In 2017 the Senate spent a lot of time discussing ways to increase transparency in healthcare. Senate Bill (SB) 17-065 passed, which ensures that “self-pay” prices of common health care services are accessible to the public. We at Lincoln Health actively supported this bill because it aligns with our principle of providing the highest level of quality healthcare to our community at the lowest price possible.

 

 

Price Estimator UNDER CONSTRUCTION! IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT WITH YOUR HEALTH INSURER TO DETERMINE ACCURATE INFORMATION ABOUT YOUR FINANCIAL RESPONSIBILITY FOR A PARTICULAR HEALTH CARE SERVICE PROVIDED AT LINCOLN COMMUNITY HOSPITAL, CLINICS OR CARE CENTER. IF YOU ARE NOT COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONTACT OUR PATIENT FINANCIAL COUNSELOR JAIMI BOGART (719)743-2294 TO DISCUSS PAYMENT OPTIONS PRIOR TO RECEIVING A HEALTH CARE SERVICE FROM THIS HEALTH CARE FACILITY SINCE POSTED HEALTH CARE PRICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY.

In-Patient Charges

36415Lab- Veinpuncture$20.00
85025Lab-Complete Blood Count$43.00
80048Lab-Basic Metabolic Panel$125.00
80053
Lab-Comprehensive Metabolic Panel
$145.00
97162Physical Therapy- PT Evaluation Moderate$150.00
71020Radiology- Chest 2 View X-Ray$295.00
97110Physical Therapy- Therapeutic Exercise 15 minute session$70.00
97530Physical Therapy- Functional Evaluation 15 minute session$70.00
83880
Lab-B Type Natriuretic Peptide (BNP)$85.00
81001Lab-Routine UA$18.00
93005Radiology-Electrocardiogram (EKG)$225.00
85610Lab-Protime$45.00
97116Physical Therapy-Gait Training (Complex) 15 minute session$70.00
97165Occupational Therapy-Evaluation Low Complexity$150.00
97166Occupational Therapy-Evaluation Moderate Complexity$150.00
97535Physical Therapy-Activites/ Daily Living Evaluation$70.00
84512Lab- Troponin$155.00
83735Lab- Magnesium Test$45.00
97161Physical Therapy- PT Evaluation Low Complexity$150.00
87086Lab-Urine Culture$29.70
84443Lab-Thyroid Stimulating Hormone (THS)$65.00
87040Lab-Aerobic/ Anaerobic Blood Culture$145.00
82270Lab-Hemoculture$30.00
80202Lab-Vancomycin Peak Test$0.00
36592Lab-IV PICC Line Insertion$125.00
83605Lab-Lactate$110.00
93307Radiology-Echocardiogram Complete$1575.00
94762Respiratory Therapy-Pulse Ox/O2 Saturation$21.60
85379Lab-D-Dimer$165.00
83036Lab-Hemoglobin A1c$125.00

Out-Patient Charges

99214Clinic – Office Visit Established Patient, Level 2$210.00
85025Lab-Complete Blood Count$43.00
80053Lab – Comprehensive Metabolic Panel$145.00
99213Clinic – Office Visit Established Patient, Level 3$135.00
99211Clinic – Office Visit Established Patient, Level 1$150.00
85610Lab – Protime$45.00
80061Lap Lipid Profile$65.00
96372ER Injection$27.00
99283ER Level 3 ER Visit$805.00
90471Clinic-Immunization Administration Fee$8.00
90832Behavioral Health- 30 minute Individual Session$70.00
93005Radiology- Diagnostic Electrocardiogram (EKG)$225.00
36592Lab- Blood Draw$125.00
71020Radiology- Chest Tube View X-Ray$295.00
99284ER- Level 4 ER Visit$1314.00
99201Clinic-Office Visit New Patient Level 1$100.00
90656Pharmacy- Flu Vaccination$25.00
96365ER-IV Infusion First Hour$343.00
97140Physical Therapy- Manual Therapeutic Exercise 15 minute session$70.00
96374ER-IV Push-initial$65.00
99080Clinic-Office Visit- CDL Physical$50.00
81003Lab-Dipstick-UA Only$8.00
99336Office Visit – Assisted Care Established Patient Moderate Complexity$80.00
97162Physical Therapy- Evaluation Moderate Complexity$150.00
99282ER-Level 2 ER Visit$404.00
90853Behavioral Health- Group Counseling Session$31.00
G0103Lab-Prostate Specific Antigen Screening (Annually)$62.00
87430Lab-Rapid Group A$18.00
96375ER-IV Infuison Additional After First Hour$27.00
Price Estimator Under Construction

Lincoln Health Price Estimator is currently under construction- please contact Jaimi Bogart at 719-743-2421 if you need an estimate for any serice.

Our goal is to provide meaningful and reliable information to help you understand prices in advance of your procedure. We have put together the top inpatient and outpatient procedure costs for self-pay individuals to give you an estimate of the expected pricing for commonly provided health care services at Lincoln Health.

Actual prices on your final bill may vary from this information based on the patient’s medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered by the attending physician(s). Please be advised that while the hospital/clinic attempts to estimate the prices of care as accurately as possible, there may be significant variations between the prices listed and the actual price reflected on your final bill.

 

Chargemaster

LONG_DESCRIPTIONLCHN_CDM DescriptionLCHN_CPTLCHN_HCPCSLCHN_Hosp_ProFee_PriceLCHN_Hosp_Tech_PriceMedicare 061306Medicare 06Z306
70498 - CT Angio Neck70498 - CT Angio Neck704982015.71
71250 - CT Chest w/o Contrast71250 - CT Chest w/o Contrast712501978
71270 - CT Chest w/ + w/o Contrast71270 - CT Chest w/ + w/o Contrast712701420
74177 - CT Abdomen and Pelvis w/ Contrast74177 - CT Abdomen and Pelvis w/ Contrast741772233.5
77063 - Mammo/Screening- BILAT77063-Digital breast Tomo screening77063136
82310 - ADD ONCalcium, total823107.19
82330 - PTH, Intact (ICMA) and Ionized Calcium QST82330 - PTH, Intact (ICMA) and Ionized Calcium QST82330104
8257082570825700
82570 - ADD ON82570 - Creatinine82570400.95
82570 Calcium 24 Hour Urine with Creatinine QST82570 Calcium 24 Hour Urine with Creatinine QST825706.5
82784 - IgG QST ADD ON82784 - IgG QST ADD ON8278419
83519 Myasthenia Gravis Panel 2 QST83519 Myasthenia Gravis Panel 2 QST83519139
83520 - ADD ONImmunoassay for analyte other than infectious agent antibody83520150
83540 ADD ONIron835400
8383583835838350
83970 - ADD ONParathormone (parathyroid hormone)8397081.25
83970 - PTH, Intact (ICMA) and Ionized Calcium QST83970 - PTH, Intact (ICMA) and Ionized Calcium QST83970104
84133 - Potassium, Random Urine with Creatinine8413313
84154 PSA (Free and Total) QSTPSA Free8415420.5
84155 - ADD ONProtein, total, except by refractometry; serum, plasma or wh841557.19
84156 Protein, Total, 24-Hour Urine with Creat84156 Protein, Total, 24-Hour Urine with Creat8415613.5
84156-Protein, Total and Protein Electrophoresis, Random Urine (REFL) QST84156-Protein, Total and Protein Electrophoresis, Random Uri8415627
84165 - ADD ONProtein; electrophoretic fractionation and quantitation, ser8416525
84166-Protein, Total and Protein Electrophoresis, Random Urine (REFL) QST84166-Protein, Total and Protein Electrophoresis, Random Uri8416627
84182 Anti-Synthetase Panel 1 QST84182 Anti-Synthetase Panel 1 QST84182108.2
84182 Systemic Sclerosis (Scleroderma) 12 Antibodies Panel 2\r QSTProtein; Western Blot, with interpretation and report, blood84182108.16
85613 - ADD ONRussell viper venom time (includes venom); diluted8561336.3
85730 - ADD ONThromboplastin time, partial (PTT); plasma or whole blood8573016.25
86003 Respiratory Allergy Profile Region XI: AZ,CO,ID QST86003 Respiratory Allergy Profile Region XI: AZ,CO,ID QST8600312.62
86038 - ADD ONAntinuclear antibodies (ANA);8603818.09
86160-Complement Component C3, C4, QST86160-Complement Component C3, C4, QST8616047
86200 - ADD ONCyclic citrullinated peptide (CCP), antibody86200112.5
86235 Anti-Synthetase Panel 1 QST86235 Anti-Synthetase Panel 1 QST86235108.2
86235 Systemic Sclerosis (Scleroderma) 12 Antibodies Panel 2\r QSTExtractable nuclear antigen, antibody to, any method (eg, nR86235108.16
86331 - Hypersensitivity Pneumonitis Screen QST86331 - Hypersensitivity Pneumonitis Screen QST86331196
86355 - ADD ONB cells, total count8635594.88
86357 - ADD ONNatural killer (NK) cells, total count8635788.07
86359 - ADD ONT cells; total count8635994.88
86359 T and B Cells, Total QST86359 T and B Cells, Total QST8635947.5
86360 - ADD ONT cells; absolute CD4 and CD8 count, including ratio86360185.23
86364 - Transglutaminase Antibody QST86364 - Transglutaminase Antibody QST86364227.8
86431 - ADD ON8643128.23
86609 - Hypersensitivity Pneumonitis Screen QST86609 - Hypersensitivity Pneumonitis Screen QST86609196
86611-B. Henselae Ab (IgG, IgM) w/reflex to titers86611-B. Henselae Ab (IgG, IgM) w/reflex to titers8661193
86666-Anaplasma Phgocytophilum Ab (IgG, IgM) QST86666-Anaplasma Phgocytophilum Ab (IgG, IgM) QST86666174
86666-EHRLICHIA CHAFFEENSIS (IGG,IGM) QST86666-EHRLICHIA CHAFFEENSIS (IGG,IGM) QST86666174
86735-Mumps Virus Antibodies (IgG, IgM), Diagnostic QST86735-Mumps Virus Antibodies (IgG, IgM), Diagnostic QST8673586
86738-Mycoplasma pneumoniae Ab (IgG, IgM)86738-Mycoplasma pneumoniae Ab (IgG, IgM)8673873
86747-Parvovirus B19 Abs (IgG, IgM) QST86747-Parvovirus B19 Abs (IgG, IgM) QST8674742
86753-Babesia microti Antibodies (IgG, IgM)86753-Babesia microti Antibodies (IgG, IgM)86753101
86790-Hantavirus Ab (IgG, IgM) QST86790-Hantavirus Ab (IgG, IgM) QST8679075
86901 - ADD ON86901 - RH86901103
87015 - ADD ONConcentration (any type), for infectious agents8701518.75
87045 - ADD ONCulture, bacterial; stool, aerobic, with isolation and preli8704518.68
87102 - ADD ONCulture, fungi (mold or yeast) isolation, with presumptive i8710243.49
87103 - ADD ONCulture, fungi (mold or yeast) isolation, with presumptive i8710376.36
87106 - ADD ONCulture, fungi, definitive identification, each organism; ye8710642.54
87107 - ADD ONCulture, fungi, definitive identification, each organism; mo8710742.54
87116 - ADD ONCulture, tubercle or other acid-fast bacilli (eg, TB, AFB, m8711667.23
87143 - ADD ONCulture, typing; gas liquid chromatography (GLC) or high pre8714362.05
87149 - ADD ONCulture, typing; identification by nucleic acid (DNA or RNA)8714953.83
87206 - ADD ONSmear, primary source with interpretation; fluorescent and/o8720632
87206 - ADD ONSmear, primary source with interpretation; fluorescent and/o8720632
87427 - ADD ONInfectious agent antigen detection by immunoassay technique8742785.19
87449 - ADD ONInfectious agent antigen detection by immunoassay technique8744926.11
87529-Herpes Simplex Virus, T1 and 2 DNA, Qu. Real Time PCR QST87529-Herpes Simplex Virus, T1 and 2 DNA, Qu. Real Time PCR87529153.5
87591 - ADD ONInfectious agent detection by nucleic acid (DNA or RNA); Nei8759175
88271-FISH, AML, CBFB/MYH11 QST88271-FISH, AML, CBFB/MYH11 QST88271475
Bilirubin Direct82248 - Bilirubin Direct8224855
Epstein Barr Virus Ab Panel QSTEpstein Barr Virus Ab Panel QST86665142.01
Food and Tree Nut Allergy 86003Food and Tree Nut Allergy 86003860030
LCHN Creatinine82570 - Creatinine8257017.5
LCHN Ferritin82728 Ferritin827280
LCHN Transferrin84466 Transferrin844660
Testosterone,Free(Dialysis),Total,MS QST8440375
10021 Fine needle aspiration; without imaging guidance10021 - Fine needle aspiration; without imaging guidance10021
10030 Image Guided Catheter Fluir Collection Drainage10030 - Image Guided Catheter Fluir Collection Drainage10030
10040 Acne Surgery10040 - Acne Surgery10040
10060 Incision and drainage of abscess; simple or single10060 - Incision and drainage of abscess; simple or single10060
10061 Incision and drainage of abscess; complicated or multiple10061 - Incision and drainage of abscess; complicated or multiple10061
10081 Incision and drainage of pilonidal cyst; complicated10081 - Incision and drainage of pilonidal cyst; complicated10081
10120 Incision and removal of foreign body, subcutaneous tissues; simple10120 - Incision and removal of foreign body subcutaneous tissues; simple10120
10121 Incision and removal of foreign body, subcutaneous tissues; complicated10121 - Incision and removal of foreign body subcutaneous tissues; complicated10121
10140 Incision and drainage of hematoma, seroma or fluid collection10140 - Incision and drainage of hematoma seroma or fluid collection10140
10160 Puncture aspiration of abscess, hematoma, bulla, or cyst10160 - Puncture aspiration of abscess hematoma bulla or cyst10160
10180 I&D Complex Post-Operative Wound Infection Tech10180 I andD Complex Post-Operative Wound Infection Tech10180
10180 I&D Complex Post-Operative Wound Infection Pro10180 I andD Complex Post-Operative Wound Infection Pro10180
11042 Debridement, subcutaneous tissue; first 20 sq cm or less11042 - Debridement subcutaneous tissue; first sq cm or less11042
11043 Debridement, muscle and/or fascia; first 20 sq cm or less11043 - Debridement muscle and/or fascia; first sq cm or less11043
11055 Paring or cutting of benign hyperkeratotic lesion; single lesion11055 - Paring or cutting of benign hyperkeratotic lesion; single lesion11055
11056 Paring or cutting of benign hyperkeratotic lesion; 2 to 4 lesions11056 - Paring or cutting of benign hyperkeratotic lesion; to lesions11056
11057 Paring or cutting of benign hyperkeratotic lesion; more than 4 lesions11057 - Paring or cutting of benign hyperkeratotic lesion; more than lesions11057
11102 Tangential biopsy of skin (shave,curette); single lesion11102 - Tangential biopsy of skin (shavecurette); single lesion11102
11103 Tangential biopsy of skin (shave,curette); each addtl lesion11103 - Tangential biopsy of skin (shavecurette); each addtl lesion11103
11104 Punch biopsy of skin (including simple closure, when performed); single lesion11104 - Punch biopsy of skin (including simple closure when performed); single lesion11104
11105 Punch biopsy of skin; each addtl lesion11105 - Punch biopsy of skin; each addtl lesion11105
11106 Incisional biopsy of skin; single lesion11106 - Incisional biopsy of skin; single lesion11106
11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions11200 - Removal of skin tags multiple fibrocutaneous tags any area; up to and including lesions11200
11201 Removal skin tags, each addtl 10 lesions11201 Removal skin tags, each addtl 10 lesions11201
11300 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion < 0.5cm11300 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion < .cm11300
11301 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 0.6 to 1.0cm11301 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion . to .cm11301
11302 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 1.1 to 2.0cm11302 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion . to .cm11302
11303 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion >2.0cm11303 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion >.cm11303
11305 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; > 0.5cm11305 - Shaving of epidermal or dermal lesion; scalp neck hands feet genitalia; > .cm11305
11306 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; 0.6-1.0cm11306 - Shaving of epidermal or dermal lesion; scalp neck hands feet genitalia; .-.cm11306
11307 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; 1.1-2.0cm11307 - Shaving of epidermal or dermal lesion; scalp neck hands feet genitalia; .-.cm11307
11308 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; >2.0cm11308 - Shaving of epidermal or dermal lesion; scalp neck hands feet genitalia; >.cm11308
11310 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; < 0.5cm11310 - Shaving of lesion; face ears eyelids nose lips mucous membrane; < .cm11310
11311 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; 0.6-1.0cm11311 - Shaving of lesion; face ears eyelids nose lips mucous membrane; .-.cm11311
11312 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; 1.1-2.0cm11312 - Shaving of lesion; face ears eyelids nose lips mucous membrane; .-.cm11312
11313 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; >2.0cm11313 - Shaving of lesion; face ears eyelids nose lips mucous membrane; >.cm11313
11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, a11400 - Excision benign lesion including margins; trunk arms or legs; < .cm11400
11401 Excision, benign lesion including margins; trunk, arms or legs; 0.6-1.0cm11401 - Excision benign lesion including margins; trunk arms or legs; .-.cm11401
11402 Excision, benign lesion including margins; trunk, arms or legs; 1.1-2.0cm11402 - Excision benign lesion including margins; trunk arms or legs; .-.cm11402
11403 Excision, benign lesion including margins; trunk, arms or legs; 2.1-3.0cm11403 - Excision benign lesion including margins; trunk arms or legs; .-.cm11403
11404 Excision, benign lesion including margins; trunk, arms or legs; 3.1-4.0cm11404 - Excision benign lesion including margins; trunk arms or legs; .-.cm11404
11406 Excision, benign lesion including margins; trunk, arms or legs; >4.0cm11406 - Excision benign lesion including margins; trunk arms or legs; >.cm11406
11420 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, n11420 - Excision Benign lesion including margins; scalp neck hands feet genitalia; < .cm11420
11421 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 0.6-1.0cm11421 - Excision benign lesion including margins; scalp neck hands feet genitalia; .-.cm11421
11422 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 1.1-2.0cm11422 - Excision benign lesion including margins; scalp neck hands feet genitalia; .-.cm11422
11423 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 2.1-3.0cm11423 - Excision benign lesion including margins; scalp neck hands feet genitalia; .-.cm11423
11426 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; > 4.0cm11426 - Excision benign lesion including margins; scalp neck hands feet genitalia; > .cm11426
11440 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), fa11440 - Excision benign lesion including margins; face ears eyelids nose lips; < .cm11440
11441 excised diameter 0.6 to 1.0 cm11441 - Excision benign lesion including margins; face ears eyelids nose lips; .-.cm11441
11442 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 1.0-2.0cm11442 - Excision benign lesion including margins; face ears eyelids nose lips; .-.cm11442
11443 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 2.1-3.0cm11443 - Excision benign lesion including margins; face ears eyelids nose lips; .-.cm11443
11600 Excision, malignant lesion including margins, trunk, arms, or legs; < 0.5cm11600 - Excision malignant lesion including margins trunk arms or legs; < .cm11600
11601 Excision, malignant lesion including margins, trunk, arms, or legs; 0.6-1.0cm11601 - Excision malignant lesion including margins trunk arms or legs; .-.cm11601
11603 Excision, malignant lesion including margins, trunk, arms, or legs; 2.1-3.0cm11603 - Excision malignant lesion including margins trunk arms or legs; .-.cm11603
11604 Excision, malignant lesion including margins, trunk, arms, or legs; 3.1-4.0cm11604 - Excision malignant lesion including margins trunk arms or legs; .-.cm11604
11606 Excision, malignant lesion including margins, trunk, arms, or legs; >4.0cm11606 - Excision malignant lesion including margins trunk arms or legs; >.cm11606
11620 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; < 0.5cm11620 - Excision malignant lesion including margins scalp neck hands feet genitalia; < .cm11620
11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 2.1-3.0cm11623 - Excision malignant lesion including margins scalp neck hands feet genitalia; .-.cm11623
11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 3.1-4.0cm11624 - Excision malignant lesion including margins scalp neck hands feet genitalia; .-.cm11624
11642 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 1.1-2.0cm11642 - Excision malignant lesion including margins face ears eyelids nose lips; .-.cm11642
11643 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 2.1-3.0cm11643 - Excision malignant lesion including margins face ears eyelids nose lips; .-.cm11643
11719 Trimming of nondystrophic nails, any number11719 - Trimming of nondystrophic nails any number11719
11720 Debridement of nail(s) by any method(s); 1 to 511720 - Debridement of nail(s) by any method(s); to11720
11721 Debridement of nail(s) by any method(s); 6 or more11721 - Debridement of nail(s) by any method(s); or more11721
11730 Avulsion of nail plate, partial or complete, simple; single11730 - Avulsion of nail plate partial or complete simple; single11730
11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate11732 - Avulsion of nail plate partial or complete simple; each additional nail plate11732
11740 Evacuation of subungual hematoma11740 - Evacuation of subungual hematoma11740
11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for perm11750 - Excision of nail and nail matrix partial or complete for permanent removal11750
11760 Repair of nail bed11760 - Repair of nail bed11760
11765 Wedge excision of skin of nail fold11765 - Wedge excision of skin of nail fold11765
11900 Injection, intralesional; up to and including 7 lesions11900 - Injection intralesional; up to and including lesions11900
11981 Insertion, non-biodegradable drug delivery implant11981 - Insertion non-biodegradable drug delivery implant11981
11982 Removal, non-biodegradable drug delivery implant11982 - Removal non-biodegradable drug delivery implant11982
11983 Removal with reinsertion, non-biodegradable drug delivery implant11983 - Removal with reinsertion non-biodegradable drug delivery implant11983
12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or12001 - Simple repair of wounds; scalp neck axillae genitalia trunk extremeties; <.cm12001
12002 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 2.6-7.5cm12002 - Simple repair of wounds; scalp neck axillae genitalia trunk extremeties; .-.cm12002
12004 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 7.6-12.5cm12004 - Simple repair of wounds; scalp neck axillae genitalia trunk extremeties; .-.cm12004
12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes12011 - Simple repair of wounds of face ears eyelids nose lips mucous membra; <.cm12011
12013 Simple repair of wounds of face, ears, eyelids, nose, lips, mucous membra; 2.6-5.0cm12013 - Simple repair of wounds of face ears eyelids nose lips mucous membra; .-.cm12013
12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm12031 - Repair intermediate; wounds of scalp axillae trunk extremities; <.cm12031
12032 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; 2.6-7.5cm12032 - Repair intermediate; wounds of scalp axillae trunk extremities; .-.cm12032
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; <2.5cm12041 - Repair intermediate wounds of neck hands feet and/or external genitalia; <.cm12041
12042 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6-7.5cm12042 - Repair intermediate wounds of neck hands feet and/or external genitalia; .-.cm12042
12051 Intermed repair of wounds; face, ears, eyelids, nose, lips, mucous membra; <2.5cm12051 - Intermed repair of wounds; face ears eyelids nose lips mucous membra; <.cm12051
12052 Intermed repair of wounds; face, ears, eyelids, nose, lips, mucous membra; 2.6-5.0cm12052 - Intermed repair of wounds; face ears eyelids nose lips mucous membra; .-.cm12052
13152 Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm13152 - Repair complex eyelids nose ears and/or lips; . cm to . cm13152
14020 Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect < 10 sq cm14020 - Adjacent tissue transfer or rearrangement scalp arms and/or legs; defect < sq cm14020
15271 Application of skin graft to trunk/arms/legs, up to 100 sq cm; first 25 sq cm15271 - Application of skin graft to trunk/arms/legs up to sq cm; first sq cm15271
15853REMOVAL OF SUTURES OR STAPLES NOT REQ ANES (LIST SEPARATELY TO E/M)15853REMOVAL OF SUTURES OR STAPLES NOT REQ ANES (LIST SEPARA15853
15854REMOVAL OF SUTURES AND STAPLES NOT REQ ANES (LIST SEPARATELY TO E/M)15854REMOVAL OF SUTURES AND STAPLES NOT REQ ANES (LIST SEPAR15854
16000 Initial treatment, first degree burn, when no more than local treatment is required16000 - Initial treatment first degree burn when no more than local treatment is required16000
16020 Dressings and/or debridement of partial-thickness burns, initial or subsequent; small 16020 - Dressings and/or debridement of partial-thickness burns initial or subsequent; small16020
17000 Destruction premalignant lesions; first lesion17000 - Destruction premalignant lesions; first lesion17000
17003 Destruction, premalignant lesions; second through 14 lesions, each17003 - Destruction premalignant lesions; second through lesions each17003
17004 Destruction, premalignant lesions, 15 or more lesions17004 - Destruction premalignant lesions or more lesions17004
17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen17110 - Destruction of benign lesions; - lesions17110
17111 Destruction of benign lesions; 15 + lesions17111 - Destruction of benign lesions; + lesions17111
17250 Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)17250 - Chemical cauterization of granulation tissue (proud flesh sinus or fistula)17250
17260 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 0.5 cm or less17260 - Destruction malignant lesion trunk arms or legs; lesion diameter . cm or less17260
17261 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm17261 - Destruction malignant lesion trunk arms or legs; lesion diameter . to . cm17261
17262 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm17262 - Destruction malignant lesion trunk arms or legs; lesion diameter . to . cm17262
20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel20526 - Injection therapeutic (eg local anesthetic corticosteroid) carpal tunnel20526
20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)20550 - Injection(s); single tendon sheath or ligament aponeurosis (eg plantar fascia)20550
20551 Injection(s); single tendon origin/insertion20551 - Injection(s); single tendon origin/insertion20551
20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)20552 - Injection(s); single or multiple trigger point(s) or muscle(s)20552
20553 Injection(s); single or multiple trigger point(s), 3 or more muscle(s)20553 - Injection(s); single or multiple trigger point(s) or more muscle(s)20553
20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without20600 - Arthrocentesis aspiration and/or injection small joint or bursa (eg fingers toes); without20600
20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibula20605 - Arthrocentesis aspiration and/or injection intermediate joint or bursa20605
20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance20610 - Arthrocentesis aspiration and/or injection major joint or bursa; without ultrasound guidance20610
20612 Aspiration and/or injection of ganglion cyst(s) any location20612 - Aspiration and/or injection of ganglion cyst(s) any location20612
21011 Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm21011 - Excision tumor soft tissue of face or scalp subcutaneous; less than cm21011
21012 Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater21012 - Excision tumor soft tissue of face or scalp subcutaneous; cm or greater21012
21930 Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm21930 - Excision tumor soft tissue of back or flank subcutaneous; less than cm21930
21931 Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater21931 - Excision tumor soft tissue of back or flank subcutaneous; cm or greater21931
23500 Closed treatment of clavicular fracture; without manipulation23500 - Closed treatment of clavicular fracture; without manipulation23500
23600 Closed treatment of proximal humeral fracture; without manipulation23600 - Closed treatment of proximal humeral fracture; without manipulation23600
23650 Closed treatment of shoulder dislocation, with manipulation; without anesthesia23650 - Closed treatment of shoulder dislocation with manipulation; without anesthesia23650
23931 Incision and drainage, upper arm or elbow area; bursa23931 - Incision and drainage upper arm or elbow area; bursa23931
24500 Closed treatment of humeral shaft fracture; without manipulation24500 - Closed treatment of humeral shaft fracture; without manipulation24500
24530 Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip24530 - Closed tx supra/transcondylar humeral fx w/wo intercondylar extension; w/o manip24530
24640 Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation24640 - Closed treatment of radial head subluxation in child nursemaid elbow with manipulation24640
25075 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm25075 - Excision tumor soft tissue of forearm and/or wrist area subcutaneous; less than cm25075
25500 Closed treatment of radial shaft fracture; without manipulation25500 - Closed treatment of radial shaft fracture; without manipulation25500
25600 Closed treatment of distal radial fracture; without manipulation25600 - Closed treatment of distal radial fracture; without manipulation25600
25605 Closed treatment of distal radial fracture; with manipulation25605 - Closed treatment of distal radial fracture; with manipulation25605
26210 Excision/curettage of bone cyst/benign tumor of proximal, middle, or distal phalanx of finger;26210 - Excision/curettage of bone cyst/benign tumor of proximal middle or distal phalanx of finger;26210
26600 Closed treatment of metacarpal fracture, single; without manipulation, each bone26600 - Closed treatment of metacarpal fracture single; without manipulation each bone26600
26605 Closed treatment of metacarpal fracture, single; with manipulation, each bone26605 - Closed treatment of metacarpal fracture single; with manipulation each bone26605
26770 Closed treatment of interphalangeal joint dislocation, single, with manip; w/o anesthesia26770 - Closed treatment of interphalangeal joint dislocation single with manip; w/o anesthesia26770
27096 Inj procedure for SI joint27096 Inj procedure for SI joint27096
27385 Suture of quadriceps or hamstring muscle rupture; primary27385 - Suture of quadriceps or hamstring muscle rupture; primary27385
27760 Closed treatment of medial malleolus fracture; without manipulation27760 - Closed treatment of medial malleolus fracture; without manipulation27760
27780 Closed treatment of proximal fibula or shaft fracture; without manipulation27780 - Closed treatment of proximal fibula or shaft fracture; without manipulation27780
28400 Closed treatment of calcaneal fracture; without manipulation28400 - Closed treatment of calcaneal fracture; without manipulation28400
28470 Closed treatment of metatarsal fracture; without manipulation, each28470 - Closed treatment of metatarsal fracture; without manipulation each28470
28510 Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each28510 - Closed treatment of fracture phalanx or phalanges other than great toe w/o manipulation each28510
28515 Closed treatment of fracture, phalanx or phalanges, other than great toe; w/manipulation, each28515 - Closed treatment of fracture phalanx or phalanges other than great toe; w/manipulation each28515
29065 Application, cast; shoulder to hand (long arm)29065 - Application cast; shoulder to hand (long arm)29065
29075 Application, cast; elbow to finger (short arm)29075 - Application cast; elbow to finger (short arm)29075
29085 Application, cast; hand and lower forearm (gauntlet)29085 - Application cast; hand and lower forearm (gauntlet)29085
29125 Application of short arm splint (forearm to hand); static29125 - Application of short arm splint (forearm to hand); static29125
29130 Application of finger splint; static29130 - Application of finger splint; static29130
29505 Application of long leg splint (thigh to ankle or toes)29505 - Application of long leg splint (thigh to ankle or toes)29505
29515 Application of short leg splint (calf to foot)29515 - Application of short leg splint (calf to foot)29515
29520 Strapping, hip29520 - Strapping hip29520
29530 Strapping, Knee29530 - Strapping Knee29530
29540 Strapping; ankle and/or foot29540 - Strapping; ankle and/or foot29540
29550 Strapping, toes29550 - Strapping toes29550
29580 Strapping; Unna boot29580 - Strapping; Unna boot29580
29581 Application Multilayer Compression System; Below Knee29581 - Application Multilayer Compression System; Below Knee29581
29582 Application Multilayer Compression System; Above Knee29582 - Application Multilayer Compression System; Above Knee29582
29583 Application Multilayer Compression System; Above Elbow29583 - Application Multilayer Compression System; Above Elbow29583
29584 Application Multilayer Compression System; Below Elbow29584 - Application Multilayer Compression System; Below Elbow29584
29700 Removal or bivalving; gauntlet, boot or body case29700 Removal or bivalving; gauntlet, boot or body case29700
29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)29877 - Arthroscopy knee surgical; debridement/shaving of articular cartilage (chondroplasty)29877
29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty29880 - Arthroscopy knee surgical; with meniscectomy (medial AND lateral) including chondroplasty29880
29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) including chondroplasty29881 - Arthroscopy knee surgical; with meniscectomy (medial OR lateral) including chondroplasty29881
30901 Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method30901 - Control nasal hemorrhage anterior simple (limited cautery and/or packing) any method30901
30905 Control nasal hemorrhage, posterior w/posterior nasal packs and/or cautery any method; initial30905 - Control nasal hemorrhage posterior w/posterior nasal packs and/or cautery any method; initial30905
31575 Laryngoscopy, flexible fiberoptic; diagnostic31575 - Laryngoscopy flexible fiberoptic; diagnostic31575
4004F Preventative care; tobacco use/cessation4004F Preventative care; tobacco use/cessation4004F
41010 Incision of lingual frenum (frenotomy)41010 - Incision of lingual frenum (frenotomy)41010
41800 Drainage of abscess, cyst, hematoma from dentoalveolar structures41800 - Drainage of abscess cyst hematoma from dentoalveolar structures41800
43762 Gastrostomy tube replacement, includes rem, w/o guidance; no rev of tract43762
46040 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)46040 - Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)46040
46050 Incision and drainage, perianal abscess, superficial46050 - Incision and drainage perianal abscess superficial46050
46083 Incision of thrombosed hemorrhoid, external46083 - Incision of thrombosed hemorrhoid external46083
