Service Description CPT Code Charge Type Surgical Practice Price
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 10-12,GOAL NOT ACH PP G9877 Prof $111.72
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 7-9, GOAL ACH PP G9878 Prof $167.58
DP 2 CORE MAINT SESS ATTENDED IN MONTHS 7-9,GOAL NOT ACH PP G9876 Prof $44.46
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 13-15,GOAL MAIN PP G9882 Prof $139.08
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 16-18,GOAL MAIN PP G9883 Prof $139.08
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 19-21,GOAL MAIN PP G9884 Prof $85.50
DP 2 ONGOING MAINT SESS ATTENDED MONTHS 22-24,GOAL MAIN PP G9885 Prof $141.36
DP 4 TOTAL CORE SESSIONS ATTENDED PP G9874 Prof $139.08
DP 5 PERCENT WEIGHT LOSS FROM BASELINE ACHIEVED PP G9880 Prof $436.62
DP 9 PERCENT WEIGHT LOSS FROM BASELINE ACHIEVED PP G9881 Prof $72.96
DP 9 TOTAL CORE SESSIONS ATTENDED PP G9875 Prof $247.38
DP BRIDGE PAYMENT,1ST SESS,BY MDPP,PREV RECVD SERV PP G9890 Prof $55.86
DRAINAGE ABSCESS PAROTID COMPLICATED PP 42305 Prof $1052.51
DRAINAGE ABSCESS PAROTID SIMPLE PP 42300 Prof $104.88
DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL PP 42320 Prof $431.78
DRAINAGE OF PALMAR BURSA MULTIPLE BURSA PP 26030 Prof $1211.54
DRAINAGE OF PALMAR BURSA SINGLE BURSA PP 26025 Prof $1035.41
DRAINAGE OF SKENES GLAND ABSCESS/CYST PP 53060 Prof $412.68
DRAINAGE, FINGER ABSCESS PP 26010 Prof $335.16
DRAINAGE,ABSCESS,CYST,HEMATOMA PP 41800 Prof $368.22
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