| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $146 | $146 | $146 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $82 | $86 | $90 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $82 | $87 | $91 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $88 | $89 | $91 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $91 | $95 | $99 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $99 | $102 | $105 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $88 | $102 | $108 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $102 | $112 | $122 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $31 | $31 | $32 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $183 | $183 | $183 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $180 | $180 | $180 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $180 | $180 | $180 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $125 | $125 | $125 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $136 | $136 | $136 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $92 | $131 | $169 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $199 | $254 | $310 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $199 | $267 | $335 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $202 | $257 | $312 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $334 | $334 | $334 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $265 | $329 | $393 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $332 | $632 | $932 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $91 | $91 |
| Spirometry CPT 94010 • Pulmonology | $23 | $31 | $38 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $27 | $47 | $66 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $53 | $64 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $36 | $39 | $42 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $177 | $177 | $177 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $6 | $22 | $38 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $15 | $26 | $38 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $54 | $57 | $59 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $37 | $42 | $46 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $46 | $53 | $59 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $3 | $3 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $25 | $25 | $25 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $54 | $58 | $62 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $82 | $87 | $93 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $127 | $133 | $139 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $28 | $100 | $171 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $63 | $272 | $482 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $170 | $338 | $505 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $25 | $26 | $27 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $318 | $1,103 | $1,889 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $46 | $50 | $54 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $48 | $58 | $68 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,058 | $1,058 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,456 | $1,456 | $1,456 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $172 | $172 | $172 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $38 | $38 | $38 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $144 | $149 | $155 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $104 | $104 |