exam of foot | Radiology | 0.17 | 1.02 | $34 | Details → |
| 73721 | Mri jnt of lwr extre w/o dye | Radiology | 1.32 | 6.12 | $204 | Details → |
| 74018 | Radex abdomen 1 view | Radiology | 0.18 | 0.89 | $30 | Details → |
| 74150 | Ct abdomen w/o contrast | Radiology | 1.16 | 4.08 | $136 | Details → |
| 74160 | Ct abdomen w/contrast | Radiology | 1.24 | 6.89 | $230 | Details → |
| 74170 | Ct abd wo cntrst flwd cntrst | Radiology | 1.37 | 7.75 | $259 | Details → |
| 74174 | Cta abd&plvs w/contrast | Radiology | 2.15 | 11.33 | $378 | Details → |
| 74176 | Ct abd & pelvis w/o contrast | Radiology | 1.70 | 5.48 | $183 | Details → |
| 74177 | Ct abd & pelvis w/contrast | Radiology | 1.77 | 8.99 | $300 | Details → |
| 74178 | Ct abd&plv wo cntr flwd cntr | Radiology | 1.96 | 10.12 | $338 | Details → |
| 74181 | Mri abdomen w/o contrast | Radiology | 1.42 | 5.80 | $194 | Details → |
| 76536 | Us exam of head and neck | Endocrinology | 0.55 | 3.25 | $109 | Details → |
| 76604 | Us exam chest | Radiology | 0.58 | 1.83 | $61 | Details → |
| 76700 | Us exam abdom complete | Radiology | 0.79 | 3.42 | $114 | Details → |
| 76705 | Echo exam of abdomen | Radiology | 0.58 | 2.58 | $86 | Details → |
| 76770 | Us exam abdo back wall comp | Radiology | 0.72 | 3.18 | $106 | Details → |
| 76801 | Ob us < 14 wks single fetus | Obstetrics | 0.97 | 3.50 | $117 | Details → |
| 76805 | Ob us >/= 14 wks sngl fetus | Obstetrics | 0.97 | 4.07 | $136 | Details → |
| 76811 | Ob us detailed sngl fetus | Obstetrics | 1.85 | 5.45 | $182 | Details → |
| 76815 | Ob us limited fetus(s) | Obstetrics | 0.63 | 2.44 | $81 | Details → |
| 76816 | Ob us follow-up per fetus | Obstetrics | 0.83 | 3.33 | $111 | Details → |
| 76817 | Transvaginal us obstetric | Obstetrics | 0.73 | 2.78 | $93 | Details → |
| 76830 | Transvaginal us non-ob | GYN | 0.67 | 3.52 | $118 | Details → |
| 76856 | Us exam pelvic complete | GYN | 0.67 | 3.15 | $105 | Details → |
| 76857 | Us exam pelvic limited | GYN | 0.49 | 1.53 | $51 | Details → |
| 76881 | Us compl joint r-t w/img | Radiology | 0.88 | 1.61 | $54 | Details → |
| 76942 | Echo guide for biopsy | Endocrinology | 0.65 | 1.92 | $64 | Details → |
| 77061 | Breast tomosynthesis uni | Radiology | 0.00 | 0.00 | See policy | Details → |
| 77062 | Breast tomosynthesis bi | Radiology | 0.00 | 0.00 | See policy | Details → |
| 77063 | Breast tomosynthesis bi | Radiology | 0.59 | 1.53 | $51 | Details → |
| 77065 | Dx mammo incl cad uni | Radiology | 0.79 | 3.71 | $124 | Details → |
| 77066 | Dx mammo incl cad bi | Radiology | 0.98 | 4.70 | $157 | Details → |
| 77067 | Scr mammo bi incl cad | Radiology | 0.74 | 3.78 | $126 | Details → |
| 77080 | Dxa bone density axial | Rheumatology | 0.20 | 1.18 | $39 | Details → |
