| Admin hepatitis b vaccine (G0010) |
$47.50 |
$95 |
1.1× |
| Admin influenza virus vac (G0008) |
$78 |
$156 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$27.75 |
$55.50 |
0.6× |
| Ca screen;pelvic/breast exam (G0101) |
$73 |
$146 |
0.8× |
| Catheterize for urine spec (P9612) |
$5.50 |
$11 |
0.6× |
| Cbc without platelet (G0307) |
$7.50 |
$15 |
1.2× |
| Cbc/diffwbc w/o platelet (G0306) |
$9 |
$18 |
1.2× |
| Chemo extend iv infus w/pump (G0498) |
$426.50 |
$853 |
1.4× |
| Covid-19 lab test non-cdc (U0002) |
$94 |
$188 |
1.8× |
| Diab manage trn per indiv (G0108) |
$58.50 |
$117 |
1.0× |
| Diab manage trn ind/group (G0109) |
$34 |
$68 |
2.1× |
| Direct refer hospital observ (G0379) |
$461.50 |
$923 |
0.8× |
| Drug test def 1-7 classes (G0480) |
$82.75 |
$165.50 |
0.7× |
| Drug test def 8-14 classes (G0481) |
$98.25 |
$196.50 |
0.6× |
| Elec stim other than wound (G0283) |
$58 |
$116 |
4.6× |
| Fecal blood scrn immunoassay (G0328) |
$8.50 |
$17 |
0.5× |
| Followup eval of foot pt lop (G0246) |
$46.50 |
$93 |
0.4× |
| Home sleep test/type 3 porta (G0399) |
$396 |
$792 |
2.0× |
| Hospital outpt clinic visit (G0463) |
$111.50 |
$223 |
0.9× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$307.50 |
$615 |
1.5× |
| Initial foot exam pt lops (G0245) |
$79 |
$158 |
0.6× |
| Initial preventive exam (G0402) |
$117.25 |
$234.50 |
0.9× |
| Injection of hiv prep drug (G0012) |
$98.50 |
$197 |
1.5× |
| Liver dis 10 assays w/nash (0003M) |
$344 |
$688 |
0.7× |
| Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) |
$281.25 |
$562.50 |
0.6× |
| Mra w/cont, abd (C8900) |
$1,212.50 |
$2,425 |
3.7× |
| Mra w/o cont, abd (C8901) |
$1,130 |
$2,260 |
5.0× |
| Mra w/o cont, chest (C8910) |
$1,130 |
$2,260 |
5.0× |
| Mra w/o fol w/cont, abd (C8902) |
$1,512.50 |
$3,025 |
4.6× |
| Mra, w/o dye, upper extr (C8935) |
$1,130 |
$2,260 |
5.0× |
| Obtaining screen pap smear (Q0091) |
$31 |
$62 |
1.1× |
| Ppps, initial visit (G0438) |
$196.75 |
$393.50 |
1.1× |
| Ppps, subseq visit (G0439) |
$154.25 |
$308.50 |
1.1× |
| Prolonged iv inf, req pump (C8957) |
$237.50 |
$475 |
1.2× |
| Prostate biopsy, any mthd (G0416) |
$214.50 |
$429 |
0.6× |
| Psa screening (G0103) |
$65 |
$130 |
3.4× |
| Therapeutic procd strg endur (G0237) |
$34 |
$68 |
1.3× |
| Tomosynthesis, mammo (G0279) |
$30.50 |
$61 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$721 |
$1,442 |
1.1× |
| Wet mounts/ w preparations (Q0111) |
$5 |
$10 |
0.3× |