| Admin hepatitis b vaccine (G0010) |
$57 |
$57 |
1.1× |
| Admin influenza virus vac (G0008) |
$68 |
$68 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$77 |
$77 |
1.5× |
| Annual alcohol screen 15 min (G0442) |
$42 |
$42 |
1.0× |
| Behavior counsel obesity 15m (G0447) |
$55 |
$55 |
0.5× |
| Brief alcohol misuse counsel (G0443) |
$50 |
$50 |
0.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$228 |
$228 |
0.2× |
| Ca screen;pelvic/breast exam (G0101) |
$85 |
$85 |
0.8× |
| Colon ca scrn not hi rsk ind (G0121) |
$757 |
$757 |
0.7× |
| Colorectal scrn; hi risk ind (G0105) |
$757 |
$757 |
0.7× |
| Diab manage trn per indiv (G0108) |
$175 |
$175 |
3.1× |
| Diab manage trn ind/group (G0109) |
$51 |
$51 |
3.2× |
| Direct refer hospital observ (G0379) |
$656 |
$656 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$168 |
$168 |
1.5× |
| Ekg tracing for initial prev (G0404) |
$41 |
$41 |
1.3× |
| Elec stim other than wound (G0283) |
$71 |
$71 |
5.6× |
| Hbot, full body chamber, 30m (G0277) |
$575 |
$575 |
3.7× |
| Home sleep test/type 3 porta (G0399) |
$197 |
$197 |
0.8× |
| Hospital outpt clinic visit (G0463) |
$200 |
$200 |
1.3× |
| Initial preventive exam (G0402) |
$284 |
$284 |
1.9× |
| Mnt subs tx for change dx (G0270) |
$66 |
$66 |
2.1× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,538 |
$2,538 |
6.5× |
| Obtaining screen pap smear (Q0091) |
$46 |
$46 |
1.4× |
| Periodic oral evaluation (D0120) |
$60 |
$60 |
0.4× |
| Post-coital mucous exam (Q0115) |
$23.55 |
$23.55 |
0.9× |
| Ppps, initial visit (G0438) |
$390 |
$390 |
2.2× |
| Ppps, subseq visit (G0439) |
$260 |
$260 |
1.9× |
| Semen analysis (G0027) |
$47 |
$47 |
7.2× |
| Single energy x-ray study (G0130) |
$86 |
$86 |
0.7× |
| Trauma respons w/hosp criti (G0390) |
$3,000 |
$3,000 |
2.0× |
| Trim nail(s) (G0127) |
$18 |
$18 |
0.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,000 |
$2,000 |
2.3× |
| Visit to determ ldct elig (G0296) |
$101 |
$101 |
0.9× |