FY 18 Top 50 OFFICE PROCEDURES Description Units Direct Pay Price GASTROENTEROLOGY 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 2423 303.00 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 1586 206.00 99233 SUBSEQUENT HOSPITAL CARE 1204 296.00 99204 NEW OTPT SERV; LEV 4 (TYPICALLY 45 MIN) 948 471.00 99232 SUBSEQUENT HOSPITAL CARE, COMPREHENSIVE 695 207.00 99203 NEW OTPT SERV; LEV 3 (TYPICALLY 30 MIN) 322 307.00 99254 INPATIENT CONSULTATION, LEVEL 4 204 461.00 90471 ADMIN OF 1 VACCINE 177 67.00 99222 INITIAL HOSPITAL CARE, COMPREHENSIVE 121 396.00 99215 EST OTPT SERV; LEV 5 (TYPICALLY 40 MIN) 116 408.00 90746 HEP B VACCINE, ADULT, IM 113 140.00 43235 UPPR GI ENDOSCOPY, DIAGNOSIS 108 833.00 99205 NEW OTPT SERV; LEV 5 (TYPICALLY 60 MIN) 92 584.00 99244 OTPT CONSULT-LEV 4 (TYPICALLY 60 MIN) 71 510.00 99255 INPATIENT CONSULTATION, LEVEL 5 68 557.00 G8783 BP SCRN PERF REC INTERVAL 62 #N/A 99253 INPATIENT CONSULTATION, LEVEL 3 61 319.00 99243 OTPT CONSULT-LEV 3 (TYPICALLY 40 MIN) 55 345.00 STUDY RESEARCH/STUDY VISIT 49 #N/A 90636 HEP A/HEP B VACC, ADULT IM 49 211.00 43244 UPPER GI ENDOSCOPY/LIGATION 43 871.00 99223 INITIAL HOSPITAL CARE 43 581.00 99356 PROLONGED SERVICE, INPATIENT 33 262.00 45380 COLONOSCOPY AND BIOPSY 31 1,334.00 99221 INITIAL HOSPITAL CARE, DETAILED OR COMPREHENSIVE 30 290.00 Description Units Direct Pay Price INTERNAL MEDICINE 99233 SUBSEQUENT HOSPITAL CARE 17004 296.00 99232 SUBSEQUENT HOSPITAL CARE, COMPREHENSIVE 13466 207.00 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 8299 303.00 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 7025 206.00 99223 INITIAL HOSPITAL CARE 6705 581.00 99239 HOSPITAL DISCHARGE DAY, MORE THAN 30 MINUTES 5058 304.00 99220 OBSERVATION CARE 3140 445.00 99238 HOSPITAL DISCHARGE DAY 2134 205.00 99217 OBSERVATION CARE DISCHARGE 1980 205.00 90471 ADMIN OF 1 VACCINE 1652 67.00 36416 CAPILLARY BLOOD DRAW 1311 25.00 99204 NEW OTPT SERV; LEV 4 (TYPICALLY 45 MIN) 1214 471.00 90686 Flu vac no prsv 4 val 3 yrs+ 1096 41.00
85610 PROTHROMBIN TIME 1078 16.00 99203 NEW OTPT SERV; LEV 3 (TYPICALLY 30 MIN) 942 307.00 99225 SUBSQUNT OBSRV CARE MOD MDM 897 142.00 99231 SUBSEQUENT HOSPITAL CARE, DETAILED OR COMPREHENSIVE 779 113.00 99244 OTPT CONSULT-LEV 4 (TYPICALLY 60 MIN) 763 510.00 99255 INPATIENT CONSULTATION, LEVEL 5 735 557.00 93000 ELECTROCARDIOGRAM, COMPLETE 721 50.00 99222 INITIAL HOSPITAL CARE, COMPREHENSIVE 653 396.00 99254 INPATIENT CONSULTATION, LEVEL 4 560 461.00 99226 SUBSQUNT OBSRV CARE HIGH MDM 554 213.00 81003 URINALYSIS, AUTO, W/O SCOPE 512 13.00 99212 EST OTPT SERV; LEV 2 (TYPICALLY 10 MIN) 506 123.00 99221 INITIAL HOSPITAL CARE, DETAILED OR COMPREHENSIVE 451 290.00 99236 OBSERV/HOSP SAME DATE 424 632.00 G8783 BP SCRN PERF REC INTERVAL 413 #N/A 99211 EST OTPT SERV-RN VISIT (TYPICALLY 5 MIN) 410 55.00 90715 TDAP VACCINE, 7 YRS & OLDER, IM 395 98.00 G0008 ADMIN INFLUENZA VIRUS