|
3d bn img algor drvd fr MRI
|
HCPCS G0566 |
$170.99 |
$173.33
|
$184.26 |
12 |
|
Aco annual medicare visit (awv), initial g0438aco
|
HCPCS G0438 |
$29.89 |
$243.00
|
$676.00 |
170 |
|
Aco annual medicare visit (awv), subsq g0439aco
|
HCPCS G0439 |
$23.59 |
$160.69
|
$1,177.15 |
189 |
|
Aco depression screen annual medicare g0444aco
|
HCPCS G0444 |
$3.15 |
$39.32
|
$151.20 |
199 |
|
Administration vaccine hepatitis b
|
HCPCS G0010 |
$4.34 |
$53.00
|
$496.00 |
565 |
|
Administration vaccine influenza virus
|
HCPCS G0008 |
$8.28 |
$51.07
|
$526.00 |
632 |
|
Administration vaccine pneumococcal
|
HCPCS G0009 |
$7.74 |
$49.68
|
$348.15 |
570 |
|
Adv prim care mgmt lvl 1
|
HCPCS G0556 |
$32.56 |
$51.52
|
$71.50 |
48 |
|
Adv prim care mgmt lvl 2
|
HCPCS G0557 |
$32.56 |
$51.52
|
$220.35 |
48 |
|
Adv prim care mgmt lvl 3
|
HCPCS G0558 |
$101.09 |
$139.68
|
$477.75 |
48 |
|
Alcohol/sub misuse assess
|
HCPCS G2011 |
$23.46 |
$31.20
|
$81.76 |
72 |
|
Alcohol/subs interv 15-30mn
|
HCPCS G0396 |
$27.60 |
$56.70
|
$393.00 |
172 |
|
Alcohol/subs interv >30 min
|
HCPCS G0397 |
$31.84 |
$190.13
|
$550.80 |
131 |
|
Annual alcohol screen 15 min
|
HCPCS G0442 |
$3.15 |
$40.00
|
$214.48 |
155 |
|
Arthro, loose body + chondro
|
HCPCS G0289 |
$14.56 |
$224.00
|
$2,169.40 |
73 |
|
Ascvd rsk mng clin stf pr mo
|
HCPCS G0538 |
$6.80 |
$109.46
|
$300.95 |
63 |
|
Autolog prp diab wound ulcer
|
HCPCS G0465 |
$119.51 |
$2,267.04
|
$8,275.12 |
115 |
|
Autolog prp not diab ulcer
|
HCPCS G0460 |
$1,128.75 |
$2,164.64
|
$5,598.45 |
63 |
|
Behavior counsel obesity 15min medicare g0447
|
HCPCS G0447 |
$6.86 |
$105.00
|
$518.70 |
204 |
|
Blinded conv. tx mdd clin tr
|
HCPCS G2000 |
$513.11 |
$624.87
|
$627.89 |
24 |
|
Brief alcohol misuse counsel
|
HCPCS G0443 |
$5.67 |
$109.46
|
$518.70 |
135 |
|
Brief chkin, 5-10, non-e/m
|
HCPCS G2251 |
$2.52 |
$14.97
|
$58.40 |
48 |
|
Brief chkin by md/qhp, 11-20
|
HCPCS G2252 |
$4.55 |
$31.93
|
$111.20 |
50 |
|
Care manage beh svs 20mins
|
HCPCS G0323 |
$32.56 |
$51.52
|
$86.80 |
57 |
|
Ca screen;flexi sigmoidscope
|
HCPCS G0104 |
$61.00 |
$1,278.72
|
$10,121.36 |
234 |
|
Cbc/diffwbc without platelet
|
HCPCS G0306 |
$7.77 |
$60.32
|
$155.40 |
111 |
|
CBC without platelet
|
HCPCS G0307 |
$6.47 |
$54.89
|
$137.20 |
103 |
|
Cervical or vaginal cancer screening g0101
|
HCPCS G0101 |
$8.23 |
$109.46
|
$1,062.72 |
263 |
|
Chemo extend IV infus w/pump
|
HCPCS G0498 |
$101.20 |
$748.55
|
$5,092.27 |
325 |
|
Cocm by rhc/fqhc 60 min mo
|
HCPCS G0512 |
$85.42 |
$87.13
|
$304.00 |
35 |
|
Comm hlth intg svs sdoh 60mn
|
HCPCS G0019 |
$29.40 |
$109.46
|
$302.40 |
43 |
|
Complex simulation w/pet-ct
|
HCPCS G0562 |
$2,131.66 |
$2,625.15
|
$5,011.20 |
43 |
|
Cont intraop neuro monitor
|
HCPCS G0453 |
$36.00 |
$73.60
|