46221 Hemorrhoidectomy, internal, by rubber band ligation(s)46221 - Hemorrhoidectomy internal by rubber band ligation(s)46221
46270 Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous46270 - Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous46270
46320 Excision of thrombosed hemorrhoid, external46320 - Excision of thrombosed hemorrhoid external46320
46600 Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when perform46600 - Anoscopy; diagnostic including collection of specimen(s) by brushing or washing when perform46600
46930 Destruction of internal hemorrhoid(s) by thermal energy46930 - Destruction of internal hemorrhoid(s) by thermal energy46930
49082 Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance49082 - Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance49082
49083 Abdominal paracentesis with imaging guidance; (diagnostic or therapeutic)49083 - Abdominal paracentesis with imaging guidance; (diagnostic or therapeutic)49083
51701 Insertion of non-indwelling bladder catheter51701 - Insertion of non-indwelling bladder catheter51701
51702 Insertion of temporary indwelling bladder catheter; simple51702 - Insertion of temporary indwelling bladder catheter; simple51702
51705 Change of cystostomy tube; simple51705 - Change of cystostomy tube; simple51705
51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51798 - Measurement of post-voiding residual urine and/or bladder capacity by ultrasound non-imaging51798
52287 Cystoscopy w/injection Botullinum Toxin52287 - Cystoscopy w/injection Botullinum Toxin52287
54056 Destruction of lesion(s), penis, simple; cryosurgery54056 - Destruction of lesion(s) penis simple; cryosurgery54056
54150 Circumcision, using clamp or other device with regional dorsal penile or ring block54150 - Circumcision using clamp or other device with regional dorsal penile or ring block54150
55250 Vasectomy, unilateral or bilateral, including postoperative semen examination(s)55250 - Vasectomy unilateral or bilateral including postoperative semen examination(s)55250
56420 Incision and drainage of Bartholin's gland abscess56420 - Incision and drainage of Bartholin's gland abscess56420
56740 Excision of Bartholin's gland or cyst56740 - Excision of Bartholin's gland or cyst56740
57000 Colpotomy; with exploration57000 - Colpotomy; with exploration57000
57160 Fitting and insertion of pessary or other intravaginal support device57160 - Fitting and insertion of pessary or other intravaginal support device57160
57421 Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix57421 - Colposcopy of the entire vagina with cervix if present; with biopsy(s) of vagina/cervix57421
57452 Colposcopy of the cervix including upper/adjacent vagina57452 - Colposcopy of the cervix including upper/adjacent vagina57452
58100 Endometrial biopsy with or w/o endocer biopsy, w/o cervical dilation, any method58100 - Endometrial biopsy with or w/o endocer biopsy w/o cervical dilation any method58100
58300 Insertion of intrauterine device (IUD)58300 - Insertion of intrauterine device (IUD)58300
58301 Removal of intrauterine device (IUD)58301 - Removal of intrauterine device (IUD)58301
59409 Vaginal delivery only, with or without episiotomy and/or forceps59409 - Vaginal delivery only with or without episiotomy and/or forceps59409
62320 ESI cervical or thoracic62320 - ESI cervical or thoracic62320
62321 ESI cervical or thoracic with fluoroscopy62321 - ESI cervical or thoracic with fluoroscopy62321
62322 ESI lumbar or sacral62322 - ESI lumbar or sacral62322
64417 Njx AA &/ Strd Axillary Nrv64417 Njx AA and/ Strd Axillary Nrv64417
64418 Injection, anesthetic agent; suprascapular nerve64418 - Injection anesthetic agent; suprascapular nerve64418
64420 Injection, anesthetic agent; intercostal nerve, single64420 - Injection anesthetic agent; intercostal nerve single64420
64450 Injection, anesthetic agent; other peripheral nerve or branch64450 - Injection anesthetic agent; other peripheral nerve or branch64450
64718 Neuroplasty and/or transposition; ulnar nerve at elbow64718 - Neuroplasty and/or transposition; ulnar nerve at elbow64718
64721 Neuroplasty and/or transposition; median nerve at carpal tunnel64721 - Neuroplasty and/or transposition; median nerve at carpal tunnel64721
65205 Removal of foreign body, external eye; conjunctival superficial65205 - Removal of foreign body external eye; conjunctival superficial65205
65220 Removal of foreign body, external eye; corneal, without slit lamp65220 - Removal of foreign body external eye; corneal without slit lamp65220
67700 Blepharotomy, drainage of abscess, eyelid67700 - Blepharotomy drainage of abscess eyelid67700
69100 Biopsy external ear69100 - Biopsy external ear69100
69200 PF Removal foreign body from external auditory canal; without general anesthesia69200 - Removal foreign body from external auditory canal; without general anesthesia69200
69209 Removal impacted cerumen using irrigation/lavage, unilateral69209 - Removal impacted cerumen using irrigation/lavage unilateral69209
69210 Removal impacted cerumen requiring instrumentation, unilateral69210 - Removal impacted cerumen requiring instrumentation unilateral69210
92550 Tympanometry and reflex threshold measurements92550 - Tympanometry and reflex threshold measurements92550
93005 EKG w/ 12+ leads; Tracing Only93005 - EKG w/ + leads; Tracing Only93005
93224 Holter ECG Monitor, up to 48 hr, w/ scan, interp, and report93224 - Holter ECG Monitor up to hr w/ scan interp and report93224
93225 Holter ECG Monitor, up to 48 hr, recording only93225 - Holter ECG Monitor up to hr recording only93225
93227 Holter ECG Monitor, up to 48 hr, interp93227 - Holter ECG Monitor up to 48 hr interp93227
93228 Holter ECG Monitor, up to 30 days, review and interp93228 - Holter ECG Monitor up to days review and interp93228
93229 ECG 30 days with tech support93229 - MCT to days/tech support93229
93923 Limited bilateral noninvasive Artery Flow Study93923 - Limited bilateral noninvasive Artery Flow Study93923
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study93926 - Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study93926
94010 Spirometry, w/ graphic record, total/timed vital capacity, expiratory flow rate measurement(s)94010 - Spirometry w/ graphic record total/timed vital capacity expiratory flow rate measurement(s)94010
94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administr94060 - Bronchodilation responsiveness spirometry pre and post interp94060
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeuti94640 - Pressurized or nonpressurized inhalation treatment for acute airway obstruction94640
94727 Gas dilution washout for determining lung volume94727 - Gas Dilution Washout for determin Lung Volume94727
94729 Diffusing capacity pulmonary interp94729 - Diffusing capacity pulmonary interp94729
95115 Allergy injection, single95115 - Allergy injection, single95115
95117 Allergy injection, multiple95117 - Allergy injections/ or more95117
96360 IV Infusion, Hydration, Initial, 31 min to 1 hr96360 - IV Infusion Hydration Initial min to hr96360
96361 Intravenous infusion, hydration; each additional hour96361 - Intravenous infusion hydration; each additional hour96361
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); ini96365 - Intravenous infusion for therapy prophylaxis or diagnosis (specify substance or drug); ini96365
96367 IV Infusion add’l seq up to 1 hour96367 IV Infusion add'l seq up to 1 hour96367
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous o96372 - Therapeutic prophylactic or diagnostic injection; subcutane96372
96374 Therapeutic, prophylactic, or diagnostic injection96374 - Therapeutic prophylactic or diagnostic injection96374
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additiona96375 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); each additiona96375
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic96401 - Chemotherapy administration subcutaneous or intramuscular; non-hormonal anti-neoplastic96401195.5
96523 Irrigation of implanted venous access device for drug delivery (Port Flush)96523 - Irrigation of implanted venous access device for drug delivery (Port Flush)96523
97597 Debridement, open wound; first 20 sq cm or less97597 - Debridement open wound; first sq cm or less97597
97598 Debridement, open wound; each additional 20 sq cm, or part thereof97598 - Debridement open wound; each additional sq cm or part thereof97598
97605 Negative pressure wound therapy; total wound(s) surface area less than or equal to 50 sq cm97605 - Negative pressure wound therapy; total wound(s) surface area less than or equal to sq cm97605566.5
98925 Osteopathic manipulative treatment (OMT); 1-2 body regions involved98925 - Osteopathic manipulative treatment (OMT); - body regions involved98925
99195 - Therapeutic Phlebotomy99195 - Therapeutic Phlebotomy99195
COVID-19 BD Veritor POC
COVID-19 BD Veritor POC87635 - COVID-19 BD Veritor POC87635
EKG (TFMC)
G0127 Trimming of dystrophic nails, any numberG0127 - G Trimming of dystrophic nails any numberG0127
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneousG0328 - Colorectal cancer screening; fecal occult blood test immunoassay - simultaneousG0328
Glucose Monitoring Device POC82962 - Glucose Monitoring Device POC82962
Glucose Monitoring POC
Hearing Screen POC
Hearing Screen POC92551 - Hearing Screen POC92551
Influenza A/B POC
Influenza POC87804 - Influenza POC87804
KOH POC87210 - KOH/Wet Prep POC87210
KOH/Wet Prep POC
Monospot POC
Monospot: Whole Blood POC86308 - Monospot: Whole Blood POC86308
Nurse Visit POC TYLR_MS
PPD Administration (TB Screen) POC
PPD Administration POC86580 - PPD Administration POC86580
PT/INR POC
Prothrombin and INR POC85610 - Prothrombin and INR POC85610
Pulmonary stress test (6 min walk test), inc HR, Oximetry, Titration, when perfPulmonary stress test (6 min walk test), inc HR, Oximetry, T94618
Q0091 Screening pap smear; obtaining, preparing and conveyance of cervical or vaginal smear to labQ0091 - Q Screening pap smear; obtaining preparing and conveyance of cervical or vaginal smear to labQ0091
RSV POC
RSV POC87807 - RSV POC87807
Rapid Strep87880 - Rapid Strep POC87880
Rapid Strep POC
Stool for Occult Blood POC
Urine Dipstick POC
Urine Dipstick POC81002 - Urine Dipstick POC81002
Urine Pregnancy Test POC
Urine Pregnancy Test POC81025 - Urine Pregnancy Test POC81025
ABDOMEN VESSEL SURGERY - 00880ABDOMEN VESSEL SURGERY - 00880880interval
ACHILLES TENDON SURGERY - 01472ACHILLES TENDON SURGERY - 014721472interval
ALL PROCEDURES ON ARTERIES OF UPPER LEG - 01270ALL PROCEDURES ON ARTERIES OF UPPER LEG - 012701270interval
ALL PROCEDURES ON VEINS OF UPPER LEG - 01260ALL PROCEDURES ON VEINS OF UPPER LEG - 012601260interval
AMNIOCENTESIS - 00842AMNIOCENTESIS - 00842842interval
AMPUTATION AT KNEE - 01404AMPUTATION AT KNEE - 014041404interval
AMPUTATION AT PELVIS 0 - 01140AMPUTATION AT PELVIS 0 - 011401140interval
AMPUTATION OF FEMUR - 01232AMPUTATION OF FEMUR - 012321232interval
AMPUTATION OF PENIS - 00932AMPUTATION OF PENIS - 00932932interval
ANES ARTERIES SHOULDER & AXILLA BYPASS GRAFT - 01654ANES ARTERIES SHOULDER and AXILLA BYPASS GRAFT - 016541654interval
ANES ARTHRS HUMERAL H/N STRNCLAV & SHOULDER NOS - 01630ANES ARTHRS HUMERAL H/N STRNCLAV and SHOULDER NOS - 016301630interval
ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND - 01830ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND - 018301830interval
ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES - 01968ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES - 019681968interval
ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES - 01969ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES - 019691969interval
ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA - 01390ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA - 013901390interval
ANES DX SHOULDER ARTHRO - 01622ANES DX SHOULDER ARTHRO - 016221622interval
ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY - 00214ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY - 00214214interval
ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ - 00844ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ - 00844844interval
ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE - 00640ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE - 00640640interval
ANES NERVE MUSC TENDON FASCIA & BURSAE UPPER LEG - 01250ANES NERVE MUSC TENDON FASCIA and BURSAE UPPER LEG - 012501250interval
ANES NERVE MUSC TENDON FASCIA&BURSA KNEE&/POPLT - 01320ANES NERVE MUSC TENDON FASCIA andBURSA KNEE and/POPLT - 013201320interval
ANES NERVE MUSCLE TDN FASCIA&BURSA FOREARM WRIST - 01810ANES NERVE MUSCLE TDN FASCIA andBURSA FOREARM WRIST - 018101810interval
ANES NRV MUSC TDN FSCA&BRS UPR ARM/ELBOW NOS - 01710ANES NRV MUSC TDN FSCA andBRS UPR ARM/ELBOW NOS - 017101710interval
ANES NRV MUSC TNDN FSCIA BURSA SHOULDER & AXILLA - 01610ANES NRV MUSC TNDN FSCIA BURSA SHOULDER and AXILLA - 016101610interval
ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS - 01470ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS - 014701470interval
ANES OPEN PROC UPPER ENDS TIBIA FIBULA&/PATELLA - 01392ANES OPEN PROC UPPER ENDS TIBIA FIBULA and/PATELLA - 013921392interval
ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL - 00934ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL - 00934934interval
ANES RAD AMP PENIS W/BI INGUNL&ILIAC LYMPH RMOVL - 00936ANES RAD AMP PENIS W/BI INGUNL andILIAC LYMPH RMOVL - 00936936interval
ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX - 01820ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX - 018201820interval
ANES THORACIC SPINE & CORD ANT APPR W/1 LNG VENT - 00626ANES THORACIC SPINE and CORD ANT APPR W/1 LNG VENT - 00626626interval
ANES THRC SPINE & CORD ANT APPR W/O 1 LUNG VENTJ - 00625ANES THRC SPINE and CORD ANT APPR W/O 1 LUNG VENTJ - 00625625interval
ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT - 00865ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT - 00865865interval
ANES, THER INTERVEN RAD, ART - 01924ANES THER INTERVEN RAD ART - 019241924interval
ANES, THER INTERVEN RAD, CAROTID - 01925ANES THER INTERVEN RAD CAROTID - 019251925interval
ANES, THER INTERVEN RAD, CRAN VEIN - 01933ANES THER INTERVEN RAD CRAN VEIN - 019331933interval
ANES, THER INTERVEN RAD, HRT/CRAN ARTERV - 01926ANES THER INTERVEN RAD HRT/CRAN ARTERV - 019261926interval
ANES, THER INTERVEN RAD, THORACIC VEIN - 01932ANES THER INTERVEN RAD THORACIC VEIN - 019321932interval
ANES, THER INTERVEN RAD, TIP - 01931ANES THER INTERVEN RAD TIP - 019311931interval
ANES, THER INTERVEN RAD, VEI - 01930ANES THER INTERVEN RAD VEI - 019301930interval
ANESTH HEART SURGERY W/PMP AGE 1+ - 00562ANESTH HEART SURGERY W/PMP AGE 1+ - 00562562interval
ANESTH HERNIA REPAIR PREEMIE - 00836ANESTH HERNIA REPAIR PREEMIE - 00836836interval
ANESTH HRT SURG W/PMP AGE 1+ - 00562ANESTH HRT SURG W/PMP AGE 1+ - 00562562interval
ANESTH UPPER GI ENDOSCOPIC PROCEDURES - 00731ANESTH UPPER GI ENDOSCOPIC PROCEDURES - 00731731interval
ANESTH/COMBINED UPPER/LOWER GI ENDO - 00813ANESTH/COMBINED UPPER/LOWER GI ENDO - 00813813interval
ANESTH/LOWER ENDO PROCEDURES - 00811ANESTH/LOWER ENDO PROCEDURES - 00811811interval
ANESTHESIA AXILLARY-BRACHIAL ANEURYSM - 01652ANESTHESIA AXILLARY-BRACHIAL ANEURYSM - 016521652interval
ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE - 01963ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE - 019631963interval
ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS - 00212ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS - 00212212interval
ANESTHESIA ON BONY PELVIS - 01120ANESTHESIA ON BONY PELVIS - 011201120interval
ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER - 01712ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER - 017121712interval
ANESTHESIA PERINEAL PROSTATECTOMY - 00908ANESTHESIA PERINEAL PROSTATECTOMY - 00908908interval
ANESTHESIA PERQ IMAGE GUIDED SPINE DIAGNOSTIC - 01935ANESTHESIA PERQ IMAGE GUIDED SPINE DIAGNOSTIC - 019351935interval
ANESTHESIA PERQ IMAGE GUIDED SPINE THERAPEUTIC - 01936ANESTHESIA PERQ IMAGE GUIDED SPINE THERAPEUTIC - 019361936interval
ANESTHESIA SCREENING COLONOSCOPY - 00812ANESTHESIA SCREENING COLONOSCOPY - 00812812interval
ANESTHESIA TENOPLASTY ELBOW TO SHOULDER - 01714ANESTHESIA TENOPLASTY ELBOW TO SHOULDER - 017141714interval
ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE - 00914ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE - 00914914interval
ANKLE REPLACEMENT - 01486ANKLE REPLACEMENT - 014861486interval
ANKLE/FT ARTHROSCOPY - 01464ANKLE/FT ARTHROSCOPY - 014641464interval
ANORECTAL - 00902ANORECTAL - 00902902interval
ANTEPARTUM MANIPUL - 01958ANTEPARTUM MANIPUL - 019581958interval
ARM-LEG VESSEL SURGERY - 01656ARM-LEG VESSEL SURGERY - 016561656interval
ARTERY EMBOLECTOMY - 01274ARTERY EMBOLECTOMY - 012741274interval
ARTERY LIGATION - 01272ARTERY LIGATION - 012721272interval
ARTHROSCOPIC KNEE JOINT SURGERY - 01400ARTHROSCOPIC KNEE JOINT SURGERY - 014001400interval
ARTHROSCOPY OF HIP - 01202ARTHROSCOPY OF HIP - 012021202interval
Anesthesia Charges BRWN
Anesthesia for procedures on the integumentary system on the extremities - 00404Anesthesia for procedures on the integumentary system on the extremities - 00404404interval
Anesthesia for procedures on the integumentary system on the extremities - 00410Anesthesia for procedures on the integumentary system on the extremities - 00410410interval
Anesthesia for upper gastrointestinal endoscopic procedures - 00732Anesthesia for upper gastrointestinal endoscopic procedures - 00732732interval
BICEPS TENDON REPAIR - 01716BICEPS TENDON REPAIR - 017161716interval
BIOPSY OF NOSE - 00164BIOPSY OF NOSE - 00164164interval
BIOPSY OF THYROID 0 - 00322BIOPSY OF THYROID 0 - 00322322interval
BLADDER STONE SURGERY - 00870BLADDER STONE SURGERY - 00870870interval
BLADDER SURGERY - 00910BLADDER SURGERY - 00910910interval
BLADDER TUMOR SURGERY - 00912BLADDER TUMOR SURGERY - 00912912interval
BLEEDING CONTROL - 00916BLEEDING CONTROL - 00916916interval
BLEPHAROPLASTY - 00103BLEPHAROPLASTY - 00103103interval
BLOOD VESSEL REPAIR - 00770BLOOD VESSEL REPAIR - 00770770interval
BODY CAST PROCEDURE - 01130BODY CAST PROCEDURE - 011301130interval
BONE ASPIRATE/BX - 01112BONE ASPIRATE/BX - 011121112interval
BURN, 4-9 PERCENT - 01952BURN 4-9 PERCENT - 019521952interval
BURN, LESS 4 PERCENT - 01951BURN LESS 4 PERCENT - 019511951interval
CABG W/O PUMP - 00566CABG W/O PUMP - 00566566interval
CABG W/PUMP - 00567CABG W/PUMP - 00567567interval
CARDIAC ELECTROPHYS - 00537CARDIAC ELECTROPHYS - 00537537interval
CARDIOVERTER/DEFIB - 00534CARDIOVERTER/DEFIB - 00534534interval
CAT OR MRI SCAN - 01922CAT OR MRI SCAN - 019221922interval
CATHETERIZE HEART - 01920CATHETERIZE HEART - 019201920interval
CEREBROSPINAL FLUID SHUNTING PROCEDURES - 00220CEREBROSPINAL FLUID SHUNTING PROCEDURES - 00220220interval
CERVICAL SPINE AND CORD SURGERY IN SITTING POSITION - 00604CERVICAL SPINE AND CORD SURGERY IN SITTING POSITION - 00604604interval
CERVICAL SPINE, CORD SURGERY - 00600CERVICAL SPINE CORD SURGERY - 00600600interval
CHEST DRAINAGE - 00524CHEST DRAINAGE - 00524524interval
CHEST LINING BIOPSY - 00522CHEST LINING BIOPSY - 00522522interval
CHEST PARTITION VIEW W/O 1 LUNG VENT - 00528CHEST PARTITION VIEW W/O 1 LUNG VENT - 00528528interval
CHEST PARTITION W/ 1 LUNG VENT - 00529CHEST PARTITION W/ 1 LUNG VENT - 00529529interval
CHEST SURGERY - 00540CHEST SURGERY - 00540540interval
CHEST SURGERY UTILIZING ONE LUNG VENT - 00541CHEST SURGERY UTILIZING ONE LUNG VENT - 00541541interval
CLEFT PALATE REPAIR - 00172CLEFT PALATE REPAIR - 00172172interval
CLOSED CHEST PROCEDURES - 00520CLOSED CHEST PROCEDURES - 00520520interval
CLOSED FEMUR PROCEDURE, UPPER 2/3 - 01220CLOSED FEMUR PROCEDURE UPPER 2/3 - 012201220interval
CLOSED HIP JOINT PROCEDURE - 01200CLOSED HIP JOINT PROCEDURE - 012001200interval
CLOSED PELVIS PROCEDURE - 01160CLOSED PELVIS PROCEDURE - 011601160interval
CLOSED PROCEDURE ON LOWER LEG, ANKLE, FOOT - 01462CLOSED PROCEDURE ON LOWER LEG ANKLE FOOT - 014621462interval
CLOSED PROCEDURE ON SHOULDER - 01620CLOSED PROCEDURE ON SHOULDER - 016201620interval
CLOSED PROCEDURES ON FEMUR, LOWER 1/3 - 01340CLOSED PROCEDURES ON FEMUR LOWER 1/3 - 013401340interval
CLOSED PROCEDURES ON HUMERUS AND ELBOW - 01730CLOSED PROCEDURES ON HUMERUS AND ELBOW - 017301730interval
CORNEAL TRANSPLANT - 00144CORNEAL TRANSPLANT - 00144144interval
CRAN SURG, HEMOTOMA - 00211CRAN SURG HEMOTOMA - 00211211interval
CRANIAL SURGERY - 00210CRANIAL SURGERY - 00210210interval
CS DELIVERY - 01961CS DELIVERY - 019611961interval
Continuous positive airway pressure ventilation (CPAP), initiation and management - 94660Continuous positive airway pressure ventilation (CPAP) initiation and management - 9466094660interval
DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN - 01996DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN - 019961996interval
DX ARTERIOGRAPHY - 01916DX ARTERIOGRAPHY - 019161916interval
DX ELBOW ARTHROSCOPY - 01732DX ELBOW ARTHROSCOPY - 017321732interval
DX KNEE ARTHROSCOPY - 01382DX KNEE ARTHROSCOPY - 013821382interval
DX WRIST ARTHROSCOPY - 01829DX WRIST ARTHROSCOPY - 018291829interval
EACH ADDITIONAL 9% - 01953EACH ADDITIONAL 9% - 019531953interval
EAR EXAM - 00124EAR EXAM - 00124124interval
EAR SURGERY - 00120EAR SURGERY - 00120120interval
ELBOW REPLACEMENT - 01760ELBOW REPLACEMENT - 017601760interval
ELECTROSHOCK - 00104ELECTROSHOCK - 00104104interval
EMER HYSTERECTOMY - 01962EMER HYSTERECTOMY - 019621962interval
ESOPHAGEAL SURGERY - 00500ESOPHAGEAL SURGERY - 00500500interval
EXTENSIVE SPINE, CORD SURGERY - 00670EXTENSIVE SPINE CORD SURGERY - 00670670interval
EXTRAPELVIC NERVE REMOVAL - 01180EXTRAPELVIC NERVE REMOVAL - 011801180interval
EYE EXAM - 00148EYE EXAM - 00148148interval
FACE/SKULL BONE SURGERY - 00190FACE/SKULL BONE SURGERY - 00190190interval
FAT LAYER REMOVAL - 00802FAT LAYER REMOVAL - 00802802interval
FOR LIVER TRANSPLANT 0 - 00796FOR LIVER TRANSPLANT 0 - 00796796interval
FOREQUARTER AMPUT - 01636FOREQUARTER AMPUT - 016361636interval
FX REPAIR, PELVIS - 01173FX REPAIR PELVIS - 011731173interval
Fluoroscopic guidance for central venous access device placement, replacement, or removal - 77001Fluoroscopic guidance for central venous access device placement replacement or removal - 7700177001interval
Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill - 43753Gastric intubation and aspiration(s) therapeutic necessitating physician's skill - 4375343753interval
HEAD VESSEL SURGERY - 00216HEAD VESSEL SURGERY - 00216216interval
HEAD/NECK/PTRUNK - 00300HEAD/NECK/PTRUNK - 00300300interval
HEART SURG W/ARREST - 00563HEART SURG W/ARREST - 00563563interval
HEART SURG W/O PUMP - 00560HEART SURG W/O PUMP - 00560560interval
HEART SURGERY W/ PUMP < AGE 1 - 00561HEART SURGERY W/ PUMP < AGE 1 - 00561561interval
HEART/LUNG TRANSPLANT - 00580HEART/LUNG TRANSPLANT - 00580580interval
HEMORR/EXCISE LIVER - 00792HEMORR/EXCISE LIVER - 00792792interval
HERNIA REPAIR< 1 YR - 00834HERNIA REPAIR< 1 YR - 00834834interval
HIP ARTHROPLASTY - 01214HIP ARTHROPLASTY - 012141214interval
HIP DISARTICULATION - 01212HIP DISARTICULATION - 012121212interval
HUMERAL LESION SURGERY - 01758HUMERAL LESION SURGERY - 017581758interval
HUMERUS REPAIR - 01744HUMERUS REPAIR - 017441744interval
HUMERUS SURGERY - 01742HUMERUS SURGERY - 017421742interval
HYSTEROSCOPE/GRAPH - 00952HYSTEROSCOPE/GRAPH - 00952952interval
INCOMPLETE OR MISSED ABORTION - 01965INCOMPLETE OR MISSED ABORTION - 019651965interval
INDUCED ABORTION - 01966INDUCED ABORTION - 019661966interval
INSERT PENIS DEVICE - 00938INSERT PENIS DEVICE - 00938938interval
INTRACRANIAL NERVE SURGERY - 00222INTRACRANIAL NERVE SURGERY - 00222222interval
INTRACRANIAL PROCEDURES IN SITTING POSITION - 00218INTRACRANIAL PROCEDURES IN SITTING POSITION - 00218218interval
INTRAORAL SURGERY - 00170INTRAORAL SURGERY - 00170170interval
INTRAPELVIC NERVE REMOVAL - 01190INTRAPELVIC NERVE REMOVAL - 011901190interval
IRIDECTOMY - 00147IRIDECTOMY - 00147147interval
Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves - 64425Injection(s) anesthetic agent(s) and/or steroid; ilioinguinal iliohypogastric nerves - 6442564425interval
Inpatient consultation for a new or established patient - 99252Inpatient consultation for a new or established patient - 9925299252interval
Insertion of non-tunneled centrally inserted central venous catheter >5 years - 36556Insertion of non-tunneled centrally inserted central venous catheter >5 years - 3655636556interval
KIDNEY STONE DESTRUCTION W/ WATER BATH - 00872KIDNEY STONE DESTRUCTION W/ WATER BATH - 00872872interval
KIDNEY STONE DESTRUCTION W/O WATER BATH - 00873KIDNEY STONE DESTRUCTION W/O WATER BATH - 00873873interval
KIDNEY TRANSPLANT - 00868KIDNEY TRANSPLANT - 00868868interval
KIDNEY/URETER SURGERY - 00862KIDNEY/URETER SURGERY - 00862862interval
KNEE ARTERIES SURGERY - 01440KNEE ARTERIES SURGERY - 014401440interval
KNEE ARTERY REPAIR - 01444KNEE ARTERY REPAIR - 014441444interval
KNEE ARTERY SURGERY - 01442KNEE ARTERY SURGERY - 014421442interval
KNEE ARTHROPLASTY - 01402KNEE ARTHROPLASTY - 014021402interval
KNEE JOINT CASTING - 01420KNEE JOINT CASTING - 014201420interval
KNEE JOINT PROCEDURE - 01380KNEE JOINT PROCEDURE - 013801380interval
KNEE VEINS SURGERY - 01430KNEE VEINS SURGERY - 014301430interval
KNEE VESSEL SURGERY - 01432KNEE VESSEL SURGERY - 014321432interval
LARYNX/TRACH, < 1 YR - 00326LARYNX/TRACH < 1 YR - 00326326interval
LEG ARTERIES SURGERY - 01500LEG ARTERIES SURGERY - 015001500interval
LENS SURGERY - 00142LENS SURGERY - 00142142interval
LOW INTESTINE SCOPE - 00810LOW INTESTINE SCOPE - 00810810interval
LOWER ANTERIOR ABDOMINAL SURGERY - 00800LOWER ANTERIOR ABDOMINAL SURGERY - 00800800interval
LOWER ARM ARTERY SURGERY - 01840LOWER ARM ARTERY SURGERY - 018401840interval
LOWER ARM CASTING - 01860LOWER ARM CASTING - 018601860interval
LOWER ARM EMBOLECTOMY - 01842LOWER ARM EMBOLECTOMY - 018421842interval
LOWER ARM VEIN REPAIR - 01852LOWER ARM VEIN REPAIR - 018521852interval
LOWER ARM VEIN SURGERY - 01850LOWER ARM VEIN SURGERY - 018501850interval
LOWER LEG CASTING - 01490LOWER LEG CASTING - 014901490interval
LOWER LEG EMBOLECTOMY - 01502LOWER LEG EMBOLECTOMY - 015021502interval
LOWER LEG REVISION - 01484LOWER LEG REVISION - 014841484interval
LOWER LEG SURGERY - 01474LOWER LEG SURGERY - 014741474interval
LOWER LEG THROMBECTOMY - 01522LOWER LEG THROMBECTOMY - 015221522interval
LOWER LEG VEIN SURGERY - 01520LOWER LEG VEIN SURGERY - 015201520interval
LOWER POSTERIOR ABDOMINAL SURGERY - 00820LOWER POSTERIOR ABDOMINAL SURGERY - 00820820interval
LUMBAR PUNCTURE - 00635LUMBAR PUNCTURE - 00635635interval
LUMBAR SPINE, CORD SURGERY - 00630LUMBAR SPINE CORD SURGERY - 00630630interval
LUNG, CHEST WALL SURGERY - 00546LUNG CHEST WALL SURGERY - 00546546interval
MAJOR VEIN LIGATION - 00882MAJOR VEIN LIGATION - 00882882interval
MALE GENITALIA SURGERY - 00920MALE GENITALIA SURGERY - 00920920interval
N BLOCK/INJ, PRONE - 01992N BLOCK/INJ PRONE - 019921992interval
NECK ORGAN, 1 & OVER 0 - 00320NECK ORGAN 1 and OVER 0 - 00320320interval
NECK VESSEL SURGERY - 00350NECK VESSEL SURGERY - 00350350interval
NERVE BLOCK/INJ - 01991NERVE BLOCK/INJ - 019911991interval
NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY - 01967NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY - 019671967interval
NOSE/SINUS SURGERY - 00160NOSE/SINUS SURGERY - 00160160interval
OMPHALOCELE - 00754OMPHALOCELE - 00754754interval
ONE LUNG VENTILATION - 00541ONE LUNG VENTILATION - 00541541interval
OPEN HIP JOINT SURGERY - 01210OPEN HIP JOINT SURGERY - 012101210interval
OPEN OR ARTHROSCOPIC PROCEDURES ON ELBOW - 01740OPEN OR ARTHROSCOPIC PROCEDURES ON ELBOW - 017401740interval
OPEN PELVIS SURGERY - 01170OPEN PELVIS SURGERY - 011701170interval
OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, FOOT - 01480OPEN PROCEDURES ON BONES OF LOWER LEG ANKLE FOOT - 014801480interval
OPEN SURGERY ON FEMUR LOWER 1/3 - 01360OPEN SURGERY ON FEMUR LOWER 1/3 - 013601360interval
Office consultation for a new or established patient - 99241Office consultation for a new or established patient - 9924199241interval
PACEMAKER INSERTION - 00530PACEMAKER INSERTION - 00530530interval
PANCREAS REMOVAL - 00794PANCREAS REMOVAL - 00794794interval
PELVIC ORGAN SURGERY - 00848PELVIC ORGAN SURGERY - 00848848interval
PELVIC TUMOR SURGERY - 01150PELVIC TUMOR SURGERY - 011501150interval
PERCUTANEOUS LIVER BIOPSY - 00702PERCUTANEOUS LIVER BIOPSY - 00702702interval
PHARYNGEAL SURGERY - 00174PHARYNGEAL SURGERY - 00174174interval
PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT - 01990PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT - 019901990interval
PROCEDURES ON EYE - 00140PROCEDURES ON EYE - 00140140interval
RADICAL FACIAL BONE/SKULL SURGERY - 00192RADICAL FACIAL BONE/SKULL SURGERY - 00192192interval
RADICAL FEMUR SURGERY - 01234RADICAL FEMUR SURGERY - 012341234interval
RADICAL HUMERUS SURGERY - 01756RADICAL HUMERUS SURGERY - 017561756interval
RADICAL HYSTERECTOMY - 00846RADICAL HYSTERECTOMY - 00846846interval
RADICAL INTRAORAL SURGERY - 00176RADICAL INTRAORAL SURGERY - 00176176interval
RADICAL LEG SURGERY - 01482RADICAL LEG SURGERY - 014821482interval
RADICAL NOSE/SINUS SURGERY - 00162RADICAL NOSE/SINUS SURGERY - 00162162interval
RADICAL ORCHIECTOMY, ABDOMINAL - 00928RADICAL ORCHIECTOMY ABDOMINAL - 00928928interval
RADICAL ORCHIECTOMY, INGUINAL - 00926RADICAL ORCHIECTOMY INGUINAL - 00926926interval
RADICAL PERINEAL SURGERY - 00904RADICAL PERINEAL SURGERY - 00904904interval
RELEASE OF LUNG - 00542RELEASE OF LUNG - 00542542interval
REMOVAL OF ADRENAL - 00866REMOVAL OF ADRENAL - 00866866interval
REMOVAL OF BLADDER - 00864REMOVAL OF BLADDER - 00864864interval
REMOVAL OF NERVES - 00632REMOVAL OF NERVES - 00632632interval
REMOVAL OF VULVA - 00906REMOVAL OF VULVA - 00906906interval
REPAIR LUMBAR AND VENTRAL HERNIA - 00752REPAIR LUMBAR AND VENTRAL HERNIA - 00752752interval
REPAIR OF CERVIX - 00948REPAIR OF CERVIX - 00948948interval
REPAIR OF CLEFT LIP - 00102REPAIR OF CLEFT LIP - 00102102interval
REPAIR OF HERNIA LOWER ABDOMEN - 00830REPAIR OF HERNIA LOWER ABDOMEN - 00830830interval
REPAIR OF HERNIA UPPER ABDOMEN - 00750REPAIR OF HERNIA UPPER ABDOMEN - 00750750interval
REPAIR VENTRAL AND INCISIONAL HERNIA - 00832REPAIR VENTRAL AND INCISIONAL HERNIA - 00832832interval
REVISE HIP REPAIR - 01215REVISE HIP REPAIR - 012151215interval
SALIVARY GLAND - 00100SALIVARY GLAND - 00100100interval
SHOULDER ARTERY SURGERY - 01650SHOULDER ARTERY SURGERY - 016501650interval
SHOULDER CASTING - 01680SHOULDER CASTING - 016801680interval
SHOULDER DISARTICULATION - 01634SHOULDER DISARTICULATION - 016341634interval
SHOULDER REPLACEMENT - 01638SHOULDER REPLACEMENT - 016381638interval
SHOULDER VEIN SURGERY - 01670SHOULDER VEIN SURGERY - 016701670interval
SIMPLE LIGATION NECK VESSEL - 00352SIMPLE LIGATION NECK VESSEL - 00352352interval
SKIN, EXT/PER/ATRUNK - 00400SKIN EXT/PER/ATRUNK - 00400400interval
SKULL REPAIR/FRACT - 00215SKULL REPAIR/FRACT - 00215215interval
SPERM DUCT SURGERY - 00922SPERM DUCT SURGERY - 00922922interval
STERNAL DEBRIDEMENT - 00550STERNAL DEBRIDEMENT - 00550550interval
STONE REMOVAL - 00918STONE REMOVAL - 00918918interval
SURGERY FOR OBESITY - 00797SURGERY FOR OBESITY - 00797797interval
SURGERY LOWER ABDOMEN - 00840SURGERY LOWER ABDOMEN - 00840840interval
SURGERY OF ABDOMEN - 00860SURGERY OF ABDOMEN - 00860860interval
SURGERY OF FEMUR UPPER 2/3 - 01230SURGERY OF FEMUR UPPER 2/3 - 012301230interval
SURGERY ON VAG/URETHRAL - 00942SURGERY ON VAG/URETHRAL - 00942942interval
SURGERY UPPER ABDOMEN - 00790SURGERY UPPER ABDOMEN - 00790790interval
TESTIS EXPLORATION - 00924TESTIS EXPLORATION - 00924924interval
TESTIS SUSPENSION - 00930TESTIS SUSPENSION - 00930930interval
THORACIC SPINE, CORD SURGERY - 00620THORACIC SPINE CORD SURGERY - 00620620interval
TOTAL WRIST REPLACEMENT - 01832TOTAL WRIST REPLACEMENT - 018321832interval
TRACH-BRONCH RECONST - 00539TRACH-BRONCH RECONST - 00539539interval
TRACHEA, BRONCHI SURGERY - 00548TRACHEA BRONCHI SURGERY - 00548548interval
TRANSABDOMINAL REPAIR DIAPHRAGMATIC HERNIA - 00756TRANSABDOMINAL REPAIR DIAPHRAGMATIC HERNIA - 00756756interval
TUBAL LIGATION - 00851TUBAL LIGATION - 00851851interval
TYMPANOTOMY - 00126TYMPANOTOMY - 00126126interval
UNLISTED ANESTH PROCEDURE - 01999UNLISTED ANESTH PROCEDURE - 019991999interval
UPPER ANTERIOR ABDOMINAL WALL SURGERY - 00700UPPER ANTERIOR ABDOMINAL WALL SURGERY - 00700700interval
UPPER ARM ARTERY SURGERY - 01770UPPER ARM ARTERY SURGERY - 017701770interval
UPPER ARM EMBOLECTOMY - 01772UPPER ARM EMBOLECTOMY - 017721772interval
UPPER ARM VEIN REPAIR - 01782UPPER ARM VEIN REPAIR - 017821782interval
UPPER ARM VEIN SURGERY - 01780UPPER ARM VEIN SURGERY - 017801780interval
UPPER GI VISUALIZE - 00740UPPER GI VISUALIZE - 00740740interval
UPPER POSTERIOR ABDOMINAL WALL SURGERY - 00730UPPER POSTERIOR ABDOMINAL WALL SURGERY - 00730730interval
VAGINAL DELIVERY - 01960VAGINAL DELIVERY - 019601960interval
VAGINAL ENDOSCOPY - 00950VAGINAL ENDOSCOPY - 00950950interval
VAGINAL HYSTERECTOMY - 00944VAGINAL HYSTERECTOMY - 00944944interval
VAGINAL PROCEDURES - 00940VAGINAL PROCEDURES - 00940940interval
VASCULAR ACCESS - 00532VASCULAR ACCESS - 00532532interval
VASCULAR SHUNT SURGERY - 01844VASCULAR SHUNT SURGERY - 018441844interval
VASECTOMY - 00921VASECTOMY - 00921921interval
VENIPUNCTURE AGE 3/> 36410VENIPUNCTURE AGE 3/> 3641036410interval
VITREORETINAL SURGERY - 00145VITREORETINAL SURGERY - 00145145interval
.DummyCrossmatch
ABO/Rh86900 - ABO/Rh86900111.5
ABO/Rh Retype86901 - ABO/Rh Retype86900103
Antibody Screen Gel 286850 - Antibody Screen Gel RBC8685027
Compatible - XM AHG Gel Interp86922 - XM Gel Interp, Compatible86922416.5
Crossmatch
DAT IgG/C386880 - DAT IgG/C386880103
E0336 RBC CPD AS1 500 LRP9016 - E0336 RBC CPD AS1 500 LRP9016894.5
Incompatible - XM AHG Gel Interp86922 - XM Gel Interp, Incompatible86922416.5
Least Incompatible - XM AHG Gel Interp86922 - XM Gel Interp, Least Incompatible86922416.5
Type and Screen Gel 2.