| 77081 | Dxa bone density appendiculr | Rheumatology | 0.20 | 0.95 | $32 | Details → |
| 78306 | Bone imaging whole body | Radiology | 0.84 | 7.76 | $259 | Details → |
| 78451 | Ht muscle image spect sing | Cardiology | 1.35 | 9.32 | $311 | Details → |
| 78452 | Ht muscle image spect mult | Cardiology | 1.58 | 12.81 | $428 | Details → |
| 78814 | Pet image w/ct lmtd | Radiology | 0.00 | 0.00 | See policy | Details → |
| 78815 | Pet image w/ct skull-thigh | Radiology | 0.00 | 0.00 | See policy | Details → |
| 78816 | Pet image w/ct full body | Radiology | 0.00 | 0.00 | See policy | Details → |
| 88305 | Tissue exam by pathologist | Dermatology | 0.73 | 2.10 | $70 | Details → |
| 90460 | Im admin 1st/only component | Procedures | 0.23 | 0.70 | $23 | Details → |
| 90461 | Im admin each addl component | Procedures | 0.18 | 0.26 | $9 | Details → |
| 90471 | Immunization admin | Procedures | 0.17 | 0.66 | $22 | Details → |
| 90472 | Immunization admin each add | Procedures | 0.15 | 0.48 | $16 | Details → |
| 90473 | Immune admin oral/nasal | Procedures | 0.17 | 0.52 | $17 | Details → |
| 90474 | Immune admin oral/nasal addl | Procedures | 0.15 | 0.37 | $12 | Details → |
| 90785 | Psytx complex interactive | Behavioral Health | 0.33 | 0.44 | $15 | Details → |
| 90791 | Psych diagnostic evaluation | Behavioral Health | 3.84 | 5.19 | $173 | Details → |
| 90792 | Psych diag eval w/med srvcs | Behavioral Health | 4.16 | 6.05 | $202 | Details → |
| 90832 | Psytx w pt 30 minutes | Behavioral Health | 1.94 | 2.57 | $86 | Details → |
| 90833 | Psytx w pt w e/m 30 min | Behavioral Health | 1.71 | 2.44 | $81 | Details → |
| 90834 | Psytx w pt 45 minutes | Behavioral Health | 2.56 | 3.41 | $114 | Details → |
| 90836 | Psytx w pt w e/m 45 min | Behavioral Health | 2.17 | 3.09 | $103 | Details → |
| 90837 | Psytx w pt 60 minutes | Behavioral Health | 3.78 | 5.00 | $167 | Details → |
| 90838 | Psytx w pt w e/m 60 min | Behavioral Health | 2.86 | 4.09 | $137 | Details → |
| 90839 | Psytx crisis initial 60 min | Behavioral Health | 3.58 | 4.80 | $160 | Details → |
| 90840 | Psytx crisis ea addl 30 min | Behavioral Health | 1.71 | 2.31 | $77 | Details → |
| 90846 | Family psytx w/o pt 50 min | Behavioral Health | 2.74 | 3.17 | $106 | Details → |
| 90847 | Family psytx w/pt 50 min | Behavioral Health | 2.86 | 3.28 | $110 | Details → |
| 90853 | Group psychotherapy | Behavioral Health | 0.67 | 0.91 | $30 | Details → |
| 90935 | Hemodialysis one evaluation | Nephrology | 1.44 | 1.84 | See policy | Details → |
| 90937 | Hemodialysis repeated eval | Nephrology | 2.06 | 2.65 | See policy | Details → |
| 90945 | Dialysis one evaluation | Nephrology | 1.52 | 2.31 | See policy | Details → |
| 90947 | Dialysis repeated eval | Nephrology | 2.46 | 3.18 | See policy | Details → |