VAC 382 67.00 99215 EST OTPT SERV; LEV 5 (TYPICALLY 40 MIN) 380 408.00 96372 INJ FOR TX OR DX; SC OR IM 365 67.00 93306 TTE W/DOPPLER, COMPLETE 337 527.00 90472 ADMIN OF EACH ADDT'L VACCINE 328 35.00 90670 PENUMOCOCCAL VACCINE, 13 VALENT 314 265.00 99243 OTPT CONSULT-LEV 3 (TYPICALLY 40 MIN) 311 345.00 99219 OBSERVATION CARE, COMPREHENSIVE 236 319.00 90636 HEP A/HEP B VACC, ADULT IM 235 211.00 99396 ESTAB PREV MED EVAL; AGE 40-64 YRS 221 302.00 99253 INPATIENT CONSULTATION, LEVEL 3 214 319.00 99205 NEW OTPT SERV; LEV 5 (TYPICALLY 60 MIN) 207 584.00 G0009 ADMIN PNEUMOCOCCAL VACCINE 185 67.00 82962 GLUCOSE BLOOD TEST 185 13.00 G8417 Calc BMI ABV Up Param Followup 180 0.00 99497 Advncd care plan 30 min 179 235.00 99245 OTPT CONSULT-LEV 5 (TYPICALLY 80 MIN) 179 623.00 90732 PNEUMOCOCCAL VACCINE 170 69.00 99218 OBSERVATION CARE, DETAILED OR COMPREHENSIVE 164 190.00 90746 HEP B VACCINE, ADULT, IM 158 140.00 Description Units Direct Pay Price PEDIATRICS 99391 ESTAB PREV MED EVAL; AGE < 1 YR 4316 227.00 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 3660 206.00 90460 ADMIN OF 1 VACCINE W/PHYS COUNSELING 3378 67.00 90670 PENUMOCOCCAL VACCINE, 13 VALENT 2367 265.00 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 2301 303.00 99392 ESTAB PREV MED EVAL; AGE 1-4 YRS 2062 252.00 90648 HIB VACCINE, PRP-T, IM 1957 55.00 90680 ROTOVIRUS VACC 3 DOSE, ORAL 1760 170.00
90471 ADMIN OF 1 VACCINE 1733 67.00 90686 Flu vac no prsv 4 val 3 yrs+ 1615 41.00 90723 DTAP-HEP B-IPV VACCINE, IM 1527 169.00 36416 CAPILLARY BLOOD DRAW 1302 25.00 99238 HOSPITAL DISCHARGE DAY 1132 205.00 96110 DEVELOPMENTAL TEST, LIM 1062 32.00 90633 HEP A VACC, PED/ADOL, 2 DOSE 940 67.00 90472 ADMIN OF EACH ADDT'L VACCINE 937 35.00 99460 INIT NB EM PER DAY, HOSP 906 173.00 90707 MMR VACCINE, SC 785 115.00 90716 CHICKEN POX VACCINE, SC 785 194.00 90461 ADMIN OF EACH ADDT'L VACCINE W/PHYS COUNSELING 758 35.00 99231 SUBSEQUENT HOSPITAL CARE, DETAILED OR COMPREHENSIVE 667 113.00 99393 ESTAB PREV MED EVAL; AGE 5-11 YRS 648 252.00 96161 Caregiver health risk assmt 567 13.00 88720 BILIRUBIN TOTAL TRANSCUT 2 548 18.00 90700 DTAP VACCINE, < 7 YRS, IM 454 58.00 90698 DTAP-HIB-IP VACCINE, IM 438 180.00 92552 PURE TONE AUDIOMETRY, AIR 409 81.00 99221 INITIAL HOSPITAL CARE, DETAILED OR COMPREHENSIVE 391 290.00 90474 ADMIN OF EACH ADDT'L NASAL OR ORAL VACCINE 383 35.00 99173 VISUAL ACUITY SCREEN 382 8.00 94760 PULSE OXIMETRY 374 9.00 99024 POST OP VISIT 341 0.00 96127 Brief emotional/behav assmt 314 15.00 99203 NEW OTPT SERV; LEV 3 (TYPICALLY 30 MIN) 309 307.00 99177 Ocular instrumnt screen bil 291 14.00 99215 EST OTPT SERV; LEV 5 (TYPICALLY 40 MIN) 273 408.00 99381 NEW PREV MED EVAL; AGE < 1 YR 258 265.00 99394 ESTAB NEW PREV MED EVAL; AGE 12-17 YRS 257 275.00 90696 DTAP-IPV VACC 4-6 YR IM 257 117.00 90685 Flu vac no prsv 4 val 6-35 m 249 41.00 96160 Pt-focused hlth risk assmt 243 13.00 99463 SAME