XM AHG Gel Interp
93015 CARDIOVASCULAR STRESS TEST, PERFORMED (WITH INTERPRETATION) CHARGE93015 - CARDIOVASCULAR STRESS TEST PERFORMED (WITH INTERPRETATION)93015943
93017 CARDIOVASCULAR STRESS TEST, PERFORMED CHARGE93017 - CARDIOVASCULAR STRESS TEST PERFORMED93017821
93797 CARDIAC REHAB W/O CONTINUOUS ECG CHARGE93797 - CARDIAC REHAB W/O CONTINUOUS ECG93797357
93798 CARDIAC REHAB WITH CONTINUOUS ECG CHARGE93798 - CARDIAC REHAB WITH CONTINUOUS ECG93798357
Cardiac Rehab Charges LCHN
EKG Charges - EKG
EKG Charges - EKG
EKG Charges - EKGEKG Charges - EKG
Electrocardiogram 12 Lead93005 - ELECTROCARDIOGRAM 12 LEAD93005178.5
Routine ECG 12 lead/15 lead tracing only - EKG Charges - EKG93005 - Routine ECG 12 lead/15 lead tracing only93005173.5
Lymphedema Eval
96360 - Hydration, first hour96360- Hydration first hour96360619.5
96361- Hydration, each additional hour96361- Hydration each additional hour96361174
96365- IV tx, first hour96365- IV tx first hour96365616.5
96366- IV tx, each additional hour96366- IV tx each additional hour96366189.5
96367- IV tx, sequential infusion96367- IV tx sequential infusion96367160
96368- IV tx, concurrent infusion96368- IV tx concurrent infusion9636869
96372- Subq/IM Injection96372- Subq/IM Injection96372195.5
96374- IV Injection, single/initial96374- IV Injection single/initial96374616.5
96375- IV Injection, add new drug96375- IV Injection add new drug96375146.5
96376- IV Injection, add same drug96376- IV Injection add same drug96376129
99281 - Level 199281 - Level 199281226
99282 - Level 299282 - Level 299282402.5
99283 - Level 399283 - Level 399283716
99284 - Level 499284 - Level 4992841209
99285 - Level 599285 - Level 5992852194.5
99291 - Critical Care, First Hour99291 - Critical Care First Hour992912163
99292 - Critical Care, Addl 30 Min99292 - Critical Care Addl 30 Min992921130.5
97802 Medical Nutrition Therapy 15 min Charge97802 Medical Nutrition Therapy 15 min Charge9780299.78
97803 Reassessment/Intervention 15 min Charge97803 Reassessment/Intervention 15 min Charge9780345
97804 Medical Nutrition Therapy Group 30 Min Charge97804 Medical Nutrition Therapy Group 30 Min Charge9780484
Dietary Charges LCHN
Blood drawn - Central Line Activity.36592 - Blood drawn36592337
Central Line Activity.
EKG Charges - ED
Routine ECG 12 lead/15 lead tracing only - EKG Charges - ED93005 - ED Routine ECG 12 lead/15 lead tracing only93005173.5
10021 FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE ProFee10021 FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE ProFee10021295
10040 ACNE SURG ProFee10040 ACNE SURG ProFee10040103
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE ProFee10060 INCISION DRAINAGE ABSCESS SIMPLE/SINGLE ProFee10060290.5
10061 INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE ProFee10061 INCISION DRAINAGE ABSCESS COMPLICATED/MULTIPLE ProFee10061189.5
10080 INCISION & DRAINAGE PILONIDAL CYST SIMPLE ProFee10080 INCISION DRAINAGE PILONIDAL CYST SIMPLE ProFee10080169
10081 INCISION & DRAINAGE PILONIDAL CYST COMPLICATED ProFee10081 INCISION DRAINAGE PILONIDAL CYST COMPLICATED ProFee10081898
10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE ProFee10120 INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE ProFee10120294.5
10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL ProFee10121 INCISION REMOVAL FOREIGN BODY SUBQ TISS COMPL ProFee10121216.5
10140 I&D HEMATOMA SEROMA/FLUID COLLECTION ProFee10140 ID HEMATOMA SEROMA/FLUID COLLECTION ProFee10140898
10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST ProFee10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST ProFee10160169
10180 COMPLEX DRAINAGE WOUND ProFee10180 COMPLEX DRAINAGE WOUND ProFee101801696.5
11000 DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF ProFee11000 DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF ProFee11000294.5
11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< ProFee11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< ProFee11042294.5
11402 EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM ProFee11402 EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM ProFee11402108
11403 EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM/< ProFee11403 EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM/< ProFee11403136
11406 EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM ProFee11406 EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM ProFee11406162.5
11442 EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM ProFee11442 EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM ProFee11442136
11720 DEBRIDEMENT NAIL ANY METHOD 1-5 ProFee11720 DEBRIDEMENT NAIL ANY METHOD 1-5 ProFee1172055.5
11721 DBRDMT NAIL ANY METH 6/> ProFee11721 DBRDMT NAIL ANY METH 6/> ProFee1172155.5
11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 ProFee11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 ProFee11730178
11732 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; EACH AD ProFee11732 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; EACH AD ProFee1173256.5
11740 EVACUATION SUBUNGUAL HEMATOMA ProFee11740 EVACUATION SUBUNGUAL HEMATOMA ProFee1174056.5
11750 EXCISION NAIL MATRIX PERMANENT REMOVAL ProFee11750 EXCISION NAIL MATRIX PERMANENT REMOVAL ProFee11750393.5
11760 REPAIR NAIL BED ProFee11760 REPAIR NAIL BED ProFee11760228.5
11765 WEDGE EXCISION SKIN NAIL FOLD ProFee11765 WEDGE EXCISION SKIN NAIL FOLD ProFee11765153.5
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< ProFee12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< ProFee12001103
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM ProFee12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM ProFee12002103
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM ProFee12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM ProFee12004103
12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM ProFee12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM ProFee12005153.5
12006 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM ProFee12006 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM ProFee12006228.5
12007 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM ProFee12007 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM ProFee12007153.5
12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< ProFee12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< ProFee12011103
12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM ProFee12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM ProFee12013103
12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM ProFee12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM ProFee12014103
12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM ProFee12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM ProFee12015153.5
12016 SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM ProFee12016 SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM ProFee12016153.5
12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM ProFee12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM ProFee12017153.5
12018 SIMPLE REPAIR F/E/E/N/L/M >30.0 CM ProFee12018 SIMPLE REPAIR F/E/E/N/L/M >30.0 CM ProFee12018153.5
12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE ProFee12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE ProFee12020447
12021 TX SUPERFICIAL WOUND DEHISCENCE W/PACKING ProFee12021 TX SUPERFICIAL WOUND DEHISCENCE W/PACKING ProFee12021228.5
12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< ProFee12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< ProFee12031228.5
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM ProFee12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM ProFee12032228.5
12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM ProFee12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM ProFee12034228.5
12035 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM ProFee12035 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM ProFee12035447
12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM ProFee12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM ProFee12036447
12037 REPAIR INTERMEDIATE S/A/T/E >30.0 CM ProFee12037 REPAIR INTERMEDIATE S/A/T/E >30.0 CM ProFee12037447
12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/< ProFee12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/< ProFee12041228.5
12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM ProFee12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM ProFee12042228.5
12044 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM ProFee12044 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM ProFee12044228.5
12045 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM ProFee12045 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM ProFee12045228.5
12046 RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM ProFee12046 RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM ProFee12046228.5
12047 REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM ProFee12047 REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM ProFee12047447
12051 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< ProFee12051 REPAIR INTERMEDIATE F/E/E/N/L/MUC 2.5 CM/< ProFee12051228.5
12052 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM ProFee12052 REPAIR INTERMEDIATE F/E/E/N/L/MUC 2.6-5.0 CM ProFee12052228.5
12053 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM ProFee12053 REPAIR INTERMEDIATE F/E/E/N/L/MUC 5.1-7.5 CM ProFee12053228.5
12054 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM ProFee12054 REPAIR INTERMEDIATE F/E/E/N/L/MUC 7.6-12.5 CM ProFee12054228.5
12055 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM ProFee12055 REPAIR INTERMEDIATE F/E/E/N/L/MUC 12.6-20.0CM ProFee12055228.5
12056 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM ProFee12056 REPAIR INTERMEDIATE F/E/E/N/L/MUC 20.1-30.0CM ProFee12056228.5
12057 REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM ProFee12057 REPAIR INTERMEDIATE F/E/E/N/L/MUC >30.0 CM ProFee12057228.5
13100 REPAIR COMPLEX TRUNK 1.1-2.5 CM ProFee13100 REPAIR COMPLEX TRUNK 1.1-2.5 CM ProFee13100447
13101 REPAIR COMPLEX TRUNK 2.6-7.5 CM ProFee13101 REPAIR COMPLEX TRUNK 2.6-7.5 CM ProFee13101447
13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< ProFee13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< ProFee13102447
13120 REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM ProFee13120 REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM ProFee13120228.5
13121 REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM ProFee13121 REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM ProFee13121447
13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< ProFee13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< ProFee13122447
13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM ProFee13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM ProFee13131228.5
13132 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM ProFee13132 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM ProFee13132447
13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< ProFee13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< ProFee13133447
13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM ProFee13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM ProFee13151447
13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM ProFee13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM ProFee13152447
13153 REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/ ProFee13153 REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/ ProFee13153447
13160 SECONDARY CLOSURE OF SURGICAL WOUND DEHISCENCE EXTENSIVE/COMPLICATED ProFee13160 SECONDARY CLOSURE OF SURGICAL WOUND DEHISCENCE EXTENSIVE/COMPLICATED ProFee131601459.5
15851 REMOVAL OF SUTURES UNDER ANES, OTHER SURGEON ProFee15851 REMOVAL OF SUTURES UNDER ANES OTHER SURGEON ProFee158511335
16000 INITIAL TX 1ST DEGREE BURN LOCAL TX ProFee16000 INITIAL TX 1ST DEGREE BURN LOCAL TX ProFee16000103
16020 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL ProFee16020 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL ProFee16020153.5
16025 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM ProFee16025 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM ProFee16025153.5
16030 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE ProFee16030 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE ProFee16030294.5
16035 ESCHAROTOMY 1ST INC ProFee16035 ESCHAROTOMY 1ST INC ProFee16035294.5
20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY ProFee20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY ProFee20103898
20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE ProFee20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE ProFee20520858
20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP ProFee20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP ProFee205251892.11
20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS ProFee20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS ProFee20550466.5
20551 INJECTION; SINGLE TENDON ORIGIN/INSERT ProFee20551 INJECTION; SINGLE TENDON ORIGIN/INSERT ProFee20551129
20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES ProFee20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES ProFee20552241
20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES ProFee20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES ProFee20553448
20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US ProFee20610 ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US ProFee20610494.5
20670 REMOVAL OF IMPLANT; SUPERFICIAL (SEPARATE PROCEDURE) ProFee20670 REMOVAL OF IMPLANT; SUPERFICIAL (SEPARATE PROCEDURE) ProFee206701391.5
21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION ProFee21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION ProFee213151314.5
21320 CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION ProFee21320 CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION ProFee213201314.5
21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATIO ProFee21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATIO ProFee21450378
21451 CLTX MNDBLR FX WO MNPJ ProFee21451 CLTX MNDBLR FX WO MNPJ ProFee214511314.5
21552 EXCISION TUMOR SOFT TISSUE NECKTHORAX SUBCUTANEOUS 3 CMGREAT ProFee21552 EXCISION TUMOR SOFT TISSUE NECKTHORAX SUBCUTANEOUS 3 CMGREAT ProFee21552324.5
21820 CLTX STERNUM FX ProFee21820 CLTX STERNUM FX ProFee21820177
23500 CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION ProFee23500 CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION ProFee23500719
23505 TREAT CLAVICLE FRACTURE ProFee23505 TREAT CLAVICLE FRACTURE ProFee23505740.5
23520 STERNOCLAVICULAR DISL W/O ProFee23520 STERNOCLAVICULAR DISL W/O ProFee235201360.5
23540 TREAT CLAVICLE DISLOCATION ProFee23540 TREAT CLAVICLE DISLOCATION ProFee23540222.5
23545 CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION ProFee23545 CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION ProFee23545222.5
23570 Cl Tx SCAPULA Fx w/o mani ProFee23570 Cl Tx SCAPULA Fx w/o mani ProFee23570177
23575 CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION ProFee23575 CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION ProFee23575222.5
23600 TREAT HUMERUS FRACTURE ProFee23600 TREAT HUMERUS FRACTURE ProFee23600222.5
23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ ProFee23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ ProFee236051722
23620 CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ ProFee23620 CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ ProFee23620222.5
23625 CLTX > HUMRL TUBRST FX W ProFee23625 CLTX > HUMRL TUBRST FX W ProFee236251360.5
23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES ProFee23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES ProFee23650222.5
23655 CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES ProFee23655 CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES ProFee236551194
23665 CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ ProFee23665 CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ ProFee23665740.5
23931 DRAINAGE OF ARM BURSA ProFee23931 DRAINAGE OF ARM BURSA ProFee23931504.5
24200 Fb Rem Upper Arm/Elbow-Sq ProFee24200 Fb Rem Upper Arm/Elbow-Sq ProFee24200858
24500 TREAT HUMERUS FRACTURE ProFee24500 TREAT HUMERUS FRACTURE ProFee24500222.5
24505 CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ ProFee24505 CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ ProFee24505222.5
24530 CLOSED TREAT HUMERAL FRAC W/W/OUT INTERCON EXT W/OUT MANIP ProFee24530 CLOSED TREAT HUMERAL FRAC W/W/OUT INTERCON EXT W/OUT MANIP ProFee245301123.5
24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ ProFee24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ ProFee24535222.5
24560 CLOSED TREAT HUM EPICON FRAC MEDIAL OR LAT; W/OUT MANIP ProFee24560 CLOSED TREAT HUM EPICON FRAC MEDIAL OR LAT; W/OUT MANIP ProFee24560177
24565 CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ ProFee24565 CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ ProFee24565222.5
24576 CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ ProFee24576 CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ ProFee24576222.5
24577 CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ ProFee24577 CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ ProFee24577222.5
24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES ProFee24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES ProFee24600222.5
24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES ProFee24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES ProFee246051520.5
24620 CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ ProFee24620 CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ ProFee246201360.5
24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ ProFee24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ ProFee24640249.5
24650 CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION ProFee24650 CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION ProFee24650222.5
24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION ProFee24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION ProFee24655222.5
24670 ULNAR FX PROX CLOSED TX ProFee24670 ULNAR FX PROX CLOSED TX ProFee24670177
24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ ProFee24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ ProFee24675222.5
25500 TREAT FRACTURE OF RADIUS ProFee25500 TREAT FRACTURE OF RADIUS ProFee25500177
25505 CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION ProFee25505 CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION ProFee25505740.5
25520 CLX RDL SHFT FX/CLX DISLC ProFee25520 CLX RDL SHFT FX/CLX DISLC ProFee25520222.5
25530 CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION ProFee25530 CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION ProFee25530177
25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANUAL MANIPULATION PC ProFee25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANUAL MANIPULATION PC ProFee25535222.5
25560 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN ProFee25560 CLOSED TX RADIALULNAR SHAFT FRACTURES W/O MAN ProFee25560177
25565 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ ProFee25565 CLOSED TX RADIALULNAR SHAFT FRACTURES W/MANJ ProFee25565222.5
25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ ProFee25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ ProFee256001008.5
25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF ProFee25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF ProFee25605740.5
25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP ProFee25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP ProFee256062117.5
25622 TREAT WRIST BONE FRACTURE ProFee25622 TREAT WRIST BONE FRACTURE ProFee25622222.5
25624 CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ ProFee25624 CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ ProFee25624740.5
25630 TREAT WRIST BONE FRACTURE ProFee25630 TREAT WRIST BONE FRACTURE ProFee25630222.5
25635 CLTX CARPAL BONE FX W/MANJ EACH BONE ProFee25635 CLTX CARPAL BONE FX W/MANJ EACH BONE ProFee25635222.5
25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE ProFee25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE ProFee25650222.5
25660 CLOSED TREAT RADIO/INTERCARP DISLOC 1-MORE BONES W/MANIP ProFee25660 CLOSED TREAT RADIO/INTERCARP DISLOC 1-MORE BONES W/MANIP ProFee25660222.5
25675 CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ ProFee25675 CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ ProFee25675222.5
25680 CLOSED TREATMENTTRANS-SCAPHOPERILUNAR TYPEFRACTURE DISLOC W/ MANIP ProFee25680 CLOSED TREATMENTTRANS-SCAPHOPERILUNAR TYPEFRACTURE DISLOC W/ MANIP ProFee25680177
25690 CLOSED TX LUNATE DISLOCATION W/MANIPULATION ProFee25690 CLOSED TX LUNATE DISLOCATION W/MANIPULATION ProFee256901360.5
26010 DRAINAGE FINGER ABSCESS SIMPLE ProFee26010 DRAINAGE FINGER ABSCESS SIMPLE ProFee26010169
26418 REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH ProFee26418 REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH ProFee264181274
26600 CLTX METACARPAL FX W/O MANIPULATION EACH BONE ProFee26600 CLTX METACARPAL FX W/O MANIPULATION EACH BONE ProFee26600296
26605 CLTX METACARPAL FX W/MANIPULATION EACH BONE ProFee26605 CLTX METACARPAL FX W/MANIPULATION EACH BONE ProFee26605222.5
26607 CLX MTCRPL FX W MN W ETRX ProFee26607 CLX MTCRPL FX W MN W ETRX ProFee266071360.5
26641 CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ ProFee26641 CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ ProFee26641222.5
26645 CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ ProFee26645 CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ ProFee26645222.5
26670 CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES ProFee26670 CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES ProFee26670222.5
26675 CLX CARP/MTCRP DISLC THMB ProFee26675 CLX CARP/MTCRP DISLC THMB ProFee26675222.5
26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES ProFee26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES ProFee26700222.5
26705 CLX MTCARPH DISLC 1 W MN ProFee26705 CLX MTCARPH DISLC 1 W MN ProFee26705222.5
26720 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA ProFee26720 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA ProFee26720222.5
26725 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA ProFee26725 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA ProFee26725222.5
26740 CLX ARTICULAR FX W MTCAR ProFee26740 CLX ARTICULAR FX W MTCAR ProFee26740222.5
26742 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ ProFee26742 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ ProFee26742222.5
26750 CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA ProFee26750 CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA ProFee26750177
26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA ProFee26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA ProFee26755222.5
26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH ProFee26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH ProFee267651618
26770 CLTX IPHAL JT DISLC W/MANJ W/O ANES ProFee26770 CLTX IPHAL JT DISLC W/MANJ W/O ANES ProFee26770177
26775 CLTX IPHAL JT DISLC W/MANJ REQ ANES ProFee26775 CLTX IPHAL JT DISLC W/MANJ REQ ANES ProFee26775232
26951 AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR ProFee26951 AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR ProFee269511274
27197 CLX PEL RING FX DISLC WO ProFee27197 CLX PEL RING FX DISLC WO ProFee27197222.5
27198 CLX PEL RING FX DISLC W M ProFee27198 CLX PEL RING FX DISLC W M ProFee27198740.5
27200 COCCYX FX PC ProFee27200 COCCYX FX PC ProFee27200177
27230 Cl Tx FEMORAL NECK FX ProFee27230 Cl Tx FEMORAL NECK FX ProFee27230222.5
27238 CLX INTR/PERI/SUB FEM FX ProFee27238 CLX INTR/PERI/SUB FEM FX ProFee27238222.5
27246 CLX > TRCHNTRIC FX WO ProFee27246 CLX > TRCHNTRIC FX WO ProFee27246177
27250 CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA ProFee27250 CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA ProFee27250222.5
27252 CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA ProFee27252 CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA ProFee27252740.5
27256 TX SPON HIP DISL SPLNT WO ProFee27256 TX SPON HIP DISL SPLNT WO ProFee27256177
27257 TX SPON HIP DSL ABDT SPLN ProFee27257 TX SPON HIP DSL ABDT SPLN ProFee27257740.5
27265 CLTX POST HIP ARTHRP DISLC W/O ANES ProFee27265 CLTX POST HIP ARTHRP DISLC W/O ANES ProFee27265222.5
27266 CLTX POST HIP ARTHRP DISLC REQ ANES ProFee27266 CLTX POST HIP ARTHRP DISLC REQ ANES ProFee272661194
27301 I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION ProFee27301 ID DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION ProFee273011633.5
27372 RMVL FB DP THIGH/KNEE ProFee27372 RMVL FB DP THIGH/KNEE ProFee273721892
27500 CLOSED TREAT FEMORAL SHAFT FRACTURE, WITHOUT MANIPULATION ProFee27500 CLOSED TREAT FEMORAL SHAFT FRACTURE WITHOUT MANIPULATION ProFee27500222.5
27501 CLOSED TX SUPRACONDYLAR FRACTURE ProFee27501 CLOSED TX SUPRACONDYLAR FRACTURE ProFee27501222.5
27502 CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ ProFee27502 CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ ProFee275021360.5
27503 CLOSED TREAT OF SUPRACON/TRANSCON FRACTURE, W/MANIP ProFee27503 CLOSED TREAT OF SUPRACON/TRANSCON FRACTURE W/MANIP ProFee27503222.5
27508 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ ProFee27508 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ ProFee27508222.5
27510 CLX FEM FX DSTL END MDA W ProFee27510 CLX FEM FX DSTL END MDA W ProFee27510222.5
27516 CLX DSTL TEM EPIP SEP WO ProFee27516 CLX DSTL TEM EPIP SEP WO ProFee27516177
27517 CLX DSTL FEM EPIP SEP W M ProFee27517 CLX DSTL FEM EPIP SEP W M ProFee27517222.5
27520 CLSD TX PATELLAR FX W/O M ProFee27520 CLSD TX PATELLAR FX W/O M ProFee27520222.5
27530 CLTX TIBIAL FX PROXIMAL W/O MANIPULATION ProFee27530 CLTX TIBIAL FX PROXIMAL W/O MANIPULATION ProFee27530222.5
27532 CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ ProFee27532 CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ ProFee275321630.5
27538 CLX ITRCONDY SPI/TUB KNEE ProFee27538 CLX ITRCONDY SPI/TUB KNEE ProFee27538222.5
27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA ProFee27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA ProFee27550222.5
27552 CLX KNE DISLC REQ ANES ProFee27552 CLX KNE DISLC REQ ANES ProFee275521360.5
27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA ProFee27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA ProFee27560222.5
27562 CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA ProFee27562 CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA ProFee275621360.5
27750 CLTX TIBIAL SHAFT FX W/O MANIPULATION ProFee27750 CLTX TIBIAL SHAFT FX W/O MANIPULATION ProFee27750222.5
27752 CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ ProFee27752 CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ ProFee277521360.5
27760 CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION ProFee27760 CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION ProFee27760983.5
27780 CLTX PROX FIBULA/SHFT FX W/O MANJ ProFee27780 CLTX PROX FIBULA/SHFT FX W/O MANJ ProFee27780912.5
27781 CLTX PROX FIBULA/SHFT FX W/MANJ ProFee27781 CLTX PROX FIBULA/SHFT FX W/MANJ ProFee27781740.5
27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ ProFee27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ ProFee27786222.5
27788 CLTX DSTL FIBULAR FX LAT MALLS W/MANJ ProFee27788 CLTX DSTL FIBULAR FX LAT MALLS W/MANJ ProFee27788222.5
27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL ProFee27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG LATERAL ProFee27808222.5
27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ ProFee27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ ProFee27810740.5
27816 CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION ProFee27816 CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION ProFee27816222.5
27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION ProFee27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION ProFee27818740.5
27824 CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ ProFee27824 CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ ProFee27824222.5
27825 CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ ProFee27825 CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ ProFee278251360.5
27830 CLX PROX TIB JT DIS WO AN ProFee27830 CLX PROX TIB JT DIS WO AN ProFee27830177
27831 CLX PROX TIB JT DIS W ANE ProFee27831 CLX PROX TIB JT DIS W ANE ProFee27831740.5
27840 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA ProFee27840 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA ProFee27840222.5
27842 CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ ProFee27842 CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ ProFee278421194
28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS ProFee28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS ProFee28190858
28192 REMOVAL FOREIGN BODY FOOT DEEP ProFee28192 REMOVAL FOREIGN BODY FOOT DEEP ProFee281921391.5
28193 Fb Removal Foot Comp ProFee28193 Fb Removal Foot Comp ProFee28193858
28400 CALCANEAL FX ProFee28400 CALCANEAL FX ProFee28400735.5
28405 CLOSED TX CALCANEAL FRACTURE W/MANIPULATION ProFee28405 CLOSED TX CALCANEAL FRACTURE W/MANIPULATION ProFee28405740.5
28430 CLSD TX TALUS FX W/O MAN ProFee28430 CLSD TX TALUS FX W/O MAN ProFee28430177
28435 CLOSED TX TALUS FRACTURE W/MANIPULATION ProFee28435 CLOSED TX TALUS FRACTURE W/MANIPULATION ProFee284351360.5
28450 TREATMENT OF TARSAL BONE FRACTURE W/O MANIPULATION, EACH ProFee28450 TREATMENT OF TARSAL BONE FRACTURE W/O MANIPULATION EACH ProFee28450177
28455 TX TARSAL FX TALUS/CALCN ProFee28455 TX TARSAL FX TALUS/CALCN ProFee28455177