| 90951 | Esrd serv 4 visits p mo <2yr | Nephrology | 23.92 | 35.44 | $1184 | Details → |
| 90954 | Esrd serv 4 vsts p mo 2-11 | Nephrology | 20.86 | 30.97 | $1034 | Details → |
| 90957 | Esrd srv 4 vsts p mo 12-19 | Nephrology | 15.46 | 23.86 | $797 | Details → |
| 90960 | Esrd srv 4 visits p mo 20+ | Nephrology | 6.77 | 11.16 | $373 | Details → |
| 90961 | Esrd srv 2-3 vsts p mo 20+ | Nephrology | 5.52 | 9.30 | $311 | Details → |
| 90962 | Esrd serv 1 visit p mo 20+ | Nephrology | 3.57 | 6.44 | $215 | Details → |
| 90963 | Esrd home pt serv p mo <2yrs | Nephrology | 12.09 | 18.75 | $626 | Details → |
| 90966 | Esrd home pt serv p mo 20+ | Nephrology | 5.52 | 9.29 | $310 | Details → |
| 90970 | Esrd svc pr day pt 20+ | Nephrology | 0.18 | 0.30 | $10 | Details → |
| 90989 | Dialysis training complete | Nephrology | 0.00 | 0.00 | See policy | Details → |
| 91065 | Breath hydrogen/methane test | GI | 0.20 | 1.93 | $64 | Details → |
| 91110 | Gi trc img intral esoph-ile | GI | 2.18 | 24.02 | $802 | Details → |
| 93000 | Electrocardiogram complete | Cardiology | 0.17 | 0.46 | $15 | Details → |
| 93005 | Electrocardiogram tracing | Cardiology | 0.00 | 0.21 | $7 | Details → |
| 93010 | Electrocardiogram report | Cardiology | 0.17 | 0.25 | $8 | Details → |
| 93015 | Cv stress test supvj i&r | Cardiology | 0.73 | 2.20 | $73 | Details → |
| 93016 | Cv stress test supvj only | Cardiology | 0.44 | 0.62 | $21 | Details → |
| 93017 | Cv stress test tracing only | Cardiology | 0.00 | 1.17 | $39 | Details → |
| 93018 | Cv stress test i&r only | Cardiology | 0.29 | 0.41 | $14 | Details → |
| 93040 | Rhythm ecg with report | Procedures | 0.15 | 0.45 | $15 | Details → |
| 93224 | Xtrnl ecg rec up to 48 hrs | Cardiology | 0.38 | 2.11 | $70 | Details → |
| 93225 | Xtrnl ecg rec<48 hrs rec | Cardiology | 0.00 | 0.54 | $18 | Details → |
| 93226 | Xtrnl ecg rec<48 hr scan a/r | Cardiology | 0.00 | 1.04 | $35 | Details → |
| 93227 | Xtrnl ecg rec<48 hr r&i | Cardiology | 0.38 | 0.53 | $18 | Details → |
| 93228 | Remote 30 day ecg rev/report | Cardiology | 0.47 | 0.75 | $25 | Details → |
| 93229 | Remote 30 day ecg tech supp | Cardiology | 0.00 | 22.71 | $759 | Details → |
| 93268 | Ecg record/review | Cardiology | 0.51 | 5.08 | $170 | Details → |
| 93270 | Remote 30 day ecg rev/report | Cardiology | 0.00 | 0.25 | $8 | Details → |
| 93271 | Ecg/monitoring and analysis | Cardiology | 0.00 | 4.12 | $138 | Details → |
| 93272 | Ecg/review interpret only | Cardiology | 0.51 | 0.71 | $24 | Details → |
| 93293 | Pm phone r-strip device eval | Cardiology | 0.30 | 1.19 | $40 | Details → |
| 93294 | Rem interrog evl pm/ldls pm | Cardiology | 0.59 | 0.88 | $29 | Details → |
