| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $100 | $6.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 60 | $60 | $3.1K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 10 | $130 | $1.8K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 40 | $30 | $1.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 30 | $40 | $1.3K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 70 | $20 | $1.2K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 40 | $30 | $1.1K |
| 77080 | The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient… | 30 | $30 | $870 |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 70 | $10 | $850 |
| G0444 | Annual depression screening, 5 to 15 minutes | 60 | $10 | $810 |