28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION ProFee28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION ProFee28470657
28475 CLTX METAR FX W MAN ProFee28475 CLTX METAR FX W MAN ProFee28475222.5
28490 CLTX FX GRT TOE PHLX/PHLG W/O MANJ ProFee28490 CLTX FX GRT TOE PHLX/PHLG W/O MANJ ProFee28490177
28495 CLTX FX GRT TOE PHLX/PHLG W/MANJ ProFee28495 CLTX FX GRT TOE PHLX/PHLG W/MANJ ProFee28495222.5
28510 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ ProFee28510 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ ProFee28510387.5
28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ ProFee28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ ProFee28515459.5
28530 CLTX SESAMOID FX ProFee28530 CLTX SESAMOID FX ProFee28530177
28540 Reduce Disloc Tarsal ProFee28540 Reduce Disloc Tarsal ProFee28540177
28545 CLTX TARSAL DISLC W ANES ProFee28545 CLTX TARSAL DISLC W ANES ProFee28545177
28570 CLOSED TX TALOTARSAL JOINT DISLC W/O ANES ProFee28570 CLOSED TX TALOTARSAL JOINT DISLC W/O ANES ProFee28570222.5
28575 CLTX TALOTARSAL JT DIS W ProFee28575 CLTX TALOTARSAL JT DIS W ProFee285751360.5
28600 Red Dl Tarsometatar ProFee28600 Red Dl Tarsometatar ProFee28600177
28605 CLTX TARS JT DIS W ANES ProFee28605 CLTX TARS JT DIS W ANES ProFee28605177
28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES ProFee28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES ProFee28630222.5
28635 CLTX METATARSOPH JT DS W ProFee28635 CLTX METATARSOPH JT DS W ProFee286351360.5
28660 CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES ProFee28660 CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES ProFee28660177
28665 CLTX IPHAL JT DIS W ANES ProFee28665 CLTX IPHAL JT DIS W ANES ProFee28665232
29065 APPLICATION CAST SHOULDER HAND LONG ARM ProFee29065 APPLICATION CAST SHOULDER HAND LONG ARM ProFee29065232
29075 APPLICATION CAST ELBOW FINGER SHORT ARM ProFee29075 APPLICATION CAST ELBOW FINGER SHORT ARM ProFee29075232
29085 CAST HAND/LOWER FOREARMT ProFee29085 CAST HAND/LOWER FOREARMT ProFee29085232
29105 APPLICATION LONG ARM SPLINT SHOULDER HAND ProFee29105 APPLICATION LONG ARM SPLINT SHOULDER HAND ProFee29105134
29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC ProFee29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC ProFee29125134
29126 APPLICATION SHORT ARM SPLINT DYNAMIC ProFee29126 APPLICATION SHORT ARM SPLINT DYNAMIC ProFee2912655.5
29130 APPLICATION FINGER SPLINT STATIC ProFee29130 APPLICATION FINGER SPLINT STATIC ProFee2913055.5
29131 APPLICATION FINGER SPLINT DYNAMIC ProFee29131 APPLICATION FINGER SPLINT DYNAMIC ProFee2913155.5
29200 STRAPPING THORAX ProFee29200 STRAPPING THORAX ProFee29200134
29240 STRAPPING SHOULDER ProFee29240 STRAPPING SHOULDER ProFee2924055.5
29260 STRAPPING ELBOW/WRIST ProFee29260 STRAPPING ELBOW/WRIST ProFee2926055.5
29280 STRAPPING HAND/FINGER ProFee29280 STRAPPING HAND/FINGER ProFee2928055.5
29345 APPLICATION LONG LEG CAST THIGH-TOE ProFee29345 APPLICATION LONG LEG CAST THIGH-TOE ProFee29345232
29355 APL LG LEG CST T/T WALKER ProFee29355 APL LG LEG CST T/T WALKER ProFee29355232
29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE ProFee29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE ProFee29405232
29425 APPLY SHORT LEG CAST ProFee29425 APPLY SHORT LEG CAST ProFee29425232
29440 ADD WALKER TO PREV CAST ProFee29440 ADD WALKER TO PREV CAST ProFee29440134
29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES ProFee29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES ProFee29505134
29515 APPLICATION SHORT LEG SPLINT CALF FOOT ProFee29515 APPLICATION SHORT LEG SPLINT CALF FOOT ProFee29515134
29530 STRAPPING KNEE ProFee29530 STRAPPING KNEE ProFee2953055.5
29540 STRAPPING ANKLE &/FOOT ProFee29540 STRAPPING ANKLE /FOOT ProFee29540134
29550 STRAPPING TOES ProFee29550 STRAPPING TOES ProFee2955055.5
29700 REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST ProFee29700 REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST ProFee29700134
29799 UNLISTED PROCEDURE CASTING/STRAPPING ProFee29799 UNLISTED PROCEDURE CASTING/STRAPPING ProFee29799134
30300 REMOVAL FOREIGN INTRA ProFee30300 REMOVAL FOREIGN INTRA ProFee30300138
30901 NASAL PACKING/CAUTERY ProFee30901 NASAL PACKING/CAUTERY ProFee30901138
30903 NASAL PACK ANT COMP ROCKT ProFee30903 NASAL PACK ANT COMP ROCKT ProFee30903138
30905 Control nasal hemorrhage, posterior, w/ posterior nasal packs and/or cautery any method ProFee30905 Control nasal hemorrhage posterior w/ posterior nasal packs and/or cautery any method ProFee30905136
30906 CTRL NSL HEM PST NSL PK Q ProFee30906 CTRL NSL HEM PST NSL PK Q ProFee30906136
31500 INTUBATION - ENDOTRACHEAL ProFee31500 INTUBATION - ENDOTRACHEAL ProFee31500136
31603 TRACHS ER PX TRANSTRACHEA ProFee31603 TRACHS ER PX TRANSTRACHEA ProFee31603670.5
32551 CHEST TUBE PLACEMENT ProFee32551 CHEST TUBE PLACEMENT ProFee32551508
32554 Thoracentesis, needle or catheter, aspiration of the pleural space, w/o imaging guidance ProFe32554 Thoracentesis needle or catheter aspiration of the pleural space w/o imaging guidance ProFe32554289.5
32555 ASPIRATE PLEURA W/ IMAGING ProFee32555 ASPIRATE PLEURA W/ IMAGING ProFee32555360.5
33010 PRICARDIOCNTS 1ST ProFee33010 PRICARDIOCNTS 1ST ProFee33010508
36000 INTRO NDL/INTRACATH VEIN ProFee36000 INTRO NDL/INTRACATH VEIN ProFee3600073
36415 COLLJ VEN BLD VNPNXR ProFee36415 COLLJ VEN BLD VNPNXR ProFee3641521.5
36556 Insert of non-tunneled centrally inserted central venous catheter, age 5 years or older ProFee36556 Insert of non-tunneled centrally inserted central venous catheter age 5 years or older ProFee36556262.5
36561 INSERT ACCESS DEV ProFee36561 INSERT ACCESS DEV ProFee36561324.5
36569 Insertion of periph inserted central venous catheter (PICC), w/o subcutan port or pump ProFee36569 Insertion of periph inserted central venous catheter (PICC) w/o subcutan port or pump ProFee36569875.5
38510 NODE REMOVAL ProFee38510 NODE REMOVAL ProFee38510397
40800 DRG ABSC CST HMTMA VT MTH ProFee40800 DRG ABSC CST HMTMA VT MTH ProFee40800169
41800 DRAINAGE OF ABSCESS PRO ProFee41800 DRAINAGE OF ABSCESS PRO ProFee41800495.5
42809 RMVL FB /PHARYNX ProFee42809 RMVL FB /PHARYNX ProFee42809138
43200 ESPHGSC RGD/FLX DX+COLL ProFee43200 ESPHGSC RGD/FLX DX+COLL ProFee43200741.5
43215 ESPHGSC RGD/FLX W RMVL FB ProFee43215 ESPHGSC RGD/FLX W RMVL FB ProFee43215738.5
43235 EGD BRUSH ProFee43235 EGD BRUSH ProFee43235541
43239 EGD W/ BIOPSY ProFee43239 EGD W/ BIOPSY ProFee43239324.5
43248 EGD DIALATION ProFee43248 EGD DIALATION ProFee43248757
43250 EGD HOT ProFee43250 EGD HOT ProFee43250324.5
43251 PROF FEE/EGD SNARE43251 PROF FEE/EGD SNARE43251324.5
43255 PROF FEE/EGD/CONTROL43255 PROF FEE/EGD/CONTROL43255324.5
43270 PROF FEE/EGD ABLATION43270 PROF FEE/EGD ABLATION43270541
43752 GASTRIC TUBE PLACEMENT ProFee43752 GASTRIC TUBE PLACEMENT ProFee43752157.5
43762 Replacement Gastrostomy tube, perc inc rem wo guidance Pro Fee13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< ProFee43762109.83
44960 APPENDECTOMY ProFee44960 APPENDECTOMY ProFee449601081.5
45160 RECTAL TUMOR EXC ProFee45160 RECTAL TUMOR EXC ProFee451601081.5
45330 PROF FEE SIG/BRUSHING45330 PROF FEE SIG/BRUSHING45330541
45331 PRO FEE SIG W/BIOPSY45331 PRO FEE SIG W/BIOPSY45331757
45333 PRO FEE SIG/HOT45333 PRO FEE SIG/HOT45333757
45334 SIG/ CONTROL ProFee45334 PRO FEE SIG/ CONTROL45334757
45338 PRO FEE SIG/SNARE45338 PRO FEE SIG/SNARE45338757
45346 PRO FEE/SIG ABLATION45346 PRO FEE/SIG ABLATION45346757
45378 COLONOSCOPY ProFee45378 COLONOSCOPY ProFee45378541
45380 PRO FEE/COLONOSCOPY BIOPS45380 PRO FEE/COLONOSCOPY BIOPS45380757
45382 PRO FEE/COLONOSCOPY CONTR45382 PRO FEE/COLONOSCOPY CONTR45382757
45384 COLONOSCOPY HOT ProFee45384 COLONOSCOPY HOT ProFee45384541
45385 PRO FEE/COLONOSCOPY SNARE45385 PRO FEE/COLONOSCOPY SNARE45385575
45388 PRO FEE/COLONOSCOPY ABLAT45388 PRO FEE/COLONOSCOPY ABLAT45388757
46040 I&D of ischiorectal and/or perirectal abscess (separate procedure) ProFee46040 ID of ischiorectal and/or perirectal abscess (separate procedure) ProFee460401509
46083 Incision of thrombosed hemorrhoid, extl ProFee46083 Incision of thrombosed hemorrhoid extl ProFee46083222.5
46200 PRO FEE/ FISSURECTOMY46200 PRO FEE/ FISSURECTOMY46200406
46230 PRO FEE*HEMORROIDECTONY46230 PRO FEEHEMORROIDECTONY46230162.5
46255 PROF FEE/HEMORROIDECTOMY SINGLE46255 PROF FEE/HEMORROIDECTOMY SINGLE46255303
46260 PROF FEE/HEMORROIDECTOMY 2 OR MORE46260 PROF FEE/HEMORROIDECTOMY 2 OR MORE46260406
46261 PROF FEE/HEMORROIDECTOMY W/ FISSURECTOMY46261 PROF FEE/HEMORROIDECTOMY W/ FISSURECTOMY46261465.5
46600 Anoscopy, diagnostic, including collection of specimen(s) by brushing or washing ProFee46600 Anoscopy diagnostic including collection of specimen(s) by brushing or washing ProFee4660088.5
46900 PRO FEE/ LESION DESTRUCTION ANUS SIMPLE46900 PRO FEE/ LESION DESTRUCTION ANUS SIMPLE46900271
46910 PRO FEE/LESION DESTRUCTION ANUS SIMPLE ELECTRODESICCATION46910 PRO FEE/LESION DESTRUCTION ANUS SIMPLE ELECTRODESICCATION46910271
47562 PROF FEE/LAPAROSCOPY SURGICAL CHOLECYSTECTOMY47562 PROF FEE/LAPAROSCOPY SURGICAL CHOLECYSTECTOMY475621081.5
49082 Abdominal paracentesis (diagnostic or therapeutic), w/o imaging ProFee49082 Abdominal paracentesis (diagnostic or therapeutic) w/o imaging ProFee49082238
49505 PRO FEE/INIT ING HERNIA REPAIR 5+YR REDUCIBLE49505 PRO FEE/INIT ING HERNIA REPAIR 5+YR REDUCIBLE49505487
49520 REPAIR RECURRENT INGUINAL HERNIA ProFee49520 REPAIR RECURRENT INGUINAL HERNIA ProFee49520687
49525 INGUINAL HERNIA ProFee49525 INGUINAL HERNIA ProFee495251081.5
51100 ASPIRATION BLADDER NDL ProFee51100 ASPIRATION BLADDER NDL ProFee51100222.5
51102 INSERTION SUPRAPUBIC CATH ProFee51102 INSERTION SUPRAPUBIC CATH ProFee511021426.5
51700 Foley Catheter Flush ProFee51700 BLDR IRRIGATION SIMPLE ProFee51700222.5
51701 INSERT URINARY CATH STR PC ProFee51701 INSERT URINARY CATH STR PC ProFee51701138
51702 INSJ TEMP NDWLG BLDR CATH ProFee51702 INSJ TEMP NDWLG BLDR CATH ProFee51702138
52000 CYSTO ProFee52000 CYSTO ProFee52000216.5
53020 MEATOTMY CUTTING MEATUS ProFee53020 MEATOTMY CUTTING MEATUS ProFee530201689
53265 EXC/FULGURATION URTL CARU ProFee53265 EXC/FULGURATION URTL CARU ProFee532651689
53600 DILAT URTL STRIX MALE 1ST ProFee53600 DILAT URTL STRIX MALE 1ST ProFee53600222.5
54150 CIRC W CLAMP W BLOCK ProFee54150 CIRC W CLAMP W BLOCK ProFee541501878.5
54220 Irrigat of corpora cavernosa for priapism Pro Fee54220 Irrigat of corpora cavernosa for priapism Pro Fee54220400
54450 Foreskin manipu inclu lysis of preputial adhesions/stretching54450 Foreskin manipu inclu lysis of preputial adhesions/str54450170.6
54700 I&D EPIDIDYMIS TSTIS/SCRO ProFee54700 ID EPIDIDYMIS TSTIS/SCRO ProFee547001878.5
55250 VASECT UNI/BI SPX W/PO ProFee55250 VASECT UNI/BI SPX W/PO ProFee552501878.5
56405 I&D of vulva or perineal abscess ProFee56405 ID of vulva or perineal abscess ProFee56405362.5
58100 Endometrial sampling (biopsy) with or without endocervical sampling ProFee58100 Endometrial sampling (biopsy) with or without endocervical sampling ProFee58100235
58600 LIG/TRNSXJ FLP TB ABD/VAG ProFee58600 LIG/TRNSXJ FLP TB ABD/VAG ProFee586001915
59160 CURTG POSTPARTUM ProFee59160 CURTG POSTPARTUM ProFee591601915
59409 VAGINAL DELIVERY ONLY ProFee59409 VAGINAL DELIVERY ONLY ProFee594091622.5
59812 TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL ProFee59812 TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL ProFee598121915
59820 TX MISSED AB COMP SUR 1ST ProFee59820 TX MISSED AB COMP SUR 1ST ProFee598201915
62270 LUMBAR PUNCTURE PC ProFee62270 LUMBAR PUNCTURE PC ProFee62270709.5
62273 NJX EDRL BLD/CLOT PATCH ProFee62273 NJX EDRL BLD/CLOT PATCH ProFee62273698.5
62320 INJECTION; INTRLAMNR CRV/THRC W/O IMAGE ProFee62320 INJECTION; INTRLAMNR CRV/THRC W/O IMAGE ProFee62320320.5
62321 INJECTION INTRLAMNR CRV/THRC W/ IMAGE ProFee62321 INJECTION INTRLAMNR CRV/THRC W/ IMAGE ProFee623211313.5
62322 INJECTION INTRLAMNR LUMBAR/SAC W/O IMAGE ProFee62322 INJECTION INTRLAMNR LUMBAR/SAC W/O IMAGE ProFee62322272
64400 DENTAL NERVE BLOCK PC ProFee64400 DENTAL NERVE BLOCK PC ProFee64400234
64447 INJ, ANESTHTIC AGENT, FEMORAL NERVE SNGL ProFee64447 INJ ANESTHTIC AGENT FEMORAL NERVE SNGL ProFee64447214
64450 DIGITAL NERVE BLOCK PC ProFee64450 DIGITAL NERVE BLOCK PC ProFee64450448
64451 NJX AA&/STRD NRV NRVTG SI JT ED Profee64451 NJX AA and/STRD NRV NRVTG SI JT ED Profee64451248
64483 ER LUMBAR INJECTION ProFee64483 ER LUMBAR INJECTION ProFee644831620
65205 REM FB OCULAR SURFACE PC ProFee65205 REM FB OCULAR SURFACE PC ProFee65205105
65210 REM RB OCULAR EMBEDED PC ProFee65210 REM RB OCULAR EMBEDED PC ProFee65210105
65220 REM FB CORNEA PC ProFee65220 REM FB CORNEA PC ProFee65220105
65222 CORNEAL W SLIT LAMP ProFee65222 CORNEAL W SLIT LAMP ProFee65222105
67700 BLEPHAROTOMY DRAING ABCESS EYELID-ERDOC ProFee67700 BLEPHAROTOMY DRAING ABCESS EYELID-ERDOC ProFee67700375
67938 RMVL EMBED FB EYELID ProFee67938 RMVL EMBED FB EYELID ProFee67938310
69000 DRG XTL EAR ABSC SMPL ProFee69000 DRG XTL EAR ABSC SMPL ProFee69000169
69020 DRG XTL AUD CANAL ABSC ProFee69020 DRG XTL AUD CANAL ABSC ProFee69020169
69200 FB REMOVAL- EAR ProFee69200 FB REMOVAL- EAR ProFee69200151.5
69209 removal impacted cerumen, irrigation/lavage, unilateral profee69209 removal impacted cerumen irrigation/lavage unilateral profee6920945.5
69210 REMOVE IMPACTED CERUMEN ProFee69210 REMOVE IMPACTED CERUMEN69210105
76512 OCULAR US ED POCUS ProFee76512 OCULAR US ED POCUS ProFee7651298
76705 ABD LIMITED US ED POCUS ProFee76705 ABD LIMITED US ED POCUS ProFee7670590.5
76775 AORTA US ED POCUS ProFee76775 AORTA US ED POCUS ProFee7677589.5
76815 OB LIMITIED US ED POCUS ProFee76815 OB LIMITIED US ED POCUS ProFee76815101
90472  IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE ProFee90472IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE ProFee9047245
92950 CPR PHYSICIAN ProFee92950 CPR PHYSICIAN ProFee92950574.5
92953 TEMP TC PACG ProFee92953 TEMP TC PACG ProFee92953224.5
92960 CARDIOVERS ELECT ARRHYT X ProFee92960 CARDIOVERS ELECT ARRHYT X ProFee92960503.51772.5
93010 EKG INT. AND REPORT ProFee93010 EKG INT. AND REPORT ProFee9301027
93016 CV STRS TST &OR ECT SUPVJ ProFee93016 CV STRS TST OR ECT SUPVJ ProFee9301675
93308 ECHO PRO ED FOCUS ProFee93308 ECHO PRO ED FOCUS ProFee9330879.5
93971 DVT US PRO ED POCUS ProFee93971 DVT US PRO ED POCUS ProFee9397168
97597 DEBRID OPEN WOUND /< 20 CM ProFee97597 DEBRID OPEN WOUND /< 20 CM ProFee9759776
99151 ER MODERATE SEDATION INIT 15MIN <5 YR PC ProFee99151 ER MODERATE SEDATION INIT 15MIN <5 YR PC ProFee9915180.5
99152 ER MODERATE SEDATION 10-22MIN PC ProFee99152 ER MODERATE SEDATION 10-22MIN PC ProFee9915240
99153 ER MODERATE SEDATION EA ADDL 15 MIN PC ProFee99153 ER MODERATE SEDATION EA ADDL 15 MIN PC ProFee9915335
99156 MOD SED OTH PHYS/QHP 5/>5YRS ProFee99156 MOD SED OTH PHYS/QHP 5/>5YRS ProFee99156251
99157 MOD SED OTHER PHYS/QHP EA 15 MIN ProFee99157 MOD SED OTHER PHYS/QHP EA 15 MIN ProFee99157204
99281 EMERGENCY DEPT VISIT LEVEL 1 ProFee99281 EMERGENCY DEPT VISIT LEVEL 1 ProFee9928181.5
99282 EMERGENCY DEPT VISIT LEVEL 2 ProFee99282 EMERGENCY DEPT VISIT LEVEL 2 ProFee99282133
99283 EMERGENCY DEPT VISIT LEVEL 3 ProFee99283 EMERGENCY DEPT VISIT LEVEL 3 ProFee99283222.5
99284 EMERGENCY DEPT VISIT LEVEL 4 ProFee99284 EMERGENCY DEPT VISIT LEVEL 4 ProFee99284340
99285 EMERGENCY DEPT VISIT LEVEL 5 ProFee99285 EMERGENCY DEPT VISIT LEVEL 5 ProFee99285510
99291 CRITICAL CARE FIRST HOUR ProFee99291 CRITICAL CARE FIRST HOUR ProFee99291514
99292 CRITICAL CARE ADDL 30 MIN ProFee99292 CRITICAL CARE ADDL 30 MIN ProFee99292216.5
0003A PFIZER COVID 3RD DOSE VACCINE TechFee0003A PFIZER COVID 3RD DOSE VACCINE TechFee0003A120
0013A Moderna Vaccine Admin - Third Dose0013A Moderna Vaccine Admin - Third Dose0013A120
10021 FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE TechFee10021 FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE TechFee100211037
10040 ACNE SURG TechFee10040 ACNE SURG TechFee10040566.5
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee10060 INCISION DRAINAGE ABSCESS SIMPLE/SINGLE TechFee10060583
10061 INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee10061 INCISION DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee100611037
10080 INCISION & DRAINAGE PILONIDAL CYST SIMPLE TechFee10080 INCISION DRAINAGE PILONIDAL CYST SIMPLE TechFee100801979
10081 INCISION & DRAINAGE PILONIDAL CYST COMPLICATED TechFee10081 INCISION DRAINAGE PILONIDAL CYST COMPLICATED TechFee100811979
10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee10120 INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee101201037
10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL TechFee10121 INCISION REMOVAL FOREIGN BODY SUBQ TISS COMPL TechFee101214453.5
10140 I&D HEMATOMA SEROMA/FLUID COLLECTION TechFee10140 ID HEMATOMA SEROMA/FLUID COLLECTION TechFee101404453.5
10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST TechFee10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST TechFee101601037
10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION TechFee10180 INCISION AND DRAINAGE COMPLEX POSTOPERATIVE WOUND INFECTION TechFee101807524
11000 DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF TechFee11000 DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF TechFee110001612.5
11010 DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS TechFee11010 DBRDMT W/RMVL FM FX/DISLC SKINSUBQ TISSUS TechFee110102018.5
11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee110421037
11720 DEBRIDEMENT NAIL ANY METHOD 1-5 TechFee11720 DEBRIDEMENT NAIL ANY METHOD 1-5 TechFee11720181
11721 DEBRIDEMENT NAIL ANY METHOD 6 OR GREATER11721 DEBRIDEMENT NAIL ANY METHOD 6 OR GREATER11721181
11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee11730566.5
11732 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; EACH AD TechFee11732 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; EACH AD TechFee11732548.5
11740 EVACUATION SUBUNGUAL HEMATOMA TechFee11740 EVACUATION SUBUNGUAL HEMATOMA TechFee11740354
11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee117501037
11760 REPAIR NAIL BED TechFee11760 REPAIR NAIL BED TechFee117601612.5
11765 WEDGE EXCISION SKIN NAIL FOLD TechFee11765 WEDGE EXCISION SKIN NAIL FOLD TechFee117651037
12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee12001566.5
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee12002566.5
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM TechFee12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM TechFee12004566.5
12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee120051037
12006 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM TechFee12006 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM TechFee120061037
12007 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee12007 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee12007566.5
12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membrane12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee12011566.5
12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee12013566.5
12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee12014566.5
12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee12015566.5
12016 SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM TechFee12016 SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM TechFee120161037
12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM TechFee12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM TechFee120171037
12018 SIMPLE REPAIR F/E/E/N/L/M >30.0 CM TechFee12018 SIMPLE REPAIR F/E/E/N/L/M >30.0 CM TechFee12018566.5
12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE TechFee12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE TechFee120201612.5
12021 TX SUPERFICIAL WOUND DEHISCENCE W/PACKING TechFee12021 TX SUPERFICIAL WOUND DEHISCENCE W/PACKING TechFee120211037
12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee120311037
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee120321037
12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM TechFee12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM TechFee120341037
12035 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM TechFee12035 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM TechFee120351037
12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee120361612.5
12037 REPAIR INTERMEDIATE S/A/T/E >30.0 CM TechFee12037 REPAIR INTERMEDIATE S/A/T/E >30.0 CM TechFee120375265
12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/< TechFee12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/< TechFee120411037
12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM TechFee12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM TechFee120421002.5
12044 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM TechFee12044 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM TechFee120441612.5
12045 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM TechFee12045 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM TechFee120451612.5
12046 RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM TechFee12046 RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM TechFee120461037
12047 REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM TechFee12047 REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM TechFee120475265
12051 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< TechFee12051 REPAIR INTERMEDIATE F/E/E/N/L/MUC 2.5 CM/< TechFee120511037
12052 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM TechFee12052 REPAIR INTERMEDIATE F/E/E/N/L/MUC 2.6-5.0 CM TechFee120521037
12053 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM TechFee12053 REPAIR INTERMEDIATE F/E/E/N/L/MUC 5.1-7.5 CM TechFee120531037
12054 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM TechFee12054 REPAIR INTERMEDIATE F/E/E/N/L/MUC 7.6-12.5 CM TechFee120541037
12055 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM TechFee12055 REPAIR INTERMEDIATE F/E/E/N/L/MUC 12.6-20.0CM TechFee120551037
12056 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM TechFee12056 REPAIR INTERMEDIATE F/E/E/N/L/MUC 20.1-30.0CM TechFee120561037
12057 REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM TechFee12057 REPAIR INTERMEDIATE F/E/E/N/L/MUC >30.0 CM TechFee120571037
13100 REPAIR COMPLEX TRUNK 1.1-2.5 CM TechFee13100 REPAIR COMPLEX TRUNK 1.1-2.5 CM TechFee131001612.5
13101 REPAIR COMPLEX TRUNK 2.6-7.5 CM TechFee13101 REPAIR COMPLEX TRUNK 2.6-7.5 CM TechFee131011612.5
13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< TechFee13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< TechFee13102586
13120 REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM TechFee13120 REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM TechFee131201612.5
13121 REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM TechFee13121 REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM TechFee131211612.5
13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< TechFee13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< TechFee13122586
13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM TechFee13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM TechFee131311037
13132 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee13132 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee131321612.5
13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< TechFee13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< TechFee13133586
13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM TechFee13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM TechFee131511612.5
13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM TechFee13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM TechFee131521612.5
13153 REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/ TechFee13153 REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/ TechFee13153586
13160 SECONDARY CLOSURE OF SURGICAL WOUND DEHISCENCE EXTENSIVE/COMPLICATED TechFee13160 SECONDARY CLOSURE OF SURGICAL WOUND DEHISCENCE EXTENSIVE/COMPLICATED TechFee131605265
15851 REMOVAL OF SUTURES UNDER ANES, OTHER SURGEON TechFee15851 REMOVAL OF SUTURES UNDER ANES OTHER SURGEON TechFee158515265
16000 INITIAL TX 1ST DEGREE BURN LOCAL TX TechFee16000 INITIAL TX 1ST DEGREE BURN LOCAL TX TechFee16000566.5
16020 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL TechFee16020 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL TechFee16020566.5
16025 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM TechFee16025 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM TechFee16025566.5
16030 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE TechFee16030 DRS/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE TechFee160301037
16035 ESCHAROTOMY 1ST INC TechFee16035 ESCHAROTOMY 1ST INC TechFee160351037
20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY TechFee20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY TechFee201031979
20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE TechFee20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE TechFee205204349.5
20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP TechFee20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP TechFee205257524
20551 INJECT SINGLE TENDON ORI TechFee20551 INJECT SINGLE TENDON ORI TechFee20551849
20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee20552676
20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES TechFee20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES TechFee20553811
20560 NEEDLE INSERTION WITHOUT INJECTION TechFee20560 NEEDLE INSERTION WITHOUT INJECTION TechFee2056074.5
20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibula20605 ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US TechFee20605752
20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee20610 ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US TechFee20610849
20611 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US TechFee20611 ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/US TechFee20611946.5
20670 REMOVAL OF IMPLANT; SUPERFICIAL (SEPARATE PROCEDURE) TechFee20670 REMOVAL OF IMPLANT; SUPERFICIAL206704378
21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION TechFee21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION TechFee213152163
21320 CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION TechFee21320 CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION TechFee213208498.5
21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATIO TechFee21450 Closed treatment of mandibular fracture; without manipulation214501433.5
21451 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITH MANIPULATION TechFee21451 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITH MANIPULATION TechFee214514378
21820 ED CLSD TRT STERNUM FX CHARGE21820 ED CLSD TRT STERNUM FX CHARGE21820693
23500 CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION TechFee23500 CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION TechFee23500700
23505 TREAT CLAVICLE FRACTURE TechFee23505 TREAT CLAVICLE FRACTURE TechFee235054397.5
23520 STERNOCLAVICULAR DISL W/O TechFee23520 STERNOCLAVICULAR DISL W/O TechFee235204397.5
23540 TREAT CLAVICLE DISLOCATION TechFee23540 TREAT CLAVICLE DISLOCATION TechFee23540700
23545 AC Joint Dislocation Procedure Performed.23545 AC Joint Dislocation Procedure Performed.23545700
23570 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION TechFee23570 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION TechFee23570700
23575 CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION TechFee23575 CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION TechFee235754397.5
23600 TREAT HUMERUS FRACTURE TechFee23600 TREAT HUMERUS FRACTURE TechFee23600700
23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ TechFee23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ TechFee236054397.5
23620 CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ TechFee23620 CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ TechFee23620700
23625 CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION Tech Fee23625 CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION Tech Fee236254397.5
23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES TechFee23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES TechFee23650700
23655 CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES TechFee23655 CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES TechFee236554397.5
23665 CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ TechFee23665 CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ TechFee236654397.5
23931 INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; BURSA TechFee23931 INCISION AND DRAINAGE UPPER ARM OR ELBOW AREA; BURSA TechFee239314453.5
24200 Fb Rem Upper Arm/Elbow-Sq TechFee24200 Fb Rem Upper Arm/Elbow-Sq TechFee242004349.5
24500 TREAT HUMERUS FRACTURE TechFee24500 TREAT HUMERUS FRACTURE TechFee24500700
24505 CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee24505 CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee245054397.5
24530 CLOSED TREAT HUMERAL FRAC W/W/OUT INTERCON EXT W/OUT MANIP TechFee24530 CLOSED TREAT HUMERAL FRAC W/W/OUT INTERCON EXT W/OUT MANIP TechFee24530700
24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ TechFee24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ TechFee245354397.5
24560 CLOSED TREAT HUM EPICON FRAC MEDIAL OR LAT; W/OUT MANIP TechFee24560 CLOSED TREAT HUM EPICON FRAC MEDIAL OR LAT; W/OUT MANIP TechFee24560700
24565 CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ TechFee24565 CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ TechFee245654397.5
24576 CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ TechFee24576 CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ TechFee24576700
24577 CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ TechFee24577 CL TX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANIP245774397.5