| 93295 | Dev interrog remote 1/2/mlt | Cardiology | 0.72 | 1.08 | $36 | Details → |
| 93306 | Tte w/doppler complete | Cardiology | 1.42 | 5.89 | $197 | Details → |
| 93307 | Tte w/o doppler complete | Cardiology | 0.90 | 4.13 | $138 | Details → |
| 93308 | Tte f-up or lmtd | Cardiology | 0.52 | 3.03 | $101 | Details → |
| 93312 | Echo transesophageal | Cardiology | 2.24 | 7.17 | $239 | Details → |
| 93318 | Echo transesophageal intraop | Cardiology | 0.00 | 0.00 | See policy | Details → |
| 93350 | Stress tte only | Cardiology | 1.42 | 5.55 | $185 | Details → |
| 93351 | Stress tte complete | Cardiology | 1.71 | 6.99 | $233 | Details → |
| 93798 | Phys/qhp op car rhab w/ecg | Cardiology | 0.28 | 0.78 | $26 | Details → |
| 93880 | Extracranial bilat study | Cardiology | 0.78 | 5.66 | $189 | Details → |
| 93882 | Extracranial uni/ltd study | Cardiology | 0.49 | 3.71 | $124 | Details → |
| 93922 | Upr/l xtremity art 2 levels | Cardiology | 0.24 | 2.49 | $83 | Details → |
| 93923 | Upr/lxtr art stdy 3+ lvls | Cardiology | 0.44 | 4.00 | $134 | Details → |
| 93925 | Lower extremity study | Cardiology | 0.78 | 7.11 | $237 | Details → |
| 93926 | Lower extremity study | Cardiology | 0.49 | 4.19 | $140 | Details → |
| 93970 | Extremity study | Cardiology | 0.68 | 5.51 | $184 | Details → |
| 93971 | Extremity study | Cardiology | 0.44 | 3.48 | $116 | Details → |
| 94010 | Breathing capacity test | Pulmonology | 0.17 | 0.89 | $30 | Details → |
| 94060 | Evaluation of wheezing | Pulmonology | 0.21 | 1.30 | $43 | Details → |
| 94070 | Evaluation of wheezing | Pulmonology | 0.59 | 2.09 | $70 | Details → |
| 94375 | Respiratory flow volume loop | Pulmonology | 0.30 | 1.26 | $42 | Details → |
| 94640 | Airway inhalation treatment | Pulmonology | 0.00 | 0.26 | $9 | Details → |
| 94660 | Cpap initiation&mgmt | Pulmonology | 0.74 | 2.07 | $69 | Details → |
| 94664 | Demo&/eval pt use inhaler | Pulmonology | 0.00 | 0.60 | $20 | Details → |
| 94726 | Plethysmography lung volumes | Pulmonology | 0.25 | 1.91 | $64 | Details → |
| 94727 | Gas dil/wshot deter lng vol | Pulmonology | 0.25 | 1.49 | $50 | Details → |
| 94728 | Airwy resist by oscillometry | Pulmonology | 0.25 | 1.44 | $48 | Details → |
| 94729 | Diffusing capacity | Pulmonology | 0.19 | 1.90 | $63 | Details → |
| 94760 | N-invas ear/pls oximetry 1 | Pulmonology | 0.00 | 0.12 | $4 | Details → |
| 95004 | Perq tests w/alrgnc xtrcs | Allergy | 0.01 | 0.11 | $4 | Details → |
| 95024 | Iq tests w/allergenic xtrcs | Allergy | 0.01 | 0.23 | $8 | Details → |
| 95044 | Patch/application tests | Allergy | 0.00 | 0.15 | $5 | Details → |
| 95115 | Immunotherapy one injection | Allergy | 0.00 | 0.31 | $10 | Details → |
| 95117 | Immunotherapy injections | Allergy | 0.00 | 0.37 | $12 | Details → |
