|
Prev med cnsl indiv apprx 15
|
$186.00 |
$186.00 |
$186.00 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$207.00 |
$207.00 |
$207.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$228.00 |
$228.00 |
$228.00 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$260.00 |
$260.00 |
$260.00 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$339.00 |
$339.00 |
$339.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,623.00 |
$2,623.00 |
$2,623.00 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$922.00 |
$922.00 |
$922.00 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$148.00 |
$148.00 |
$148.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$125.00 |
$125.00 |
$125.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$125.00 |
$125.00 |
$125.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$125.00 |
$125.00 |
$125.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$125.00 |
$125.00 |
$125.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$5,510.00 |
$5,510.00 |
$5,510.00 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$42,198.00 |
$42,198.00 |
$42,198.00 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$465.00 |
$465.00 |
$465.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$404.00 |
$404.00 |
$404.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$410.00 |
$410.00 |
$410.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$689.00 |
$689.00 |
$689.00 |
$592.62
|
|
Pr management transitional care high w/in 7 days of discharge
|
$627.00 |
$627.00 |
$627.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$438.00 |
$438.00 |
$438.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$106.00 |
$106.00 |
$106.00 |
$253.55
|
|
Procalcitonin
|
$66.00 |
$66.00 |
$66.00 |
$161.11
|
|
Progesterone
|
$84.00 |
$84.00 |
$84.00 |
$116.00
|
|
Prolactin
|
$78.00 |
$78.00 |
$78.00 |
$123.50
|
|
Protein c activity
|
$64.00 |
$64.00 |
$64.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$57.00 |
$57.00 |
$57.00 |
$84.00
|
|
Protein total 24 hour urine
|
$18.00 |
$18.00 |
$18.00 |
$52.50
|
|
Protein total body fluid
|
$18.00 |
$18.00 |
$18.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$15.00 |
$15.00 |
$15.00 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$17.00 |
$17.00 |
$17.00 |
$42.00
|
|
Prq card angio/athrect addl
|
$6,134.00 |
$6,134.00 |
$6,134.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$3,964.00 |
$3,964.00 |
$3,964.00 |
$5,510.00
|
|
Prq card revasc mi 1 vsl
|
$11,746.00 |
$11,746.00 |
$11,746.00 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$6,538.00 |
$6,538.00 |
$6,538.00 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$7,272.00 |
$7,272.00 |
$7,272.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,746.00 |
$11,746.00 |
$11,746.00 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$11,746.00 |
$11,746.00 |
$11,746.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$14,368.00 |
$14,368.00 |
$14,368.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$8,049.00 |
$8,049.00 |
$8,049.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$8,986.00 |
$8,986.00 |
$8,986.00 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$11,746.00 |
$11,746.00 |
$11,746.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$448.00 |
$448.00 |
$448.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$206.00 |
$206.00 |
$206.00 |
$252.00
|
|
Pr removal intrauterine device
|
$551.00 |
$551.00 |
$551.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$464.00 |
$464.00 |
$464.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$284.00 |
$284.00 |
$284.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$327.00 |
$327.00 |
$327.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$365.00 |
$365.00 |
$365.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$307.00 |
$307.00 |
$307.00 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$74.00 |
$74.00 |
$74.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$281.00 |
$281.00 |
$281.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$281.00 |
$281.00 |
$281.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$294.00 |
$294.00 |
$294.00 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$432.69 |
$432.69 |
$432.69 |
$316.50
|
|
Psycl/nrpsyc tech 1st
|
$330.00 |
$330.00 |
$330.00 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$367.00 |
$367.00 |
$367.00 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$85.00 |
$85.00 |
$85.00 |
$124.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$146.00 |
$146.00 |
$146.00 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$99.97 |
$99.97 |
$99.97 |
$81.48
|
|
Pt application of modality traction mechanical
|
$135.00 |
$135.00 |
$135.00 |
$91.80
|
|
Pt-focused hlth risk assmt
|
$62.00 |
$62.00 |
$62.00 |
$57.85
|
|
Pt repositioning canalith procedure(s) per day
|
$145.00 |
$145.00 |
$145.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$65.41 |
$65.41 |
$65.41 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$84.67 |
$84.67 |
$84.67 |
$88.00
|
|
Pul art balloon repr percut
|
$8,986.00 |
$8,986.00 |
$8,986.00 |
$9,760.40
|
|
Pul art balloon repr percut
|
$814.00 |
$814.00 |
$814.00 |
$3,766.10
|
|
Pulmonary vent imaging
|
$790.00 |
$790.00 |
$790.00 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$327.00 |
$327.00 |
$327.00 |
$347.11
|
|
Pulse ox multiple
|
$116.00 |
$116.00 |
$116.00 |
$157.30
|
|
Punc of shunt for asp or inj
|
$877.00 |
$877.00 |
$877.00 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$299.00 |
$299.00 |
$299.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$478.00 |
$478.00 |
$478.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,909.00 |
$1,909.00 |
$1,909.00 |
$1,060.47
|
|
Quant diff pulm perf w/imaging
|
$1,318.00 |
$1,318.00 |
$1,318.00 |
$1,199.16
|
|
Radiation handling
|
$934.00 |
$934.00 |
$934.00 |
$324.80
|
|
Radiation physics consult
|
$709.00 |
$709.00 |
$709.00 |
$610.68
|
|
Radiation therapy dose plan
|
$709.00 |
$709.00 |
$709.00 |
$518.76
|
|
Radiation treatment aid(s)
|
$709.00 |
$709.00 |
$709.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$896.00 |
$896.00 |
$896.00 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$921.00
|
|
Radiology port images(s)
|
$407.00 |
$407.00 |
$407.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$8,891.00 |
$8,891.00 |
$8,891.00 |
$5,755.75
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$2,051.70
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$6,081.00 |
$6,081.00 |
$6,081.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,973.00 |
$1,973.00 |
$1,973.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,126.32
|
|
Rapid desensitization
|
$661.00 |
$661.00 |
$661.00 |
$472.21
|
|
Rapid Strep Test
|
$66.00 |
$66.00 |
$66.00 |
$76.00
|
|
Recon, cta for surg plan
|
$478.00 |
$478.00 |
$478.00 |
$713.50
|
|
Red blood cells leukocytes reduced each unit
|
$672.00 |
$672.00 |
$672.00 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$672.00 |
$672.00 |
$672.00 |
$534.15
|
|
Red blood cells washed each unit
|
$1,169.22 |
$1,169.22 |
$1,169.22 |
$583.68
|
|
Refill/maint pump/resvr syst
|
$266.00 |
$266.00 |
$266.00 |
$402.48
|
|
Relocation skin pocket aicd
|
$2,657.00 |
$2,657.00 |
$2,657.00 |
$2,935.84
|