24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES TechFee24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES TechFee24600700
24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee246054397.5
24620 CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ TechFee24620 CL TX MONTEGGIA TYPE OF FX DISLOCATION AT ELBOW W/MANIP246204397.5
24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ TechFee24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ TechFee24640700
24650 CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION TechFee24650 CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION TechFee24650700
24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION TechFee24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION TechFee246554397.5
24670 ULNAR FX PROX CLOSED TX TechFee24670 ULNAR FX PROX CLOSED TX TechFee24670700
24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ TechFee24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ TechFee246754397.5
25500 TREAT FRACTURE OF RADIUS TechFee25500 TREAT FRACTURE OF RADIUS TechFee25500700
25505 CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION TechFee25505 CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION TechFee255054397.5
25520 CLX RDL SHFT FX/CLX DISLC TechFee25520 CLX RDL SHFT FX/CLX DISLC TechFee255204397.5
25530 CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION TechFee25530 CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION TechFee25530700
25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION TechFee25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION TechFee25535700
25560 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN TechFee25560 CLOSED TX RADIALULNAR SHAFT FRACTURES W/O MAN TechFee25560700
25565 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee25565 CLOSED TX RADIALULNAR SHAFT FRACTURES W/MANJ TechFee255654397.5
25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ TechFee25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ TechFee25600700
25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF TechFee25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF TechFee256054397.5
25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP TechFee25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP TechFee256068881
25622 TREAT WRIST BONE FRACTURE TechFee25622 TREAT WRIST BONE FRACTURE TechFee25622700
25624 CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ TechFee25624 CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ TechFee256244397.5
25630 TREAT WRIST BONE FRACTURE TechFee25630 TREAT WRIST BONE FRACTURE TechFee25630700
25635 CLTX CARPAL BONE FX W/MANJ EACH BONE TechFee25635 CLTX CARPAL BONE FX W/MANJ EACH BONE TechFee256354397.5
25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE TechFee25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE TechFee25650700
25660 CLOSED TREAT RADIO/INTERCARP DISLOC 1-MORE BONES W/MANIP TechFee25660 CLOSED TREAT RADIO/INTERCARP DISLOC 1-MORE BONES W/MANIP TechFee25660700
25675 CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ TechFee25675 CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ TechFee25675700
25680 CLOSED TREATMENTTRANS-SCAPHOPERILUNAR TYPEFRACTURE DISLOC W/ MANIP TechFee25680 CLOSED TREATMENTTRANS-SCAPHOPERILUNAR TYPEFRACTURE DISLOC W/ MANIP TechFee25680700
25690 CLOSED TX LUNATE DISLOCATION W/MANIPULATION TechFee25690 CL TX LUNATE DISLOC W/MANIP256904397.5
26010 DRAINAGE FINGER ABSCESS SIMPLE TechFee26010 DRAINAGE FINGER ABSCESS SIMPLE TechFee26010566.5
26011 DRAINAGE FINGER ABSCESS COMPLICATED TechFee26011 DRAINAGE FINGER ABSCESS COMPLICATED TechFee260114565
26418 REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH TechFee26418 REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH TechFee264184397.5
26600 CLTX METACARPAL FX W/O MANIPULATION EACH BONE TechFee26600 CLTX METACARPAL FX W/O MANIPULATION EACH BONE TechFee26600700
26605 CLTX METACARPAL FX W/MANIPULATION EACH BONE TechFee26605 CLTX METACARPAL FX W/MANIPULATION EACH BONE TechFee26605700
26607 TREAT METACARPAL FRACTURE ED Tech Fee26607 TREAT METACARPAL FRACTURE ED Tech Fee266074397.5
26641 CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ TechFee26641 CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ TechFee26641700
26645 CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ TechFee26645 CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ TechFee266454397.5
26670 CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES TechFee26670 CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES TechFee26670700
26675 CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES TechFee26675 CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES TechFee266754397.5
26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee26700700
26705 Cl Tx KNUCLE DISLOC/ANEST TechFee26705 Cl Tx KNUCLE DISLOC/ANEST TechFee267054397.5
26720 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA TechFee26720 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA TechFee26720700
26725 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA TechFee26725 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA TechFee26725700
26740 CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ TechFee26740 CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ TechFee26740700
26742 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ TechFee26742 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ TechFee267424397.5
26750 CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA TechFee26750 CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA TechFee26750700
26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee26755700
26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH TechFee26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH TechFee267658881
26770 CLTX IPHAL JT DISLC W/MANJ W/O ANES TechFee26770 CLTX IPHAL JT DISLC W/MANJ W/O ANES TechFee26770699.89
26775 CLTX IPHAL JT DISLC W/MANJ REQ ANES TechFee26775 CLTX IPHAL JT DISLC W/MANJ REQ ANES TechFee26775745.21
26951 AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR TechFee26951 AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR TechFee269518881
27197 Closed TX Post Pelvic RNG FX W/O Manipul TechFee27197 Closed TX Post Pelvic RNG FX W/O Manipul TechFee27197700
27198 Closted TX Post Pelvis RNG FX w/ Manipul TechFee27198 Closted TX Post Pelvis RNG FX w/ Manipul TechFee27198700
27200 CLOSED TREATMENT OF COCCYGEAL FRACTURE TechFee27200 CLOSED TREATMENT OF COCCYGEAL FRACTURE TechFee27200700
27230 CL TX FEMORAL NECK FX TechFee27230 CL TX FEMORAL NECK FX TechFee27230700
27238 CLX INTR/PERI/SUB FEM FX TechFee27238 CLX INTR/PERI/SUB FEM FX TechFee272384397.5
27246 CLX > TRCHNTRIC FX WO TechFee27246 CLX > TRCHNTRIC FX WO TechFee27246700
27250 CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA TechFee27250 CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA TechFee27250700
27252 CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA TechFee27252 CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA TechFee272524397.5
27256 Treatment of Spontaneous Hip Dislocation TechFee27256 Treatment of Spontaneous Hip Dislocation TechFee27256700
27257 TX SPON HIP DSL ABDT SPLN TechFee27257 TX SPON HIP DSL ABDT SPLN TechFee272574397.5
27265 CLTX POST HIP ARTHRP DISLC W/O ANES TechFee27265 CLTX POST HIP ARTHRP DISLC W/O ANES TechFee27265700
27266 CLTX POST HIP ARTHRP DISLC REQ ANES TechFee27266 CLTX POST HIP ARTHRP DISLC REQ ANES TechFee272664397.5
27301 I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee27301 ID DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee273017524
27372 REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA TechFee27372 REMOVAL OF FOREIGN BODY DEEP THIGH REGION OR KNEE AREA TechFee273727524
27500 CLOSED TREAT FEMORAL SHAFT FRACTURE, WITHOUT MANIPULATION TechFee27500 CLOSED TREAT FEMORAL SHAFT FRACTURE WITHOUT MANIPULATION TechFee27500700
27501 CLOSED TX SUPRACONDYLAR FRACTURE TechFee27501 CLOSED TX SUPRACONDYLAR FRACTURE TechFee27501700
27502 CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ TechFee27502 CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ TechFee275024397.5
27503 CLOSED TREAT OF SUPRACON/TRANSCON FRACTURE, W/MANIP TechFee27503 CLOSED TREAT OF SUPRACON/TRANSCON FRACTURE W/MANIP TechFee275034397.5
27508 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ TechFee27508 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ TechFee27508700
27510 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ TechFee27510 CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ TechFee275104397.5
27516 CLX DSTL TEM EPIP SEP WO TechFee27516 CLX DSTL TEM EPIP SEP WO TechFee27516700
27517 CLX DSTL FEM EPIP SEP W M TechFee27517 CLX DSTL FEM EPIP SEP W M TechFee275174397.5
27520 CLSD TX PATELLAR FX W/O M TechFee27520 CLSD TX PATELLAR FX W/O M TechFee27520700
27530 CLTX TIBIAL FX PROXIMAL W/O MANIPULATION TechFee27530 CLTX TIBIAL FX PROXIMAL W/O MANIPULATION TechFee27530700
27532 CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ TechFee27532 CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ TechFee275328881
27538 CLX ITRCONDY SPI/TUB KNEE TechFee27538 CLX ITRCONDY SPI/TUB KNEE TechFee27538700
27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA TechFee27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA TechFee27550700
27552 CL TX KNEE DISLOC + ANES TechFee27552 CL TX KNEE DISLOC + ANES TechFee275524397.5
27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA TechFee27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA TechFee27560700
27562 CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA TechFee27562 CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA TechFee27562700
27570 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA TechFee27570 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA TechFee28570700
27750 CLTX TIBIAL SHAFT FX W/O MANIPULATION TechFee27750 CLTX TIBIAL SHAFT FX W/O MANIPULATION TechFee27750700
27752 CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee27752 CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee277524397.5
27760 CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION TechFee27760 CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION TechFee27760700
27780 CLTX PROX FIBULA/SHFT FX W/O MANJ TechFee27780 CLTX PROX FIBULA/SHFT FX W/O MANJ TechFee27780700
27781 CLTX PROX FIBULA/SHFT FX W/MANJ TechFee27781 CLTX PROX FIBULA/SHFT FX W/MANJ TechFee277814397.5
27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ TechFee27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ TechFee27786700
27788 CLTX DSTL FIBULAR FX LAT MALLS W/MANJ TechFee27788 CLTX DSTL FIBULAR FX LAT MALLS W/MANJ TechFee27788700
27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL TechFee27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG LATERAL TechFee27808700
27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ TechFee27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ TechFee278104397.5
27816 CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION TechFee27816 CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION TechFee27816700
27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION TechFee27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION TechFee278184397.5
27824 CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ TechFee27824 CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ TechFee27824700
27825 CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ TechFee27825 CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ TechFee278254397.5
27830 CL TX PRX TIB/FIB DISLOC TechFee27830 CL TX PRX TIB/FIB DISLOC TechFee27830700
27831 CL TX PRX TIB/FIB DISLOC TechFee27831 CL TX PRX TIB/FIB DISLOC TechFee278318881
27840 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA TechFee27840 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA TechFee27840700
27842 CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ TechFee27842 CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ TechFee278424397.5
28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee281901979
28192 REMOVAL FOREIGN BODY FOOT DEEP TechFee28192 REMOVAL FOREIGN BODY FOOT DEEP TechFee281924453.5
28193 Fb Removal Foot Comp TechFee28193 Fb Removal Foot Comp TechFee281934453.5
28400 CALCANEAL FX TechFee28400 CALCANEAL FX TechFee28400700
28405 CLOSED TX CALCANEAL FRACTURE W/MANIPULATION TechFee28405 CLOSED TX CALCANEAL FRACTURE W/MANIPULATION TechFee28405700
28430 CLSD TX TALUS FX W/O MAN TechFee28430 CLSD TX TALUS FX W/O MAN TechFee28430700
28435 CLOSED TX TALUS FRACTURE W/MANIPULATION TechFee28435 CLOSED TX TALUS FRACTURE W/MANIPULATION TechFee284354397.5
28450 TREATMENT OF TARSAL BONE FRACTURE W/O MANIPULATION, EACH TechFee28450 TREATMENT OF TARSAL BONE FRACTURE W/O MANIPULATION EACH TechFee28450700
28455 TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ TechFee28455 TX TARSAL BONE FX XCP TALUSCALCN W/MANJ TechFee284554397.5
28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION TechFee28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION TechFee28470700
28475 CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH TechFee28475 CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION EACH TechFee28475700
28490 CLTX FX GRT TOE PHLX/PHLG W/O MANJ TechFee28490 CLTX FX GRT TOE PHLX/PHLG W/O MANJ TechFee28490700
28495 CLTX FX GRT TOE PHLX/PHLG W/MANJ TechFee28495 CLTX FX GRT TOE PHLX/PHLG W/MANJ TechFee28495700
28510 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ TechFee28510 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ TechFee28510700
28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ TechFee28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ TechFee28515700
28530 CLOSED TREATMENT SESAMOID FRACTURE TechFee28530 CLOSED TREATMENT SESAMOID FRACTURE TechFee28530700
28540 Reduce Disloc Tarsal TechFee28540 Reduce Disloc Tarsal TechFee28540700
28545 CLTX TARSAL DISLC W ANES TechFee28545 CLTX TARSAL DISLC W ANES TechFee285458881
28575 CLTX TALOTARSAL JT DIS W TechFee28575 CLTX TALOTARSAL JT DIS W TechFee285758881
28600 Red Dl Tarsometatar TechFee28600 Red Dl Tarsometatar TechFee28600700
28605 CLTX TARS JT DIS W ANES TechFee28605 CLTX TARS JT DIS W ANES TechFee28605700
28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES TechFee28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES TechFee28630700
28635 CLTX METATARSOPHLNGL JT DISLC REQ ANES TechFee28635 CLTX METATARSOPHLNGL JT DISLC REQ ANES TechFee286354397.5
28660 CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES TechFee28660 CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES TechFee28660700
28665 Closed treatment of interphalangeal joint dislocation; requiring anesthesia TechFee28665 Closed treatment of interphalangeal joint dislocation; requiring anesthesia TechFee28665745
29065 APPLICATION CAST SHOULDER HAND LONG ARM TechFee29065 APPLICATION CAST SHOULDER HAND LONG ARM TechFee29065745
29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee29075745
29085 CAST HAND/LOWER FOREARMT TechFee29085 CAST HAND/LOWER FOREARMT TechFee29085433.5
29105 APPLICATION LONG ARM SPLINT SHOULDER HAND TechFee29105 APPLICATION LONG ARM SPLINT SHOULDER HAND TechFee29105433.5
29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee29125354
29126 APPLICATION SHORT ARM SPLINT DYNAMIC TechFee29126 APPLICATION SHORT ARM SPLINT DYNAMIC TechFee29126354
29130 APPLICATION FINGER SPLINT STATIC TechFee29130 APPLICATION FINGER SPLINT STATIC TechFee29130178.5
29131 APPLICATION FINGER SPLINT DYNAMIC TechFee29131 APPLICATION FINGER SPLINT DYNAMIC TechFee29131178.5
29200 STRAPPING; THORAX TechFee29200 STRAPPING; THORAX TechFee29200433.5
29240 STRAPPING SHOULDER TechFee29240 STRAPPING SHOULDER TechFee29240354
29260 STRAPPING ELBOW/WRIST TechFee29260 STRAPPING ELBOW/WRIST TechFee29260108
29280 STRAPPING HAND/FINGER TechFee29280 STRAPPING HAND/FINGER TechFee29280108
29345 APPLICATION LONG LEG CAST THIGH-TOE TechFee29345 APPLICATION LONG LEG CAST THIGH-TOE TechFee29345745
29355 Application of long leg cast (thigh to toes); walker or ambulatory type TechFee29355 Application of long leg cast (thigh to toes); walker or ambulatory type TechFee29355745
29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee29405745
29425 CASTING ED Tech Fee29425 CASTING ED Tech Fee29425745
29440 ADDING WALKER PREVIOUSLY APPLIED CAST Tech Fee29440 ADDING WALKER PREVIOUSLY APPLIED CAST Tech Fee29440433.5
29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES TechFee29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES TechFee29505433.5
29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee29515433.5
29530 STRAPPING KNEE TechFee29530 STRAPPING KNEE TechFee29530354
29540 STRAPPING ANKLE &/FOOT TechFee29540 STRAPPING ANKLE /FOOT TechFee29540433.5
29550 STRAPPING TOES TechFee29550 STRAPPING TOES TechFee29550178.5
29700 REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST TechFee29700 REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST TechFee29700745
29799 UNLISTED PROCEDURE CASTING/STRAPPING TechFee29799 UNLISTED PROCEDURE CASTING/STRAPPING TechFee29799433.5
30300 FB REMOVAL NOSE TechFee30300 FB REMOVAL NOSE TechFee30300354
30901 NASAL PACK/CAUTERY SIMPL TechFee30901 NASAL PACK/CAUTERY SIMPL TechFee30901354
30903 NASAL PACK ANT COMP ROCKT TechFee30903 NASAL PACK ANT COMP ROCKT TechFee30903354
30905 NASAL HEM CONT POST&ANT TechFee30905 NASAL HEM CONT POSTANT TechFee30905354
30906 CNTRL NOSEBLEED-SUBS ED Tech Fee30906 CNTRL NOSEBLEED-SUBS ED Tech Fee30906661
31500 INTUBATION/ET TUBE INSERT TechFee31500 INTUBATION/ET TUBE INSERT TechFee31500661
31603 INCISION OF WINDPIPE ED Tech Fee31603 INCISION OF WINDPIPE ED Tech Fee316034378
32551 CHEST TUBE PLACEMENT TechFee32551 CHEST TUBE PLACEMENT TechFee325513172
32554 THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING TechFee32554 THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING TechFee325542046
32555 Thoracentesis, needle or catheter, aspiration of the pleural space TechFee32555 Thoracentesis needle or catheter aspiration of the pleural space TechFee325552046
32556 PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING TechFee32556 PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING TechFee325561684
33010 PRICARDIOCNTS 1ST TechFee33010 PRICARDIOCNTS 1ST TechFee33010667.5
36000 LACE NEEDLE IN VEIN ED Tech Fee36000 LACE NEEDLE IN VEIN ED Tech Fee3600096.5
36415 COLLJ VEN BLD VNPNXR TechFee
36556 INSERT C VENOUS CATH ED Tech Fee36556 INSERT C VENOUS CATH ED Tech Fee365566188
36569 INSERT PICC CATH TechFee36569 INSERT PICC CATH TechFee365695291.5
36591 ER - COLLECTION BLOOD THRU CATHETER TechFee36591 ER - COLLECTION BLOOD THRU CATHETER TechFee36591354
36592 COLLECT BLOOD FROM CATHETER VENOUS NOS TechFee36592 COLLECT BLOOD FROM CATHETER VENOUS NOS TechFee36592354
36593 DECLOT VASCULAR DEVICE ED Tech Fee36593 DECLOT VASCULAR DEVICE ED Tech Fee365931005
36680 PLACEMENT NEEDLE INTRAOSSEOUS INFUSION TechFee36680 PLACEMENT NEEDLE INTRAOSSEOUS INFUSION TechFee366801180
37195 THROMBOLYSIS CEREBRAL IV INFUSION TechFee37195 THROMBOLYSIS CEREBRAL IV INFUSION TechFee371951005
40650 RPR LIP FULL THICKNESS VERMILION ONLY TechFee40650 RPR LIP FULL THICKNESS VERMILION ONLY TechFee406501468
40800 DRAIN MOUTH LESION ED Tech Fee40800 DRAIN MOUTH LESION ED Tech Fee408001979
40830 CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/< TechFee40830 CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/< TechFee40830687
41800 DRAINAGE OF GUM LESI ED Tech Fee41800 DRAINAGE OF GUM LESI ED Tech Fee41800354
42809 RMV FRGN BODY-PHARYN ED Tech Fee42809 RMV FRGN BODY-PHARYN ED Tech Fee428091180
43752 NASO-OR ORO-GASTTUBE ED Tech Fee43752 NASO-OR ORO-GASTTUBE ED Tech Fee437521180
43762 Replacement gastrosotomy tube, inc rem wo guidance Tech Fee43762 Replacement gastrosotomy tube, inc rem wo guidance Tec43762644.61
43762 Replacement of Gastrostomy Tube644.6
46040 INCIS. RECTAL ABSCES ED Tech Fee46040 INCIS. RECTAL ABSCES ED Tech Fee460403258.5
46083 INCIS THROMB. HEMORR ED Tech Fee46083 INCIS THROMB. HEMORR ED Tech Fee46083762.5
46600 ANOSCOPY DIAGNOSTIC ED Tech Fee46600 ANOSCOPY DIAGNOSTIC ED Tech Fee46600354
49082 Incision Procedures on the Abdomen, Peritoneum, and Omentum TechFee49082 Incision Procedures on the Abdomen Peritoneum and Omentum TechFee490822550
49083 Incision Procedures on the Abdomen, Peritoneum, and Omentum TechFee49083 Incision Procedures on the Abdomen Peritoneum and Omentum TechFee490832627
49520 REPAIR RECURRENT INGUINAL HERNIA TechFee49520 REPAIR RECURRENT INGUINAL HERNIA TechFee495203990.5
51100 ASPIRATION BLADDER NDL TechFee51100 ASPIRATION BLADDER NDL TechFee51100762.5
51102 ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER TechFee51102 ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER TechFee511025748.5
51700 IRRIGATE BLADDER ED Tech Fee51700 IRRIGATE BLADDER ED Tech Fee51700762.5
51701 CATH INSERT-Straight-ER TechFee51701 CATH INSERT-Straight-ER TechFee51701354
51702 Insertion of temporary indwelling bladder catheter; simple51702 CATH INSERT FOLEY-ER TechFee51702354
51703 ER - FOLEY CATHETER COMPLICATED (BALLOON) TechFee51703 ER - FOLEY CATHETER COMPLICATED (BALLOON) TechFee51703449
51705 CHANGE CYSTOSTOMY TUBE SIMPLE Pro/Tech51705 CHANGE CYSTOSTOMY TUBE SIMPLE TechFee51705863
51798 ED TECH BLADDER SCAN51798 Bladder Scan51798178.5
52000 Cystourethroscopy - separate procedure TechFee52000 Cystourethroscopy - separate procedure TechFee520001806
53020 MEATOTMY CUTTING MEATUS TechFee53020 MEATOTMY CUTTING MEATUS TechFee530205748.5
53265 EXC/FULGURATION URTL CARU TechFee53265 EXC/FULGURATION URTL CARU TechFee532655748.5
53600 DILAT URTL STRIX MALE 1ST TechFee53600 DILAT URTL STRIX MALE 1ST TechFee53600762.5
54150 CIRC W CLAMP W BLOCK TechFee54150 CIRC W CLAMP W BLOCK TechFee541505748.5
54220 Irrigation of corpora cavernosa for priapism54220 Irrigation of corpora cavernosa for priapism54220644.61
54450 Foreskin manipulation inclu lysis of preputial adhesions/stretching54450 Foreskin manipulation inclu lysis of preputial adhesio54450644.61
54700 I&D EPIDIDYMIS TSTIS/SCRO TechFee54700 ID EPIDIDYMIS TSTIS/SCRO TechFee547005748.5
55250 VASECT UNI/BI SPX W/PO TechFee55250 VASECT UNI/BI SPX W/PO TechFee552505748.5
56405 INC. &DRAIN ABSCESS ED Tech Fee56405 INC. DRAIN ABSCESS ED Tech Fee56405878
58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee58100518
58600 LIG/TRNSXJ FLP TB ABD/VAG TechFee58600 LIG/TRNSXJ FLP TB ABD/VAG TechFee586008104.5
59160 CURETTAGE, POSTPARTUM TechFee59160 CURETTAGE POSTPARTUM TechFee591608104.5
59812 TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL TechFee59812 TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL TechFee598128104.5
59820 TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER TechFee59820 Treatment of missed abortion completed surgically; first trimester598208104.5
62270 Lumbar Puncture, Diagnost TechFee62270 Lumbar Puncture Diagnost TechFee622701303.5
62273 NJX EDRL BLD/CLOT PATCH TechFee62273 NJX EDRL BLD/CLOT PATCH TechFee622732028
62320 INJECTION; INTRLAMNR CRV/THRC W/O IMAGE TechFee62320 INJECTION; INTRLAMNR CRV/THRC W/O IMAGE TechFee623202028
62321 INJECTION INTRLAMNR CRV/THRC W/ IMAGE TechFee62321 INJECTION INTRLAMNR CRV/THRC W/ IMAGE TechFee623212413
62322 INJECTION INTRLAMNR LUMBAR/SAC W/O IMAGE TechFee62322 INJECTION INTRLAMNR LUMBAR/SAC W/O IMAGE TechFee623222028
64400 NERVE BLOCK TechFee64400 NERVE BLOCK TechFee64400849
64405 ER - Injection of anesthetic agent, greater occipital nerve TechFee64405 ER - Injection of anesthetic agent greater occipital nerve TechFee64405849
64420 Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level TechFee64420 Injection(s) anesthetic agent(s) and/or steroid; intercostal nerve single level TechFee644202059
64447 INJ, ANESTHTIC AGENT, FEMORAL NERVE SNGL TechFee64447 INJ ANESTHTIC AGENT FEMORAL NERVE SNGL TechFee644472028
64450 INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH TechFee64450 INJECTION AA/STRD OTHER PERIPHERAL NERVE/BRANCH TechFee64450622
64451 NJX AA&/STRD NRV NRVTG SI JT Tech Fee64451 NJX AA and/STRD NRV NRVTG SI JT Tech Fee644511933
65205 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL TechFee65205 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL TechFee65205354
65210 REMOVAL OF EXTERNAL BODY EXTERNAL EYE TechFee65210 REMOVAL OF EXTERNAL BODY EXTERNAL EYE652101180
65220 REMOVE FB CORNEAL W/O TechFee65220 REMOVE FB CORNEAL W/O TechFee652201180
65222 RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee65222 RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee65222354
67700 DRAIN ABSCESS-EYELID ED Tech Fee67700 DRAIN ABSCESS-EYELID ED Tech Fee67700877
67938 REMOVAL EMBEDDED FOREIGN BODY EYELID TechFee67938 REMOVAL EMBEDDED FOREIGN BODY EYELID TechFee67938877
69000 DRAIN EXTERN.EAR LES ED Tech Fee69000 DRAIN EXTERN.EAR LES ED Tech Fee690001979
69020 ER- DRAINAGE EXT AUDITORY CANAL ABSCESS TechFee69020 ER- DRAINAGE EXT AUDITORY CANAL ABSCESS TechFee690201979
69200 REMOVE FB EAR CANAL W/O A TechFee69200 REMOVE FB EAR CANAL W/O A TechFee69200354
6920950 REMOVAL CERUMEN W/IRRIGAT TechFee6920950 REMOVAL CERUMEN W/IRRIGAT TechFee69209178.5
69210 REMOVE IMPACTED CERUMEN TechFee69210 REMOVE IMPACTED CERUMEN TechFee69210131
76512 - OCULAR US FAC ED POCUS TechFee76512 - OCULAR US FAC ED POCUS TechFee76512354
76705 - ABD LIMITED US FAC ED POCUS TechFee76705 - ABD LIMITED US FAC ED POCUS TechFee76705730.5
76775 - AORTA US FAC ED POCUS TechFee76775 - AORTA US FAC ED POCUS TechFee76775370
76815 - OB LIMITED US FAC ED POCUS TechFee76815 - OB LIMITED US FAC ED POCUS TechFee76815370
76882 - MSK US FAC ED POCUS TechFee76882 - MSK US FAC ED POCUS TechFee76882324.5
76942 - ULTRASOUND NEEDLE PLACEMENT S&I TechFee76942 - ULTRASOUND NEEDLE PLACEMENT SI TechFee76942179.5
81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee8102528.5
82272 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC TechFee82272 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC TechFee8227227.5
82948 GLUCOSE BLOOD REAGENT STRIP TechFee82948 GLUCOSE BLOOD REAGENT STRIP TechFee8296227.5
90471  IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee90471IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee90471195
90472  IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE TechFee90472IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE TechFee90472188
90662 INFLUENZA HIGH DOSE (IIV) - ER TechFee90662 INFLUENZA HIGH DOSE (IIV) - ER TechFee90662198
90687 SANOFI FLUZONE QUAD PEDIATRICS TechFee90687 SANOFI FLUZONE QUAD PEDIATRICS TechFee9068731.5
90688 SANOFI FLUZONE QUAD ADULTS TechFee90688 SANOFI FLUZONE QUAD ADULTS TechFee9068863
92950 CPR TechFee92950 CPR TechFee92950821
92953 PACING ED Tech Fee92953 PACING ED Tech Fee929531740
92977 TPA ADMINISTRATION ED Tech Fee92977 TPA ADMINISTRATION ED Tech Fee929771005
93005 EKG - ER TechFee93005 EKG - ER TechFee93005178.5
93308 ECHO FAC ED POCUS TechFee93308 ECHO FAC ED POCUS TechFee93308746
93971 DVT US FAC ED POCUS TechFee93971 DVT US FAC ED POCUS TechFee93971354
94640 ED NEBULIZER IPPB DEVICE94640 INHALATION TX < 1 Hr ER TechFee94640203.5
96523 PORT FLUSH TechFee96523 PORT FLUSH TechFee96523177
97597  DEBRIDEMENT OPEN WOUND 20 SQ CM/< TechFee97597DEBRIDEMENT OPEN WOUND 20 SQ CM/< TechFee97597566.5
99151 MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS TechFee99151 MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS TechFee9915178
99152 MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS TechFee99152 MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS TechFee9915241
99153 MOD SED SAME PHYS/QHP EACH ADDL 15 MINS TechFee99153 MOD SED SAME PHYS/QHP EACH ADDL 15 MINS TechFee9915335.5
99156 MOD SED OTH PHYS/QHP 5/>5YRS TechFee99156 MOD SED OTH PHYS/QHP 5/>5YRS TechFee99156259.56
99157 MOD SED OTHER PHYS/QHP EA 15 MIN TechFee99157 MOD SED OTHER PHYS/QHP EA 15 MIN TechFee99157216.5
Administration monoclonal antibodies – casirimab + imdevimab TechFeeM0243 Administration monoclonal antibodies ? casirimab + imdevimab TechFeeM02431006
Change of Cystostomy Tube Simple TechFeeChange of Cystostomy Tube Simple TechFee305
ED Procedure Charges TYLR_MS
G0390 TRAUMA TEAM ACTIVATION. Tech FeeG0390 TRAUMA TEAM ACTIVATION. Tech FeeG03901705.5
IV Infusion - Bamlanivimab + EtesevimabM0245 IV Infusion - Bamlanivimab + EtesevimabM02451006
Mod Sed Same Phys/OHP<5 yrs TechFeeMod Sed Same Phys/OHP<5 yrs TechFee255.5
P9612 Catheterize for urine spec TechFeeP9612 Catheterize for urine spec TechFeeP961213
Q0243 CASIRIVIMAB / IMDEVIMAB TechFeeQ0243 CASIRIVIMAB / IMDEVIMAB TechFeeQ0243
Q3014 TELEHEALTH ORIGINATING SITE - ED TechFeeQ3014 TELEHEALTH ORIGINATING SITE - ED TechFeeQ301432.5
SAKE1 SEXUAL ASSAULT KIT AND EXAM TechFeeSAKE1 SEXUAL ASSAULT KIT AND EXAM TechFeeSAKE1541
SANE – Adult/Adolescent Examination – ComplexSANE - Adult/Adolescent Examination - Complex750
SANE – Adult/Adolescent Examination – TypicalSANE - Adult/Adolescent Examination - Typical550
SANE – Non – Acute Exam (Forensic Photography)SANE - Non - Acute Exam (Forensic Photography)200
SANE – Suspect Exam – ComplexSANE - Suspect Exam - Complex500
SANE – Suspect Exam – TypicalSANE - Suspect Exam - Typical250
90791 Psychiatric diagnostic evaluation90791 - Psychiatric diagnostic evaluation90791
90792 Psychiatric diagnostic evaluation with medical services90792 - Psychiatric diagnostic evaluation with medical services90792
90832 Psychotherapy, 30 minutes with patient and/or family member90832 - Psychotherapy minutes with patient and/or family member90832
90833 Psychotherapy, 30 minutes w/ patient and/or family member when performed w/ E & M service90833 - Psychotherapy minutes w/ patient and/or family member when performed w/ E M service90833
90834 Psychotherapy, 45 minutes with patient and/or family member90834 - Psychotherapy minutes with patient and/or family member90834
90836 Psychotherapy, 45 minutes w/ patient and/or family member when performed w/ E & M service90836 - Psychotherapy minutes w/ patient and/or family member when performed w/ E M service90836
