| J0897 | Injection, denosumab, 1 mg | 2,160 | $20 | $41K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 280 | $140 | $37.3K |
| 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… | 350 | $90 | $30.4K |
| 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… | 50 | $180 | $9.3K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 30 | $190 | $6.2K |
| 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… | 40 | $100 | $4.1K |
| 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 | $60 | $3.9K |
| 55700 | Code deleted December 31, 2025. | 10 | $160 | $2.2K |
| J9030 | BCG live intravesical instillation, 1 mg | 900 | $1 | $1.8K |
| 74170 | The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He obtains images without contrast and then… | 10 | $130 | $1.8K |