| Citalopram (Celexa) | 90460 | $1 |
| Occult Blood Feces | 82270 | $3 |
| Hemoglobin A1c | 83036 | $6 |
| Urinalysis test using microscope | 81001 | $6 |
| Skin Test Tuberculosis Intradermal | 86580 | $7 |
| Blood Glucose Test | 82947 | $8 |
| Complete Blood Count (CBC) | 85025 | $8 |
| Cholesterol | 82465 | $9 |
| Therapeutic Injection | 96372 | $10 |
| EKG (Electrocardiogram) | 93000 | $10 |
| Lipid Panel | 80061 | $16 |
| Immunization Admin | 90471 | $17 |
| Comprehensive Metabolic Panel | 80053 | $21 |
| Shaving Skin Lesion 1 Trunk/arm/leg Diam 0.5cm/< | 11300 | $21 |
| Knee X-Ray | 73560 | $25 |
| Tissue I Gross Only | 88300 | $25 |
| Chest X-Ray (2 Views) | 71046 | $25 |
| Radex Shoulder Complete Minimum 2 Views | 73030 | $25 |
| Hiv 1/2 Ab | 86703 | $26 |
| Office/outpatient Visit Est Level 2 | 99212 | $28 |
| Simple Repair Scalp/neck/ax/genit/trunk 2.5cm/< | 12001 | $33 |
| TSH Thyroid Test | 84443 | $34 |
| Total prostate-specific antigen (PSA) test | 84153 | $37 |
| Arthrocentesis Aspir&/inj Major Jt/bursa W/o Us | 20610 | $39 |
| Tissue Ii Biopsy, Mi | 88302 | $40 |
| Office Visit (Established Patient) | 99213 | $46 |
| Office/outpatient Visit New Level 2 | 99202 | $47 |
| Psychotherapy, 30 min | 90832 | $48 |
| Dest Premalignant Lesions, 1st Lesion | 17000 | $49 |
| Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.5 Cm/< | 11400 | $51 |
| Emergency Dept Visit Low Mdm | 99283 | $53 |
| Tissue Iii Biopsy, M | 88304 | $55 |
| Tissue Iv Biopsy, Mi | 88305 | $55 |
| Path Consult, Referr | 88323 | $55 |
| Xr Chest 1v Cva Plac | 71045 | $55 |
| Special Stains I | 88312 | $55 |
| Neisseria Gonorrhoea | 87591 | $63 |
| Psychotherapy, 45 min | 90834 | $63 |
| Prev Visit Est Age 40-64 | 99396 | $63 |
| Prev Visit Est Age 18-39 | 99395 | $63 |
| Initial new patient preventative medicine evaluation (40-64 years) | 99386 | $63 |
| Initial new patient preventative medicine evaluation (18-39 years) | 99385 | $63 |
| C.trachomatis Amp | 87491 | $63 |
| Xr Dxa Appendicular | 77081 | $64 |
| Ed Level I | 99281 | $66 |
| Office Visit (New Patient) | 99203 | $66 |
| Emergency Dept Visit | 99284 | $73 |
| Shvg Skin Lesion 1 Trunk/arm/leg Diam 0.6-1.0 Cm | 11301 | $73 |
| Incision & Drainage Abscess Simple/single | 10060 | $77 |
| Mammogram (Screening) | 77067 | $77 |
| Shave Epid/dermal Lesion Single Sc/nk/h/ft/gen .5 Cm Or Less | 11305 | $78 |
| Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 | 11200 | $80 |
| Iv Hydrat 1st Hr | 96360 | $81 |
| Destruct B9 Lesion 1-14 | 17110 | $83 |
| Psychotherapy (60 min) | 90837 | $86 |
| Tlh W/t/o 250g Or Less Assist | 58571 | $88 |
| Office Visit (Complex) | 99214 | $89 |
| Office/outpatient Visit Est Level 5 | 99215 | $93 |
| Tympanostomy (Requiring Insertion Of Ven | 69436 | $97 |
| Diagnostic exam of esophagus, stomach or small bowel using an endoscope | 43235 | $100 |
| Office Visit (New, Complex) | 99204 | $101 |
| Exc Face-mm B9+marg Excised 0.5 Cm/< | 11440 | $105 |
| Exc B9 Lesion Margins Tr/arm/leg 0.6 To 1.0 Cm | 11401 | $114 |
| Nasal/sinus Endoscopy Surg | 31237 | $117 |
| Er Consulation High | 99285 | $125 |
| New patient office or other outpatient visit, 60 min | 99205 | $127 |
| Epidural Steroid Injection | 64483 | $132 |
| Ed Level Ii | 99282 | $135 |
| Colonoscopy | 45378 | $145 |
| Tonsillectomy, Primary Or Secondary; Age | 42826 | $155 |
| Tonsillectomy, Primary Or Secondary; You | 42825 | $157 |
| Removal of polyps or growths of large bowel using an endoscope | 45385 | $164 |
| Colonoscopy with Biopsy | 45380 | $174 |
| Path Consult W Frzn | 88331 | $175 |
| Removal of tonsils and adenoid glands, patient younger than age 12 | 42820 | $177 |
| Tonsillectomy And Adenoidectomy; Age 12 | 42821 | $184 |
| Upper Endoscopy with Biopsy | 43239 | $200 |
| DEXA Bone Density Scan | 77080 | $233 |
| Submucous Resection Inferior Turbinate | 30140 | $263 |
| Removal of one knee cartilage using an endoscope | 29881 | $325 |
| Tissue V Biopsy Micr | 88307 | $360 |
| Laparoscopy, Surgical, Appendectomy | 44970 | $381 |
| Mastectomy Partial | 19301 | $405 |
| Septoplasty Or Submucous Resection, Wit | 30520 | $411 |
| Laparoscopic Cholecystectomy | 47562 | $418 |
| Excision Procedure On The Thyroid Gland | 60210 | $426 |
| Partial Removal Of Thyroid | 60220 | $438 |
| Echocardiogram | 93306 | $482 |
| Head CT Scan | 70450 | $501 |
| Mastectomy Partial W/axillary Lymphadenectomy | 19302 | $555 |
| Excision Procedures On The Parathyroid, Thymus, Adrenal Glands, Pancreas, And Carotid Body | 60500 | $582 |
| Laparo-vag Hyst Incl T/o | 58552 | $607 |
| Hysterectomy Total | 58150 | $619 |
| Mastectomy Simple Complete | 19303 | $620 |
| Vaginal Hyst, For Uterus 250g Or Less | 58260 | $633 |
| Knee MRI | 73721 | $646 |
| Shoulder Arthroscopy | 29827 | $648 |
| Arthroscopically Aided Anterior Cruciate | 29888 | $657 |
| Lumbar Spine MRI | 72148 | $666 |
| Cervical Spine MRI | 72141 | $666 |
| Open Treatment Of Femoral Fracture, Prox | 27236 | $715 |
| Mast Modf Rad W/ax Lymph Nod W/wo Pect/alis Min | 19307 | $734 |
| Tissue Vi Biopsy Mic | 88309 | $825 |
| Revision Of Total Knee Arthroplasty, Wit | 27486 | $859 |
| Total Knee Replacement | 27447 | $905 |
| Total Hip Replacement | 27130 | $905 |
| Brain MRI with Contrast | 70553 | $1,078 |
| Revision Of Total Knee Arthroplasty, W/wo Allograft, Femoral & Entire Tibial Component | 27487 | $1,275 |
| Sleep study | 95810 | $2,463 |