| 95165 | Antigen therapy services | Allergy | 0.06 | 0.52 | $17 | Details → |
| 95180 | Rapid desensitization | Allergy | 2.01 | 4.12 | $138 | Details → |
| 95249 | Cont gluc mntr pt prov eqp | Endocrinology | 0.00 | 2.09 | $70 | Details → |
| 95250 | Cont gluc mntr phys/qhp eqp | Procedures | 0.00 | 4.57 | $153 | Details → |
| 95251 | Cont gluc mntr analysis i&r | Procedures | 0.68 | 1.05 | $35 | Details → |
| 95806 | Sleep study unatt&resp efft | Pulmonology | 0.91 | 3.09 | $103 | Details → |
| 95810 | Polysom 6/> yrs 4/> param | Pulmonology | 2.44 | 20.17 | $674 | Details → |
| 95811 | Polysom 6/>yrs cpap 4/> parm | Pulmonology | 2.54 | 21.19 | $708 | Details → |
| 95812 | Eeg 41-60 minutes | Neurology | 1.08 | 11.47 | $383 | Details → |
| 95813 | Eeg extnd mntr 61-119 min | Neurology | 1.63 | 14.36 | $480 | Details → |
| 95816 | Eeg awake and drowsy | Neurology | 1.05 | 12.38 | $414 | Details → |
| 95819 | Eeg awake and asleep | Neurology | 1.05 | 14.44 | $482 | Details → |
| 95860 | Needle emg 1 extremity | Neurology | 0.94 | 3.58 | $120 | Details → |
| 95861 | Needle emg 2 extremities | Neurology | 1.50 | 4.85 | $162 | Details → |
| 95885 | Musc tst done w/nerv tst lim | Neurology | 0.34 | 1.93 | $64 | Details → |
| 95886 | Musc test done w/n test comp | Neurology | 0.84 | 2.99 | $100 | Details → |
| 95887 | Musc tst done w/n tst nonext | Neurology | 0.69 | 2.64 | $88 | Details → |
| 95907 | Nvr cndj tst 1-2 studies | Neurology | 0.98 | 2.82 | $94 | Details → |
| 95908 | Nrv cndj tst 3-4 studies | Neurology | 1.22 | 3.54 | $118 | Details → |
| 95909 | Nrv cndj tst 5-6 studies | Neurology | 1.46 | 4.25 | $142 | Details → |
| 95910 | Nrv cndj test 7-8 studies | Neurology | 1.95 | 5.53 | $185 | Details → |
| 95911 | Nrv cndj test 9-10 studies | Neurology | 2.44 | 6.59 | $220 | Details → |
| 95912 | Nrv cndj test 11-12 studies | Neurology | 2.93 | 7.63 | $255 | Details → |
| 95913 | Nrv cndj test 13/> studies | Neurology | 3.47 | 8.98 | $300 | Details → |
| 96116 | Nubhvl xm phys/qhp 1st hr | Neurology | 1.86 | 2.82 | $94 | Details → |
| 96121 | Nubhvl xm phy/qhp ea addl hr | Neurology | 1.71 | 2.26 | $75 | Details → |
| 96127 | Brief emotional/behav assmt | Screening / Counsel | 0.00 | 0.15 | $5 | Details → |
| 96132 | Nrpsyc tst eval phys/qhp 1st | Neurology | 2.56 | 3.66 | $122 | Details → |
| 96133 | Nrpsyc tst eval phys/qhp ea | Neurology | 1.96 | 2.93 | $98 | Details → |
| 96136 | Psycl/nrpsyc tst phy/qhp 1st | Neurology | 0.55 | 1.31 | $44 | Details → |
| 96137 | Psycl/nrpsyc tst phy/qhp ea | Neurology | 0.46 | 1.11 | $37 | Details → |
| 96138 | Psycl/nrpsyc tech 1st | Neurology | 0.00 | 1.13 | $38 | Details → |
| 96139 | Psycl/nrpsyc tst tech ea | Neurology | 0.00 | 1.06 | $35 | Details → |
