|
Lev 3 hosp type b ed visit
|
HCPCS G0382 |
$203.92 |
$598.15
|
$5,928.00 |
135 |
|
Lev 4 hosp type b ed visit
|
HCPCS G0383 |
$283.68 |
$915.40
|
$8,354.52 |
127 |
|
Lev 5 hosp type b ed visit
|
HCPCS G0384 |
$358.07 |
$1,542.68
|
$15,328.67 |
127 |
|
Md inr test revie inter mgmt
|
HCPCS G0250 |
$1.54 |
$13.73
|
$51.35 |
57 |
|
Md service required for pmd
|
HCPCS G0372 |
$1.05 |
$20.80
|
$48.75 |
64 |
|
Mnt subs tx for change dx
|
HCPCS G0270 |
$10.80 |
$56.00
|
$292.00 |
325 |
|
Molecular pathology interpr
|
HCPCS G0452 |
$9.40 |
$68.40
|
$579.00 |
99 |
|
Monthly tx for dmht 20mins
|
HCPCS G0553 |
$140.84 |
$280.00
|
$418.60 |
56 |
|
Nav srv peer sup 60 min pr m
|
HCPCS G0140 |
$73.50 |
$109.46
|
$302.40 |
45 |
|
Non-cov proc, clinical trial
|
HCPCS G0294 |
$42.90 |
$46.45
|
$98.80 |
38 |
|
Non-cov surg proc,clin trial
|
HCPCS G0293 |
$42.90 |
$46.45
|
$98.80 |
38 |
|
No pt prsnt train add 15
|
HCPCS G0542 |
$10.00 |
$47.60
|
$100.80 |
91 |
|
No pt prsnt train initial 30
|
HCPCS G0541 |
$20.00 |
$61.33
|
$201.60 |
99 |
|
Observation direct referral from physician office for admission
|
HCPCS G0379 |
$21.00 |
$384.00
|
$2,244.79 |
753 |
|
Observation per hour
|
HCPCS G0378 |
$10.81 |
$82.50
|
$821.60 |
680 |
|
Off base opioid tx, 60 m
|
HCPCS G2087 |
$84.66 |
$190.13
|
$490.96 |
49 |
|
Off base opioid tx 70min
|
HCPCS G2086 |
$84.66 |
$190.13
|
$517.14 |
49 |
|
Open tx iliac spine uni/bil
|
HCPCS G0412 |
$2,988.70 |
$7,413.38
|
$33,920.50 |
13 |
|
Open tx post pelvic fxcture
|
HCPCS G0415 |
$3,342.87 |
$4,499.12
|
$5,985.85 |
14 |
|
Opps service,sched team conf
|
HCPCS G0175 |
$101.00 |
$503.90
|
$1,360.80 |
82 |
|
Oral hiv-1/hiv-2 screen
|
HCPCS G0435 |
$11.98 |
$38.58
|
$376.52 |
84 |
|
Oth resp proc, group
|
HCPCS G0239 |
$12.53 |
$126.00
|
$1,152.25 |
627 |
|
Oth resp proc, indiv
|
HCPCS G0238 |
$12.53 |
$83.50
|
$576.96 |
576 |
|
Pelvic ring fracture uni/bil
|
HCPCS G0413 |
$840.00 |
$4,599.00
|
$15,097.50 |
107 |
|
Pelvic ring fx treat int fix
|
HCPCS G0414 |
$4,189.90 |
$7,413.38
|
$9,977.57 |
13 |
|
Percutaneous islet celltrans
|
HCPCS G0341 |
$418.65 |
$1,870.88
|
$1,996.15 |
29 |
|
Pet not otherwise specified
|
HCPCS G0235 |
$417.95 |
$1,070.40
|
$8,939.15 |
76 |
|
Pild/placebo control clin tr
|
HCPCS G0276 |
$840.80 |
$7,907.11
|
$9,977.57 |
38 |
|
Pin service 60m per month
|
HCPCS G0023 |
$26.44 |
$114.00
|
$741.00 |
114 |
|
Placement occlusive device venous/arterial access site post procedure
|
HCPCS G0269 |
$30.78 |
$572.00
|
$5,503.55 |
541 |
|
Post d/c phone follow up
|
HCPCS G0544 |
