| J3490 | Unclassified drugs | 50 | $1,160 | $60.5K |
| 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… | 320 | $60 | $18K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 140 | $130 | $17.4K |
| 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,… | 230 | $40 | $8.2K |
| 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 | $160 | $6.4K |
| 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… | 320 | $20 | $5.7K |
| 11980 | The provider inserts hormone pellets subdermally, normally under the patient's arm skin. These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal… | 60 | $70 | $3.6K |
| 99203 | The provider sees a new 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 provider… | 40 | $80 | $3.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 410 | $10 | $3.3K |
| 55700 | Code deleted December 31, 2025. | 20 | $90 | $2.2K |