| 96160 | Pt-focused hlth risk assmt | Screening / Counsel | 0.00 | 0.09 | $3 | Details → |
| 96161 | Caregiver health risk assmt | Screening / Counsel | 0.00 | 0.10 | $3 | Details → |
| 96360 | Hydration iv infusion init | Infusions | 0.17 | 1.00 | $33 | Details → |
| 96361 | Hydrate iv infusion add-on | Heme/Onc | 0.09 | 0.39 | $13 | Details → |
| 96365 | Ther/proph/diag iv inf init | Infusions | 0.21 | 2.01 | $67 | Details → |
| 96366 | Ther/proph/diag iv inf addon | Infusions | 0.18 | 0.64 | $21 | Details → |
| 96367 | Tx/proph/dg addl seq iv inf | Infusions | 0.19 | 0.89 | $30 | Details → |
| 96372 | Ther/proph/diag inj sc/im | Procedures | 0.17 | 0.46 | $15 | Details → |
| 96374 | Ther/proph/diag inj iv push | Infusions | 0.18 | 1.13 | $38 | Details → |
| 96375 | Tx/pro/dx inj new drug addon | Infusions | 0.10 | 0.47 | $16 | Details → |
| 96409 | Chemo iv push sngl drug | Heme/Onc | 0.24 | 3.13 | $105 | Details → |
| 96413 | Chemo iv infusion 1 hr | Infusions | 0.28 | 3.99 | $133 | Details → |
| 96415 | Chemo iv infusion addl hr | Infusions | 0.19 | 0.85 | $28 | Details → |
| 96417 | Chemo iv infus each addl seq | Infusions | 0.21 | 1.99 | $66 | Details → |
| 97802 | Medical nutrition indiv in | Endocrinology | 0.53 | 1.10 | $37 | Details → |
| 97803 | Med nutrition indiv subseq | Endocrinology | 0.45 | 0.95 | $32 | Details → |
| 98016 | Brief comunicaj tech-bsd svc | Telehealth | 0.30 | 0.52 | $17 | Details → |
| 99202 | Office o/p new sf 15 min | E/M New | 0.93 | 2.25 | $75 | Details → |
| 99203 | Office o/p new low 30 min | E/M New | 1.60 | 3.52 | $118 | Details → |
| 99204 | Office o/p new mod 45 min | E/M New | 2.60 | 5.31 | $177 | Details → |
| 99205 | Office o/p new hi 60 min | E/M New | 3.50 | 7.09 | $237 | Details → |
| 99211 | Off/op est may x req phy/qhp | E/M Est | 0.18 | 0.73 | $24 | Details → |
| 99212 | Office o/p est sf 10 min | E/M Est | 0.70 | 1.78 | $59 | Details → |
| 99213 | Office o/p est low 20 min | E/M Est | 1.30 | 2.85 | $95 | Details → |
| 99214 | Office o/p est mod 30 min | E/M Est | 1.92 | 4.06 | $136 | Details → |
| 99215 | Office o/p est hi 40 min | E/M Est | 2.80 | 5.76 | $192 | Details → |
| 99221 | 1st hosp ip/obs sf/low 40 | Hospital | 1.63 | 2.23 | See policy | Details → |
| 99222 | 1st hosp ip/obs moderate 55 | Hospital | 2.60 | 3.50 | See policy | Details → |
| 99223 | 1st hosp ip/obs high 75 | Hospital | 3.50 | 4.68 | See policy | Details → |
| 99231 | Sbsq hosp ip/obs sf/low 25 | Hospital | 1.00 | 1.32 | See policy | Details → |
| 99232 | Sbsq hosp ip/obs moderate 35 | Hospital | 1.59 | 2.11 | See policy | Details → |
| 99233 | Sbsq hosp ip/obs high 50 | Hospital | 2.40 | 3.20 | See policy | Details → |
| 99234 | Hosp ip/obs sm dt sf/low 45 | Hospital | 2.00 | 2.64 | See policy | Details → |