DAY NB DISCHARGE 225 239.00 99462 SBSQ NB EM PER DAY, HOSP 224 93.00 90651 Hpv vaccine non valent im 219 852.00 81003 URINALYSIS, AUTO, W/O SCOPE 205 13.00 99239 HOSPITAL DISCHARGE DAY, MORE THAN 30 MINUTES 194 304.00 96372 INJ FOR TX OR DX; SC OR IM 183 67.00 90734 MENINGOCOCCAL VACCINE, IM 179 240.00 87880 STREP A ASSAY W/OPTIC 164 69.00 85018 HEMOGLOBIN 155 13.00 Description Units Direct Pay Price SURGERY 99024 POST OP VISIT 3686 0.00 99232 SUBSEQUENT HOSPITAL CARE, COMPREHENSIVE 3214 207.00 99231 SUBSEQUENT HOSPITAL CARE, DETAILED OR 1314 113.00
COMPREHENSIVE 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 1153 206.00 99203 NEW OTPT SERV; LEV 3 (TYPICALLY 30 MIN) 1130 307.00 99291 CRITICAL CARE SERVICE; 30-74 MIN 1127 772.00 99233 SUBSEQUENT HOSPITAL CARE 938 296.00 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 839 303.00 99223 INITIAL HOSPITAL CARE 737 581.00 99212 EST OTPT SERV; LEV 2 (TYPICALLY 10 MIN) 734 123.00 99222 INITIAL HOSPITAL CARE, COMPREHENSIVE 481 396.00 99202 NEW OTPT SERV; LEV 2 (TYPICALLY 20 MIN) 457 212.00 47562 LAPAROSCOPIC CHOLECYSTECTOMY 339 2,186.00 99243 OTPT CONSULT-LEV 3 (TYPICALLY 40 MIN) 321 345.00 45380 COLONOSCOPY AND BIOPSY 313 1,334.00 99204 NEW OTPT SERV; LEV 4 (TYPICALLY 45 MIN) 312 471.00 99221 INITIAL HOSPITAL CARE, DETAILED OR COMPREHENSIVE 311 290.00 99242 OTPT CONSULT-LEV 2 (TYPICALLY 30 MIN) 308 253.00 99219 OBSERVATION CARE, COMPREHENSIVE 276 319.00 45378 DIAGNOSTIC COLONOSCOPY 229 1,119.00 99284 EMERGENCY DEPT VISIT, LEVEL 4 223 338.00 99254 INPATIENT CONSULTATION, LEVEL 4 213 461.00 45385 LESION REMOVAL COLONOSCOPY / CPT 45385 202 1,506.00 99238 HOSPITAL DISCHARGE DAY 200 205.00 31575 DIAGNOSTIC LARYNGOSCOPY / CPT31575 200 336.00 99253 INPATIENT CONSULTATION, LEVEL 3 183 319.00 44970 LAPAROSCOPY, APPENDECTOMY 166 1,750.00 46600 DIAGNOSTIC ANOSCOPY 152 244.00 17250 CHEMICAL CAUTERY, TISSUE 151 221.00 99224 SUBSQUNT OBSRV CARE LOW MDM 149 80.00 62223 ESTABLISH BRAIN CAVITY SHUNT;VENTRICULO- 143 3,074.00 PERITONIAL,PLEURAL,OTHER TERMINUS 99220 OBSERVATION CARE 138 445.00 31231 NASAL ENDOSCOPY, DX 135 559.00 99225 SUBSQUNT OBSRV CARE MOD MDM 129 142.00 99218 OBSERVATION CARE, DETAILED OR COMPREHENSIVE 123 190.00 46221 LIGATION OF HEMORRHOID(S) 113 761.00 31237 NASAL/SINUS ENDOSCOPY, SURG 109 956.00 38525 BIOPSY/REMOVAL, LYMPH NODES OPEN DEEP AXILLARY 102 1,266.00 NODES 69210 REMOVE IMPACTED EAR WAX 100 150.00 31624 DX BRONCHOSCOPE/LAVAGE 97 871.00 49650 LAPARO HERNIA REPAIR INITIAL 96 1,243.00 99244 OTPT CONSULT-LEV 4 (TYPICALLY 60 MIN) 95 510.00 45381 COLONOSCOPY, SUBMUCOUS INJ 85 1,294.00 30140 RESECT INFERIOR TURBINATE 84 1,293.00 32551 INSERTION OF CHEST TUBE 82 501.00 43239 UPPER GI ENDOSCOPY, BIOPSY 80 969.00 99283 EMERGENCY DEPT VISIT, LEVEL 3 79 179.00 15734 MUSCLE-SKIN GRAFT, TRUNK 74 4,465.00 92504 EAR MICROSCOPY EXAMINATION 73 87.00 49568 HERNIA REPAIR W/MESH 70 788.00
