| Office/outpatient visit est |
1,079 |
$46 |
$49,148 |
| Subsequent hospital care |
334 |
$52 |
$17,468 |
| Ther/proph/diag inj sc/im |
537 |
$16 |
$8,544 |
| Initial hospital care |
63 |
$98 |
$6,159 |
| Office/outpatient visit est |
54 |
$68 |
$3,697 |
| Hospital discharge day |
63 |
$52 |
$3,287 |
| PPPS, initial visit |
19 |
$154 |
$2,935 |
| Office/outpatient visit est |
30 |
$97 |
$2,923 |
| Admin influenza virus vac |
94 |
$22 |
$2,087 |
| Drain/inject joint/bursa |
42 |
$48 |
$2,023 |
| Glycosylated hemoglobin test |
121 |
$14 |
$1,664 |
| Hemoglobin |
378 |
$3 |
$1,266 |
| Hematocrit |
377 |
$3 |
$1,263 |
| Fluvirin vacc, 3 yrs & >, im |
86 |
$14 |
$1,207 |
| Destruct b9 lesion 1-14 |
16 |
$75 |
$1,200 |
| Routine venipuncture |
264 |
$3 |
$792 |
| Urinalysis nonauto w/o scope |
158 |
$4 |
$572 |
| Remove impacted ear wax |
15 |
$32 |
$485 |
| Chest x-ray |
29 |
$17 |
$482 |
| Office/outpatient visit est |
39 |
$11 |
$434 |
| Microalbumin semiquant |
29 |
$6 |
$188 |
| Methylprednisolone 40 MG inj |
48 |
$3 |
$148 |
| Garamycin gentamicin inj |
105 |
$1 |
$95 |
| Glucose blood test |
18 |
$3 |
$60 |
| Vitamin b12 injection |
123 |
$0 |
$46 |
| Dexamethasone sodium phos |
492 |
$0 |
$44 |
| Ceftriaxone sodium injection |
47 |
$1 |
$26 |