| 99235 | Hosp ip/obs same date mod 70 | Hospital | 3.24 | 4.28 | See policy | Details → |
| 99236 | Hosp ip/obs same date hi 85 | Hospital | 4.30 | 5.68 | See policy | Details → |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | Hospital | 1.50 | 2.24 | See policy | Details → |
| 99239 | Hosp ip/obs dschrg mgmt >30 | Hospital | 2.15 | 3.19 | See policy | Details → |
| 99252 | Ip/obs consltj new/est sf 35 | Hospital | 1.50 | 2.10 | See policy | Details → |
| 99253 | Ip/obs cnsltj new/est low 45 | Hospital | 2.00 | 2.96 | See policy | Details → |
| 99254 | Ip/obs cnsltj new/est mod 60 | Hospital | 2.72 | 4.12 | See policy | Details → |
| 99255 | Ip/obs consltj new/est hi 80 | Hospital | 3.86 | 5.53 | See policy | Details → |
| 99291 | Critical care first hour | Hospital | 4.50 | 9.25 | $309 | Details → |
| 99292 | Critical care addl 30 min | Hospital | 2.25 | 4.01 | $134 | Details → |
| 99385 | Prev visit new age 18-39 | Preventive | 1.92 | 4.03 | See policy | Details → |
| 99386 | Prev visit new age 40-64 | Preventive | 2.33 | 4.66 | See policy | Details → |
| 99387 | Init pm e/m new pat 65+ yrs | Preventive | 2.50 | 5.05 | See policy | Details → |
| 99395 | Prev visit est age 18-39 | Preventive | 1.75 | 3.64 | See policy | Details → |
| 99396 | Prev visit est age 40-64 | Preventive | 1.90 | 3.86 | See policy | Details → |
| 99397 | Per pm reeval est pat 65+ yr | Preventive | 2.00 | 4.16 | See policy | Details → |
| 99406 | Behav chng smoking 3-10 min | Screening / Counsel | 0.24 | 0.46 | $15 | Details → |
| 99407 | Behav chng smoking > 10 min | Screening / Counsel | 0.50 | 0.87 | $29 | Details → |
| 99417 | Prolng op e/m each 15 min | E/M Est | 0.61 | 0.96 | See policy | Details → |
| 99421 | Ol dig e/m svc 5-10 min | Telehealth | 0.25 | 0.47 | $16 | Details → |
| 99422 | Ol dig e/m svc 11-20 min | Telehealth | 0.50 | 0.92 | $31 | Details → |
| 99423 | Ol dig e/m svc 21+ min | Telehealth | 0.80 | 1.46 | $49 | Details → |
| 99437 | Chrnc care mgmt phys ea addl | Care Mgmt | 1.00 | 1.89 | $63 | Details → |
| 99439 | Chrnc care mgmt staf ea addl | Care Mgmt / Counsel | 0.70 | 1.51 | $50 | Details → |
| 99445 | Rem mntr physiol param 2-15 | Care Mgmt | 0.00 | 1.56 | $52 | Details → |
| 99453 | Rem mntr physiol param setup | Care Mgmt | 0.00 | 0.65 | $22 | Details → |
| 99454 | Rem mntr physiol param 16-30 | Care Mgmt | 0.00 | 1.56 | $52 | Details → |
| 99457 | Rpm tx mgmt 1st 20 min | Care Mgmt | 0.61 | 1.55 | $52 | Details → |
| 99458 | Rpm tx mgmt ea addl 20 min | Care Mgmt | 0.61 | 1.24 | $41 | Details → |
| 99470 | Rpm tx mgmt 1st 10 min | Care Mgmt | 0.31 | 0.78 | $26 | Details → |
| 99483 | Assmt & care pln pt cog imp | Neurology | 3.84 | 8.77 | $293 | Details → |