$99.55 |
$153.95
|
$202.16 |
56 |
|
Post op service lvrs min 6
|
HCPCS G0305 |
$275.79 |
$948.13
|
$1,636.08 |
72 |
|
Pre-op service lvrs 10-15dos
|
HCPCS G0303 |
$296.91 |
$1,568.00
|
$3,907.86 |
64 |
|
Pre-op service lvrs 1-9 dos
|
HCPCS G0304 |
$513.11 |
$1,579.20
|
$2,062.26 |
63 |
|
Pre-op service lvrs complete
|
HCPCS G0302 |
$360.43 |
$948.13
|
$5,072.00 |
61 |
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
HCPCS G0402 |
$23.02 |
$188.86
|
$1,886.30 |
247 |
|
Prolong home eval add 15m
|
HCPCS G0318 |
$43.95 |
$63.28
|
$158.60 |
48 |
|
Prostate biopsy, any mthd
|
HCPCS G0416 |
$35.53 |
$492.80
|
$4,916.40 |
550 |
|
Prostate ca screening; dre
|
HCPCS G0102 |
$3.43 |
$29.16
|
$139.20 |
133 |
|
Provide inr test mater/equip
|
HCPCS G0249 |
$91.65 |
$250.08
|
$1,033.20 |
148 |
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
HCPCS G2212 |
$5.53 |
$53.62
|
$174.20 |
119 |
|
Pr visit complexity e&m service serious/complex condition
|
HCPCS G2211 |
$2.73 |
$27.30
|
$149.76 |
99 |
|
Psychoeducation 45 min +
|
HCPCS G0177 |
$51.71 |
$201.45
|
$862.30 |
176 |
|
Psychthrp grp 45-50min mcr
|
HCPCS G0410 |
$43.95 |
$243.88
|
$992.40 |
181 |
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
HCPCS G0283 |
$5.46 |
$83.00
|
$614.00 |
514 |
|
Recon, cta for surg plan
|
HCPCS G0288 |
$63.71 |
$713.50
|
$5,546.60 |
166 |
|
Remot img sub by pt, non e/m
|
HCPCS G2250 |
$9.75 |
$11.30
|
$11.72 |
24 |
|
Removal of impacted wax md
|
HCPCS G0268 |
$40.09 |
$128.00
|
$212.00 |
94 |
|
Remove drug implant
|
HCPCS G0517 |
$397.79 |
$472.21
|
$614.27 |
46 |
|
Remove w insert drug implant
|
HCPCS G0518 |
$436.10 |
$472.21
|
$1,275.20 |
37 |
|
Replacment pt electronic sys
|
HCPCS G0555 |
$1,111.89 |
$1,203.94
|
$2,223.20 |
42 |
|
Risk ascvd tst once pr 12 mo
|
HCPCS G0537 |
$3.43 |
$35.25
|
$240.50 |
93 |
|
Robot lin-radsurg com, first
|
HCPCS G0339 |
$973.94 |
$12,857.60
|
$76,285.00 |
35 |
|
Robt lin-radsurg fractx 2-5
|
HCPCS G0340 |
$694.83 |
$9,934.40
|
$32,933.45 |
34 |
|
Routine footcare pt w lops
|
HCPCS G0247 |
$15.12 |
$223.08
|
$1,556.00 |
119 |
|
Safety plan interven
|
HCPCS G0560 |
$36.58 |
$47.60
|
$66.20 |
55 |
|
Sbrt w/positron emission del
|
HCPCS G0563 |
$4,098.85 |
$4,438.19
|
$14,509.80 |
43 |
|
Scr c/v cyto, automated sys
|
HCPCS G0147 |
$18.19 |
$36.80
|
$118.97 |
86 |
|
Scr c/v cyto,autosys and md
|
HCPCS G0141 |
$32.76 |
$55.20
|
$74.10 |
31 |
|
Scr c/v cyto, autosys, rescr
|
HCPCS G0148 |
$31.94 |
$59.28
|
$153.44 |
87 |
|
Scr c/v cyto,thinlayer,rescr
|
HCPCS G0144 |
$43.97 |
$88.00
|
