Medical Procedure Costs

G0550

Phone/inter for dx/treat >5m

HCPCS - Temporary Procedures

$30

—

G0551

Phn/intr svs fr dx treat 30m

HCPCS - Temporary Procedures

$31

—

G0553

Monthly tx for dmht 20mins

HCPCS - Temporary Procedures

$26

—

G0554

Add 20 m of monthly tx

HCPCS - Temporary Procedures

$25

—

G0556

Adv prim care mgmt lvl 1

HCPCS - Temporary Procedures

$11

—

G0557

Adv prim care mgmt lvl 2

HCPCS - Temporary Procedures

$34

—

G0558

Adv prim care mgmt lvl 3

HCPCS - Temporary Procedures

$73

—

G0559

Unrelat prac follow up visit

HCPCS - Temporary Procedures

$8

—

G0560

Safety plan interven

HCPCS - Temporary Procedures

$39

—

G0567

Infectious agent detection by nucleic acid (dna or rna); hepatitis c,

Pathology/Laboratory

$35

—

G0568

Int psych care mng, 1 cal mo

HCPCS - Temporary Procedures

$82

—

G0569

Subs psych care mng, subs mo

HCPCS - Temporary Procedures

$90

—

G0570

Care manage serv, pr cal mo

HCPCS - Temporary Procedures

$39

—

G0571

Intraop nerve cryoablation

HCPCS - Temporary Procedures

$59

—

G0659

Drug test(s), definitive, utilizing drug identification methods able to

Pathology/Laboratory

$62

—

G2001

Post d/c h vst new pt 20 m

HCPCS - Temporary Procedures

$49

—

G2002

Post-d/c h vst new pt 30 m

HCPCS - Temporary Procedures

$74

—

G2003

Post-d/c h vst new pt 45 m

HCPCS - Temporary Procedures

$120

—

G2004

Post-d/c h vst new pt 60 m

HCPCS - Temporary Procedures

$164

—

G2005

Post-d/c h vst new pt 75 m

HCPCS - Temporary Procedures

$217

—

G2006

Post-d/c h vst ext pt 20 m

HCPCS - Temporary Procedures

$49

—

G2007

Post-d/c h vst ext pt 30 m

HCPCS - Temporary Procedures

$81

—

G2008

Post-d/c h vst ext pt 45 m

HCPCS - Temporary Procedures

$129

—

G2009

Post-d/c h vst ext pt 60 m

HCPCS - Temporary Procedures

$182

—

G2010

Remot image submit by pt

HCPCS - Temporary Procedures

$8

—

G2011

Alcohol/sub misuse assess

HCPCS - Temporary Procedures

$15

—

G2013

Post-d/c h vst ext pt 75 m

HCPCS - Temporary Procedures

$217

—

G2014

Post-d/c care plan overs 30m

HCPCS - Temporary Procedures

$74

—

G2015

Post-d/c care plan overs 60m

HCPCS - Temporary Procedures

$103

—

G2082

Visit esketamine 56m or less

HCPCS - Temporary Procedures

$31

—

G2083

Visit esketamine, > 56m

HCPCS - Temporary Procedures

$31

—

G2086

Off base opioid tx 70min

HCPCS - Temporary Procedures

$363

—

G2087

Off base opioid tx, 60 m

HCPCS - Temporary Procedures

$345

—

G2088

Off base opioid tx, add30

HCPCS - Temporary Procedures

$34

—

G2211

Complex e/m visit add on

HCPCS - Temporary Procedures

$14

—

G2212

Prolong outpt/office vis

HCPCS - Temporary Procedures

$27

—

G2213

Initiat med assist tx in er

HCPCS - Temporary Procedures

$54

—

G2214

Init/sub psych care m 1st 30

HCPCS - Temporary Procedures

$34

—

G2250

Remot img sub by pt, non e/m

HCPCS - Temporary Procedures

$8

—

G2251

Brief chkin, 5-10, non-e/m

HCPCS - Temporary Procedures

$11

—

G2252

Brief chkin by md/qhp, 11-20

HCPCS - Temporary Procedures

$22

—

G3002

Chronic pain mgmt 30 mins

HCPCS - Temporary Procedures

$64

—

G3003

Chronic pain mgmt addl 15m

HCPCS - Temporary Procedures

$23

—

G9143

Warfarin responsiveness testing by genetic technique using any method, any

Pathology/Laboratory

$121

—

G9157

Transesoph doppl cardiac mon

HCPCS - Temporary Procedures

$89

—

G9187

Bpci home visit

HCPCS - Temporary Procedures

$51

—

G9481

Remote e/m new pt 10mins

HCPCS - Temporary Procedures

$18

—

G9482

Remote e/m new pt 20mins

HCPCS - Temporary Procedures

$33

—

G9483

Remote e/m new pt 30mins

HCPCS - Temporary Procedures

$53

—

G9484

Remote e/m new pt 45mins

HCPCS - Temporary Procedures

$89

—

My Cost List