| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $4 | $86 | $136 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $4 | $93 | $140 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $4 | $99 | $150 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $4 | $83 | $121 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $5 | $136 | $235 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $5 | $104 | $163 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $90 | $113 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $3 | $81 | $126 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $3 | $76 | $125 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $4 | $91 | $138 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $4 | $99 | $141 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $4 | $113 | $168 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $4 | $106 | $171 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $42 | $56 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $118 | $191 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $9 | $260 | $543 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $9 | $228 | $450 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $5 | $97 | $165 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $5 | $143 | $191 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $4 | $102 | $146 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $8 | $247 | $550 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $9 | $142 | $273 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $8 | $152 | $252 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $9 | $193 | $349 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $10 | $252 | $455 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $7 | $875 | $1,841 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $3 | $86 | $148 |
| Spirometry CPT 94010 • Pulmonology | $11 | $24 | $39 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $37 | $56 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $31 | $57 | $88 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $19 | $35 | $55 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $94 | $122 | $169 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $7 | $19 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $19 | $25 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $53 | $79 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $12 | $42 | $63 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $8 | $49 | $82 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $27 | $37 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $71 | $93 | $119 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $3 | $90 | $127 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $5 | $140 | $188 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $9 | $106 | $257 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $76 | $377 | $661 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $212 | $612 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $31 | $60 | $95 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $60 | $1,160 | $1,773 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $57 | $121 | $317 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $3 | $95 | $191 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $853 | $1,123 | $1,379 |