90837 Psychotherapy, 60 minutes with patient and/or family member90837 - Psychotherapy minutes with patient and/or family member90837
90838 Psychotherapy, 60 minutes w/ patient and/or family member when performed w/ E & M service90838 - Psychotherapy minutes w/ patient and/or family member when performed w/ E M service90838
90849 Multiple-family group psychotherapy90849 - Multiple-family group psychotherapy90849
90853 Group psychotherapy (other than of a multiple-family group)90853 - Group psychotherapy (other than of a multiple-family group)90853
96127 Brief emotional/behavioral assessment, with scoring and documentation, per standardized instru96127 - Brief emotional/behavioral assessment with scoring and documentation per standardized instru96127
96156 Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavior96156 - Health behavior assessment or re-assessment (ie health-focused clinical interview behavior96156
97810 Acupuncture, one or more needles; w/o electrical stimulation; first 15 min97810 Acupuncture, one or more needles; w/o electrical stimu97810
97811 Acupuncture, 1 or more needles; w/o electrical stimulation; ea addtl 15 min97811 Acupuncture, 1 or more needles; w/o electrical stimula97811
97813 Acupuncture, 1 or more needles; with electrical stimulation; first 15 min97813 Acupuncture, 1 or more needles; with electrical stimul97813
97814 Acupuncture, 1 or more needles; with electrical stimulation; ea addtl 15 min97814 Acupuncture, 1 or more needles; with electrical stimul9781457.17
98966 Telephone eval with NP/PA 5-10 minutes98966 - Telephone eval with NP/PA - minutes98966
98967 Telephone eval with NP/PA 11-20 minutes98967 - Telephone eval with NP/PA - minutes98967
98968 Telephone eval with NP/PA 21-30 minutes98968 - Telephone eval with NP/PA - minutes98968
99024 Post-op f/u visit, included in the surgical package99024 - Post-op f/u visit included in the surgical package99024
99080 Physical99080 - Physical99080
99080 Sports Physical99080 Sports Physical99080
99201 Office/Outpatient Visit - New Patient, Level 1 (10 min)99201 - Office/Outpatient Visit - New Patient Level ( min)99201
99202 Office Visit New Pt. Level 299202 - Office Visit New Pt. Level 299202
99202 Office/Outpatient Visit - New Patient, Level 2 (20 min)99202 - Office/Outpatient Visit - New Patient Level ( min)99202
99203 Office Visit New Pt. Level 399203 - Office Visit New Pt. Level 399203
99203 Office/Outpatient Visit - New Patient, Level 3 (30 min)99203 - Office/Outpatient Visit - New Patient Level ( min)99203
99204 Office Visit New Pt. Level 499204 - Office Visit New Pt. Level 499204
99204 Office/Outpatient Visit - New Patient, Level 4 (45 min)99204 - Office/Outpatient Visit - New Patient Level ( min)99204
99205 Office Visit New Pt. Level 599205 - Office Visit New Pt. Level 599205
99205 Office/Outpatient Visit - New Patient, Level 5 (60 min)99205 - Office/Outpatient Visit - New Patient Level ( min)99205
99211 Office/Outpatient Visit - Established Patient, Level 1 (5 min)99211 - Office/Outpatient Visit - Established Patient Level ( min)9921111.5
99212 Office Visit Established Pt. Level 299212 - Office Visit Established Pt. Level 299212
99212 Office/Outpatient Visit - Established Patient, Level 2 (10 min)99212 - Office/Outpatient Visit - Established Patient Level ( min)99212
99213 Office Visit Established Pt. Level 399213 Office Visit Established Pt. Level 399213
99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min)99213 - Office/Outpatient Visit - Established Patient Level ( min)99213
99214 Office Visit Established Pt. Level 499214 - Office Visit Established Pt. Level 499214
99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min)99214 - Office/Outpatient Visit - Established Patient Level ( min)99214
99215 Office Visit Established Pt. Level 599215 - Office Visit Established Pt. Level 599215
99215 Office/Outpatient Visit - Established Patient, Level 5 (40 min)99215 - Office/Outpatient Visit - Established Patient Level ( min)99215
99304 Initial Nursing Facility Care, Low99304 - Initial Nursing Facility Care Low99304
99305 Initial Nursing Facility Care, Moderate99305 - Initial Nursing Facility Care Moderate99305
99306 Initial Nursing Facility Care, High99306 - Initial Nursing Facility Care High99306
99307 Subsequent Nursing Facility Care, Straightforward99307 - Subsequent Nursing Facility Care Straightforward99307
99308 Subsequent Nursing Facility Care, Low99308 - Subsequent Nursing Facility Care Low99308
99309 Subsequent Nursing Facility Care, Moderate99309 - Subsequent Nursing Facility Care Moderate99309
99310 Subsequent Nursing Facility Care, High99310 - Subsequent Nursing Facility Care High99310
99315 Nursing Facility Discharge, < 30 Min99315 - Nursing Facility Discharge < Min99315
99316 Nursing Facility Discharge, 31+ Min99316 - Nursing Facility Discharge + Min99316
99341 Home Visit, New Patient, Problem Focused99341 - Home Visit New Patient Problem Focused99341
99342 Home Visit, New Patient, Expaned Problem Focused99342 - Home Visit New Patient Expaned Problem Focused99342
99344 Home Visit, New Patient, Comprehensive99344 - Home Visit New Patient Comprehensive99344
99345 Home Visit, New Patient, Unstable99345 - Home Visit New Patient Unstable99345
99347 Home Visit, Established Patient, Problem Focused99347 - Home Visit Established Patient Problem Focused99347
99348 Home Visit, Established Patient, Expaned Problem Focused99348 - Home Visit Established Patient Expaned Problem Focused99348
99349 Home Visit, Established Patient, Detailed99349 - Home Visit Established Patient Detailed99349
99350 Home Visit, Established Patient, Comprehensive99350 - Home Visit Established Patient Comprehensive99350
99381 Preventive Eval Initial New Pt. < 1 year age99381 - Preventive Eval Initial New Pt. < 1 year age99381
99381 Preventive Evaluation, New Pt; < 1 Yr99381 - Preventive Eval Initial New Pt. < 1 year age99381
99382 Preventive Eval Initial New Pt. 1-4 year age99382 - Preventive Eval Initial New Pt. 1-4 year age99382
99382 Preventive Evaluation, New Pt; 1-4 Yrs99382 - Preventive Eval Initial New Pt. 1-4 year age99382
99383 Preventive Eval Initial New Pt. 5-11 year age99383 - Preventive Eval Initial New Pt. 5-11 year age99383
99383 Preventive Evaluation, New Pt; 5-11 Yrs99383 - Preventive Eval Initial New Pt. 5-11 year age99383
99384 Preventive Eval Initial New Pt. 12-17 year age99384 - Preventive Eval Initial New Pt. 12-17 year age99384
99384 Preventive Evaluation, New Pt; 12-17 Yrs99384 - Preventive Evaluation New Pt; - Yrs99384
99385 Preventive Eval Initial New Pt. 18-39 year age99385 - Preventive Eval Initial New Pt. 18-39 year age99385
99385 Preventive Evaluation, New Pt; 18-39 Yrs99385 - Preventive Evaluation New Pt; - Yrs99385
99386 Preventive Eval Initial New Pt. 40-64 year age99386 - Preventive Eval Initial New Pt. 40-64 year age99386
99386 Preventive Evaluation New Pt; 40-64 Yrs99386 - Preventive Evaluation New Pt; - Yrs99386
99387 Preventive Eval Initial New Pt. > 65 year age99387 - Preventive Eval Initial New Pt. > 65 year age99387
99387 Preventive Evaluation, New Pt; 65+ Yrs99387 - Preventive Evaluation New Pt; + Yrs99387
99391 Preventive Eval Est Pt. < 1 year age99391 - Preventive Eval Est Pt. < 1 year age99391
99391 Preventive Evaluation, Established Pt; < 1 Yr99391 - Preventive Evaluation Established Pt; < Yr99391
99392 Preventive Eval Est Pt. 1-4 year age99392 - Preventive Eval Est Pt. 1-4 year age99392
99392 Preventive Evaluation, Established Pt; 1-4 Yrs99392 - Preventive Evaluation Established Pt; - Yrs99392
99393 Preventive Eval Est Pt. 5-11 year age99393 - Preventive Eval Est Pt. 5-11 year age99393
99393 Preventive Evaluation, Established Pt; 5-11 Yrs99393 - Preventive Evaluation Established Pt; - Yrs99393
99394 Preventive Eval Est Pt. 12-17 year age99394 - Preventive Eval Est Pt. 12-17 year age99394
99394 Preventive Evaluation, Established Pt; 12-17 Yrs99394 - Preventive Evaluation Established Pt; - Yrs99394
99395 Preventive Eval Est Pt. 18-39 year age99395 - Preventive Eval Est Pt. 18-39 year age99395
99395 Preventive Evaluation, Established Pt; 18-39 Yrs99395 - Preventive Evaluation Established Pt; - Yrs99395
99396 Preventive Eval Est Pt. 40-64 year age99396 - Preventive Eval Est Pt. 40-64 year age99396
99396 Preventive Evaluation, Established Pt; 40-64 Yrs99396 - Preventive Evaluation Established Pt; - Yrs99396
99397 Preventive Eval Est Pt. >65 year age99397 - Preventive Eval Est Pt. >65 year age99397
99397 Preventive Evaluation, Established Pt; 65+ Yrs99397 - Preventive Evaluation Established Pt; + Yrs99397
99406 Smoking/Tobacco Cessation Counseling; 3-10 Min99406 - Smoking/Tobacco Cessation Counseling; - Min99406
99407 Smoking/Tobacco Cessation Counseling; 11+ Min99407 - Smoking/Tobacco Cessation Counseling; + Min99407
99417 Prolonged care during an E&M service, direct patient contact; ea 15 min99417 - Prolonged care during an EM service direct patient contact; ea min99417G2212
99441 Telephone Visit - Established Patient; 5-10 Min99441 - Telephone Visit - Established Patient; - Min99441
99442 Telephone Visit - Established Patient; 11-20 Min99442 - Telephone Visit - Established Patient; - Min99442
99443 Telephone Visit - Established Patient; 21-30 Min99443 - Telephone Visit - Established Patient; - Min99443
99455 CDL without CPE99455 - CDL physical99455
99497 Advance Care Planning, First 30 Minutes99497 - Advance Care Planning First Minutes99497
99498 Advance Care Planning, Each Additional 30 Mins99498 - Advance Care Planning Each Additional Mins99498
99999 Case Conference Community Benefit99999 Case Conference Community Benefit
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examinationG0101 - G Cervical or vaginal cancer screening; pelvic and clinical breast examinationG0101
G0396 Alcohol and/or substance abuse assessment, intervention; 15 to 30 minG0396 - G Alcohol and/or substance abuse assessment intervention; to minG0396
G0402 Initial preventive physical (Welcome to Medicare)G0402 - G Initial preventive physical (Welcome to Medicare)G0402
G0406 Inpatient Telehealth Follow-Up; 15 minG0406 - Inpatient Telehealth Follow-Up; minG0406
G0407 Inpatient Telehealth Follow-Up; 25 minG0407 - Inpatient Telehealth Follow-Up; minG0407
G0425 Inpatient/ED Telehealth Consult 30G0425 - Inpatient/ED Telehealth ConsultG0425
G0426 Inpatient/ED Telehealth Consult 50G0426 - Inpatient/ED Telehealth ConsultG0426
G0438 Annual wellness visit; includes a personalized prevention plan of service, initial visitG0438 - G Annual wellness visit; includes a personalized prevention plan of service initial visitG0438
G0439 Annual wellness visit, includes a personalized prevention plan of service, subsequent visitG0439 - G Annual wellness visit includes a personalized prevention plan of service subsequent visitG0439
G0442 Annual alcohol misuse screening, 15 minutesG0442 - Annual alcohol misuse screening minutesG0442
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minG0443 - Brief face-to-face behavioral counseling for alcohol misuse minG0443
G0444 Annual Depression Screening; 15 minG0444 - Annual Depression Screening; minG0444
G0447 Obesity Counseling; 15 minG0447 - Obesity Counseling; minG0447
G2010 TeleHealth Remote evaluation of recorded video and/or images submitted by an established patieG2010 - TeleHealth Remote evaluation of recorded video and/or images submitted by an established patieG2010
G2012 TeleHealth VIRTUAL CHECK IN -Brief communication technology-based serviceG2012 - TeleHealth VIRTUAL CHECK IN -Brief communication technology-based serviceG2012
G8417 BMI is documented above normal parameters and a follow-up plan is documentedG8417 - BMI is documented above normal parameters and a follow-up plan is documentedG8417
LTC Pro Fees (SAMC)
% Cd19 (B Cells) Qst97.5
% Cd3 (Mature T Cells) Qst97.5
.Manual Differential (LCHN)85007 - .Manual Differential (LCHN)85007116
.Reflex UA to Microscopic Exam81015 - UA Microscopic8101532.5
11422 EXCISION BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 1.1-2.0 CM11422 EXCISION BENIGN LESION SCALP, NECK, HANDS, FEET, GENIT11422418.98
15272 ALPY SKIN SUBST LEG ADDITIONAL25 SQ CM CHARGE15272 ALPY SKIN SUBST LEG ADDITIONAL25 SQ CM CHARGE15272059.5
15275 APLY SKIN SUBST FEET FIRST 25 SQCM CHARGE15275 APLY SKIN SUBST FEET FIRST 25 SQCM CHARGE1527505265
15276 APLY SKIN SUBST FEET ADDITIONAL25 SQ CM CHARGE15276 APLY SKIN SUBST FEET ADDITIONAL25 SQ CM CHARGE15276087.5
20526 Joints Inj. Carpal Tunnel20526 Joints Inj. Carpal Tunnel205260622
20550 Joints Inj. Ligament/Tendon20550 Joints Inj. Ligament/Tendon205500622
20551 INJECTION; SINGLE TENDON ORIGIN/INSERT20551 - INJECTION; SINGLE TENDON ORIGIN/INSERT205510849
20552 Joints Trp. Inj. One-two muscles20552 Joints Trp. Inj. One-two muscles205520676
20553 Joints Trp. Inj. 3 or muscles20553 Joints Trp. Inj. 3 or muscles205530811
20600 Joints Finger/Toe Ing20600 Joints Finger/Toe Ing206000514
20605 Joints Intermediate Jt./Bursa20605 Joints Intermediate Jt./Bursa206050752
20610 Joints Large Joint/Bursa/Shd/Kn20610 Joints Large Joint/Bursa/Shd/Kn206100849
20611 INTRA-ARTICULAR STERIOD INJECTION W/ ULT20611 - INTRA-ARTICULAR STERIOD INJECTION W/ ULT206110946.5
27096 Bilat Joints SI Joint-includes imaging27096 - Joints SI Joint-includes imaging2709603634
27096 Joints SI Joint-includes imaging27096 - Joints SI Joint-includes imaging2709601930.5
36415 - COLLECTION: Venous Draw36415 - COLLECTION: Venous Draw3641530.5
36571 INSERT PICVAD CATH CHARGE36571 INSERT PICVAD CATH CHARGE3657108991.5
5-HIAA, 24Hr Ur QST8349725
62270 Lumbar Puncture62270 Lumbar Puncture6227001303.5
62272 THER SPI PNXR DRG CST62272 - THER SPI PNXR DRG CST6227201464
62321 Cervical/Thoracic62321 Cervical/Thoracic6232102413
62323 Lumbar/Sacral62323 Lumbar/Sacral6232302011.5
64400 NJX AA&/STRD TRIGEMINAL NTV64400 - NJX AA/STRD TRIGEMINAL NTV6440002758
64405 Bilat Greater Ocicipital N64405 - Greater Ocicipital N6440502119.5
64405 Greater Ocicipital N64405 - Greater Ocicipital N6440501126
64417 Petipheral Nerve Blocks, Axillary Nerve64417 Petipheral Nerve Blocks Axillary Nerve6441701126
64418 BIL NJX AA&/STRD SPRSCAP NRV64418 - BIL NJX AA/STRD SPRSCAP NRV6441802119.5
64418 SUPRASCAPULAR NERVE64418 - SUPRASCAPULAR NERVE6441801126
64420 Intercostal (Single)64420 Intercostal (Single)6442001529
64421 Intercostal (Multiple)64421 Intercostal (Multiple)6442102173
64430 BIL NJX AA&/STRD PUDENAL NERVE64430 - BIL NJX AA/STRD PUDENAL NERVE6443003179.5
64430 NJX AA&/STRD PUDENDAL NERVE64430 - NJX AA/STRD PUDENDAL NERVE6443001689
64445 Sciatic N Block64445 Sciatic N Block6444501529
64450 Lesser Occipital N64450 Lesser Occipital N644500622
64454 NJX AA&/STRD GNCLR NRV BRNCH64454 NJX AA and/STRD GNCLR NRV BRNCH644541933.02
64455 PLANTAR DIGITAL NERVE BLOCK64455 - PLANTAR DIGITAL NERVE BLOCK644550886
64483 Bilat Lumbar/Sacral Trans64483 - Lumbar/Sacral Trans6448305602
64483 Lumbar/Sacral Trans64483 - Lumbar/Sacral Trans6448302976
64484 Addition level x64484 Addition level x6448401488
64490 Bilat Cervical/Thoracic64490 - Cervical/Thoracic6449004694
64490 Cervical/Thoracic64490 - Cervical/Thoracic6449002494
64491 Bilat Second Level64491 - Second Level6449102347
64491 Second Level64491 - Second Level6449101247
64492 Add levels64492 - Add levels6449201247
64492 Bilat Add levels64492 - Add levels6449202347
64493 Bilat Lumbar Single64493 - Lumbar Single6449304315
64493 Lumbar Single64493 - Lumbar Single6449302223
64494 Bilat Second Level64494 - Second Level6449402159
64494 Second Level64494 - Second Level6449401112
64495 Bilat Third Level64495 - Third Level6449502159
64495 Third Level64495 - Third Level6449501112
64505 Bilat Sphenopalatine Ganglion64505 - Sphenopalatine Ganglion6450502422.5
64505 Sphenopalatine Ganglion64505 - Sphenopalatine Ganglion6450501287
64510 Stellate Ganglion64510 Stellate Ganglion6451002964.5
64517 SUPERIOR HYPOGASTRIC PLEXUS64517 - SUPERIOR HYPOGASTRIC PLEXUS6451702964.5
64520 Lumbar Sympathetic64520 Lumbar Sympathetic6452001810
64530 CELIAC PLEXUS64530 - CELIAC PLEXUS6453002964.5
64633 Bilat Cervical/Thoracic RF64633 - Cervical/Thoracic RF6463304344.5
64633 Cervical/Thoracic RF64633 - Cervical/Thoracic RF6463302896.5
64634 Bilat C/T RF x64634 - C/T RF x6463402172
64634 C/T RF x64634 - C/T RF x6463401448
64635 Bilat L/S RF ablation64635 - L/S RF ablation6463504446
64635 L/S RF ablation64635 - L/S RF ablation6463502964.5
64636 Add levels64636 - Add levels6463601482.5
64636 Bilat Add levels64636 - Add levels6463602224
64640 Neurolytic Destruction other nerve or nerves64640 Neurolytic Destruction other nerve or nerves6464002964.5
76942 Periipheral Nerve Blocks Ultrasound guidance76942 Petipheral Nerve Blocks Ultasound guidance76942166
77002 - Fluoroscopic guidance for needle placement all types.77002 - Fluoroscopic guidance for needle placement all types77002175
85060-Peripheral Blood Smear85060-Peripheral Blood Smear8506046
88104-Cytopath FL NonGYN88104-Cytopath FL NonGYN88104145
88104-Cytopath FL NonGYN Filter88104-Cytopath FL NonGYN Filter88104143
88106-Cytopath Concentrate Tech88106-Cytopath Concentrate Tech88106138
88112-Special Stains Group 188112-Special Stains Group 188112137
88141-Phys. Interpretation on Abnormal Pap88141-Phys. Interpretation on Abnormal Pap8814165
88142-Cytopath CV Thin Layer88142-Cytopath CV Thin Layer8814229
88160-Cytopath Smear Other88160-Cytopath Smear Other88160138
88172-CYTP Dx Eval FNA 1st Ea88172-CYTP Dx Eval FNA 1st Ea88172110
88173-Cytopath Eval FNA Report88173-Cytopath Eval FNA Report88173294
88175-Cytopath C?V Auto Fluid88175-Cytopath C?V Auto Fluid8817550
88177-CYTP FNA Eval Ea Addl88177-CYTP FNA Eval Ea Addl8817758
88300-Surgical Path Gross88300-Surgical Path Gross8830030
88302-Tissue Exam By Pathologist188302-Tissue Exam By Pathologist18830262
88304-Tissue Exam By Pathologist288304-Tissue Exam By Pathologist28830482
88305-Tissue Exam By Pathologist388305-Tissue Exam By Pathologist388305139
88307-Tissue Exam By Pathologist188307-Tissue Exam By Pathologist188307564
88309-Tissue Exam By Pathologist288309-Tissue Exam By Pathologist288309823
88311-Decalcify Tissue88311-Decalcify Tissue8831140
88312-Special Stains Group 188312-Special Stains Group 188312223
88313-Special Stains Group 288313-Special Stains Group 288313161
88331-Path Consult Intraop 1 BLOC88331-Path Consult Intraop 1 BLOC88331199
88332-Path Consult Intraop ADDL88332-Path Consult Intraop ADDL88332106
88333-Intraop Cyto Path Consult 188333-Intraop Cyto Path Consult 188333181
88334-Intraop Cyto Path Cosnsult 288334-Intraop Cyto Path Cosnsult 288334109
88341-Immunohisto Antb Addl88341-Immunohisto Antb Addl88341174
88342-Immunohisto Antb 1st Stain88342-Immunohisto Antb 1st Stain88342199
88344-Immunohisto Antibody Slide88344-Immunohisto Antibody Slide88344238
88360-Tumor Immunohistochem/manual88360-Tumor Immunohistochem/manual88360238
88361-Tumor Immunohistochem/Comput88361-Tumor Immunohistochem/Comput88361237
88364-Instu Hybridization (FSH)88364-Instu Hybridization (FSH)88364273
88365-Instu Hybridization (FSH)88365-Instu Hybridization (FSH)88365355
88368-Instu Hybridization Manual88368-Instu Hybridization Manual88368268
88377-M/Phmtrc Alys Ishquant/SemiQ88377-M/Phmtrc Alys Ishquant/SemiQ88377804
ACTH QST8202471
AFP-L3 QSTAFP-L3 QST8210793
ANA Scr,IFA,Rfx Titer/Pattern,Multiplex 11 ab Cascade QST
ANA Screen, IFA QSTANA Screen, IFA QST8603818.5
ANA Screen, IFA, Reflex Titer/Pattern, and reflex to Multiplex 11 Ab Cascade QSTANA Screen, IFA, Reflex Titer/Pattern, and reflex to Multipl
ANA Screen, IFA, w/Rfx Titer Pattern QST8603818.5
ANCA Screen w/Rfx ANCA Titer QSTANCA Screen w/Rfx ANCA Titer QST8603674
ANTI-MULLERIAN HORMONE (AMH), FEMALE QST83520128
Absolute Lymphocytes QST191
Absolute Nk Cells (Cd16+Cd56+Cells) Qst99
Acetaminophen LevelG0480 - Acetaminophen LevelG0480371
Acetone82009 - Acetone8200927.5
Activated Protein C Res with Rfx Factor V (Leiden)Mut QST85307122
Alanine aminotransferase84460 - ALT8446055
Albumin Level82040 - Albumin Level8204052
Alcohol Level80320 - Alcohol Level80320142.5
Aldosterone, LC/MS QST8208855.13
Aldosterone/Plasma Renin Activity Ration LC/MS/MS QSTAldosterone/Plasma Renin Activity Ration LC/MS/MS QST82088112
Alkaline Phosphatase84075 - Alkaline Phosphatase8407552
Alpha Fetoprotein, Tumor Marker QST8210531
Alpha-1 Antitrypsin (AAT) Mutation Analysis QSTAlpha-1 Antitrypsin (AAT) Mutation Analysis QST81332344
Ammonia QST8214046
Amylase Level82150 - Amylase Level82150105
Anaplasma Phgocytophilum Ab (IgG, IgM) QSTAnaplasma Phgocytophilum Ab (IgG, IgM) QST86666174
Anemia Profile
Angiotensin Converting Enzyme (ACE) QSTAngiotensin Converting Enzyme (ACE) QST81400263
Anti-Streptolysin O QSTAnti-Streptolysin O QST8606013
Anti-Synthetase Panel 1 QSTAnti-Synthetase Panel 1 QST84182108.2
Antithrombin III Antigen QST85301188.5
Aspartate aminotransferase84450 - AST8445052
B-Type Natriuretic Peptide83880 - B-Type Natriuretic Peptide83880261.5
B. Henselae Ab (IgG, IgM) w/reflex to titersB. Henselae Ab (IgG, IgM) w/reflex to titers8661193
BRCA Panel (BRCA1, BRCA2) QSTBRCA Panel (BRCA1, BRCA2) QST811622688
Babesia duncani (WA1) Antibody (IgG), IFABabesia duncani (WA1) Antibody (IgG), IFA86753135
Babesia microti Antibodies (IgG, IgM)Babesia microti Antibodies (IgG, IgM)86753101
Basic Metabolic Panel80048 - Basic Metabolic Panel80048148.5
Beta hCG Qualitative84702 - Beta hCG Qualitative8470290.5
Beta hCG Qualitative Urine84703 - Beta hCG Qualitative Urine8470330.5
Beta hCG Quantitative84702 - Beta hCG Quantitative8470249
Beta-2-Glycoprotein I Antibodies (IgG, IgA, IgM) QST86146185.5
Bilirubin Direct82248 - Bilirubin Direct8224855
Bilirubin Total82247 - Bilirubin Total8224755
Bilirubin Total and Direct82247 - Bilirubin Total8224755
Bilirubin Total, Direct, and Indirect8224755
BioTe Pre Female
BioTe Pre Male
Blood Born Exposure - Employee
Blood Borne Exposure - Source
Blood Borne Pathogen Exposure - Source
Blood Borne Pathogen Exposure - Employee
Blood Gas Arterial82803 - Blood Gas Arterial82803209.5
Blood Gas Venous RT82803 - Blood Gas Venous RT82803209.5
Blood Urea Nitrogen84520 - Blood Urea Nitrogen8452075.5
Blood Urea Nitrogen
Bordetella Pertussis/ Parapertussis, Culture QST87081128.5
Bordetella Pertussis/Parapertussis QST86615225.5
Breath AlcoholBreath Alcohol8207530
C TELOPEPTIDE (CTX) QSTC TELOPEPTIDE (CTX) QST82523143
C-Reactive Protein86140 - C-Reactive Protein8614017.5
C. Diff Int QCC. Diff Int QC8749346.5
CA 125 QST8630440.5
CA 19-9 QSTCA 19-9 QST8630139
CA 27.29 QST8630036.5
CAH Panel 6 (StAR Deficiency) QSTCAH Panel 6 (StAR Deficiency) QST82088373
CATECHOLAMINES, FRACTIONATED, PLASMA QSTCATECHOLAMINES, FRACTIONATED, PLASMA QST8238459
CBC w/ Diff85025 - CBC w/ Differential85025112.5
CBC w/o Diff85027 - CBC without Differential8502719.5
CCP Antibody IgG AEL86200116
CDT Serum QSTCDT Serum QST8237384
CEA QST8237835.5
CENTROMERE B ANTIBODY QST8623571
CHROMATIN (NUCLEOSOMAL) ANTIBODY QST8623571
CMP80053 - Comprehensive Metabolic Panel80053188
COLLECTION: Arterial Draw36600 - COLLECTION: Arterial Draw36600354
COLLECTION: Capillary36416 - COLLECTION: Capillary3641627.5
COLLECTION: Venous Draw36415 - COLLECTION: Venous Draw3641530.5
COMPLEMENT, TOTAL (CH50) QSTCOMPLEMENT, TOTAL (CH50) QST8616238
CRYOGLOBULIN (%CRYOCRIT), SERUM QSTCRYOGLOBULIN (%CRYOCRIT), SERUM QST8259546
CYSTATIN C WITH eGFR QSTCYSTATIN C WITH eGFR QST82610135
Calcitonin QSTCalcitonin QST8230852
Calcium 24 Hour Urine with Creatinine QSTCalcium 24 Hour Urine with Creatinine QST823406.5
Calcium Level
Calcium Level Total82310 - Calcium Level Total8231055
Calcium QSTCalcium QST823107.19
Calcium, Ionized QSTCalcium, Ionized QST8233028
Calprotectin, Stool QSTCalprotectin, Stool QST83993175
Carbamazepine, Total QST8015629
Carbon Dioxide
Carbon Dioxide Level82374 - Carbon Dioxide Level8237440
Cardiac Markers
Cardiac Panel
Cardiac Profile
Cardiolipin Ab (IgA, IgG, IgM) QSTCardiolipin Ab (IgA, IgG, IgM) QST8614979.28
Catecholamines, Fr,24Hr Ur w/o Creat QSTCatecholamines, Fr,24Hr Ur w/o Creat QST8238457
Cell Count Body FluidCell Count Body Fluid89051109
Centromere B Ab QstCentromere B Ab Qst8623569
Ceruloplasmin QSTCeruloplasmin QST8239018
Chlamydia Trachomatis RNA, TMA, Uro QSTChlamydia Trachomatis RNA, TMA, Uro QST8749177.5
Chlamydia trachomatis and Neisseria gonorrhoeae (GeneXpert)Chlamydia trachomatis and Neisseria gonorrhoeae (GeneXpert)0353U140
Chlamydia/N. Gon. and T.Vaginalis RNA, Q,TMA QSTChlamydia/N. Gon. and T.Vaginalis RNA, Q,TMA QST87491|87591|87661290
Chlamydia/N. gonorrhoeae RNA,TMA Uro QSTChlamydia/N. gonorrhoeae RNA,TMA Uro QST87491120
Chloride
Chloride Level82435 - Chloride Level8243540
Cholesterol LDL83704 - Cholesterol LDL83704106
Cholesterol Total82465 - Cholesterol Total8246552
Chromatin (Nucleosomal) Ab QstChromatin (Nucleosomal) Ab Qst8623569
Clostridium DifficileClostridium Difficile8749346.5
Complement Component C3, C4, QSTComplement Component C3, C4, QST8616047
Coronavirus SARS Ag (Sofia)87426 - Coronavirus SARS Ag (Sofia)87426135.69
Cortisol, Total QST8253390
Creatine Kinase82550 - Creatine Kinase82550105
Creatinine
Creatinine82565 - Creatinine8256586.5
Creatinine Urine82570 - Creatinine Urine8257017.5
Crystals, Synovial Fluid QUESTCrystals, Synovial Fluid QUEST8906040
Cult,Fung,Skin,Hair,Nail KOH Final QST8710245
Culture Fungus, Skin, Hair or Nails QSTCulture Fungus, Skin, Hair or Nails QST87101
Culture, Aerobic and Anaerobic QSTCulture, Aerobic and Anaerobic QST87070|87075|87205114
Culture, Fungus w/Smear Other QSTCulture, Fungus w/Smear Other QST8710255.5
Culture, Fungus, Blood QSTCulture, Fungus, Blood QST277.5
Culture, Fungus, Blood QST
Culture, Viral Body Fluids, Tissues QST87252244
Culture,Fungus,Sk,Hair,Nail w/DF/KOH QSTCulture,Fungus,Sk,Hair,Nail w/DF/KOH QST87101160.5
Cyclic Citrullinated Peptide Ab(IgG) QST86200116
Cytomegalovirus Antibodies (IgG, IgM) QSTCytomegalovirus Antibodies (IgG, IgM) QST86644|8664544.5
Cytomegalovirus DNA, Qn, RT PCR QSTCytomegalovirus DNA, Qn, RT PCR QST87497383
D-Dimer85379 - D-Dimer85379195.5
DA CBC w/out DiffDA CBC w/out Diff8502720
DA CMPDA CMP8005335
DA Iron Profile -Transferrin -FerritinDA Iron Profile -Transferrin -Ferritin|DA Iron Profile -Transferrin -Ferritin|DA Iron Profile -Transferrin -Ferritin83550|84466|8272820
DA Lipid ProfileDA Lipid Profile8006120
DA TSHDA TSH8444315
DHEA Sulfate QST8262746.5
DNA (DS) ANTIBODY QST8622571
DOT/Non DOT Breath AlcoholDOT/Non DOT Breath Alcohol9900078
DOT/Non DOT Urine Collection OnlyDOT/Non DOT Urine Collection Only9900030
Dexamethasone QSTDexamethasone QST80299107
Digoxin QST8016229
Dihydrotestosterone, Free, Serum QSTDihydrotestosterone, Free, Serum QST82642230
Diphtheria Antitoxoid QST86648115
Dna (Ds) Ab QstDna (Ds) Ab Qst8622569
Drug Monitoring, Fentanyl, Screen, Urine QSTDrug Monitoring, Fentanyl, Screen, Urine QST80307170
Drug Monitoring, MDMA/MDA, Quant, Urine QSTDrug Monitoring, MDMA/MDA, Quant, Urine QST80359107
Drug Monitoring, Methamphetamine D/L Isomers, Urine QSTDrug Monitoring, Methamphetamine D/L Isomers, Urine QST80374G0480246
Drug Monitoring, Opiates, with Confirmation, Urine QSTDrug Monitoring, Opiates, with Confirmation, Urine QST80307289
EHRLICHIA CHAFFEENSIS (IGG,IGM) QSTEHRLICHIA CHAFFEENSIS (IGG,IGM) QST86666174
ESR Westergren85651 - ESR Westergren8565164
ETA Protein QSTETA Protein QST83520135
Electrolyte Panel80051 - Electrolyte Panel80051131
Epstein Barr Virus Ab Panel QSTEpstein Barr Virus Ab Panel QST86665142.01
Epstein-Barr Virus DNA, Qu. Real-Time PCR QSTEpstein-Barr Virus DNA, Qu. Real-Time PCR QST87798228
Epstein-Barr Virus DNA, Quant, Real-Time PCR QSTEpstein-Barr Virus DNA, Quant, Real-Time PCR QST87799273
Erythropoietin QSTErythropoietin QST8266863
Estradiol QST8267050
Ethosuximide QSTEthosuximide QST8016826
Executive Panel
FISH, AML, CBFB/MYH11 QSTFISH, AML, CBFB/MYH11 QST88271|88275475
FSH QSTFSH QST8300128
Factor V (Leiden) Mutation Analysis QSTFactor V (Leiden) Mutation Analysis QST81241240
Factor VIII Activity, Clotting QST85240189.5
Fecal Leukocyte Stain QST8905525.5
Ferritin82728 - Ferritin8272844.5
Folate Level82746 - Folate Level8274645.5
Food and Tree Nut Allergy Panel QstFood and Tree Nut Allergy Panel Qst86003214
Free T384481 - Free T38448152.5
Free T4 Level84439 - Free T48443929.5
G0416-Prostate Biopsy, Any MthdG0416-Prostate Biopsy, Any Mthd55700691
GGT QST829779.5
GTT 1 Hour
GTT 1 Hr
GTT 2 Hour
GTT 2 Hr
GTT 3 Hour
GTT 3 Hr
GTT 4 Hour
GTT 5 Hr
Gastrin QSTGastrin QST8294126
Giardia Ag, EIA, Stool QST8732957
Glucose 1 Hour82951 - Glucose 1 Hour8295152
Glucose 2 Hour82951 - Glucose 2 Hour8295152
Glucose 3 Hour82951 - Glucose 3 Hour8295152
Glucose Level82947 - Glucose Level8294745.5
Glucose Level
Glucose Tolerance Test 6 Hour
Group A Strep (GeneXpert)Group A Strep (GeneXpert)87651120
Group B Strep (GeneXpert)Group B Strep (GeneXpert)45
Guaiac Gastric82271 - Guaiac Gastric8227127.5
HDL83718 - Cholesterol HDL8371824.5
HEPATITIS B CORE ANTIBODY (IGM) QST8670517
HEPATITIS B SURFACE ANTIBODY QL QST8670619.5
HIV 1/2 Ag/Ab ,Fourth Gen w/RFL QST8738977.5
HIV-1 RNA, Qn, Real-Time PCR QSTHIV-1 RNA, Qn, Real-Time PCR QST87536256
HLA-B27 Antigen QSTHLA-B27 Antigen QST8681239
HSV 1/2 IgG,Type Specific Ab QSTHSV 1/2 IgG,Type Specific Ab QST86695|8669654
Haemophilus influenzae Type B Antibody (IgG)Haemophilus influenzae Type B Antibody (IgG)8668481
Hantavirus Ab (IgG, IgM) QSTHantavirus Ab (IgG, IgM) QST8679075
Haptoglobin QST8301028
Helicobacter Pylori Ag, EIA, Stool QST87338131.5
Hematocrit85014 - Hematocrit8501435.5
Hemoglobin85018 - Hemoglobin8501836.5
Hep C Ab w/Rfx HCV, RNA, Quant, PCR QST8680350.5
Hep C Viral RNA Geno 1 NS5a Drug Res QST8790210.5
Hepatic Function Panel80076 - Hep Fnct Pnl80076290
Hepatitis A Antibody, Total QST8670823.5
Hepatitis A IgM Antibody QST8670920.5
Hepatitis B Core Antibody, Total QST8670420.5
Hepatitis B Surface Ab Immunity, Qnt QST8631722
Hepatitis B Surface Ag w/Reflex Conf QST8734017.5
Hepatitis Panel Acute with rfx to conf QSTHepatitis Panel Acute with rfx to conf QST8670820.5