$709.35 |
82 |
|
Corf related serv 15 mins ea
|
HCPCS G0409 |
$32.36 |
$42.40
|
$80.60 |
18 |
|
Corf skilled nursing service
|
HCPCS G0128 |
$15.01 |
$17.60
|
$63.05 |
28 |
|
Counseling visit to discuss need for ldct g0296
|
HCPCS G0296 |
$6.48 |
$102.38
|
$890.97 |
228 |
|
Demonstrate use home inr mon
|
HCPCS G0248 |
$37.40 |
$294.75
|
$949.95 |
153 |
|
Dermal filler injection(s)
|
HCPCS G0429 |
$240.80 |
$2,024.70
|
$2,837.09 |
44 |
|
Devlopment test interpt&rep
|
HCPCS G0451 |
$45.24 |
$109.46
|
$703.61 |
81 |
|
Diabetes training group per 30 min g0109
|
HCPCS G0136 |
$3.43 |
$35.43
|
$91.00 |
111 |
|
Diab manage trn ind/group
|
HCPCS G0109 |
$3.68 |
$54.99
|
$442.02 |
559 |
|
Dis site tele svcs rhc/fqhc
|
HCPCS G2025 |
$17.32 |
$96.75
|
$216.27 |
25 |
|
Drug test def 15-21 classes
|
HCPCS G0482 |
$22.36 |
$322.50
|
$2,986.81 |
314 |
|
Drug test def 1-7 classes
|
HCPCS G0480 |
$29.70 |
$263.25
|
$2,614.08 |
624 |
|
Drug test def 22+ classes
|
HCPCS G0483 |
$22.36 |
$426.24
|
$3,982.44 |
329 |
|
Drug test def 8-14 classes
|
HCPCS G0481 |
$22.36 |
$289.80
|
$2,491.56 |
364 |
|
Drug test def simple all cl
|
HCPCS G0659 |
$62.14 |
$68.35
|
$210.55 |
51 |
|
Dstry eye lesn,fdr vssl tech
|
HCPCS G0186 |
$599.55 |
$756.27
|
$2,682.40 |
43 |
|
Echo guidance radiotherapy
|
HCPCS G6001 |
$167.00 |
$322.40
|
$518.34 |
16 |
|
Ed svc ckd grp per session
|
HCPCS G0421 |
$7.32 |
$58.40
|
$143.00 |
83 |
|
Ed svc ckd ind per session
|
HCPCS G0420 |
$17.45 |
$249.60
|
$606.45 |
85 |
|
Eia hiv-1/hiv-2 screen
|
HCPCS G0432 |
$15.60 |
$48.57
|
$418.42 |
110 |
|
EKG for initial prevent exam g0403
|
HCPCS G0403 |
$4.20 |
$37.60
|
$317.85 |
58 |
|
EKG interpret & report preve g0405
|
HCPCS G0405 |
$1.93 |
$19.20
|
$161.85 |
54 |
|
EKG tracing for initial prev
|
HCPCS G0404 |
$9.90 |
$81.76
|
$484.00 |
255 |
|
Elec stim unattend for press
|
HCPCS G0281 |
$12.77 |
$95.55
|
$731.00 |
219 |
|
Electromagntic tx for ulcers
|
HCPCS G0329 |
$12.03 |
$19.20
|
$31.92 |
70 |
|
Elisa hiv-1/hiv-2 screen
|
HCPCS G0433 |
$18.29 |
$45.34
|
$376.52 |
76 |
|
Extrnl counterpulse, per tx
|
HCPCS G0166 |
$100.78 |
$431.60
|
$4,053.40 |
151 |
|
Facility svs dental rehab
|
HCPCS G0330 |
$984.48 |
$4,558.89
|
$43,980.75 |
71 |
|
Fecal microbiota prep instil
|
HCPCS G0455 |
$55.90 |
$1,009.14
|
$2,963.35 |
159 |
|
Followup eval of foot pt lop
|
HCPCS G0246 |
$9.12 |
$170.95
|
$1,556.00 |
118 |
|
G0180 home health certification
|
HCPCS G0180 |
$9.80 |
$116.00
|
$191.75 |
91 |
|
Glaucoma scrn hgh risk direc
|
HCPCS G0117 |
$26.76 |
$116.17
|
$206.08 |
81 |
|
Glaucoma scrn hgh risk direc
|
HCPCS G0118 |
$42.90 |
$88.00
|
$149.52 |
79 |
|
Group behave couns 2-10
|
HCPCS G0473 |
$28.80 |
$94.87
|
$294.06 |
98 |
|
Group mnt 2 or more 30 mins
|
HCPCS G0271 |
