| 21085 | The provider fabricates an oral surgical splint to match the patient’s facial contours by taking an impression, or negative imprint, of the patient's face. An oral surgical splint supports a… | 50 | $540 | $28.6K |
| 76100 | The provider uses special X–ray equipment that allows viewing of only one plane of the body based upon complex movements of the equipment and scanning across the body in one direction. Images show… | 150 | $70 | $10.2K |
| 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… | 70 | $120 | $8K |
| 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… | 110 | $70 | $7.2K |
| 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,… | 120 | $40 | $4.8K |
| 70355 | The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw. | 70 | $20 | $1K |
| 20605 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may… | 20 | $30 | $690 |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 10 | $30 | $380 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 20 | $0 | $0 |