Hereditary Hemochromatosis DNA Mut QSTHereditary Hemochromatosis DNA Mut QST81256179
Herpes Simplex Virus, T1 and 2 DNA, Qu. Real Time PCR QSTHerpes Simplex Virus, T1 and 2 DNA, Qu. Real Time PCR QST87529153.5
Herpesvirus 6 (HHV-6) DNA, Qualitative Real Time PCR QSTHerpesvirus 6 (HHV-6) DNA, Qualitative Real Time PCR QST87532253
Hgb A1c83036 - Hgb A1c83036148.5
Homocysteine QSTHomocysteine83090112.86
Hypersensitivity Pneumonitis Screen QST86606196
INTERLEUKIN 6 (IL 6), SERUM QSTINTERLEUKIN 6 (IL 6), SERUM QST83529235
IgE QSTIgE QST8278558
IgG QSTIgG QST827840
IgG Subclasses Panel QSTIgG Subclasses Panel QST82784246
Immunofixation, Serum QSTImmunofixation, Serum QST8633448
Immunofixation, Ur QSTImmunofixation, Ur QST8633548
Immunoglobulins Panel QSTImmunoglobulins Panel QST8278446
Influenza A and B (Sofia)87400 - Influenza A and B (Sofia)8740097.5
Insulin QST8352518.5
Iron Level83540 - Iron Level8354020.5
Iron Profile83550 - Iron Panel w/ Ferritin83550132
JAK2, Exon 12 Mutation Analysis QST81279418.5
Jak2 V617F Mutation Analysis QST81270418.5
Jo-1 Ab QST8623571
Jo-1 Ab QSTJo-1 Ab QST8623569
LD QST8361510.5
Lactate Dehydrogenase (LD) Isoenzyme Panel QSTLactate Dehydrogenase (LD) Isoenzyme Panel QST8361548
Lactic Acid Level83605 - Lactic Acid Level83605155.5
Lead, Blood QSTLead, Blood QST8365517
Levetiracetam QST8017784
Lipase Level83690 - Lipase Level83690134
Lipid Pnl80061 - Lipid Panel80061173
Lithium QSTLithium QST8017813
Lupus Anticoagulant Evaluation w/Rfx QST8561337.5
Lyme Disease Ab W/Refl Ia (Igg,Igm) QST8661872
Lymphocyte Subset Panel 1 QSTLymphocyte Subset Panel 1 QST0
MRSA (GeneXpert)MRSA (GeneXpert)8764152.5
MTHFR, DNA QSTMTHFR, DNA QST81291369
Magnesium Level83735 - Magnesium Level83735101.5
Maternal Serum AFP QSTMaternal Serum AFP QST8210533
Measles Ab (IgG) QST8676530
Metanephrines, Fr. Free, LC-MS/MS QSTMetanephrines, Fr. Free, LC-MS/MS QST83835164
Metanephrines, Fr. LC-MS/MS, 24Hr Ur QSTMetanephrines, Fr. LC-MS/MS, 24Hr Ur QST83835100
Methylmalonic Acid QSTMethylmalonic Acid QST83921193
Microalbumin Level Urine82044 - Microalbumin Level Urine8204420.5
Microalbumin/Creatinine Ratio Urine82043- Microalbumin/Creatinine Ratio Urine8204317.5
Mitochondrial Ab Screen w/Rfx Titer QSTMitochondrial Ab Screen w/Rfx Titer QST8638125
Monkeypox Virus Dna, Ql Real Time Pcr QST87593116
Mononucleosis Screen86308 - Mononucleosis Screen8630827.5
MuSK Antibody QSTMuSK Antibody QST835191300
Multi Vaginal Panel (GeneXpert)Multi Vaginal Panel (GeneXpert)0352U133.75
Mumps Virus Ab (IgG) QST8673588.5
Mumps Virus Antibodies (IgG, IgM), Diagnostic QSTMumps Virus Antibodies (IgG, IgM), Diagnostic QST8673586
Myasthenia Gravis Panel 2 QSTMyasthenia Gravis Panel 2 QST83519139
Mycobacteria, Culture, w/Fluor Smear QST
Mycoplasma pneumoniae Ab (IgG, IgM)Mycoplasma pneumoniae Ab (IgG, IgM)8673873
N Methylhistamine, 24 Hour, Urine QSTN Methylhistamine, 24 Hour, Urine QST82542
Neisseria Gonorrhoeae RNA, TMA, Uro QST8759177.5
Newborn ScreenNewborn Screen0
OSMOLALITY (SERUM) QSTOSMOLALITY (SERUM) QST8393017
Occult Blood Stool Diagnostic82270 - Occult Blood Stool Diagnostic8227027.5
Osmolality (Serum)
Osmolality, Ur QSTOsmolality, Ur QST8393521
Ova and Parasites, Conc w/Perm Smear QST87177152
Oxycodone, Confirmation, Urine QSTOxycodone, Confirmation, Urine QST80365125
PLASMA RENIN ACTIVITY, LC/MS/MS QSTPLASMA RENIN ACTIVITY, LC/MS/MS QST8424434.63
PREGNENOLONE, LC/MS QSTPREGNENOLONE, LC/MS QST84140
PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE QSTPROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE QST83519169
PROTHROMBIN TIME-INR QSTPROTHROMBIN TIME-INR QST8561059.74
PSA (Free and Total) QSTPSA Total8415320.5
PSA Diagnostic84152 - PSA Diagnostic8415273.5
PSA ScreeningG0103 - PSA ScreeningG0103171
PSA-Total84153 - PSA-Total84153184
PT/INR (Fingerstick)85610 - PT/INR (Fingerstick)8561059.5
PTH, Intact (ICMA) and Ionized Calcium QSTPTH, Intact (ICMA) and Ionized Calcium QST82310104
PTH, Intact and Calcium QST
PTH, Intact w/o Calcium QST8397083.5
PTH-Related Protein (PTH-rp) QSTPTH-Related Protein (PTH-rp) QST83519215
PTT, Activated QST8573016.5
Parathyroid Hormone, Intact QST8397081.25
Parvovirus B19 Abs (IgG, IgM) QSTParvovirus B19 Abs (IgG, IgM) QST8674742
Parvovirus B19 DNA, Qualitative Real-Time PCR QSTParvovirus B19 DNA, Qualitative Real-Time PCR QST87798157
Pathologist Review-Peripheral Smear QST8506046
Phenytoin QST8018529
Pheochromocytoma Evaluation QuestPheochromocytoma Evaluation Quest82382154
Phosphatidylethanol, Blood QSTPhosphatidylethanol, Blood QST80321144
Phospholipase A2 Recep Ab Panel QSTPhospholipase A2 Recep Ab Panel QST83520|86255542
Phosphorus
Phosphorus Level84100 - Phosphorus Level8410086.5
Plt Cnt85049 - Platelet Count8504927.5
Post Vasectomy Sperm CountPost Vasectomy Sperm Count8932151
Potassium Level84132 - Potassium Level8413255
Potassium Level
Potassium, Random Urine with Creatinine QSTPotassium, Random Urine with Creatinine QST8257013
Prealbumin84134 - Prealbumin8413445.5
Pregnenolone, LC-MS/MS QSTPregnenolone, LC-MS/MS QST84140114
Prenatal Carrier Panel QSTPrenatal Carrier Panel QST81220|81243|813291630
Prenatal Panel
ProcalcitoninProcalcitonin8414830
Procalcitonin QST84145257.5
Progesterone QST8414434.5
Protein C and Protein S, Functional QST
Protein C, Activity QSTProtein C, Activity QST85303167
Protein Cerebrospinal Fluid84157 - Protein Cerebrospinal Fluid8415768
Protein S, Activity QSTProtein S, Activity QST85306161.5
Protein Total84155 - Protein Total8415563
Protein Urine84156 - Protein Urine8415612
Protein, Total QST
Protein, Total and Electrophoresis QSTProtein, Total and Electrophoresis QST8415532.19
Protein, Total and Protein Electrophoresis, Random Urine (REProtein, Total and Protein Electrophoresis, Random Urine (RE8257027
Protein, Total, 24-Hour Urine with Creatinine QSTProtein, Total, 24-Hour Urine with Creatinine QST8257013.5
Protein/Creatinine Ratio Urine84156 - Urine - Total Protein8415612
Prothrombin (Factor II) 20210G A Mutation Analysis QST81240204
QNatal(R) Advanced QST814202568.5
Quad Screen QST81511450.5
QuantiFERON(R)-TB Gold Plus, 1 Tube QSTQuantiFERON(R)-TB Gold Plus, 1 Tube QST86480132
Quest Assure D 25-Hydroxyvitamin D2, D3 QSTQuest Assure D 25-Hydroxyvitamin D2, D3 QST82306102
RNP ANTIBODY QST8623538.5
RNP Ab QstRNP Ab Qst8623568
ROMA (Risk of Ovarian Malignancy Algorithm QSTROMA (Risk of Ovarian Malignancy Algorithm QST81500651
RPR (DX) W/REFL TITER AND CONFIRMATORY TESTING QST8659211
RPR (Monitor) w/Rfx Titer QST8659211
RSV MCG
RSV with Flu A/B
RUBELLA AB (IGG), IMMUNE STATUS QST8676215.5
Renal PnlRenal Function Panel80069576
Respiratory Allergy Profile Region XI: AZ,CO,ID QSTRespiratory Allergy Profile Region XI: AZ,CO,ID QST8278512.62
Respiratory Syncytial Virus86756 - Respiratory Syncytial Virus8675685.5
Reticulocyte Count QST8504511.5
Rheumatoid Factor QST8643110.5
Ribosomal P Antibody QST8351671
Ribosomal P Antibody QstRibosomal P Antibody Qst8351669
Rickettsia(RMSF) IgG,IgM w/Rfx Titer QSTRickettsia(RMSF) IgG,IgM w/Rfx Titer QST86757125
SARS CoV-2(Covid-19) PCRSARS CoV-2(Covid-19) PCRU0002135.69
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)87637 - SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)87637427.89
SARS-CoV-2 Antibody (IgG), Spike, Semi-Qn QSTSARS-CoV-2 Antibody (IgG), Spike, Semi-Qn QST8676981
SM ANTIBODY QST8623569.5
SPECIMEN: Blood
STREPTOCOCCUS PNEUMONIAE AB (IGG) (23 SEROTYPES) QSTSTREPTOCOCCUS PNEUMONIAE AB (IGG) (23 SEROTYPES) QST86317513
Salicylate LevelG0480 - Salicylate LevelG0480371
Salmonella/Shigella Cult, Campy EIA and Shiga Toxin reflex E.coli O157 Cult QSTSalmonella/Shigella Cult, Campy EIA and Shiga Toxin reflex E0
Scl-70 Ab QST86235109.5
Scl-70 Ab QSTScl-70 Ab QST8623569
Sex Hormone Binding Globulin QSTSex Hormone Binding Globulin QST8427030
Sex Hormone Binding Globulin QST8427030.5
Sickle Cell Screen QSTSickle Cell Screen QST8566010
Sirolimus, LC/MS/MS QSTSirolimus, LC/MS/MS QST80195122
Sjogren'S Abs (SS-A,SS-B) QST8623558
Sjogren's Ab (SS-A) QSTSjogren's Ab (SS-A) QST8623556
Sjogren's Ab (SS-B) QSTSjogren's Ab (SS-B) QST8623565
Sm Ab QSTSm Ab QST8623565
Sm/RNP Ab QSTSm/RNP Ab QST86235133
Sm/RNP Antibody QST8623569.5
Sodium Level84295 - Sodium Level8429540
Sodium Level
Stone AnalysisStone Analysis8236571
Stool Culture LCStool Culture LC0
Strep A (Sofia)Strep A (Sofia)8788054
Strep A (Sofia)Strep A (Sofia)8788054
Super Saturation Panel BC SO
Systemic Sclerosis (Scleroderma) 12 Antibodies Panel 2 QSTExtractable nuclear antigen, antibody to, any method (eg, nR86235108.16
T and B Cells, Total QSTT and B Cells, Total QST8635547.5
T3 Reverse, LC-MS/MS QSTT3 Reverse, LC-MS/MS QST8448269
T3, Total QST8448028.5
T4 (THYROXINE), TOTAL QST8443610.5
T4 Free, Direct Dialysis QSTT4 Free, Direct Dialysis QST8443927
TESTOSTERONE, FREE QST8440265.5
TRAb (TSH Receptor Binding Antibody) QSTTRAb (TSH Receptor Binding Antibody) QST8352057
TSH84443 - Thyroid Stimulating Hormone84443174
TSI (Thyroid Stimulating Ig) QSTTSI (Thyroid Stimulating Ig) QST84445384
Testosterone Free Bioavailable and Total MS QSTTestosterone Free and Total QST84403141
Testosterone, Free: QST8440264.5
Testosterone, Total, MS QSTTestosterone, Total, MS QST8440335.63
Testosterone, Total, MS QST8440346
Testosterone,Free(Dialysis),Total,MS QST8440275
Testosterone,Total,Males (Adult), IA QST8440346
Tetanus Antitoxoid QST8677485.5
Theophylline QST8019829.5
Therapeutic PhlebotomyTherapeutic Phlebotomy99195334
Thyroglobulin Abs QST86800 - Thyroglobulin Abs QST8680025.4
Thyroglobulin Panel QSTThyroglobulin Panel QST84432|8680045
Thyroglobulin, LC/MS/MS QuestThyroglobulin, LC/MS/MS Quest84432200
Thyroid Panel
Thyroid Peroxidase Abs QST86376 - Thyroid Peroxidase Abs QST8637625.4
Tissue Transglutaminase Ab, IgG,IgA QSTTissue Transglutaminase Ab, IgG,IgA QST86364227.8
Total Iron Binding Capacity83550 - Total Iron Binding Capacity8355028.5
Trichomonas VaginalisTrichomonas Vaginalis8766172
Triglycerides84478 - Triglycerides8447840
Troponin-I84512 - Troponin-I84512176
Tumor Necrosis Factor-Alpha QSTTumor Necrosis Factor-Alpha QST83520188
U Drug Scr80307 - Drug Screen Urine80307221.5
UA Dip Only81003 - Urinalysis Dipstick Only8100332.5
UA w Micro if Ind & Cult if Ind81003 - Urinalysis With Micro if Indicated and Culture if Indicated8100332.5
Uric Acid84550 - Uric Acid8455083.5
VITAMIN B12 QST
Valproic Acid QST8016465.5
Vancomycin Level80202 - Vancomycin Level8020244.5
Vancomycin Level Peak80202 - Vancomycin Level Peak8020244.5
Vancomycin Level Trough80202 - Vancomycin Level Trough8020244.5
Varicella Zoster Virus Ab (IgG) QST8678762.5
Varicella-Zoster Virus DNA, Qualitative Real-Time PCR QSTVaricella-Zoster Virus DNA, Qualitative Real-Time PCR QST87798277
Viral Resp, Rapid Culture with Reflex QSTViral Resp, Rapid Culture with Reflex QST87254225
Vitamin B1 (Thiamine), Blood, LC-MS/MS QST8442540
Vitamin B12 Level82607 - Vitamin B12 Level8260749
Vitamin B12 QSTVitamin B12 QST8260723
Vitamin D 25 Hydroxy Level82306 - Vitamin D 25 Hydroxy Level8230696.5
Vitamin D, 1,25 Dihydroxy QSTCalcitrol 1,25 Dihydroxy QST8265288
West Nile Virus Ab (IgG,IgM) QST87798418.5
Wet Prep87210 - Wet Prep8721034.5
Yeast Identification QST8710644
Zinc QST8463020.5
dRVVT Scn w/Rfx to Confirm, 1:1 Mix QST8561338.5
hs Troponin-I84484 - hs Troponin-I8448438
hs-Tacrolimus, LC-MS/MS QSTTacrolimus80197162.4
37195 THROMBOLYSIS CEREBRAL IV INFUSION CHARGE37195 THROMBOLYSIS CEREBRAL IV INFUSION CHARGE371950957
92977 THROMBOLYSIS CORONARY IV INFUSION CHARGE92977 THROMBOLYSIS CORONARY IV INFUSION CHARGE9297701005
96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE963600619.5
96361 IV INF HYDRATION EA ADD'L HR CHARGE96361 IV INF HYDRATION EA ADD'L HR CHARGE963610174
96365 IV INFUSION 1ST HOUR CHARGE96365 IV INFUSION 1ST HOUR CHARGE963650616.5
96366 IV INFUSION ADD'L HR CHARGE96366 IV INFUSION ADD'L HR CHARGE963660189.5
96367 IV INFUSION ADD'L SEQUENTIAL UP TO 1HR CHARGE96367 IV INFUSION ADD'L SEQUENTIAL UP TO 1HR CHARGE963670160
96368 IV INFUSION CONCURRENT CHARGE96368 IV INFUSION CONCURRENT CHARGE96368069
96372 IM/SUBQ INJECTION CHARGE96372 IM/SUBQ INJECTION CHARGE963720195.5
96374 IV PUSH SINGLE/INITIAL CHARGE96734 IV PUSH SINGLE/INITIAL CHARGE963740616.5
96375 IV PUSH, EA ADD'L SEQUENTIAL CHARGE96375 IV PUSH EA ADD'L SEQUENTIAL CHARGE963750146.5
96376 IV PUSH, EA ADD'L CHARGE96376 IV PUSH EA ADD'L CHARGE963760128.5
96413 CHEMO IV INFUSION INITIAL, UP TO 1HR CHARGE96413 CHEMO IV INFUSION INITIAL UP TO 1HR CHARGE964130973.5
96415 CHEMO IV INFUSION EA ADD'L HR CHARGE96415 CHEMO IV INFUSION EA ADD'L HR CHARGE964150201.5
96734 IV PUSH SINGLE/INITIAL CHARGE570
Infusion Charges LCHN
Blood Culture87040 - Blood Culture87040223
Body Fluid Culture87070 - Body Fluid Culture87070126.5
Cerebrospinal Fluid Culture87070 - Cerebrospinal Fluid Culture87070126.5
Ear Culture87070 - Ear Culture87070126.5
Eye Culture87070 - Eye Culture87070126.5
Gas liquid chromatography8714364.5
Genital Culture87070 - Genitial Culture87070126.5
Gram Stain Report87205 - Gram Stain Report8720572.5
Group A Strep Culture87081 - Group A Strep Culture87651120
Group B Strep Culture87081 - Group B Strep Culture8708120.5
Group B Strep ScreenGroup B Strep Screen8708120
LCHN NUC9087186 - LCHN UNC9087186137.5
LCHN PC4587186137.5
MRSA Screen Culture87081 - MRSA Screen Culture8708120.5
Minimum Inhibitory Concentration
S aureus identification
Sputum Culture87070 - Sputum Culture87070126.5
Throat Culture87070 - Throat Culture87070126.5
Urine Culture87086 - Urine Culture87086131
Wound Culture87075 - Wound Culture8707585.5
DIRECT TO OBS CHARGEG0379 - Direct Admit to ObservationG037901689
LCHN_CO - Each Additional 9047290472
LCHN_CO - First Vaccine 9047190471
LCHN_CO - G0008: Medicare InfluenzaG0008: Medicare InfluenzaG0008
LCHN_CO - G0009: Medicare PneumG0009: Medicare PneumG0009
LCHN_CO - G0010: Medicare Hep BG0010: Medicare Hep BG0010
LCHN_CO - Inj Subq/IM 9637296372
LCHN_CO - Misc Medication Charge
Rehab Therapy Charges LCHN
51700 Bladder Irrigation, Simple51700 Bladder Irrigation, Simple51700644.61
99211 Office/Outpatient for E&M of Est. Pt. Visit w/ or w/o Physician99211 Office/Outpatient for E andM of Est. Pt. Visit w/ or w/o9921111.5
LCHN POETPOET
OT Cog Ther Intervent, Addl 15 Min Units97130 - OT Cog Ther Intervent, Addl 15 Min Units97130072.5
OT Cog Ther Intervent,First 15 Min Units97129 - OT Cog Ther Intervent,First 15 Min Units9712975.5
OT Elbow Orthosis Left UnitsL3702 - OT Elbow Orthosis Left UnitsL37020227
OT Elbow Orthosis Right UnitsL3702 - OT Elbow Orthosis Right UnitsL37020227
OT Electrical Stim (Unattended) - Non-WoundG0283- OT Electrical StimG028389.5
OT Evaluation Units, High Complexity97167 - OT Evaluation Units, High Complexity971670305
OT Evaluation Units, Low Complexity97165 - OT Evaluation Units, Low Complexity971650307
OT Evaluation Units, Moderate Complexity97166 - OT Evaluation Units, Moderate Complexity971660305
OT Iontophoresis Units97033 - OT Iontophoresis Units970330103
OT Manual Therapy Units97140 - OT Manual Therapy Units97140108
OT Neuromuscular Reeducation Units97112 - OT Neuromuscular Reeducation Units97112119
OT Orthotic Management, Train Units97760 - OT Orthotic Management Train Units977600168
OT Physical Performance Test97750 - OT Physical Performance Test97750103
OT Prosthetic Management, Train Units97761 - OT Prosthetic Management, Train Units97761105
OT Re-Evaluation Units, 9716897168 - OT Re-Evaluation Units, 9716897168212
OT Self Care, Home Management Units97535 - OT Self Care, Home Management Units975350116
OT Therapeutic Activities Units97530 - OT Therapeutic Activities Units97530133
OT Therapeutic Exercise Units97110 - OT Therapeutic Exercise Units97110103
OT Ultrasound Units97035 - OT Ultrasound Units9703549
OT WHFO Orthosis Left Static UnitsL3808 - OT WHFO Orthosis Left Static UnitsL3808052
OT WHFO Orthosis Right Static UnitsL3808 - OT WHFO Orthosis Right Static UnitsL3808052
OT Wheelchair Management Units97542 - OT Wheelchair Management Units975420111
OT Wrist Hand Orthosis Left UnitsL3906 - OT Wrist Hand Orthosis Left UnitsL3906075.5
OT Wrist Hand Orthosis Right UnitsL3906 - OT Wrist Hand Orthosis Right UnitsL3906075.5
OTElectrical Stim (Unattended) - Non-Wound
Occupational Therapy Evaluation and Treatment IRF
Occupational Therapy Evaluation and Treatment Acute
Occupational Therapy Evaluation and Treatment LTC
Occupational Therapy Evaluation and Treatment Swingbed
Occupational Therapy Evaluation Acute
Occupational Therapy Inpatient Pediatric Treatment
Occupational Therapy Inpatient Pediatric Development Evaluation
Occupational Therapy Outpatient Treatment
Occupational Therapy Outpatient Evaluation and Treatment
Occupational Therapy Outpatient Pediatric Development Evaluation
Occupational Therapy Outpatient Pediatric Treatment
Occupational Therapy Outpatient Evaluation and treatment.
Occupational Therapy Outpatient Eval and Treat CRMC
Occupational Therapy Outpatient Progress/Discharge Note
Occupational Therapy Screen for Skilled Services LTC
Occupational Therapy Treatment Acute
Occupational Therapy Treatment IRF
Occupational Therapy Treatment Swingbed
Sheriffs Office POETSheriffs Office POET
Sheriffs Office POET RegularSheriffs Office POET Regular
95992 OT CANALITH REPOSITIONING CHARGE95992 OT CANALITH REPOSITIONING CHARGE959920126.5
97763 ORTHOTIC/PROSTHETIC MANAGEMENT SUBSEQUENT ENCOUNTER CHARGE97763 ORTHOTIC/PROSTHETIC MANAGEMENT SUBSEQUENT ENCOUNTER CHARGE977630179.5
L3761 OT LONG ARM SPLIN-MUENSTER CHARGEL3761 OT LONG ARM SPLINT-MUENSTER CHARGEL37610227
L3916 OT DYNAMIC FOREARM-BASED CHARGEL3916 OT DYNAMIC FOREARM-BASED CHARGEL39160112.5
ONE TIME THERAPY TREATMENT CHARGEONE TIME THERAPY TREATMENT CHARGE40
ONE TIME THERAPY TREATMENT CHARGEONE TIME THERAPY TREATMENT CHARGE40
Stool for Occult Blood POC82272 - Stool for Occult Blood POC82272
Gait Training Charges9711669
Neuromuscular Reeducation Units9711296
PT Additional Treatment
PT Attended E-Stim Assistant UnitsPT Attended E-Stim Assistant Units9703242
PT Evaluation Units, High Complexity97163 - PT Evaluation Units, High Complexity97163229
PT Evaluation Units, Low Complexity97161 - PT Evaluation Units, Low Complexity97161206
PT Evaluation Units, Moderate Complexity97162 - PT Evaluation Units, Moderate Complexity97162218
PT Gait Training Assistant Units9711669
PT Gait Training Units97116 - Gait Training Units9711698.5
PT Inpatient Time Spent With Patient
PT Iontophoresis Assistant Units97033107
PT Iontophoresis Units97033 - PT lontophoresis Units970330103
PT Manual Therapy Assistant Units97140 - PT Manual Therapy Units9714043
PT Manual Therapy Units97140 - PT Manual Therapy Units97140108
PT Mechanical Traction Units9701257
PT Neuromuscular Reeducation Assistant Units9711296
PT Neuromuscular Reeducation Units97112 - Neuromuscular Reeducation Charges9711296
PT Paraffin Units9701838
PT Physical Performance Test97750 - PT Physical Performance Test977500103
PT Prosthetic Management, Train Units97761 - PT Prosthetic Management, Train Units977610105
PT Re-Evaluation Units, 9716497164 - PT Re-Evaluation Units, 9716497164122
PT Self Care, Home Management Assistant Units97535 - PT Self Care, Home Management Units97535088
PT Therapeutic Activity Assistant UnitsTherapeutic activities, direct (one-on-one) patient contact9753096
PT Therapeutic Activity Units97530 - PT Therapeutic Activity Units97530133
PT Therapeutic Exercise Assistant UnitsTherapeutic procedure, 1 or more areas, each 15 minutes; the9711096
PT Therapeutic Exercise Units97110 - PT Therapeutic Exercise Units9711096
PT Ultrasound Assistant UnitsApplication of a modality to 1 or more areas; ultrasound, ea9703556
PT Ultrasound Units97035 - PT Ultrasound Units9703556
PT Unattended E-Stim UnitsG0283090
PT Unattended E-Stim UnitsG028390
PT Vasopneumatic Devices Units9701674
PT Wheelchair Management Charges97542 - PT Wheelchair Management Charges975420111
PT Whirlpool, Fluidotherapy Units9702269
PT Work Hardening Initial 2 Hours UnitsPT Work Hardening Initial 2 Hours Units97545383
PT Work Hardening-Each Addl Hour UnitsPT Work Hardening-Each Addl Hour Units97546125
PT Wound Care 20cm or Less Units97597216
Physical Therapy Evaluation and Treatment Acute
Physical Therapy Evaluation and Treatment IRF
Physical Therapy Evaluation and Treatment LTC
Physical Therapy Evaluation and Treatment Pediatric
Physical Therapy Evaluation and Treatment Swingbed
Physical Therapy Evaluation and Treatment
Physical Therapy Inpatient Pediatric Treatment
Physical Therapy Inpatient Pediatric Development Evaluation
Physical Therapy Outpatient Evaluation and Treatment
Physical Therapy Outpatient Evaluation and Treatment.
Physical Therapy Outpatient Eval and Treat CRMC
Physical Therapy Outpatient Pediatric Treatment
Physical Therapy Outpatient Pediatric Development Evaluation
Physical Therapy Outpatient Progress Note
Physical Therapy Outpatient Treatment
Physical Therapy Screen for Skilled Services LTC
Physical Therapy Treatment Acute
Physical Therapy Treatment IRF
Physical Therapy Treatment Swingbed
Rehab NICU Developmental Evaluation
.5mg/2ml budesonide NEB - AMB budesonide charge
0-50 mg promethazine - AMB promethazine ChargeJ2550
0.25 mL Covid vacc (Moderna) - AMB SARS CoV-2 mRNA Charge
0.25 mg alprazolam tab - AMB alprazolam Chargealprazolam tab 0.25mg
0.3 mg epinephrine pen - AMB epinephrine Charge
0.5 mL Covid vacc (Moderna) - AMB SARS CoV-2 mRNA Charge
0.5 mL DTaP/IPV/Hib vaccine - AMB DTaP/IPV/Hib Charge90698 - DTaP/IPV/Hiv Vaccine 0.5ml90698
0.5 mL Diphtheria/Hepatitis B/Pertussis/Poliovirus/Tetanus V - AMB Dipht/HepB/Pertussis/Polio/TetanusVac Charge90723 - 0.5 mL Diphtheria/Hepatitis B/Pertussis/Poliovirus/Tetanus Vaccine (Pediarix)90723
0.5 mL Diphtheria/Pertussis/Poliovirus/Tetanus Vaccine (Kinr - AMB Diphtheria/Pertussis/Polio/Tetanus Charge90700 - 0.5 mL Diphtheria/Pertussis/Poliovirus/Tetanus Vaccine (Kinrix)90700
0.5 mL Diphtheria/Pertussis/Tetanus Vaccine (Infanrix) - AMB Diphtheria/Pertussis/Tetanus Charge90715 - 0.5 mL Diphtheria/Pertussis/Tetanus Vaccine (Infanr90715
0.5 mL Diphtheria/Pertussis/Tetanus Vaccine (Daptacel) - AMB Diphtheria/Pertussis/Tetanus Charge90700
0.5 mL Hib vaccine - AMB haemophilus b conjugate Charge90648 - 0.5 mL Hib vaccine90648
0.5 mL meningococcal conjugate - AMB meningococcal conjugate Charge0.5 mL meningococcal conjugate90734
0.5% 30 ml vial bupivacaine - AMB bupivacaine Charge
0.5mg lorazepam - AMB lorazepam Chargelorazepam 0.5mg tab
0.5mg lorazepam tab - AMB lorazepam Chargelorazepam 0.5mg tab
0.5ml poliovirus vaccine (Ipol) - AMB poliovirus vaccine Charge90713 - 0.5ml poliovirus vaccine90713
0.5ml tetanus toxoid - AMB tetanus toxoid Charge
0.63mg albuterol - AMB albuterol Charge
0.75% 10 ml vial bupivacaine - AMB bupivacaine Charge
1 gm ceftriaxone - AMB ceftriaxone ChargeJ0696 - 1 gm ceftriaxoneJ0696
1 mL oral vaccine rotavirus (Rotarix) - AMB rotavirus oral vaccine Charge
1 mg dexamethasone - AMB dexamethasone Charge
1 mg glucagon - AMB glucagon Charge
1 mg ondansetron - AMB ondansetron Charge
1% 10ml lidocaine - AMB lidocaine ChargeJ2001 - 1% 10ml lidocaineJ2001
1% 20ml lidocaine - AMB lidocaine Charge
1,000 mcg cyanocobalamin (B12) inj - AMB cyanocobalamin ChargeA9270 - 1000 mcg cyanocobalamin (B12) injA9270
1,200,000 u/2 mL pcn G inj - AMB penicillin G Benzathine Charge
1-4 Hours - Blood Administration Charges
1.2 mil units benzathine/procaine/penicillin G (Bicillin CR) - AMB benzathine-procaine penicllin Charge
1.2 mil units penicillin G benzathine (Bicillin LA) - AMB penicillin G benzathine Charge
1.25 mg albuterol - AMB albuterol Charge
10 mg cyclobenzaprine - AMB cyclobenzaprine charge
10 mg/2 mL diazepam inj - AMB diazepam Charge
10 mg/mL dexamethasone - AMB dexamethasone ChargeJ1100 - 10mg/mlJ1100
10 mg/mL furosemide inj - AMB furosemide Charge
100 mg testosterone cypionate inj - AMB testosterone Charge
10mcg/0.5ml hepatitis B vaccine - AMB hepatitis B vaccine Charge90746 - 10mcg/0.5ml hepatitis B vaccine (incorrect dosage) 10mcg/1 mL90746
10mg/325mg acetaminophen-hydrocodone - AMB acetaminophen-hydrocodone charge
10mg/325mg acetaminophen-hydrocodone - AMB acetamiAMB acetaminophen-codeine chargenophen-codeine charge
12.5 mg diphenhydramine - AMB diphenhydramine ChargeJ1200 - 12.5 mg diphenhydramine
125 mg methylprednisolone sodium - AMB methylprednisolone sodium Charge
125mg inj methylprednisolone acetate - AMB methylprednisolone acetate ChargeJ2930 - 125mg Inj methylprednisolone sodiumJ2930
13.5 mg levonorgestrel - AMB levonorgestrel Charge
1440 elu 1 ml hepatitis A vaccine - AMB hepatitis A vaccine Charge90633 - hepatitis A pediatric vaccine 1440 elu 1ml90633
15 mg ketorolac - AMB ketorolac ChargeJ1885 - 15 mg ketorolacJ1885
150 mg testosterone cypionate inj - AMB testosterone Charge150 mg testosterone cypionate injJ1071
150mg/1ml susp medroxyprogesterone - AMB medroxyprogesterone Charge
1mg hydromorphone - AMB hydromorphone charge
1mg lorazepam - AMB lorazepam Charge
1mg lorazepam tab - AMB lorazepam Charge
1st - AMB Inj Med Admin Charge - AMB Inj Med Admin ChargeIV Push First96374
1st up to 18 - AMB Inj Med Admin Charge - AMB Inj Med Admin Charge
2 gm ceftriaxone - AMB ceftriaxone ChargeJ0696 - 2 gm ceftriaxoneJ0696
2 mL oral vaccine rotavirus (Rotateq) - AMB rotavirus oral vaccine Charge
2 mg ondansetron - AMB ondansetron Charge
2 mg/mL lorazepam inj - AMB lorazepam Chargelorazepam inj 2mg/mlJ2060
2,000 mcg cyanocobalamin (B12) inj - AMB cyanocobalamin Charge
2,400,000 u/4 mL pcn G inj - AMB penicillin G Benzathine Charge
2.5 mg diazepam - AMB diazepam Charge
20 mg famotidine inj - AMB famotidine ChargeS0028
20 mg/mL furosemide inj - AMB furosemide Charge
200 mg testosterone cypionate inj - AMB testosterone ChargeJ1071 - 200 mg testosterone cypionate injJ1071
20mcg/ml hepatitis B vaccine - AMB hepatitis B vaccine Charge90744 - 20mcg/ml hepatitis B vaccine90744
20mg inj methylprednisolone acetate - AMB methylprednisolone acetate Charge
20mg triamcinolone - AMB triamcinolone acetonide Charge20mg triamcinoloneJ3301
22.5mg/3 months ER IM inj leuprolide - AMB leuprolide Charge
25 mg diphenhydramine - AMB diphenhydramine ChargeJ1200 - 25 mg diphenhydramine
25 mg hydroxyzine - AMB hydroxyzine Charge
25 mg promethazine oral - AMB promethazine Charge25mg promethazine po
25 mg testosterone cypionate inj - AMB testosterone Charge
250 mg ceftriaxone - AMB ceftriaxone ChargeJ0696 - 250 mg ceftriaxoneJ0696
25mg tramadol - AMB tramadol charge
2mg hydromorphone - AMB hydromorphone charge
3 mg betamethasone acetate sodium phos - AMB betamethasone Charge
30 mL Magnesium Hydroxide/Aluminum Hydroxide/Simethicone - AMB magn hydr/al hydr/simethicone Chargemagnesium hydroxide/aluminum hydroxide/simethicone 30ml
30 mg ketorolac - AMB ketorolac ChargeJ1885 - 30 mg ketorolacJ1885
300mcg Rhophylac - AMB Rho (D) immune globulin Charge
30mg/ 4 months ER IM inj leuprolide - AMB leuprolide Charge
30mg/300mg acetaminophen-codeine - AMB acetamiAMB acetaminophen-codeine chargenophen-codeine charge
3ml measles-mumps-rubella-varicella vaccine - AMB measles-mumps-rubella-varicella vaccine Charge
4 mg betamethasone sodium phosphate - AMB betamethasone Charge
4 mg copper - AMB CoAMB Copper Chargepper Charge
4 mg dexamethasone - AMB dexamethasone Charge4 mg dexamethasone
4 mg ondansetron - AMB ondansetron ChargeJ2405 - ondansetron 4mg/2ml injJ2405
4 mg ondansetron tab - AMB ondansetron Chargeondanestron 4mg tab
40 mg methylprednisolone sodium - AMB methylprednisolone sodium Charge
40 mg/4mL furosemide inj - AMB furosemide Charge
40mg inj methylprednisolone acetate - AMB methylprednisolone acetate ChargeJ1030 - 40mg inj methylprednisolone acetateJ1030
40mg triamcinolone - AMB triamcinolone acetonide Charge40mg triamcinoloneJ3301
45 mg ketorolac - AMB ketorolac Charge
5 mg diazepam - AMB diazepam Charge
5 mg/mL ropivacaine HCl 0.5% inj - AMB ropivacaine  Charge
5 units tuberculin purified protein derivative - AMB tuberculin purified protein derivative Charge86580
50 mg diphenhydramine - AMB diphenhydramine ChargeJ1200 - 50 mg diphenhydramineJ1200
50 mg hydroxyzine - AMB hydroxyzine Charge
50 mg testosterone cypionate inj - AMB testosterone Charge
500 mg ceftriaxone - AMB ceftriaxone ChargeJ0696 - 500 mg ceftriaxoneJ0696
5mg/325mg acetaminophen-hydrocodone - AMB acetaminophen-hydrocodone charge
5mg/325mg acetaminophen-hydrocodone - AMB acetamiAMB acetaminophen-codeine chargenophen-codeine charge
6 mg betamethasone acetate sodium phos - AMB betamethasone Charge
6 mg/0.5 mL sumatriptan inj - AMB sumatriptan succ ChargeJ3030 - sumatriptan 6mg/0.5ml injJ3030
60 mg ketorolac - AMB ketorolac ChargeJ1885 - 60 mg ketorolacJ1885
60 mg/1ml inj denosumab - AMB denosumab ChargeJ0897 - 60 mg/1ml inj denosumabJ0897
600,000 u/mL pcn G inj - AMB penicillin G Benzathine Charge
600,000 units benzathine/procaine/penicillin G (Bicillin CR - AMB benzathine-procaine penicllin Charge
600,000 units penicillin G benzathine (Bicillin LA) - AMB penicillin G benzathine Charge
60mg inj methylprednisolone acetate - AMB methylprednisolone acetate Charge
60mg triamcinolone - AMB triamcinolone acetonide Charge60mg triamcinoloneJ3301
720 elu 0.5ml hepatitis A vaccine - AMB hepatitis A vaccine Charge
750 mg ceftriaxone - AMB ceftriaxone ChargeJ0696 - 750 mg ceftriaxoneJ0696
8 mg dexamethasone - AMB dexamethasone Charge
8 mg ondansetron - AMB ondansetron Charge8 mg ondansetron InjJ2405
80 mg ketorolac - AMB ketorolac Charge
80 mg methylprednisolone sodium - AMB methylprednisolone sodium Charge
80mg inj methylprednisolone acetate - AMB methylprednisolone acetate ChargeJ1040 - 80mg inj methylprednisolone acetateJ1040
80mg triamcinolone - AMB triamcinolone acetonide Charge80mg triamcinoloneJ3301
90460: Pediatric First Dose - Admin Immunization ChargePediatric IM Admin First Dose90460
90461: Pediatric Each Additional - Admin Immunization ChargePediatric IM Admin Each Addtl90461
90472 Immunization Each Additional - Admin Immunization ChargeAdmin Each Additional90472