$8.70 |
$43.12
|
$201.00 |
245 |
|
Group train without patient
|
HCPCS G0543 |
$14.15 |
$47.60
|
$200.00 |
93 |
|
Hbot, full body chamber, 30m
|
HCPCS G0277 |
$58.95 |
$526.90
|
$4,965.72 |
573 |
|
High inten beh couns std 30m
|
HCPCS G0445 |
$5.60 |
$108.93
|
$518.70 |
130 |
|
HIV prep counsel, clin staff
|
HCPCS G0013 |
$32.56 |
$38.28
|
$86.40 |
37 |
|
Home health care supervision
|
HCPCS G0181 |
$22.68 |
$153.12
|
$494.65 |
42 |
|
Home health re-certification physician g0179
|
HCPCS G0179 |
$7.70 |
$88.80
|
$128.70 |
87 |
|
Home sleep test/type 2 porta
|
HCPCS G0398 |
$158.93 |
$503.13
|
$1,707.79 |
142 |
|
Home sleep test/type 3 porta
|
HCPCS G0399 |
$55.68 |
$570.00
|
$4,106.00 |
381 |
|
Home sleep test/type 4 porta
|
HCPCS G0400 |
$76.65 |
$613.60
|
$2,075.20 |
176 |
|
Hpv combo assay ca screen
|
HCPCS G0476 |
$16.15 |
$70.40
|
$284.80 |
121 |
|
Iliac/fem angio cath insert
|
HCPCS G0278 |
$91.80 |
$1,856.01
|
$10,819.00 |
465 |
|
Initial care training 30 m
|
HCPCS G0539 |
$47.60 |
$49.89
|
$163.30 |
56 |
|
Initial foot exam pt lops
|
HCPCS G0245 |
$11.34 |
$155.50
|
$464.80 |
117 |
|
Init/sub psych care m 1st 30
|
HCPCS G2214 |
$38.50 |
$94.34
|
$284.00 |
76 |
|
Inject for sacroiliac joint
|
HCPCS G0259 |
$64.67 |
$1,025.77
|
$5,037.18 |
159 |
|
Injection of HIV prep drug
|
HCPCS G0012 |
$33.60 |
$78.84
|
$99.00 |
37 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
HCPCS G0260 |
$80.35 |
$1,582.12
|
$8,033.46 |
437 |
|
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
|
HCPCS G0459 |
$45.00 |
$54.24
|
$271.70 |
16 |
|
Inpt/ed teleconsult30
|
HCPCS G0425 |
$16.10 |
$164.40
|
$549.25 |
55 |
|
Inpt/ed teleconsult50
|
HCPCS G0426 |
$22.82 |
$223.80
|
$746.20 |
55 |
|
Inpt/ed teleconsult70
|
HCPCS G0427 |
$32.41 |
$330.60
|
$1,103.70 |
55 |
|
Inpt/tele follow up 15
|
HCPCS G0406 |
$7.21 |
$64.80
|
$217.10 |
51 |
|
Inpt/tele follow up 25
|
HCPCS G0407 |
$12.60 |
$118.80
|
$397.80 |
52 |
|
Inpt/tele follow up 35
|
HCPCS G0408 |
$18.41 |
$171.60
|
$572.00 |
51 |
|
Insert drug del implant, >=4
|
HCPCS G0516 |
$436.10 |
$472.21
|
$640.80 |
37 |
|
Intens behave ther cardio dx
|
HCPCS G0446 |
$5.67 |
$47.60
|
$171.60 |
150 |
|
Intens cardiac rehab no exer
|
HCPCS G0423 |
$56.85 |
$238.40
|
$1,694.20 |
212 |
|
Intens cardiac rehab w/exerc
|
HCPCS G0422 |
$56.85 |
$238.40
|
$1,694.00 |
214 |
|
IV cipaglucosidase alfa-atga
|
HCPCS G0138 |
$710.92 |
$769.78
|
$1,795.00 |
32 |
|
Laparoscopy islet cell trans
|
HCPCS G0342 |
$1,078.54 |
$1,078.54
|
$3,409.25 |
6 |
|
Laparotomy islet cell transp
|
HCPCS G0343 |
$1,753.83 |
$5,647.20
|
$7,059.00 |
9 |
|
Lev 1 hosp type b ed visit
|
HCPCS G0380 |
$88.80 |
$186.98
|
$1,885.20 |
128 |
|
Lev 2 hosp type b ed visit
|
HCPCS G0381 |
$120.94 |
$359.65
|
$3,466.90 |
128 |