| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 170 | $130 | $23K |
| 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… | 60 | $60 | $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 | $2.4K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 40 | $60 | $2.3K |
| 55700 | Code deleted December 31, 2025. | 10 | $90 | $1K |
| 96402 | In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug. | 40 | $30 | $980 |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 50 | $20 | $900 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 60 | $10 | $510 |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 30 | $10 | $380 |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 20 | $10 | $160 |