| Admin hepatitis b vaccine (G0010) |
— |
$115 |
— |
| Admin influenza virus vac (G0008) |
— |
$115 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$115 |
— |
| Alcohol/subs interv 15-30mn (G0396) |
— |
$82 |
— |
| Alcohol/subs interv >30 min (G0397) |
— |
$237 |
— |
| Alveoplasty w/ extraction (D7310) |
— |
$175 |
— |
| Behavior counsel obesity 15m (G0447) |
— |
$237 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$237 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$2,492 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$2,492 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$52 |
— |
| Dental bitewing single image (D0270) |
— |
$20 |
— |
| Diab manage trn per indiv (G0108) |
— |
$161 |
— |
| Diab manage trn ind/group (G0109) |
— |
$44 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,528 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$103 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$155 |
— |
| Endodontic procedure (D3999) |
— |
$358 |
— |
| Extraction erupted tooth/exr (D7140) |
— |
$2,953 |
— |
| Group mnt 2 or more 30 mins (G0271) |
— |
$45 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,394 |
— |
| Home sleep test/type 2 porta (G0398) |
— |
$419 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$423 |
— |
| I&d absc intraoral soft tiss (D7510) |
— |
$175 |
— |
| I&d abscess extraoral (D7520) |
— |
$350 |
— |
| Impact tooth remov comp bony (D7240) |
— |
$750 |
— |
| Incision/drain abscess extra (D7521) |
— |
$8,750 |
— |
| Incision/drain abscess intra (D7511) |
— |
$385 |
— |
| Initial preventive exam (G0402) |
— |
$351 |
— |
| Intraoral periapical first (D0220) |
— |
$20 |
— |
| Limit oral eval problm focus (D0140) |
— |
$35 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$82 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$69 |
— |
| Panoramic image (D0330) |
— |
$87 |
— |
| Potassium hydroxide preps (Q0112) |
— |
$14 |
— |
| Ppps, initial visit (G0438) |
— |
$997 |
— |
| Ppps, subseq visit (G0439) |
— |
$997 |
— |
| Rem imp tooth w mucoper flp (D7210) |
— |
$212 |
— |
| Reshaping bone orthognathic (D7940) |
— |
$11,340 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$160 |
— |
| Tooth root removal (D7250) |
— |
$145 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$2,744 |
— |
| Trim nail(s) (G0127) |
— |
$147 |
— |
| Trluml perip athrc abd aorta (0236T) |
— |
$30,010 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$30,010 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$48,278 |
— |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
— |
$30,010 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$1,891 |
— |