| Adm of soc dtr assess 5-15 m (G0136) |
$53.44 |
$152.68 |
1.4× |
| Adv prim care mgmt lvl 1 (G0556) |
$62.56 |
$178.74 |
1.6× |
| Adv prim care mgmt lvl 2 (G0557) |
$62.56 |
$178.74 |
1.6× |
| Adv prim care mgmt lvl 3 (G0558) |
$194.25 |
$555 |
1.8× |
| Alcohol/sub misuse assess (G2011) |
$94.91 |
$271.15 |
3.1× |
| Alcohol/subs interv 15-30mn (G0396) |
$52.40 |
$149.70 |
1.3× |
| Alcohol/subs interv >30 min (G0397) |
$282.58 |
$807.35 |
1.5× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$194.25 |
$555 |
1.8× |
| Ca screen;flexi sigmoidscope (G0104) |
$680.83 |
$1,945.22 |
0.7× |
| Ca screen;pelvic/breast exam (G0101) |
$66.40 |
$189.71 |
0.6× |
| Catheterize for urine spec (P9612) |
$10.40 |
$29.70 |
1.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$546.57 |
$1,561.62 |
0.6× |
| Colorectal scrn; hi risk ind (G0105) |
$557.09 |
$1,591.67 |
0.6× |
| Comm hlth intg svs sdoh 60mn (G0019) |
$166 |
$474.27 |
1.5× |
| Complex simulation w/pet-ct (G0562) |
$4,096.05 |
$11,703 |
2.0× |
| Covid-19 lab test non-cdc (U0002) |
$122.90 |
$351.12 |
2.4× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$3,217.10 |
$9,191.70 |
0.7× |
| Dermal filler injection(s) (G0429) |
$1,297.59 |
$3,707.40 |
0.6× |
| Drug test def 1-7 classes (G0480) |
$64.68 |
$184.80 |
0.6× |
| Drug test def 15-21 classes (G0482) |
$69.56 |
$198.74 |
0.4× |
| Ekg tracing for initial prev (G0404) |
$26.69 |
$76.23 |
0.9× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$890.19 |
$2,543.38 |
0.7× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$52.79 |
$150.81 |
2.9× |
| Esw integ wnd hlg 1st wnd (0512T) |
$254.70 |
$727.69 |
1.2× |
| Fern test (Q0114) |
$7.95 |
$22.70 |
0.8× |
| Hiv combination assay (G0475) |
$26.71 |
$76.30 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$148.70 |
$424.85 |
0.7× |
| Hopd mntl hlt, 15-29 min (C7900) |
$36 |
$102.84 |
0.9× |
| Hopd mntl hlt, 30-60 min (C7901) |
$91.99 |
$262.82 |
0.9× |
| Hopd mntl hlt, grp (C7903) |
$32.11 |
$91.74 |
0.8× |
| Hpv combo assay ca screen (G0476) |
$68.24 |
$194.96 |
1.9× |
| Initial preventive exam (G0402) |
$79.81 |
$228.01 |
0.6× |
| Injection of hiv prep drug (G0012) |
$53.09 |
$151.67 |
0.7× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$6,004.18 |
$17,154.80 |
0.5× |
| Insj wcs lv compl sys (0515T) |
$17,837.50 |
$50,964.27 |
0.8× |
| Insj wcs lv eltrd only (0516T) |
$6,004.18 |
$17,154.80 |
0.5× |
Insj/rplcmt compl iims (0525T)
unusually low — confirm this is the full procedure |
$8,011.42 |
$22,889.75 |
0.4× |
| Insj/rplcmt iims eltrd only (0526T) |
$6,004.18 |
$17,154.80 |
0.7× |
| Insj/rplcmt iims implt mntr (0527T) |
$6,004.18 |
$17,154.80 |
0.7× |
| Interrog dev eval iims ip (0529T) |
$30.14 |
$86.10 |
0.8× |
| Interrog dev eval wcs ip (0521T) |
$22.19 |
$63.38 |
0.7× |
| Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) |
$29.73 |
$84.92 |
0.8× |
| Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) |
$29.73 |
$84.92 |
0.8× |
| Monthly tx for dmht 20mins (G0553) |
$270.63 |
$773.22 |
1.9× |
| Mri w/cont, breast, bi (C8906) |
$831.10 |
$2,374.57 |
2.3× |
| Mri w/cont, breast, uni (C8903) |
$772.24 |
$2,206.40 |
4.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$983.91 |
$2,811.16 |
2.7× |
| Mri w/o fol w/cont, brst, un (C8905) |
$834.50 |
$2,384.27 |
2.3× |
| Nav srv peer sup 60 min pr m (G0140) |
$166 |
$474.27 |
1.5× |
| Neuro csf prion prtn qual (0035U) |
