| 2d tte w or w/o fol w/con,co (C8923) |
$900.15 |
$1,765 |
0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$480.42 |
$942 |
1.1× |
| Admin pneumococcal vaccine (G0009) |
$46.92 |
$92 |
0.8× |
| Ca screen;pelvic/breast exam (G0101) |
$121.89 |
$239 |
0.9× |
| Catheterize for urine spec (P9612) |
$73.44 |
$144 |
7.9× |
| Chemo extend iv infus w/pump (G0498) |
$464.61 |
$911 |
1.1× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$741.03 |
$1,453 |
0.8× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$741.03 |
$1,453 |
0.8× |
| Direct refer hospital observ (G0379) |
$789.48 |
$1,548 |
1.0× |
| Home sleep test/type 3 porta (G0399) |
$1,043.46 |
$2,046 |
3.8× |
| Home sleep test/type 4 porta (G0400) |
$1,043.46 |
$2,046 |
3.8× |
| Initial preventive exam (G0402) |
$193.29 |
$379 |
1.1× |
| Lev 1 hosp type b ed visit (G0380) |
$100.98 |
$198 |
1.1× |
| Lev 2 hosp type b ed visit (G0381) |
$184.62 |
$362 |
1.5× |
| Lev 3 hosp type b ed visit (G0382) |
$322.32 |
$632 |
1.5× |
| Lev 4 hosp type b ed visit (G0383) |
$462.57 |
$907 |
1.4× |
| Lev 5 hosp type b ed visit (G0384) |
$570.18 |
$1,118 |
1.1× |
| Obtaining screen pap smear (Q0091) |
$39.78 |
$78 |
1.1× |
| Pathogen test for platelets (P9100) |
$84.15 |
$165 |
1.1× |
| Ppps, initial visit (G0438) |
$270.30 |
$530 |
1.6× |
| Ppps, subseq visit (G0439) |
$214.20 |
$420 |
1.6× |
| Tomosynthesis, mammo (G0279) |
$50.49 |
$99 |
4.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,102.11 |
$2,161 |
1.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,004.30 |
$3,930 |
2.0× |
| Unsched dialysis esrd pt hos (G0257) |
$1,348.44 |
$2,644 |
1.5× |