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Cost Estimator
Spanish Valley Clinic
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Clinic Visit
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
Home Health Recertification Plans of Care Medicare Charge
Initial preventive exam
TELEHEALTH
11444
Remove Other Benign Lesion w/Margins , Face/Ears/Eyelids/Nose/Lips; Diam 3.1 to 4.0 cm Charge.
46050
Incision and drainage, perianal abscess, superficial
59425
Antepartum Care 4-6 Visits
59426
Antepartum Care 7 or More Visits
64486
TAP(trans abdominis plane) blo
81025
Urine Pregnancy Test POC
81025
Urine Pregnancy Test POC. Charge
88141
Pap & Pelvic Office Charge
99201
Office/OP New Visit Level
99202
Office Visit Level 2 New - 99202 Specialist
99202
Office/OP New Visit Level
99202
Office/OP New Visit Level 2 SC 99202
99203
Office Visit Level 3 New - 99203 Specialist
99203
Office/OP New Visit Level
99203
Office/OP New Visit Level 3 SC 99203
99204
Office Visit Level 4 New - 99204 Specialist
99204
Office/OP New Visit Level
99204
Office/OP New Visit Level 4 SC 99204
99205
Office Visit Level 5 New - 99205 Specialist
99205
Office/OP New Visit Level
99211
Office/Outpatient Visit Level 1 Established
99212
Office/OP Established Visit Level 2
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