$645.11 |
$1,843.17 |
1.2× |
| Obtaining screen pap smear (Q0091) |
$30.30 |
$86.56 |
1.0× |
| Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T… (0058U) |
$662.17 |
$1,891.89 |
2.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$64.79 |
$185.10 |
5.4× |
| Oth resp proc, group (G0239) |
$24.67 |
$70.48 |
0.6× |
| Oth resp proc, indiv (G0238) |
$45.23 |
$129.22 |
1.5× |
| Pathogen test for platelets (P9100) |
$45.48 |
$129.94 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$12,451.36 |
$35,575.30 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$7,840.88 |
$22,402.50 |
0.6× |
| Perc d-e cor stent ather s (C9602) |
$12,451.36 |
$35,575.30 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$7,840.88 |
$22,402.50 |
0.6× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$8,083.02 |
$23,094.32 |
1.1× |
| Pin service 60m per month (G0023) |
$166 |
$474.27 |
1.5× |
| Post d/c phone follow up (G0544) |
$194.25 |
$555 |
1.8× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,169.49 |
$3,341.38 |
1.3× |
| Prgrmg dev eval iims ip (0528T) |
$30.14 |
$86.10 |
0.8× |
| Prgrmg dev eval wcs ip (0522T) |
$30.14 |
$86.10 |
0.8× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) |
$29.73 |
$84.92 |
0.8× |
| Prostate biopsy, any mthd (G0416) |
$233.07 |
$665.89 |
0.6× |
| Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups,… (0001U) |
$344.61 |
$984.60 |
0.5× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0519T) |
$11,931.66 |
$34,090.44 |
1.1× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0520T) |
$17,837.50 |
$50,964.27 |
1.6× |
| Removal complete iims (0530T) |
$2,538.63 |
$7,253.21 |
0.6× |
| Removal iims electrode only (0531T) |
$2,538.63 |
$7,253.21 |
0.6× |
| Removal iims implt mntr only (0532T) |
$2,538.63 |
$7,253.21 |
0.6× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) |
$3,217.10 |
$9,191.70 |
0.7× |
| Removal of pulse generator components of wireless heart stimulator system for pacing of lower left chamber of heart (0518T) |
$2,538.63 |
$7,253.21 |
0.6× |
| Revasc intra lithotrip-ather (C9766) |
$13,121.23 |
$37,489.22 |
0.7× |
| Revasc intra lithotrip-stent (C9765) |
$13,121.23 |
$37,489.22 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$8,206.41 |
$23,446.87 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$13,121.23 |
$37,489.22 |
0.7× |
| Revasc lithotr-ather tib/per (C9774) |
$13,121.23 |
$37,489.22 |
0.7× |
| Revasc lithotr-stent tib/per (C9773) |
$13,121.23 |
$37,489.22 |
0.7× |
| Revasc lithotrip tibi/perone (C9772) |
$8,509.06 |
$24,311.60 |
0.7× |
| Revasc lithotrip-stent-ather (C9767) |
$13,121.23 |
$37,489.22 |
0.7× |
| Risk ascvd tst once pr 12 mo (G0537) |
$62.56 |
$178.74 |
1.6× |
| Sbrt w/positron emission del (G0563) |
$7,876.05 |
$22,503 |
2.3× |
| Screen cerv/vag thin layer (G0123) |
$23.29 |
$66.52 |
1.1× |
| Screen pap by tech w md supv (P3000) |
$23.35 |
$66.69 |
1.3× |
| Supply of digital device (G0552) |
$270.63 |
$773.22 |
1.9× |
| Therapeutic procd strg endur (G0237) |
$52.98 |
$151.35 |
1.7× |
| Trauma respons w/hosp criti (G0390) |
$2,069.57 |
$5,913.05 |
1.5× |
| Trim nail(s) (G0127) |
$47.79 |
$136.54 |
0.8× |
| Trluml perip athrc brchiocph (0237T) |
$12,292.45 |
$35,121.27 |
1.0× |
| Trluml perip athrc iliac art (0238T) |
$13,858.36 |
$39,595.30 |
0.7× |
| Unsched dialysis esrd pt hos (G0257) |
$454.66 |
$1,299.01 |
0.6× |