| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 11,680 | $60 | $665.8K |
| 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… | 1,180 | $40 | $43.5K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1,400 | $20 | $29.3K |
| 97803 | The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code… | 200 | $30 | $5K |
| Q3014 | Telehealth originating site facility fee | 150 | $10 | $1.8K |
| 97802 | The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the… | 40 | $50 | $1.8K |
| 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… | 170 | $1 | $330 |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 40 | $1 | $40 |
| 36416 | In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site. | 4,520 | $0 | $0 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 50 | $0 | $0 |