| Blood Glucose Test | 82947 | $10 |
| Chemistry | 82465 | $10 |
| Determine Refractive State | 92015 | $16 |
| Office Visit | 99211 | $16 |
| Lipid Panel | 80061 | $18 |
| TSH Thyroid Test | 84443 | $18 |
| Hemoglobin A1c | 83036 | $18 |
| Urinalysis | 81001 | $19 |
| Office Visit | 99212 | $20 |
| Office Visit (Established Patient) | 99213 | $23 |
| Chemistry | 84153 | $23 |
| Office Visit | 99202 | $26 |
| Comprehensive Metabolic Panel | 80053 | $26 |
| Psych Diagnostic Evaluation | 90791 | $26 |
| IV Therapy | 96360 | $27 |
| Immunology | 86580 | $28 |
| Complete Blood Count (CBC) | 85025 | $29 |
| Surgical Pathology study | 88300 | $29 |
| Office Visit (Complex) | 99214 | $30 |
| Destruct Premalg Lesion | 17000 | $35 |
| Cptr Ophth Dx Img Post Segmt | 92134 | $35 |
| Office Visit (New Patient) | 99203 | $37 |
| Office Visit | 99215 | $39 |
| Office Visit (New, Complex) | 99204 | $39 |
| Immunization administration | 90471 | $42 |
| Office Visit | 99205 | $42 |
| EKG (Electrocardiogram) | 93000 | $43 |
| Drainage/injection major joint | 20610 | $44 |
| Emergency Room visit | 99281 | $45 |
| Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital | 87591 | $47 |
| Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital | 87491 | $47 |
| Visual Field Examination | 92083 | $48 |
| Shaving of Skin Lesion, Single Les | 11300 | $48 |
| Exc Face-Mm B9+Marg 0.5 | 11440 | $49 |
| Shave skin lesion | 11305 | $53 |
| Destruct B9 Lesion, 1-14 | 17110 | $58 |
| Surgical Pathology study | 88302 | $59 |
| Therapeutic Injection | 96372 | $61 |
| Eye Exam Established Pat | 92012 | $61 |
| Surgical Pathology study | 88307 | $64 |
| Exc Tr-Ext B9+Marg 0.5 < | 11400 | $67 |
| Shaving skin lesion, single lesion | 11301 | $68 |
| Exc Tr-Ext B9+Marg 0.6-1 | 11401 | $69 |
| Removal of skin tags | 11200 | $80 |
| Hpv Genotyping Pcr | 87624 | $82 |
| Eye Exam & Treatment | 92014 | $88 |
| Emergency Room visit | 99282 | $88 |
| Incision of Eardrum | 69420 | $89 |
| Psytx W Pt 30 Minutes | 90832 | $96 |
| Surgical Pathology study | 88309 | $98 |
| Prev Visit, Est, Age 18-39 | 99395 | $100 |
| Repair superficial wound | 12001 | $102 |
| Drainage of skin abscess | 10060 | $102 |
| X-ray chest | 71045 | $104 |
| Eye Exam, New Patient | 92004 | $106 |
| Prev Visit, Est, Age 40-64 | 99396 | $107 |
| Prev Visit, New, Age 18-39 | 99385 | $111 |
| Surgical Pathology study | 88312 | $111 |
| Destruction of benign lesions, 15 or more | 17111 | $113 |
| Remove Eyelid Lesion | 67800 | $117 |
| Knee X-Ray | 73560 | $127 |
| Prev Visit, New, Age 40-64 | 99386 | $128 |
| X-ray; shoulder | 73030 | $134 |
| Emergency Room visit | 99283 | $135 |
| Psychotherapy; 45 minutes | 90834 | $136 |
| Chest X-Ray (2 Views) | 71046 | $142 |
| Bone Density | 77081 | $147 |
| Bx Breast Percut W/O Ima | 19100 | $148 |
| Surgical Pathology study | 88304 | $151 |
| Hzv Zoster Vacc Recombinant Adjuvanted Im Njx | 90750 | $154 |
| Psychotherapy (60 min) | 90837 | $188 |
| Surgical Pathology study | 88305 | $207 |
| Mammogram (Screening) | 77067 | $244 |
| Emergency Room visit | 99284 | $254 |
| Tympanostomy | 69436 | $289 |
| Nasal/Sinus Endoscopy, S | 31237 | $312 |
| Upper Endoscopy with Biopsy | 43239 | $327 |
| Emergency Room visit | 99285 | $374 |
| Ablate Inf Turbinate, Su | 30801 | $406 |
| Removal of Tonsils | 42826 | $452 |
| DEXA Bone Density Scan | 77080 | $479 |
| Remove tonsils and adenoids | 42820 | $520 |
| Esophagogastroduodenoscopy, diagnostic | 43235 | $530 |
| Remove tonsils and adenoids | 42821 | $542 |
| Colonoscopy | 45378 | $699 |
| Resect Inferior Turbinat | 30140 | $776 |
| Epidural Steroid Injection | 64483 | $832 |
| Colonoscopy with Biopsy | 45380 | $838 |
| Head CT Scan | 70450 | $875 |
| Echocardiogram | 93306 | $891 |
| Colonoscopy with lesion removal | 45385 | $941 |
| Appendectomy | 44970 | $986 |
| Appendectomy | 44950 | $1,058 |
| Repair of Nasal Septum | 30520 | $1,090 |
| Knee Arthroscopy/Surgery | 29881 | $1,197 |
| Laparoscopic Cholecystectomy | 47562 | $1,230 |
| Appendectomy | 44960 | $1,437 |
| Partial Mastectomy | 19301 | $1,439 |
| Knee MRI | 73721 | $1,623 |
| Masectomy; simple complete | 19303 | $1,634 |
| Total hysterectomy | 58150 | $1,708 |
| Laparo-Vag Hyst Incl T/O | 58552 | $1,741 |
| Masectomy; radical | 19307 | $1,951 |
| Cervical Spine MRI | 72141 | $2,057 |
| Lumbar Spine MRI | 72148 | $2,057 |
| Knee Arthroscopy/Surgery | 29888 | $2,208 |
| Shoulder Arthroscopy | 29827 | $2,339 |
| Treat thigh fracture | 27236 | $2,621 |
| Sleep study | 95810 | $2,703 |
| Total Knee Replacement | 27447 | $2,967 |
| Total Hip Replacement | 27130 | $2,968 |
| Revision of total knee replacement | 27486 | $3,082 |
| Brain MRI with Contrast | 70553 | $3,093 |
| Revision of total knee replacement | 27487 | $3,929 |