90473: Intranasal/Oral First dose - Admin Immunization ChargeIntranasal/Oral Admin First Dose90473
90474: Intranasal/Oral Each additional - Admin Immunization ChargeIntranasal/Oral Each Addtl90474
ALBUTEROL SULFATE 2.5MG/0.5ML - AMB albuterol Charge
ALS Level 1, EmergencyA0427 - ALS Level 1, EmergencyA04271362.5
ALS Level 1, Non-EmergencyA0426 - ALS Level 1, Non-EmergencyA04261022.5
ALS Level 2, Emergency or Non-EmergencyA0433 - ALS Level 2, Emergency or Non-EmergencyA04331703.5
ALS, Paramedic InterceptA0432 - ALS, Paramedic InterceptA04321362.5
AMB CoAMB Copper Chargepper Charge
AMB DTaP/IPV/Hib Charge
AMB DTaP/IPV/Hib Charge90698
AMB Dipht/HepB/Pertussis/Polio/TetanusVac Charge
AMB Diphtheria/Pertussis/Polio/Tetanus Charge
AMB Diphtheria/Pertussis/Tetanus Charge
AMB GI Cocktail Charge
AMB Hep A/B Charge
AMB Immun Admin Charge
AMB Inj Med Admin Charge
AMB Nebulizer Admin Charge
AMB Only Admin Charge
AMB Rho (D) immune globulin Charge
AMB SARS CoV-2 mRNA Charge
AMB Tdap Charge
AMB acetamiAMB acetaminophen-codeine chargenophen-codeine charge
AMB acetaminophen Charge
AMB acetaminophen-hydrocodone charge
AMB albuterol Charge
AMB alprazolam Charge
AMB aspirin Charge
AMB bacitracin topical Charge
AMB benzathine-procaine penicllin Charge
AMB betamethasone Charge
AMB budesonide charge
AMB bupivacaine Charge
AMB carbamide peroxide otic Charge
AMB ceftriaxone Charge
AMB clonidine Charge
AMB codeine-guaifenesin charge
AMB cyanocobalamin Charge
AMB cyclobenzaprine charge
AMB denosumab Charge
AMB dexamethasone Charge
AMB diazepam Charge
AMB diphenhydramine Charge
AMB enoxaparin charge
AMB epinephrine Charge
AMB erythromycin ophth Charge
AMB famotidine Charge
AMB furosemide Charge
AMB glucagon Charge
AMB haemophilus b conjugate Charge
AMB hepatitis A Pediatric Charge
AMB hepatitis A vaccine Charge
AMB hepatitis B Pediatric/Adolescent Charge
AMB hepatitis B vaccine Charge
AMB hepatitis B-Hib Charge
AMB human papillomavirus Charge
AMB hydralazine Charge
AMB hydromorphone charge
AMB hydroxyzine Charge
AMB hyoscyamine Charge
AMB ibuprofen Charge
AMB influenza Charge
AMB influenza Charge
AMB ipratropium-albuterol Charge
AMB japanese encephalitis Charge
AMB ketorolac Charge
AMB leuprolide Charge
AMB levalbuterol charge
AMB levonorgestrel Charge
AMB lidocaine Charge
AMB lidocaine topical Charge
AMB lidocaine-epinephrine Charge
AMB lorazepam Charge
AMB magn hydr/al hydr/simethicone Charge
AMB measles-mumps-rubella vaccine Charge
AMB measles-mumps-rubella-varicella vaccine Charge
AMB medroxyprogesterone Charge
AMB meningococcal conjugate Charge
AMB meningococcal group B Charge
AMB meperidine charge
AMB methylprednisolone acetate Charge
AMB methylprednisolone sodium Charge
AMB morphine charge
AMB nitroglycerin Charge
AMB ondansetron Charge
AMB penicillin G Benzathine Charge
AMB penicillin G benzathine Charge
AMB pneumococcal 13-valent conjugate vac Charge
AMB pneumococcal 23-valent vaccine Charge
AMB poliovirus vaccine Charge
AMB promethazine Charge
AMB ropivacaine  Charge
AMB rotavirus oral vaccine Charge
AMB silver sulfadiazine Charge
AMB sumatriptan succ Charge
AMB testosterone Charge
AMB tetanus diptheria toxoids Charge
AMB tetanus toxoid Charge
AMB tetracaine ophth Charge
AMB tramadol charge
AMB triamcinolone acetonide Charge
AMB tuberculin purified protein derivative Charge
AMB typhoid vaccine Charge
AMB varicella Charge
AMB zoster vaccine Charge
Addl Admin Charge 90472 - AMB Only Admin ChargeAddl Admin Charge 9047290472
Admin Immunization Charge
Admin Injection Charge
Afluria - single dose - AMB influenza Charge
Airway Inhalation Treatment - AMB Nebulizer Admin ChargeInhalation Treatment94640
Ambulance MileageA0425 - Ambulance MileageA042518
AstraZeneca Vaccine Admin Charge
AstraZeneca vaccine 1st dose: 0021A - AstraZeneca Vaccine Admin Charge
AstraZeneca vaccine 2nd dose: 0022A - AstraZeneca Vaccine Admin Charge
BLS, EmergencyA0429 - BLS, EmergencyA0429852.5
BLS, Non-EmergencyA0428 - BLS, Non-EmergencyA0428562.5
Blood Administration Charges
Blood Administration ChargesBlood Administration Charges364301152.5
Bupivacaine 0.5% - AMB bupivacaine Charge
Covid Admin Immunization Charge
Enoxaparin - AMB enoxaparin charge
Epi-Pen Pediatric 0.15 mg epinephrine dose - AMB epinephrine Charge
First Vaccine 90471 - Admin Immunization ChargeAdmin First Vaccine90471
Flu Vac PF, Inc Antig - AMB influenza Charge
Flu Vaccine 3+ yrs, IM - AMB influenza ChargeFlu Vaccine 3+ yrs, IM90668
Flu Vaccine, 6-35 mths, IM - AMB influenza ChargeFlu Vaccine, 6-35 mths, IM90687
Flu Vaccine, Nasal - AMB influenza Charge
Flu Vaccine, PF 3+ yrs - AMB influenza Charge90688 - Flu Vaccine 3+ yrs IM .50ml90688
Flu Vaccine, PF 6-35 mths - AMB influenza Charge
Flu Vaccine, PF, ID - AMB influenza Charge
Flublok egg free 0.5ml - AMB influenza Charge
Flucelvax - single dose - AMB influenza Charge
Flulaval 0.5ml - AMB influenza Charge
Fluzone - single dose - AMB influenza ChargeFluzone - single dose90686
Fluzone High-Dose - AMB influenza Charge90662 - Influenza high dose90662
G0008: Medicare Influenza - Admin Immunization ChargeAdmin Medicare InfluenzaG0008
G0009: Medicare Pneum - Admin Immunization ChargeAdmin Medicare PneumG0009
G0010: Medicare Hep B - Admin Immunization ChargeAdmin Medicare Hep BG0010
GI Cocktail 30ml oral - AMB GI Cocktail ChargeGI Cocktail 30ml oral
HCL Oral Tab - AMB diphenhydramine ChargeHCL Oral tab
HPV (bivalent - Cervarix) 90650 - AMB human papillomavirus Charge
HPV (quadrivalent - Gardasil) 90649 - AMB human papillomavirus Charge
HPV9 (Gardasil 9) 90651 - AMB human papillomavirus Charge90651 - HPV9 (Gardasil 9) 9065190651
Hep A/B Vaccine - AMB Hep A/B Charge
Immunization Admin - AMB Immun Admin Charge90471 - Immunization Admin90471195.5
Immunization Admin 2+ - AMB Immun Admin Charge90472 - Immunization Admin 2+90472
Initial Admin Charge 90471 - AMB Only Admin ChargeInitial Admin Charge 9047190471
Inj Admin Charge 96372 - Admin Injection Charge96372 - Injection Admin96372
Inj Subq/IM - AMB Inj Med Admin ChargeInj Subq/IM96372
Janssen Vaccine 0031A - Janssen Vaccine Admin ChargeJanssen Vac Admin0031A
Janssen Vaccine Admin 91303 - Covid Admin Immunization Charge
Janssen Vaccine Admin Charge
Janssen Vaccine Booster 0034A - Janssen Vaccine Admin ChargeJanssen Vac Booster Admin0034A
Lidocaine 1% - AMB lidocaine Charge
Lidocaine 1% w/ Epi - AMB lidocaine-epinephrine Charge
Lidocaine 2% - AMB lidocaine Charge
Lidocaine 2% -MPF - AMB lidocaine Charge
Lidocaine 2% w/ Epi - AMB lidocaine-epinephrine Charge
Lidocaine Viscous 2% - AMB lidocaine topical Charge
M0239: Bamlanivimab Administration - Admin Injection Charge
M0243: Casirivimab-imdevimab Administration - Admin Injection ChargeM0243 - Casirivimab-imdeiM0243
MENACTRA - AMB meningococcal conjugate ChargeMENACTRA90734
MENQUADFI - AMB meningococcal conjugate ChargeMENQUADFI90619
Marcaine 0.5% 30ML - AMB bupivacaine Charge
Medicare HepB Admin - AMB Immun Admin ChargeG0010 - Medicare HepB AdminG0010
Medicare Influenza Admin - AMB Immun Admin ChargeG0008 - Medicare Influenza AdminG0008
Medicare Pneumo Admin - AMB Immun Admin ChargeG0009 - Medicare Pneumo AdminG0009
Moderna Vaccine 1st Dose: 0011A - 100mcg - Moderna Vaccine Admin ChargeModerna Vac 1st Dose0011A
Moderna Vaccine 2nd dose: 0012A - 100mcg - Moderna Vaccine Admin ChargeModerna Vac 2nd Dose0012A
Moderna Vaccine 3rd Dose: 0013A - 100mcg - Moderna Vaccine Admin ChargeModerna Vac 3rd Dose0013A
Moderna Vaccine Admin 91301 - Covid Admin Immunization Charge
Moderna Vaccine Admin Charge
Moderna Vaccine Booster Admin 91306 - Covid Admin Immunization Charge
Moderna Vaccine Booster: 0064A - 50mcg - Moderna Vaccine Admin ChargeModerna Vac Booster0064A
N/A - Admin Immunization Charge
N/A - Admin Injection ChargeN/A No charge96372
No Charge (VFC) - AMB DTaP/IPV/Hib Charge90698 - No Charge (VFC)90698
No Charge (VFC) - AMB Dipht/HepB/Pertussis/Polio/TetanusVac Charge90723 - No Charge (VFC)90723
No Charge (VFC) - AMB Diphtheria/Pertussis/Tetanus Charge90700 - No Charge (VFC)90700
No Charge (VFC) - AMB Diphtheria/Pertussis/Polio/Tetanus Charge90700 - No Charge (VFC)90700
No Charge (VFC) - AMB Hep A/B Charge
No Charge (VFC) - AMB Tdap Charge90715 - No CHarge (VFC)90715
No Charge (VFC) - AMB haemophilus b conjugate Charge90648 - No charge (VFC)90648
No Charge (VFC) - AMB hepatitis A vaccine Charge90633 - No Charge (VFC)90633
No Charge (VFC) - AMB hepatitis A Pediatric ChargeNo Charge (VFC)90633
No Charge (VFC) - AMB hepatitis B Pediatric/Adolescent Charge90744 - No Charge (VFC)90744
No Charge (VFC) - AMB hepatitis B vaccine Charge90744 - No Charge (VFC)90744
No Charge (VFC) - AMB hepatitis B-Hib Charge
No Charge (VFC) - AMB human papillomavirus ChargeNo Charge (VFC)90651
No Charge (VFC) - AMB ipratropium-albuterol Charge
No Charge (VFC) - AMB measles-mumps-rubella vaccine Charge90707 - No Charge (VFC)90707
No Charge (VFC) - AMB measles-mumps-rubella-varicella vaccine Charge90710 - No Charge (VFC)90710
No Charge (VFC) - AMB meningococcal group B ChargeBexsero90620
No Charge (VFC) - AMB meningococcal conjugate Charge90734 - No Charge (VFC)90734
No Charge (VFC) - AMB pneumococcal 23-valent vaccine Charge
No Charge (VFC) - AMB pneumococcal 13-valent conjugate vac Charge90670 - No Charge (VFC)90670
No Charge (VFC) - AMB poliovirus vaccine Charge90713 - No Charge (VFC)90713
No Charge (VFC) - AMB rotavirus oral vaccine Charge90680 - No Charge (VFC)90680
No Charge (VFC) - AMB tetanus diptheria toxoids Charge90714 - No Charge (VFC)90714
No Charge (VFC) - AMB tetanus toxoid Charge
No Charge (VFC) - AMB varicella Charge90716 - No Charge (VFC)90716
No Charge (VFC) - AMB zoster vaccine Charge
No Charge - AMB Inj Med Admin ChargeNo Charge96374
No Charge - AMB Only Admin Charge90471 No charge90471
No Charge - AMB SARS CoV-2 mRNA ChargeNo Charge91301
No Charge - AMB acetamiAMB acetaminophen-codeine chargenophen-codeine charge
No Charge - AMB acetaminophen Chargeacetaminophen No charge
No Charge - AMB bacitracin topical Charge
No Charge - AMB carbamide peroxide otic Charge
No Charge - AMB cyanocobalamin Charge
No Charge - AMB furosemide Charge
No Charge - AMB human papillomavirus Charge90651 - No Charge90651
No Charge - AMB influenza ChargeNo Charge90686
No Charge - AMB lorazepam Charge
No Charge - AMB penicillin G Benzathine Charge
No Charge - AMB ropivacaine  ChargeJ2795 - 5 mg/mL ropivacaine HCl 0.5% (MDV) injJ2795
No Charge - AMB sumatriptan succ Charge
No Charge - AMB testosterone Charge
No charge denosumab - AMB denosumab Charge
Oral Immun Admin - AMB Immun Admin Charge90473 - Oral Immun Admin90473
Pfizer Vaccine 5-11 Admin Charge
Pfizer Vaccine Admin 91300 - Covid Admin Immunization Charge
Pfizer Vaccine Admin Charge
Pfizer Vaccine Tris-sucrose Admin Charge
Pfizer vaccine 1st dose: 0001A - 30mcg - Pfizer Vaccine Admin Charge
Pfizer vaccine 1st dose: 0051A - 30mcg - Pfizer Vaccine Tris-sucrose Admin Charge
Pfizer vaccine 2nd dose: 0002A - 30mcg - Pfizer Vaccine Admin Charge
Pfizer vaccine 2nd dose: 0052A - 30mcg - Pfizer Vaccine Tris-sucrose Admin Charge
Pfizer vaccine 3rd dose: 0003A - 30mcg - Pfizer Vaccine Admin Charge
Pfizer vaccine 3rd dose: 0053A - 30mcg - Pfizer Vaccine Tris-sucrose Admin Charge
Pfizer vaccine 5-11 1st dose: 0071A - 10mcg - Pfizer Vaccine 5-11 Admin Charge
Pfizer vaccine 5-11 2nd dose: 0072A - 10mcg - Pfizer Vaccine 5-11 Admin Charge
Pfizer vaccine 5-11 3rd dose: 0073A - 10mcg - Pfizer Vaccine 5-11 Admin Charge
Pfizer vaccine 5-11 Booster dose: 0074A - 10mcg - Pfizer Vaccine 5-11 Admin Charge
Pfizer vaccine booster: 0004A - 30mcg - Pfizer Vaccine Admin Charge
Pfizer vaccine booster: 0054A - 30mcg - Pfizer Vaccine Tris-sucrose Admin Charge
Speciality Care TransportA0434 - Speciality Care TransportA04342271.15
Subsequent - AMB Inj Med Admin Charge - AMB Inj Med Admin ChargeIV Push Subsequent96375
Subsequent up to 18 - AMB Inj Med Admin Charge - AMB Inj Med Admin Charge
Tdap 90700 - AMB Tdap ChargeTdap 9070090700
Tdap 90715 - AMB Tdap Charge90715 - Tdap 9071590715
VFC ADMINISTRATION 1 VACCINE SING/COMBO - AMB Immun Admin ChargeVFC ADMINISTRATION 1 VACCINE SING/COMBO90471
VFC ADMINISTRATION EA ADDITIONAL VACC - AMB Immun Admin ChargeVFC ADMINISTRATION EA ADDITIONAL VACC90472
acetaminophen 160 mg/5 mL oral susp - AMB acetaminophen Chargeacetaminophen 160mg/5ml oral susp
acetaminophen 325mg Tab - AMB acetaminophen Chargeacetaminophen 325mg tab
acetaminophen 500mg Tab - AMB acetaminophen Charge
acetaminophen 650 mg Tab - AMB acetaminophen Charge
acetaminophen Infant susp - AMB acetaminophen Charge
albuterol 2.5mg/3mL NEB - AMB albuterol Chargealbuterol 2.5mg/3mL NEBJ7613
amp 1:100 1ml epinephrine - AMB epinephrine ChargeJ0171 - amp 1:100 1ml epinephrineJ0171
aspirin 325 mg tab - AMB aspirin Chargeaspirin 325mg tab
aspirin 81 mg tab - AMB aspirin Chargeaspirin 81mg
clonidine oral tab - AMB clonidine Chargeclonidine 0.1mg tab
codeine-guaifenesin 10 mg-100 mg/5 mL oral syrup - AMB codeine-guaifenesin charge
erythromycin .5% ophth - AMB erythromycin ophth Charge
hydralazine 25 mg tab - AMB hydralazine Charge
hyoscyamine 0.125 mg/5 mL oral - AMB hyoscyamine Charge
ibuprofen 100 mg tab - AMB ibuprofen Charge
ibuprofen 100 mg/5 ml soln - AMB ibuprofen Chargeibuprofen 100mg/5ml soln
ibuprofen 200 mg tab - AMB ibuprofen Chargeibuprofen 200mg tab
ibuprofen 400 mg tab - AMB ibuprofen Chargeibuprofen 400mg tab
ibuprofen 600 mg tab - AMB ibuprofen Charge
ibuprofen 800 mg tab - AMB ibuprofen Charge
ipratropium-albuterol NEB - AMB ipratropium-albuterol Chargeipratropium-albuterol NEBJ7620
levalbuterol 0.63 mg/3 mL inhalation solution - AMB levalbuterol charge
meperidine - AMB meperidine chargeMeperidine 100mgJ2175
morphine - AMB morphine charge
nitroglycerin .4 mg tab - AMB nitroglycerin Charge
silver sulfadiazine 1% topical - AMB silver sulfadiazine Charge
tetanus diptheria toxoids vaccine (Tenivac) - AMB tetanus diptheria toxoids Charge90714 - vaccine (Tenivac)90714
tetracaine .5% ophth - AMB tetracaine ophth Charge
vaccine Bexsero - AMB meningococcal group B ChargeBexsero90620
vaccine Hep A (Vaqta) - AMB hepatitis A Pediatric Charge
vaccine HepA adult (Havrix) - AMB hepatitis A vaccine ChargeHavrix (HepA) adult vaccine90632
vaccine HepA adult (Vaqta) - AMB hepatitis A vaccine Charge
vaccine HepA ped (Havrix) - AMB hepatitis A Pediatric ChargeHepatitis A pediatric vaccine90633
vaccine HepB (Engerix-B) - AMB hepatitis B Pediatric/Adolescent Chargevaccine HepB (Engerix-B)90744
vaccine HepB (Recombivax) - AMB hepatitis B Pediatric/Adolescent Chargevaccine HepB (Recombivax)90746
vaccine HepB/HIB (Comvax) - AMB hepatitis B-Hib Charge
vaccine Ixiaro - AMB japanese encephalitis Charge
vaccine MMRV (Proquad) - AMB measles-mumps-rubella-varicella vaccine Chargevaccine MMRV (Proquad)90710
vaccine Menveo - AMB meningococcal conjugate ChargeMENVEO90734
vaccine Typhim VI - AMB typhoid vaccine Charge
vaccine measles-mumps-rubella - AMB measles-mumps-rubella vaccine Charge90707 - vaccine measles-mumps-rubella90707
vaccine pneumococcal 13-valent conjugate (Prevnar) - AMB pneumococcal 13-valent conjugate vac Charge90670 - vaccine pneumococcal 13-valent conjugate (Prevnar)90670
vaccine pneumococcal 23-valent conjugate - AMB pneumococcal 23-valent vaccine Charge90732 - vaccine pneumococcal 23-valent conjugate90732
vaccine zoster - AMB zoster vaccine Charge90750 - vaccine zoster90750
varicella vaccine - AMB varicella Charge90716 - varicella vaccine90716
ROOM/BED: HospiceROOM/BED: Hospice0249.5
ROOM/BED: InpatientROOM/BED: Inpatient02892
ROOM/BED: Long Term CareROOM/BED: Long Term Care0314
ROOM/BED: ObservationROOM/BED: G0378 - ObservationG0378099
ROOM/BED: RespiteROOM/BED: Respite0187
ROOM/BED: Swing BedROOM/BED: Swing Bed01076.5
00002-7510-01 - insulin lispro 100 units/mL Sol
00002-7510-17 - insulin lispro 100 units/mL
00002-7589-01 - bebtelovimab 175 mg/2 mL Inj [LCHN]
00002-7597-01 - OLANZapine 10 mg Pow
00002-8031-01 - glucagon 1 mgJ1610
00002-8215-01 - insulin regular human recombinant 100 units/mL Sol
00002-8215-17 - insulin regular human recombinant 100 units/mLJ1815
00002-8315-01 - insulin isophane (NPH) human recombinant 100 units/mL Sus
00002-8315-17 - insulin isophane (NPH) human recombinant 100 units/mLJ1815
00002-8715-01 - insulin isophane-insulin regular human recombinant 70 units-30 units/mL
00003-0293-20 - triamcinolone acetonide 40 mg/mLJ3301
00003-0494-20 - triamcinolone 10 mg/mLJ3301
00003-0893-21 - apixaban 2.5 mg Tab [LCHN]
00003-0893-31 - apixaban 2.5 mg
00003-2187-13 - abatacept 250 mg Powder [LCHN]
00003-3734-13 - nivolumab 10 mg/mL Sol
00004-0800-85 - oseltamivir 75 mg Cap
00005-1971-02 - pneumococcal 13-valent conjugate vaccine -
00006-0031-44 - alendronate 70 mg
00006-0112-31 - SITagliptin 50 mg
00006-0112-54 - sitaGLIPtin 50 mg Tab [LCHN]
00006-3025-00 - bezlotoxumab 25 mg/mL Sol
00006-3516-59 - imipenem-cilastatin 500 mg-500 mgJ0743
00006-3845-71 - ertapenem 1 gJ1335
00006-4045-41 - human papillomavirus vaccine quadrivalent90649
00006-4047-41 - rotavirus vaccine pentavalent Oral Susp [LCHN]
00006-4096-02 - hepatitis A adult vaccine 50 units/mL IM Susp syringe [LCHN]
00006-4121-02 - human papillomavirus vaccine 9-valent IM Susp [LCHN]
00006-4171-00 - measles/mumps/rubella/varicella virus vaccine -
00006-4681-00 - measles/mumps/rubella virus vaccine -90707
00006-4827-00 - varicella virus vaccine -90716
00006-4943-00 - pneumococcal 23-polyvalent vaccine -90732
00006-5423-12 - sugammadex 100 mg/mL
00008-0923-51 - pantoprazole 40 mgS0164
00008-4001-25 - pantoprazole 40 mg Pow
00009-0039-06 - methylPREDNISolone 40 mg preservative-freeJ2920
00009-0039-28 - methylPREDNISolone sodium succinate 40 mg PF Inj [LCHN]
00009-0047-04 - methylPREDNISolone sodium succinate 125 mg PF Inj [LCHN]
00009-0047-22 - methylPREDNISolone 125 mg preservative-freeJ2930
00009-0271-01 - estradiol cypionate 5 mg/mLJ1000
00009-0280-02 - methylPREDNISolone 40 mg/mL Sus
00009-0698-01 - methylPREDNISolone 1 gJ2930
00009-0698-02 - methylPREDNISolone sodium succinate 1 g Inj [LCHN]
00009-0746-30 - medroxyPROGESTERone 150 mg/mLJ1050
00009-0825-01 - hydrocortisone 100 mg preservative-freeJ1720
00009-0870-26 - clindamycin 150 mg/mLS0077
00009-3475-01 - methylPREDNISolone 80 mg/mLJ1040
00009-5135-02 - linezolid 600 mg
00009-5140-01 - linezolid 2 mg/mL-D5%J2020
00023-0312-04 - ocular lubricant -
00023-3921-02 - onabotulinumtoxinA 200 unitsJ0585
00023-9205-15 - ocular lubricant -
00023-9321-05 - brimonidine 0.1% Ophth Sol 5 mL [LCHN]
00024-1075-01 - sodium polystyrene sulfonate -
00024-1351-05 - phenylephrine nasal 0.5%
00024-2792-10 - sodium ferric gluconate complex 12.5 mg/mLJ2916
00024-2794-10 - sodium ferric gluconate complex 62.5 mg/12 mL IV Sol [LCHN]
00031-8757-12 - dextromethorphan-guaifenesin 20 mg-200 mg/20 mL
00049-0014-83 - ampicillin-sulbactam 2 g-1 gJ0295
00049-0530-28 - penicillin G potassium 20,000,000 unitsJ2540
00052-0274-01 - etonogestrel 68 mgJ7307
00054-0010-25 - flecainide 50 mg
00054-0018-20 - predniSONE 20 mg
00054-0045-44 - ipratropium nasal 21 mcg/inh
00054-0229-25 - QUEtiapine 50 mg
00054-0326-56 - fluticasone-salmeterol 100 mcg-50 mcg Inh Pwdr [LCHN]
00054-0404-44 - morphine 20 mg/mL
00054-0517-44 - morphine 20 mg/mL Oral Conc [LCHN]
00054-3176-44 - dexamethasone 1 mg/mL
00054-3177-63 - dexamethasone 0.5 mg/5 mL Oral Liq 5 mL [LCHN]
00054-3270-99 - fluticasone nasal 50 mcg/inh Spr
00054-3500-49 - lidocaine topical 2% Sol 100 mL [LCHN]
00054-3505-47 - lidocaine topical 4%
00054-3722-50 - predniSONE 5 mg/5 mL Sol
00054-3722-63 - predniSONE 5 mg/5 mL
00054-4184-25 - dexamethasone 4 mg
00054-8175-25 - dexamethasone 4 mg Tab
00054-8724-25 - predniSONE 5 mg
00056-0168-75 - warfarin 4 mg
00056-0169-75 - warfarin 1 mg
00064-5010-30 - collagenase topical 250 units/g
00065-0396-05 - cyclopentolate ophthalmic 1%
00065-0644-35 - tobramycin ophthalmic 0.3%
00065-0647-25 - dexamethasone-tobramycin ophthalmic 0.1%-0.3%
00065-0648-35 - dexamethasone-tobramycin ophthalmic 0.1%-0.3%
00065-0741-14 - tetracaine ophthalmic 0.5% Sol
00067-4345-04 - scopolamine 1.5 mg
00067-8152-02 - diclofenac topical 1% Gel
00069-0029-18 - ampicillin 1 gJ0290
00069-3150-83 - azithromycin 500 mgJ0456
00071-0418-24 - nitroglycerin 0.4 mg
00071-0525-24 - methsuximide 300 mg
00071-0803-24 - gabapentin 100 mg Cap [LCHN]
00071-1014-41 - pregabalin 75 mg
00071-2214-20 - phenytoin 25 mg/mL
00074-1040-04 - beractant 25 mg/mL
00074-3346-03 - leuprolide 22.5 mg/3 monthsJ9217
00074-3683-03 - leuprolide 30 mg/4 monthsJ9217
00075-0620-40 - enoxaparin 40 mg/0.4 mL SC Sol [LCHN]
00075-0623-00 - enoxaparin 100 mg/mL SC Sol [LCHN]
00075-0624-30 - enoxaparin 30 mg/0.3 mL SC Sol [LCHN]
00075-8013-10 - enoxaparin 30 mg/0.3 mLJ1650
00075-8014-10 - enoxaparin 40 mg/0.4 mL Sol
00075-8030-01 - enoxaparin 300 mg/3 mL Sol [LCHN]
00078-0149-23 - calcitonin 200 intl units/mLJ0630
00078-0358-34 - valsartan 80 mg
00078-0435-61 - zoledronic acid 5 mg/100 mL
00078-0457-05 - OXcarbazepine 600 mg
00078-0508-83 - carBAMazepine 100 mg/5 mL
00078-0659-20 - sacubitril-valsartan 24 mg-26 mg Tab
00085-1177-01 - eptifibatide 2 mg/mLJ1327
00088-2220-33 - insulin glargine 100 units/mL
00093-0314-01 - ketorolac 10 mg Tab
00093-0318-01 - dilTIAZem 30 mg Tab [LCHN]
00093-0661-16 - albuterol 2 mg/5 mL
00093-1712-01 - warfarin 1 mg Tab
00093-2026-31 - azithromycin 200 mg/5 mL
00093-2027-23 - azithromycin 100 mg/5 mL
00093-2049-56 - tolterodine 4 mg
00093-2055-06 - tolterodine 2 mg
00093-2203-01 - metoclopramide 10 mg Tab
00093-2274-34 - amoxicillin-clavulanate 500 mg-125 mg Tab
00093-3145-01 - cephalexin 250 mg
00093-6118-87 - prednisoLONE 15 mg/5 mL
00093-8740-01 - mexiletine 200 mg
00093-9702-01 - carbidopa-levodopa 25 mg-100 mg Tab
00096-0707-37 - aluminum chloride hexahydrate topical 20%
00115-1468-45 - lidocaine-prilocaine topical 2.5%-2.5%
00115-1468-60 - lidocaine-prilocaine topical 2.5%-2.5% Cre
00115-1697-01 - hydrocortisone 10 mg
00116-2001-16 - chlorhexidine topical 0.12%
00121-0868-50 - nystatin 500,000 units/5 mL Oral Susp [LCHN]
00121-1761-30 - Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL
00121-1775-05 - codeine-guaifenesin 10 mg-100 mg/5 mL
00126-0179-16 - fluoride topical 0.2%
00132-0079-12 - glycerin adult Supp [LCHN]
00135-0074-25 - calcium carbonate 750 mg Tab
00135-0178-03 - calcium carbonate 750 mg
00143-9320-01 - labetalol 5 mg/mL
00143-9506-10 - etomidate 2 mg/mL Sol
00143-9508-10 - ketamine 50 mg/mLG2083
00143-9513-01 - palonosetron 0.25 mg/2 mL Sol
00143-9689-10 - niCARdipine 2.5 mg/mLJ3490
00143-9784-10 - flumazenil 0.1 mg/mLJ3490
00143-9786-10 - enalapril 1.25 mg/mL Sol
00143-9787-10 - enalapril 1.25 mg/mLJ3490
00143-9803-50 - doxycycline hyclate 100 mg Cap [LCHN]
00143-9856-01 - cefTRIAXone 2 g Inj [LCHN]
00143-9857-25 - cefTRIAXone 1 g Inj [LCHN]
00143-9872-01 - propranolol 1 mg/mLJ1800
00143-9875-25 - amiodarone 50 mg/mL IV Sol 3 mL [LCHN]
00143-9887-50 - amoxicillin 400 mg/5 mL
00143-9887-75 - amoxicillin 400 mg/5 mL Pow
00143-9888-01 - amoxicillin 125 mg/5 mL Pow
00143-9888-80 - amoxicillin 125 mg/5 mL
00168-0012-09 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g
00168-0021-09 - bacitracin-polymyxin B topical 500 units-10000 units/g
00168-0055-15 - betamethasone topical dipropionate 0.05%
00168-0062-31 - zinc oxide topical 20%
00168-0357-55 - lidocaine-prilocaine 2.5%-2.5% Top Crm 30 g [LCHN]
00173-0378-10 - cefTAZidime 1 gJ0713
00173-0695-04 - fluticasone-salmeterol 100 mcg-50 mcg
00173-0696-04 - fluticasone-salmeterol 250 mcg-50 mcg
00173-0697-00 - fluticasone-salmeterol 500 mcg-50 mcg Inh Pwdr [LCHN]
00173-0697-04 - fluticasone-salmeterol 500 mcg-50 mcg
00173-0719-20 - fluticasone CFC free 110 mcg/inh
00173-0720-20 - fluticasone CFC free 110 mcg/inh Inh Aer wActivedapter [LCHN] - fluticasone CFC free
00173-0873-06 - umeclidinium 62.5 mcg (0.0625 mg)/inh
00173-0901-86 - sotrovimab 500 mg/8 mL IV Sol [LCHN]
00185-0223-60 - cilostazol 100 mg
00185-0771-30 - bisoprolol 5 mg
00185-5050-01 - metOLazone 2.5 mg Tab
00186-0122-01 - epinephrine-lidocaine 1:200,000-2% preservative-freeJ2001
00186-0330-01 - lidocaine topical 2%
00186-0370-28 - budesonide-formoterol 160 mcg-4.5 mcg/inh Inh Aer w/adapter [LCHN]
00186-0372-28 - budesonide-formoterol 80 mcg-4.5 mcg/inh
00186-1092-39 - metoprolol 100 mg
00187-0746-33 - glucose 24 g/31 g
00187-4302-02 - sodium nitroprusside 25 mg/mLJ3490
00223-1721-01 - sodium bicarbonate 650 mg
00225-0380-80 - sodium chloride nasal 0.65%
00225-0528-48 - sodium chloride nasal 0.65%
00225-0800-47 - phenylephrine nasal 0.25% Nasal Spray 15 mL [LCHN]
00225-0810-47 - phenylephrine nasal 1% Nasal Spray 15 mL [LCHN]
00228-2127-10 - cloNIDine 0.1 mg Tab [LCHN]
00245-0003-31 - potassium iodide 1 g/mL
00245-5317-89 - potassium chloride 10 mEq
00245-5319-01 - potassium chloride 20 mEq Tab
00254-1011-96 - sucralfate 1 g/10 mL Sus
00264-1800-31 - Sodium Chloride 0.9% IV Sol 50 mL [LCHN]
00264-1800-32 - Sodium Chloride 0.9% IV Sol 100 mL [LCHN]
00281-0326-30 - nitroglycerin 2%
00310-0720-10 - fulvestrant 50 mg/mLJ9395
00310-1105-39 - sodium zirconium cyclosilicate 5 g Pow [LCHN]
00310-7370-20 - budesonide-formoterol 160 mcg-4.5 mcg/inh
00310-7442-02 - cilgavimab-tixagevimab 150 mg/1.5 mL-150 mg/1.5 mL [LCHN]
00310183030 - benralizumab 30 mg Injection
00338-0017-03 - Dextrose 5% in Water IV Sol 500 mL [LCHN]
00338-0017-04 - Dextrose 5% in Water IV Sol 1000 mL [LCHN]
00338-0017-18 - Dextrose 5% in Water IV Sol 100 mL [LCHN]
00338-0043-04 - Sodium Chloride 0.45% IV Sol 1000 mL [LCHN]
00338-0049-02 - Sodium Chloride 0.9% IV Sol 250 mL [LCHN]
00338-0049-03 - Sodium Chloride 0.9% IV Sol 500 mL [LCHN]
00338-0049-04 - Sodium Chloride 0.9% IV Sol 1000 mL [LCHN]
00338-0049-11 - LVP solution Sodium Chloride 0.9% Sol
00338-0049-48 - Sodium Chloride 0.9% IV Sol 100 mL [LCHN]
00338-0077-04 - Dextrose 5% with 0.2% NaCl IV Sol 1000 mL [LCHN]
00338-0085-04 - Dextrose 5% with 0.45% NaCl IV Sol 1000 mL [LCHN]
00338-0117-04 - Lactated Ringers IV Sol 1000 mL [LCHN]
00338-0125-04 - Dextrose 5% in Lactated Ringers IV Sol 1000 mL [LCHN]
00338-0409-03 - lidocaine 5%-0.4%
00338-0503-48 - gentamicin 80 mg/100 mL IV Sol [LCHN]
00338-0519-09 - fat emulsion, intravenous 20% [LCHN]
00338-0671-04 - Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L IV Sol 1000 mL [LCHN]
00338-0691-04 - Sodium Chloride 0.9% with KCl 20 mEq/L IV Sol 1000 mL [LCHN]
00338-1047-02 - nitroglycerin 20 mg/250 mL-D5W IV Sol [LCHN]
00338-1049-02 - nitroglycerin 200 mcg/mL-D5%J3490
00338-1055-48 - metroNIDAZOLE 500 mg/100 mL Sol
00338-1073-02 - DOBUTamine 250 mg mg in 250 mL D5W Premix
00338-9541-24 - metroNIDAZOLE 500 mg/100 mL IV Sol [LCHN]
00338-9549-24 - clindamycin 600 mg/50 mL-NaCl 0.9% Sol
00378-0181-01 - allopurinol 300 mg
00378-1134-01 - ketorolac 10 mg
00378-1811-77 - levothyroxine 112 mcg (0.112 mg)
00378-2100-01 - loperamide 2 mg Cap
00378-2537-01 - hydrochlorothiazide-triamterene 25 mg-37.5 mg
00378-3926-93 - febuxostat 80 mg
00378-5511-93 - OLANZapine 10 mg Tab
00378-6172-01 - metOLazone 2.5 mg
00378-7002-93 - PARoxetine 20 mg
00378-9102-93 - nitroglycerin 0.1 mg/hr
00378-9119-16 - fentaNYL 12 mcg/hr
00378-9122-98 - fentaNYL 50 mcg/hr
00378-9124-98 - fentaNYL 100 mcg/hr
00378-9321-32 - fluticasone-salmeterol 250 mcg-50 mcg Inh Pwdr [LCHN]
00378-9322-32 - fluticasone-salmeterol 500 mcg-50 mcg Inh Pwdr [LCHN]
00406-0123-62 - acetaminophen-hydrocodone 325 mg-5 mg Tab
00406-0512-62 - oxyCODONE-acetaminophen 5 mg-325 mg Tab [LCHN]
00406-1121-01 - methylphenidate 5 mg
00406-5755-01 - methadone 5 mg
00409-1144-05 - verapamil 2.5 mg/mL
00409-1152-70 - heparin flush 100 units/mLJ1642
00409-1162-01 - bupivacaine 0.5% preservative-free
00409-1178-30 - meperidine 50 mg/mLJ2175
00409-1207-25 - gentamicin 40 mg/mLJ1580
00409-1273-32 - diazePAM 5 mg/mLJ3360
00409-1323-05 - lidocaine 2% preservative-free
00409-1522-02 - Dextrose 5% in Water IV Sol 250 mL [LCHN]
00409-1560-29 - bupivacaine 0.5% preservative-free
00409-1587-50 - bupivacaine 0.25%C9290
00409-1610-50 - bupivacaine 0.5%S0020
00409-1630-10 - atropine 0.1 mg/mL Sol
00409-1782-69 - naloxone 0.4 mg/mLJ2310
00409-1886-02 - levETIRAcetam 100 mg/mLJ1953
00409-2305-17 - midazolam 1 mg/mL preservative-free
00409-2344-02 - DOBUTamine 12.5 mg/mLJ1250
00409-2552-01 - HYDROmorphone 1 mg/mLJ1170
00409-2723-01 - heparin 5000 units/mL Sol
00409-3178-01 - epinephrine-lidocaine 1:100000-1%J2001
00409-3182-01 - epinephrine-lidocaine 1:100000-2%J2001
00409-3308-03 - acetylcysteine 20%J7608
00409-3414-01 - metoclopramide 5 mg/mL Inj Sol [LCHN]
00409-3793-01 - ketorolac 15 mg/mL Inj Sol [LCHN]
00409-4215-01 - zoledronic acid 4 mg/5 mL IV Sol [LCHN]
00409-4276-01 - lidocaine 1%J2001
00409-4277-02 - lidocaine 2%
00409-4777-02 - ciprofloxacin 400 mg/200 mL-5%J0744
00409-4888-20 - sodium chloride 0.9%
00409-4900-14 - sodium bicarbonate 8.4%
00409-4902-34 - glucose 50% Sol
00409-4911-34 - atropine 0.1 mg/mL Sol
00409-4921-34 - EPINEPHrine 0.1 mg/mLJ0171
00409-4933-01 - EPINEPHrine 0.1 mg/mL Inj Sol [LCHN]
00409-5820-01 - DOPamine 40 mg/mLJ1265
00409-5921-01 - aminophylline 25 mg/mLJ0280
00409-6562-02 - testosterone cypionate 200 mg/mLJ1071
00409-6625-14 - sodium bicarbonate 8.4% IV Sol 50 mL [LCHN]
00409-6629-02 - succinylcholine 20 mg/mLJ0330
00409-6637-34 - sodium bicarbonate 8.4%C9399
00409-6653-05 - potassium chloride 2 mEq/mL Sol
00409-7332-01 - cefTRIAXone 1 g Inj [LCHN]
00409-7338-01 - cefTRIAXone 500 mgJ0696
00409-7809-22 - DOPamine 1.6 mg/mL-D5% Sol [LCHN]
00409-7811-24 - metroNIDAZOLE 500 mg/100 mLS0030
00409-7930-02 - Dextrose 10% in Water IV Sol 250 mL [LCHN]
00409-7941-09 - Dextrose 5% with NS IV Sol 1000 mL [LCHN]
00409-7953-09 - LVP solution Lactated Ringers Injection Sol
00409-9045-17 - bupivacaine-epinephrine 0.5%-1:200,000 preservative-freeJ0171
00409-9104-20 - DOPamine 40 mg/mL Sol
00409-9157-01 - phytonadione 1 mg/0.5 mL Inj Sol [LCHN]
00409-9302-20 - ropivacaine 0.75%
00456-1402-30 - nebivolol 2.5 mg
00469-2601-30 - mirabegron 25 mg
00469-6501-89 - regadenoson 0.4 mg/5 mLJ2785
00469-8234-12 - adenosine 3 mg/mLJ0152
00472-0220-41 - clotrimazole topical 1%
00472-0343-56 - hydrocortisone topical 1%
00472-0825-16 - albuterol 2 mg/5 mL Syr