| 2d tte w or w/o fol w/con,fu (C8924) |
$1,593 |
$1,593 |
4.5× |
| Admin hepatitis b vaccine (G0010) |
$65 |
$65 |
1.4× |
| Admin influenza virus vac (G0008) |
$45 |
$45 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$52.50 |
$52.50 |
1.1× |
| Alcohol/subs interv 15-30mn (G0396) |
$92 |
$92 |
2.4× |
| Alcohol/subs interv >30 min (G0397) |
$174 |
$174 |
1.0× |
| Annual alcohol screen 15 min (G0442) |
$46 |
$46 |
1.2× |
| Arthro/shoul surg; w/spacer (C9781) |
$17,600 |
$17,600 |
1.3× |
| Behavior counsel obesity 15m (G0447) |
$64 |
$64 |
0.6× |
| Brief alcohol misuse counsel (G0443) |
$64 |
$64 |
0.6× |
| Ca screen;flexi sigmoidscope (G0104) |
$366 |
$366 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$123 |
$123 |
1.2× |
| Cardiokymography (Q0035) |
$54 |
$54 |
1.4× |
| Colon ca scrn not hi rsk ind (G0121) |
$841.50 |
$841.50 |
0.9× |
| Colorectal scrn; hi risk ind (G0105) |
$841.50 |
$841.50 |
0.9× |
| Demonstrate use home inr mon (G0248) |
$285 |
$285 |
2.1× |
| Depression screen annual (G0444) |
$46 |
$46 |
1.2× |
| Dermal filler injection(s) (G0429) |
$256 |
$256 |
0.1× |
| Devlopment test interpt&rep (G0451) |
$23 |
$23 |
0.2× |
| Ekg tracing for initial prev (G0404) |
$26 |
$26 |
0.9× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, tems), including muscularis propria (ie,… (0184T) |
$4,500 |
$4,500 |
0.7× |
| Extrnl counterpulse, per tx (G0166) |
$360 |
$360 |
2.6× |
| Fecal microbiota prep instil (G0455) |
$350 |
$350 |
0.4× |
| Followup eval of foot pt lop (G0246) |
$96 |
$96 |
0.7× |
| Glaucoma scrn hgh risk direc (G0117) |
$139 |
$139 |
4.7× |
| Glaucoma scrn hgh risk direc (G0118) |
$99 |
$99 |
2.6× |
| Hep c screen high risk/other (G0472) |
$25 |
$25 |
0.5× |
| Hepb screen high risk indiv (G0499) |
$322 |
$322 |
11.4× |
| High inten beh couns std 30m (G0445) |
$66 |
$66 |
0.6× |
| Home sleep test/type 3 porta (G0399) |
$430 |
$430 |
1.9× |
| Hospital outpt clinic visit (G0463) |
$170 |
$170 |
1.2× |
| Initial foot exam pt lops (G0245) |
$163 |
$163 |
1.2× |
| Initial preventive exam (G0402) |
$526 |
$526 |
3.9× |
| Inj for sacroiliac jt anesth (G0260) |
$1,240 |
$1,240 |
1.7× |
| Intens behave ther cardio dx (G0446) |
$64 |
$64 |
1.7× |
| Intens cardiac rehab no exer (G0423) |
$211 |
$211 |
1.6× |
| Intens cardiac rehab w/exerc (G0422) |
$201 |
$201 |
1.5× |
| Non-ophthalmic fva (C9733) |
$2,500 |
$2,500 |
7.0× |
| Obtaining screen pap smear (Q0091) |
$147.50 |
$147.50 |
5.0× |
Open tx iliac spine uni/bil (G0412)
likely a partial charge — not the full procedure |
$1,870 |
$1,870 |
0.3× |
| Open tx post pelvic fxcture (G0415) |
$3,538 |
$3,538 |
1.1× |
| Oth resp proc, group (G0239) |
$106.50 |
$106.50 |
2.8× |
| Oth resp proc, indiv (G0238) |
$29 |
$29 |
1.0× |
Pelvic ring fracture uni/bil (G0413)
unusually low — confirm this is the full procedure |
$2,748 |
$2,748 |
0.4× |
Pelvic ring fx treat int fix (G0414)
unusually low — confirm this is the full procedure |
$2,572 |
$2,572 |
0.3× |
| Prostate biopsy, any mthd (G0416) |
$1,680 |
$1,680 |
4.6× |
| Provide inr test mater/equip (G0249) |
$281 |
$281 |
2.1× |
| Psa screening (G0103) |
$121.60 |
$121.60 |
6.3× |
| Quan mr tis wo MRI 1orgn (0648T) |
$1,313 |
$1,313 |
1.4× |
| Quan mr tiss w/MRI 1orgn (0649T) |
$1,068 |
$1,068 |
1.1× |
| Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0724T) |
$1,049 |
$1,049 |
1.1× |
| Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0723T) |
$1,050 |
$1,050 |
1.1× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) |
$630 |
$630 |
0.2× |
| Routine footcare pt w lops (G0247) |
$188 |
$188 |
0.9× |
| Single energy x-ray study (G0130) |
$87 |
$87 |
0.8× |
| Therapeutic procd strg endur (G0237) |
$105 |
$105 |
3.6× |
| Trauma respons w/hosp criti (G0390) |
$9,200 |
$9,200 |
6.8× |
| Trim nail(s) (G0127) |
$59 |
$59 |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,850 |
$1,850 |
2.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,188 |
$2,188 |
2.7× |