|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$29.12 |
$29.12 |
$29.12 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$154.00 |
$154.00 |
$154.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$154.00 |
$154.00 |
$154.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$71.40 |
$71.40 |
$71.40 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$317.52 |
$317.52 |
$317.52 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$7.07 |
$7.07 |
$7.07 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$14.56 |
$14.56 |
$14.56 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$21.00 |
$21.00 |
$21.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$14.77 |
$14.77 |
$14.77 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$18.83 |
$18.83 |
$18.83 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$21.07 |
$21.07 |
$21.07 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$30.31 |
$30.31 |
$30.31 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$22.82 |
$22.82 |
$22.82 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$14.35 |
$14.35 |
$14.35 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$20.72 |
$20.72 |
$20.72 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$13.79 |
$13.79 |
$13.79 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$8.61 |
$8.61 |
$8.61 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$2,072.91 |
$2,072.91 |
$2,072.91 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,643.88 |
$1,643.88 |
$1,643.88 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$147.56 |
$147.56 |
$147.56 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$96.11 |
$96.11 |
$96.11 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$36.96 |
$36.96 |
$36.96 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$46.13 |
$46.13 |
$46.13 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$49.77 |
$49.77 |
$49.77 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$36.75 |
$36.75 |
$36.75 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$31.08 |
$31.08 |
$31.08 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$150.43 |
$150.43 |
$150.43 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$795.90 |
$795.90 |
$795.90 |
$7,267.51
|
|
Probe nasolacrimal duct
|
$39.90 |
$39.90 |
$39.90 |
$533.50
|
|
Probe nasolacrimal duct
|
$33.32 |
$33.32 |
$33.32 |
$2,760.73
|
|
Procalcitonin
|
$32.27 |
$32.27 |
$32.27 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.94 |
$11.94 |
$11.94 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$427.35 |
$427.35 |
$427.35 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$26.32 |
$26.32 |
$26.32 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$20.37 |
$20.37 |
$20.37 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$105.28 |
$105.28 |
$105.28 |
$1,078.88
|
|
Proctosigmoidoscopy volvul
|
$24.36 |
$24.36 |
$24.36 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$17.50 |
$17.50 |
$17.50 |
$1,395.28
|
|
Progesterone
|
$32.90 |
$32.90 |
$32.90 |
$115.64
|
|
Prolactin
|
$26.39 |
$26.39 |
$26.39 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$9.80 |
$9.80 |
$9.80 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$7.42 |
$7.42 |
$7.42 |
$61.10
|
|
Prolong service without contact
|
$16.17 |
$16.17 |
$16.17 |
$165.20
|
|
Prolong serv without contact add
|
$10.99 |
$10.99 |
$10.99 |
$81.20
|
|
Promethazine hcl injection
|
$1.33 |
$1.33 |
$1.33 |
$12.96
|
|
Proph rta dtchmnt pc
|
$53.20 |
$53.20 |
$53.20 |
$948.50
|
|
Propofol infusion 10 mg/ml
|
$52.38 |
$52.38 |
$52.38 |
$73.36
|
|
_propoxygc/msur
|
$13.02 |
$13.02 |
$13.02 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$19.41 |
$19.41 |
$19.41 |
$32.93
|
|
Prostate ca screening; dre
|
$3.43 |
$3.43 |
$3.43 |
$29.16
|
|
Prostatectomy (turp)
|
$174.37 |
$174.37 |
$174.37 |
$6,999.96
|
|
Protamine 10 mg/ml intravenous solution
|
$92.67 |
$92.67 |
$92.67 |
$57.89
|
|
Protein c activity
|
$0.97 |
$0.97 |
$0.97 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$0.75 |
$0.75 |
$0.75 |
$84.00
|
|
Protein s total
|
$0.81 |
$0.81 |
$0.81 |
$83.52
|
|
Protein total 24 hour urine
|
$48.65 |
$48.65 |
$48.65 |
$52.50
|
|
Protein total body fluid
|
$40.74 |
$40.74 |
$40.74 |
$49.80
|
|
Protein total serum plasma whole blood
|
$40.88 |
$40.88 |
$40.88 |
$42.81
|
|
Prothrombin complex kcentra
|
$2.74 |
$2.74 |
$2.74 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$11.34 |
$11.34 |
$11.34 |
$41.50
|
|
Prpertl pel pack hemrrg trma 49013
|
$103.74 |
$103.74 |
$103.74 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$139.79 |
$139.79 |
$139.79 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$14.28 |
$14.28 |
$14.28 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$5.53 |
$5.53 |
$5.53 |
$52.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$2,487.52 |
$2,487.52 |
$2,487.52 |
$21,249.26
|
|
Prq card revasc mi 1 vsl
|
$108.57 |
$108.57 |
$108.57 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$7,134.19 |
$7,134.19 |
$7,134.19 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$96.67 |
$96.67 |
$96.67 |
$13,398.65
|
|
Prq skel fix epcndylr hum fx
|
$179.13 |
$179.13 |
$179.13 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$194.74 |
$194.74 |
$194.74 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$94.92 |
$94.92 |
$94.92 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$4,127.98 |
$4,127.98 |
$4,127.98 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$9,856.56 |
$9,856.56 |
$9,856.56 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$108.43 |
$108.43 |
$108.43 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$2,188.83 |
$2,188.83 |
$2,188.83 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$100.94 |
$100.94 |
$100.94 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$105.77 |
$105.77 |
$105.77 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$46.06 |
$46.06 |
$46.06 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$29.96 |
$29.96 |
$29.96 |
$251.43
|
|
Pr removal intrauterine device
|
$36.96 |
$36.96 |
$36.96 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$75.95 |
$75.95 |
$75.95 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$27.65 |
$27.65 |
$27.65 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$28.63 |
$28.63 |
$28.63 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$23.24 |
$23.24 |
$23.24 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$28.07 |
$28.07 |
$28.07 |
$396.00
|
|
Pr robotic surgical system
|
$10.43 |
$10.43 |
$10.43 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$173.46 |
$173.46 |
$173.46 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$7.14 |
$7.14 |
$7.14 |
$71.40
|
|
Prtl exc bone olecrn process
|
$156.59 |
$156.59 |
$156.59 |
$3,208.80
|
|
Prtl excision bone clavicle
|
$170.52 |
$170.52 |
$170.52 |
$6,311.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$276.78 |
$276.78 |
$276.78 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$2.73 |
$2.73 |
$2.73 |
$27.30
|
|
PSA (Prostate) Test
|
$45.57 |
$45.57 |
$45.57 |
$107.50
|
|
Psychotherapy group therapy
|
$5.04 |
$5.04 |
$5.04 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$18.55 |
$18.55 |
$18.55 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$18.69 |
$18.69 |
$18.69 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$27.65 |
$27.65 |
$27.65 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$20.93 |
$20.93 |
$20.93 |
$316.50
|
|
Psy evaluation of records
|
$9.73 |
$9.73 |
$9.73 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$7.49 |
$7.49 |
$7.49 |
$203.20
|