| 99484 | Care mgmt svc bhvl hlth cond | Care Mgmt | 0.93 | 1.72 | $57 | Details → |
| 99490 | Chrnc care mgmt staff 1st 20 | Care Mgmt / Counsel | 1.00 | 1.98 | $66 | Details → |
| 99491 | Chrnc care mgmt phys 1st 30 | Care Mgmt | 1.50 | 2.67 | $89 | Details → |
| 99492 | 1st psyc collab care mgmt | Care Mgmt | 1.88 | 4.80 | $160 | Details → |
| 99493 | Sbsq psyc collab care mgmt | Care Mgmt | 2.05 | 4.34 | $145 | Details → |
| 99494 | 1st/sbsq psyc collab care | Care Mgmt | 0.82 | 1.84 | $61 | Details → |
| 99495 | Transj care mgmt mod f2f 14d | Care Mgmt / Counsel | 2.78 | 6.59 | $220 | Details → |
| 99496 | Transj care mgmt high f2f 7d | Care Mgmt / Counsel | 3.79 | 8.94 | $299 | Details → |
| 99497 | Advncd care plan 30 min | Care Mgmt / Counsel | 1.50 | 2.60 | $87 | Details → |
| 99498 | Advncd care plan addl 30 min | Care Mgmt / Counsel | 1.40 | 2.34 | $78 | Details → |
| G0101 | Ca screen;pelvic/breast exam | GYN | 0.44 | 1.19 | $40 | Details → |
| G0105 | Colorectal scrn; hi risk ind | GI | 3.18 | 11.32 | $378 | Details → |
| G0108 | Diab manage trn per indiv | Endocrinology | 0.90 | 1.67 | $56 | Details → |
| G0109 | Diab manage trn ind/group | Endocrinology | 0.25 | 0.48 | $16 | Details → |
| G0121 | Colon ca scrn not hi rsk ind | GI | 3.18 | 11.33 | $378 | Details → |
| G0136 | Adm of pa/n assess 5-15 m | Care Mgmt / Counsel | 0.18 | 0.60 | $20 | Details → |
| G0270 | Mnt subs tx for change dx | Endocrinology | 0.45 | 0.95 | $32 | Details → |
| G0296 | Visit to determ ldct elig | Pulmonology | 0.52 | 0.86 | $29 | Details → |
| G0316 | Prolong inpt eval add15 m | Hospital | 0.61 | 1.04 | $35 | Details → |
| G0317 | Prolong nursin fac eval 15m | Hospital | 0.61 | 1.01 | $34 | Details → |
| G0318 | Prolong home eval add 15m | Hospital | 0.61 | 1.02 | $34 | Details → |
| G0402 | Initial preventive exam | Medicare Wellness | 2.60 | 5.23 | $175 | Details → |
| G0438 | Ppps, initial visit | Medicare Wellness | 2.60 | 5.22 | $174 | Details → |
| G0439 | Ppps, subseq visit | Medicare Wellness | 1.92 | 4.12 | $138 | Details → |
| G0444 | Depression screen annual | Screening / Counsel | 0.18 | 0.56 | $19 | Details → |
| G0447 | Behavior counsel obesity 15m | Screening / Counsel | 0.60 | 1.02 | $34 | Details → |
| G0537 | Risk ascvd tst once pr 12 mo | Screening / Counsel | 0.18 | 0.60 | $20 | Details → |
| G0538 | Ascvd rsk mng clin stf pr mo | Screening / Counsel | 0.18 | 0.51 | $17 | Details → |
| G2010 | Remot image submit by pt | Telehealth | 0.18 | 0.39 | $13 | Details → |
| G2211 | Complex e/m visit add on | E/M Est | 0.33 | 0.52 | $17 | Details → |
| G2212 | Prolong outpt/office vis | E/M Est | 0.61 | 1.02 | $34 | Details → |
| Q0091 | Obtaining screen pap smear | GYN | 0.36 | 1.38 | $46 | Details → |