| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | $120 | $10.8K |
| 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… | 130 | $70 | $9.4K |
| 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… | 90 | $60 | $5.2K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 50 | $70 | $3.7K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 30 | $80 | $2.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 210 | $10 | $2.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 250 | $10 | $2K |
| G0008 | Administration of influenza virus vaccine | 50 | $30 | $1.5K |
| 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. | 100 | $10 | $1.3K |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 50 | $20 | $970 |