Table II.
CPT4 code | Service description | Cost, US $ |
---|---|---|
99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. (This is the most frequent E and M code) | 108.74 |
73030 | Radiologic examination, shoulder; complete, minimum of 2 views | 29.43 |
73221 | Magnetic resonance (eg, proton) imaging, any joint of upper extremity | 240.45 |
36415 | Collection of venous blood by venipuncture | 2.87 |
86900 | Blood group typing (ABO) | 75.04 |
86850 | Antibody screen, RBC, each serum technique | 5.25 |
82565 | Blood creatinine level | 7.03 |
85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 10.66 |
93000 | Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report. | 17.22 |
496.69 |
RCR, rotator cuff repair.