| 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… | 70 | $50 | $3.4K |
| 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… | 30 | $80 | $2.5K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $150 | $2.2K |
| 99204 | The provider sees a new 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 provider… | 20 | $100 | $1.6K |
| 76377 | In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with… | 30 | $30 | $990 |
| 40808 | The provider performs a biopsy, a surgical procedure in which the provider excises a sample of the tissues from the vestibule of a patient’s mouth. He commonly performs this procedure to diagnose an… | 20 | $50 | $900 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $30 | $780 |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 20 | $30 | $540 |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 10 | $30 | $350 |
| 70355 | The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw. | 40 | $10 | $290 |