Description Units Direct Pay Price WOMEN S HEALTH 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 12123 206.00 59025 FETAL NON-STRESS TEST 11403 138.00 81002 URINALYSIS NONAUTOMATED W/O SCOPE 5775 13.00 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 4232 303.00 76815 OB US, LIMITED, FETUS(S) 3582 255.00 99024 POST OP VISIT 3248 0.00 81003 URINALYSIS, AUTO, W/O SCOPE 2407 13.00 76816 OB US, FOLLOW-UP, PER FETUS 2300 338.00 MCPOB OFFICE VISITS - OB GLOBAL 2139 0.00 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 12123 206.00 59025 FETAL NON-STRESS TEST 11403 138.00 81002 URINALYSIS NONAUTOMATED W/O SCOPE 5775 13.00 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 4232 303.00 76815 OB US, LIMITED, FETUS(S) 3582 255.00 99024 POST OP VISIT 3248 0.00 81003 URINALYSIS, AUTO, W/O SCOPE 2407 13.00 76816 OB US, FOLLOW-UP, PER FETUS 2300 338.00 MCPOB OFFICE VISITS - OB GLOBAL 2139 0.00 81025 URINE PREGNANCY TEST 1932 18.00 76805 OB US GREATER THAN OR = 14 WKS, SNGL FETUS,AFTER FIRST TRIMESTER 1533 418.00 99212 EST OTPT SERV; LEV 2 (TYPICALLY 10 MIN) 1278 123.00 99232 SUBSEQUENT HOSPITAL CARE, COMPREHENSIVE 1158 207.00 36416 CAPILLARY BLOOD DRAW 1029 25.00 76801 OB US < 14 WKS, SINGLE FETUS 1019 359.00 90471 ADMIN OF 1 VACCINE 958 67.00 99205 NEW OTPT SERV; LEV 5 (TYPICALLY 60 MIN) 949 584.00 99215 EST OTPT SERV; LEV 5 (TYPICALLY 40 MIN) 799 408.00 76817 TRANSVAGINAL US, OBSTETRIC 795 289.00 82962 GLUCOSE BLOOD TEST 793 13.00 99203 NEW OTPT SERV; LEV 3 (TYPICALLY 30 MIN) 788 307.00 99396 ESTAB PREV MED EVAL; AGE 40-64 YRS 754 302.00 99395 ESTAB PREV MED EVAL; AGE 18-39 YRS 741 276.00 76820 UMBILICAL ARTERY ECHO 709 117.00 76818 FETAL BIOPHYS PROFILE W/NST 669 348.00 90715 TDAP VACCINE, 7 YRS & OLDER, IM 664 98.00 76821 MIDDLE CEREBRAL ARTERY ECHO 644 271.00 59400 OBSTETRICAL CARE 616 5,619.00 99202 NEW OTPT SERV; LEV 2 (TYPICALLY 20 MIN) 565 212.00 99222 INITIAL HOSPITAL CARE, COMPREHENSIVE 528 396.00 58662 LAPAROSCOPY, EXCISE LESIONS 521 2,091.00 76813 OB US NUCHAL MEAS, 1 GEST 491 357.00 99238 HOSPITAL DISCHARGE DAY 483 205.00 99385 NEW PREV MED EVAL; AGE 18-39 YRS 476 313.00 99204 NEW OTPT SERV; LEV 4 (TYPICALLY 45 MIN) 396 471.00 99223 INITIAL HOSPITAL CARE 376 581.00 76830 TRANSVAGINAL US, NON-OB 365 356.00
99386 NEW PREV MED EVAL; AGE 40-64 YRS 362 365.00 58300 INSERT INTRAUTERINE DEVICE 358 198.00 99231 SUBSEQUENT HOSPITAL CARE, DETAILED OR COMPREHENSIVE 352 113.00 96372 INJ FOR TX OR DX; SC OR IM 341 67.00 59409 OBSTETRICAL CARE;VAGINAL DELIVERY ONLY 339 2,193.00 76811 OB US, DETAILED, SNGL FETUS 335 530.00 90686 Flu vac no prsv 4 val 3 yrs+ 330 41.00 76819 FETAL BIOPHYS PROFIL W/O NST 323 253.00 J7298 LEVONORGESTREL IU CONTRACEPT SYSTEM 271 1,216.00 36415 ROUTINE VENIPUNCTURE 262 12.00 99221 INITIAL HOSPITAL CARE, DETAILED OR COMPREHENSIVE 258 290.00 99233 SUBSEQUENT HOSPITAL CARE 247 296.00 58571 TLH W/T/O 250 G OR LESS 225 3,067.00