| STUDY IRB 16-2363 FLU VACCINE QUADRIVALENT 15 MCG/STRAIN (QUIV) OR HIGH-DOSE TRIVALENT 60 MCG/STRAIN (TIV) | 90686 | $0 |
| HC Fecal Occult Blood POC | 82270 | $22 |
| Blood Glucose Test | 82947 | $23 |
| HC Immunization Admin 1st Vaccine Thru 18yrs | 90460 | $29 |
| HC Skin Test Ppd | 86580 | $31 |
| HC Total Psa Mayo | 84153 | $41 |
| HC Urinalysis W Microscopic | 81001 | $53 |
| HC Cholesterol | 82465 | $56 |
| HC Level I Surg Path Gross Only | 88300 | $59 |
| HC Hiv Antibody | 86703 | $65 |
| HC Immunization Admin One Vaccine | 90471 | $71 |
| HC Hpv Dna Amp Probe High Risk | 87624 | $79 |
| Complete Blood Count (CBC) | 85025 | $90 |
| Hemoglobin A1c | 83036 | $100 |
| HC Psychotherapy 30 Min With Patient D | 90832 | $103 |
| HC Established Patient Level 1 | 99211 | $109 |
| HC ED Visit Level 1 | 99281 | $110 |
| Therapeutic Injection | 96372 | $113 |
| TSH Thyroid Test | 84443 | $114 |
| HC New Patient Level 2 | 99202 | $121 |
| HC Shave Epidermal Dermal Lesion Single Lesion Trunk Arms Legs 0.6 to 1.0 Cm | 11301 | $122 |
| HC Destruction Premalignant Lesions 1st Lesion | 17000 | $125 |
| HC Bone Marrow Clot Exam | 88305 | $131 |
| HC Established Patient Level 2 | 99212 | $136 |
| HC Level II Surg Path Gross and Micro | 88302 | $142 |
| HC Destroy Benign Lesions 15+ | 17111 | $143 |
| Office Visit (New Patient) | 99203 | $149 |
| HC Psychotherapy 45 Min With Patient D | 90834 | $151 |
| Lipid Panel | 80061 | $152 |
| HC Rem Skin Tags Multiple Fibrocutaneous Tags Up to and Include 15 Lesions | 11200 | $152 |
| HC Gonorrhoeae by Pcr | 87591 | $155 |
| HC Chlamydia by Pcr | 87491 | $155 |
| Office Visit (Established Patient) | 99213 | $160 |
| HC Chest 1 View | 71045 | $161 |
| HC Dexa Appendicular Skeleton | 77081 | $175 |
| HC Level III Surg Path Gross and Micro | 88304 | $176 |
| HC Special Stains Grp 1 | 88312 | $184 |
| Office Visit (New, Complex) | 99204 | $190 |
| HC Consult Report W Slide Prep | 88323 | $209 |
| HC New Patient Level 5 | 99205 | $223 |
| Chest X-Ray (2 Views) | 71046 | $225 |
| Mammogram (Screening) | 77067 | $226 |
| HC Shave Epidermal Dermal Lesion Single Lesion Scalp Neck Hands Feet Genitalia 0.5 Cm or Less | 11305 | $229 |
| HC ED Visit Level 2 | 99282 | $232 |
| Office Visit (Complex) | 99214 | $244 |
| Psychotherapy (60 min) | 90837 | $250 |
| HC Comprehensive Assessment Adolescent D | 90791 | $253 |
| Knee X-Ray | 73560 | $257 |
| Comprehensive Metabolic Panel | 80053 | $259 |
| HC Established Patient Level 5 | 99215 | $262 |
| HC Myringotomy Including Aspiration | 69420 | $272 |
| ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION | 90750 | $273 |
| HC Shoulder Comp 2 Vws | 73030 | $277 |
| HC Incision and Drainage Abscess Simple Single | 10060 | $293 |
| HC Frozen Section First Block | 88331 | $299 |
| HC Hydration IV Initial 31min-1hr | 96360 | $329 |
| HC Excision Benign Lesion T a L 0.6 to 1 Cm | 11401 | $341 |
| HC Arthrocentesis Aspir Inj Major Jnt or Bursa WO/ US Guide | 20610 | $346 |
| HC Level V Surg Path or Cyto Gross and Micro | 88307 | $405 |
| HC Excision Benign Lesion F E E N L Mm 0.5 or Less | 11440 | $439 |
| HC Level VI Surg Path Gross and Micro | 88309 | $522 |
| DEXA Bone Density Scan | 77080 | $547 |
| HC ED Visit Level 3 | 99283 | $562 |
| HC Bx Breast Needle No Image | 19100 | $978 |
| HC ED Visit Level 4 | 99284 | $1,102 |
| Echocardiogram | 93306 | $1,337 |
| Head CT Scan | 70450 | $1,357 |
| HC ED Visit Level 5 | 99285 | $1,411 |
| Epidural Steroid Injection | 64483 | $1,507 |
| HC Nasal Sinus Endo Surgical W Biopsy Polypectomy or Debridement Sep Procedure | 31237 | $2,069 |
| Lumbar Spine MRI | 72148 | $2,114 |
| Knee MRI | 73721 | $2,205 |
| Cervical Spine MRI | 72141 | $2,414 |
| HC Polysom Less Than 6 Hrs and 6 Yrs Old or More | 95810 | $2,503 |
| Brain MRI with Contrast | 70553 | $3,118 |
| HC Biopsy Prostate Single Mult | 55700 | $3,755 |