Service Description CPT Code Charge Type PrimaryCare Practice Price
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 10-12,GOAL NOT ACH PP G9877 Prof $98.00
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 7-9, GOAL ACH PP G9878 Prof $147.00
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 7-9,GOAL NOT ACH PP G9876 Prof $39.00
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 13-15,GOAL MAIN PP G9882 Prof $122.00
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 16-18,GOAL MAIN PP G9883 Prof $122.00
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 19-21,GOAL MAIN PP G9884 Prof $75.00
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 22-24,GOAL MAIN PP G9885 Prof $124.00
DP 4 TOTAL CORE SESSIONS ATTENDED PP G9874 Prof $122.00
DP 5 PERCENT WEIGHT LOSS FROM BASELINE ACHIEVED PP G9880 Prof $383.00
DP 9 PERCENT WEIGHT LOSS FROM BASELINE ACHIEVED PP G9881 Prof $64.00
DP 9 TOTAL CORE SESSIONS ATTENDED PP G9875 Prof $217.00
DP BRIDGE PAYMENT,1ST SESS,BY MDPP,PREV RECVD SERV PP G9890 Prof $49.00
DRAINAGE ABSCESS PAROTID COMPLICATED PP 42305 Prof $923.25
DRAINAGE ABSCESS PAROTID SIMPLE PP 42300 Prof $92.00
DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL PP 42320 Prof $378.75
DRAINAGE OF PALMAR BURSA MULTIPLE BURSA PP 26030 Prof $1062.75
DRAINAGE OF PALMAR BURSA SINGLE BURSA PP 26025 Prof $908.25
DRAINAGE OF SKENES GLAND ABSCESS/CYST PP 53060 Prof $362.00
DRAINAGE, FINGER ABSCESS PP 26010 Prof $294.00
DRAINAGE,ABSCESS,CYST,HEMATOMA PP 41800 Prof $323.00
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