$217.84 |
86 |
|
Scr c/v cyto,thinlayer,rescr
|
HCPCS G0145 |
$22.50 |
$85.15
|
$324.80 |
283 |
|
Scr c/v cyto,thinlayer,rescr
|
HCPCS G0143 |
$27.05 |
$54.40
|
$210.65 |
94 |
|
Screen cerv/vag thin layer
|
HCPCS G0123 |
$8.10 |
$86.56
|
$500.00 |
239 |
|
Screen c/v thin layer by md
|
HCPCS G0124 |
$32.76 |
$74.10
|
$119.00 |
51 |
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
HCPCS G0328 |
$10.20 |
$57.60
|
$547.26 |
331 |
|
Screening hepatitis b non-obstetric high risk
|
HCPCS G0499 |
$20.16 |
$60.00
|
$467.00 |
190 |
|
Screening hepatitis c antibody high risk
|
HCPCS G0472 |
$8.12 |
$93.60
|
$715.42 |
178 |
|
Screening HIV antigen/antibody combination assay
|
HCPCS G0475 |
$24.08 |
$42.30
|
$217.25 |
154 |
|
Screening prostate cancer PSA
|
HCPCS G0103 |
$7.00 |
$101.60
|
$1,031.08 |
659 |
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
HCPCS G0500 |
$11.40 |
$225.04
|
$859.00 |
246 |
|
Semen analysis
|
HCPCS G0027 |
$6.50 |
$13.60
|
$108.00 |
96 |
|
Single energy x-ray study
|
HCPCS G0130 |
$19.61 |
$125.84
|
$610.40 |
83 |
|
Software meas of cardiac vol
|
HCPCS G0183 |
$96.23 |
$97.54
|
$119.66 |
12 |
|
Stereoscopic x-ray guidance
|
HCPCS G6002 |
$48.60 |
$136.00
|
$254.10 |
18 |
|
Supply of digital device
|
HCPCS G0552 |
$140.84 |
$280.00
|
$418.60 |
56 |
|
Therapeutic procd strg endur
|
HCPCS G0237 |
$11.97 |
$85.68
|
$833.00 |
587 |
|
Therapy activity per session >= 45 minutes
|
HCPCS G0176 |
$72.73 |
$191.50
|
$961.83 |
117 |
|
Tomosynthesis breast diagnostic left
|
HCPCS G0279 |
$4.90 |
$74.10
|
$667.00 |
596 |
|
Train for caregiver add 15
|
HCPCS G0540 |
$26.30 |
$47.60
|
$81.65 |
56 |
|
Training self management diabetes individual outpatient department per 30 minutes
|
HCPCS G0108 |
$11.83 |
$102.27
|
$597.00 |
605 |
|
Trauma partial team response w/critical care services level 4
|
HCPCS G0390 |
$336.73 |
$4,523.04
|
$44,829.51 |
517 |
|
Trim nail(s)
|
HCPCS G0127 |
$7.50 |
$79.00
|
$755.50 |
291 |
|
Unsched dialysis esrd pt hos
|
HCPCS G0257 |
$96.76 |
$1,292.33
|
$10,251.00 |
624 |
|
Ven blood coll snf/hha
|
HCPCS G0471 |
$5.02 |
$15.65
|
$38.10 |
82 |
|
Visit esketamine, > 56m
|
HCPCS G2083 |
$588.03 |
$2,221.39
|
$3,799.64 |
120 |
|
Visit esketamine 56m or less
|
HCPCS G2082 |
$673.71 |
$1,646.25
|
$8,126.36 |
121 |
|
Visit established high 40-54 minutes/level 5
|
HCPCS G0463 |
$24.32 |
$240.50
|
$2,339.00 |
364 |
|
Warfarin respon genetic test
|
HCPCS G9143 |
$132.79 |
$879.32
|
$1,142.40 |
61 |
|
Wound closure by adhesive
|
HCPCS G0168 |
$6.80 |
$138.25
|
$926.54 |
217 |