| Adm of soc dtr assess 5-15 m (G0136) |
$21.75 |
$29 |
0.6× |
| Admin hepatitis b vaccine (G0010) |
$20.62 |
$27.50 |
0.4× |
| Admin influenza virus vac (G0008) |
$48.75 |
$65 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$71.62 |
$95.50 |
1.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$199.50 |
$266 |
0.2× |
| Ca screen;pelvic/breast exam (G0101) |
$42 |
$56 |
0.4× |
| Catheterize for urine spec (P9612) |
$6 |
$8 |
0.6× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,246.62 |
$2,995.50 |
2.3× |
| Colorectal scrn; hi risk ind (G0105) |
$2,246.62 |
$2,995.50 |
2.3× |
| Covid-19 lab test non-cdc (U0002) |
$142.50 |
$190 |
2.8× |
| Depression screen annual (G0444) |
$57 |
$76 |
1.4× |
| Devlopment test interpt&rep (G0451) |
$104.25 |
$139 |
1.0× |
| Direct refer hospital observ (G0379) |
$681 |
$908 |
1.1× |
| Drug test def 1-7 classes (G0480) |
$154.50 |
$206 |
1.4× |
| Ekg tracing for initial prev (G0404) |
$18.75 |
$25 |
0.6× |
| Fecal blood scrn immunoassay (G0328) |
$37.50 |
$50 |
2.1× |
| Glaucoma scrn hgh risk direc (G0117) |
$176.25 |
$235 |
5.8× |
| Hiv combination assay (G0475) |
$106.50 |
$142 |
4.4× |
| Hospital outpt clinic visit (G0463) |
$212.25 |
$283 |
1.5× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$89.62 |
$119.50 |
2.1× |
| Initial preventive exam (G0402) |
$133.12 |
$177.50 |
0.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$4,443.75 |
$5,925 |
12.1× |
| Mri w/o fol w/cont, brst, un (C8905) |
$4,005 |
$5,340 |
10.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$748.50 |
$998 |
1.6× |
| Obtaining screen pap smear (Q0091) |
$72.75 |
$97 |
2.4× |
| Pathogen test for platelets (P9100) |
$96 |
$128 |
1.5× |
| Psa screening (G0103) |
$161.62 |
$215.50 |
8.4× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$51.75 |
$69 |
2.9× |
| Tpmt nudt15 genes (0034U) |
$1,260.75 |
$1,681 |
2.7× |
| Trauma respons w/hosp criti (G0390) |
$1,890 |
$2,520 |
1.3× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,896.75 |
$2,529 |
2.3× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,930.50 |
$2,574 |
2.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,070.75 |
$2,761 |
2.5× |
| Wet mounts/ w preparations (Q0111) |
$16.50 |
$22 |
0.9× |