Medical Procedure Costs

99466

Ped crit care transport

Evaluation & Management

$202

—

99467

Ped crit care transport addl

Evaluation & Management

$101

—

99468

Neonate crit care initial

Evaluation & Management

$779

—

99469

Neonate crit care subsq

Evaluation & Management

$337

—

99470

Rpm tx mgmt 1st 10 min

Evaluation & Management

$13

—

99471

Ped critical care initial

Evaluation & Management

$674

—

99472

Ped critical care subsq

Evaluation & Management

$352

—

99473

Self-meas bp pt educaj/train

Evaluation & Management

$15

—

99474

Self-meas bp 2 readg bid 30d

Evaluation & Management

$8

—

99475

Ped crit care age 2-5 init

Evaluation & Management

$474

—

99476

Ped crit care age 2-5 subsq

Evaluation & Management

$306

—

99477

Init day hosp neonate care

Evaluation & Management

$295

—

99478

Sbsq ic vlbw inf<1,500 gm

Evaluation & Management

$116

—

99479

Sbsq ic lbw inf 1,500-2,500

Evaluation & Management

$105

—

99480

Sbsq ic inf pbw 2,501-5,000

Evaluation & Management

$101

—

99483

Assmt & care pln pt cog imp

Evaluation & Management

$170

—

99484

Care mgmt svc bhvl hlth cond

Evaluation & Management

$39

—

99487

Cplx chrnc care 1st 60 min

Evaluation & Management

$79

—

99489

Cplx chrnc care ea addl 30

Evaluation & Management

$44

—

99490

Chrnc care mgmt staff 1st 20

Evaluation & Management

$44

—

99491

Chrnc care mgmt phys 1st 30

Evaluation & Management

$65

—

99492

1st psyc collab care mgmt

Evaluation & Management

$82

—

99493

Sbsq psyc collab care mgmt

Evaluation & Management

$90

—

99494

1st/sbsq psyc collab care

Evaluation & Management

$36

—

99495

Transj care mgmt mod f2f 14d

Evaluation & Management

$122

—

99496

Transj care mgmt high f2f 7d

Evaluation & Management

$166

—

99497

Advncd care plan 30 min

Evaluation & Management

$66

—

99498

Advncd care plan addl 30 min

Evaluation & Management

$63

—

A0425

Ground mileage

HCPCS - Transport/Supplies

$9

—

A0426

Ambulance BLS non-emergency

HCPCS - Transport/Supplies

$456

—

A0427

Ambulance ALS1 non-emergency

HCPCS - Transport/Supplies

$722

—

A0428

Ambulance BLS emergency

HCPCS - Transport/Supplies

$380

—

A0429

Ambulance ALS1 emergency

HCPCS - Transport/Supplies

$608

—

A0432

Ambulance ALS2 intercept

HCPCS - Transport/Supplies

$665

—

A0433

Ambulance ALS2

HCPCS - Transport/Supplies

$976

—

A0434

Ambulance specialty care transport

HCPCS - Transport/Supplies

$994

—

A0435

Air mileage fixed wing

HCPCS - Transport/Supplies

$11

—

A0436

Air mileage rotary wing

HCPCS - Transport/Supplies

$29

—

A2001

Innovamatrix ac, per sq cm

HCPCS - Transport/Supplies

$127

—

A2002

Mirragen adv wnd mat per sq

HCPCS - Transport/Supplies

$127

—

A2005

Microlyte matrix, per sq cm

HCPCS - Transport/Supplies

$127

—

A2006

Novosorb synpath per sq cm

HCPCS - Transport/Supplies

$127

—

A2007

Restrata, per sq cm

HCPCS - Transport/Supplies

$127

—

A2008

Theragenesis, per sq cm

HCPCS - Transport/Supplies

$127

—

A2009

Symphony, per sq cm

HCPCS - Transport/Supplies

$127

—

A2010

Apis, per square centimeter

HCPCS - Transport/Supplies

$127

—

A2011

Supra sdrm, per sq cm

HCPCS - Transport/Supplies

$127

—

A2012

Suprathel, per sq cm

HCPCS - Transport/Supplies

$127

—

A2013

Innovamatrix fs, per sq cm

HCPCS - Transport/Supplies

$127

—

A2015

Phoenix wnd mtrx, per sq cm

HCPCS - Transport/Supplies

$127

—

My Cost List