| 69210 |
Remove impacted ear wax |
$ 68.00 |
|
| 87205 |
Smear gram stain |
$ 20.40 |
|
| 87804 |
Influenza assay w/ optic |
$ 25.50 |
|
| 87880 |
Strep A assay w/ optic |
$ 25.50 |
|
| 89190 |
Nasal smear for eosinophils |
$ 19.55 |
|
| 90470 |
Immune admin H1N1 IM/nasal |
$ 18.14 |
|
| 90658 |
Flu Vaccine 3 years& > IM |
$ 12.75 |
|
| 90732 |
Pneumococcal vaccine |
$ 27.20 |
|
| 92567 |
Tympanometry |
$ 51.00 |
|
| 94010 |
Breathing capacity test (spiro) |
$ 76.50 |
|
| 94060 |
Evaluation of wheezing (BSE) |
$ 102.00 |
|
| 94070 |
Evaluation of wheezing (prolonged BSE) |
$ 199.75 |
|
| 94150 |
Peak Flow |
$ 31.50 |
|
| 94375 |
Respiratory flow volume loop |
$ 27.20 |
|
| 94640 |
Airway inhalation treatment |
$ 42.50 |
|
| 94664 |
Evaluate patient use of inhaler |
$ 17.00 |
|
| 94760 |
Measure blood oxygen level |
$ 21.25 |
|
| 95004 |
Percut allergy skin tests (Pricks) |
$ 5.52 |
x |
| 95010 |
Percut allergy titrate test |
$ 25.50 |
x |
| 95015 |
ID allergy titrate-drug/bug |
$ 29.75 |
x |
| 95024 |
ID allergenic extract |
$ 7.22 |
x |
| 95028 |
ID allergy test delayed type |
$ 19.55 |
x |
| 95044 |
Allergy patch test |
$ 10.20 |
x |
| 95012 |
Feno |
$ 36.00 |
|
| 95076 |
Ingestion Challenge Test 120 min |
$ 212.00 |
|
| 95079 |
Ingestion Challenge Test additional 60 min |
$ 151.00 |
x |
| 95115 |
Immunotherapy one injection |
$ 16.15 |
|
| 95117 |
Immunotherapy injections >2 injections |
$ 23.80 |
|
| 95145 |
Single stinging insect serum |
$ 40.00 |
|
| 95146 |
Two stinging insect serum |
$ 52.50 |
|
| 95147 |
Three stinging insect serum |
$ 76.50 |
|
| 95148 |
Four stinging insect serum |
$ 97.00 |
|
| 95149 |
Five stinging insect serum |
$ 130.00 |
|
| 95165 |
Antigen therapy services (vials) |
$ 10.20 |
x |
| 95180 |
Rapid Desensitization |
$ 134.30 |
x |
| 95165A |
Sublingual Immunotherapy |
$ 108.00 |
|
| 96401 |
Ther/proph/diag inj. SQ/IM |
$ 135.00 |
|
| 96374 |
Ther/proph/diag inj. IV push |
$ 42.50 |
|
| 99070 |
Special supplies |
$ 35.43 |
|
| 99201 |
Office outpatient visit new |
$ 78.00 |
|
| 99202 |
Office outpatient visit new |
$ 134.00 |
|
| 99203 |
Office outpatient visit new |
$ 195.00 |
|
| 99204 |
Office outpatient visit new |
$ 235.00 |
|
| 99205 |
Office outpatient visit new |
$ 255.00 |
|
| 99211 |
Office outpatient visit established |
$ 36.00 |
|
| 99212 |
Office outpatient visit established |
$ 79.00 |
|
| 99213 |
Office outpatient visit established |
$ 132.00 |
|
| 99214 |
Office outpatient visit established |
$ 195.00 |
|
| 99215 |
Office outpatient visit established |
$ 260.00 |
|
| J1020 |
Methylprednisolone 20mg |
$ 5.60 |
|
| J1094 |
Dexamethasone 1mg |
$ 00.50 |
x |
| J3301 |
Triamcinolone 10mg |
$ 17.00 |
x |
| J1200 |
Diphenhydramine 50mg |
$ 12.75 |
|
