Billing Code Library

Every code on your bill, explained

Look up any CPT code to see what it means, what Medicare pays, and what hospitals typically charge.

Office Visit

99202

Office Visit — New Patient (Low)

Medicare: $67 → Typical: $120–$300

99203

Office Visit — New Patient (Moderate)

Medicare: $111 → Typical: $200–$450

99204

Office Visit — New Patient (Moderate-High)

Medicare: $170 → Typical: $300–$600

99205

Office Visit — New Patient (High Complexity)

Medicare: $211 → Typical: $400–$800

99211

Office Visit — Established Patient (Minimal)

Medicare: $23 → Typical: $50–$150

99212

Office Visit — Established Patient (Low)

Medicare: $57 → Typical: $100–$250

99213

Office Visit — Established Patient (Moderate)

Medicare: $92 → Typical: $150–$350

99214

Office Visit — Established Patient (Moderate-High)

Medicare: $130 → Typical: $200–$500

99215

Office Visit — Established Patient (High Complexity)

Medicare: $175 → Typical: $300–$600

Emergency Room

99281

ER Visit — Minor Problem (Level 1)

Medicare: $46 → Typical: $150–$500

99282

ER Visit — Low Severity (Level 2)

Medicare: $80 → Typical: $250–$800

99283

ER Visit — Moderate Severity (Level 3)

Medicare: $149 → Typical: $500–$1500

99284

ER Visit — High Severity (Level 4)

Medicare: $295 → Typical: $1000–$3000

99285

ER Visit — Critical (Level 5)

Medicare: $428 → Typical: $1500–$4000

Hospital Visit

99221

Initial Hospital Admission — Low Complexity

Medicare: $130 → Typical: $250–$600

99222

Initial Hospital Admission — Moderate

Medicare: $195 → Typical: $350–$800

99223

Initial Hospital Admission — High Complexity

Medicare: $270 → Typical: $500–$1200

99231

Subsequent Hospital Visit — Low

Medicare: $46 → Typical: $100–$300

99232

Subsequent Hospital Visit — Moderate

Medicare: $74 → Typical: $150–$500

99233

Subsequent Hospital Visit — High

Medicare: $107 → Typical: $200–$600

99238

Hospital Discharge — 30 Minutes or Less

Medicare: $74 → Typical: $150–$400

99239

Hospital Discharge — More Than 30 Minutes

Medicare: $107 → Typical: $200–$600

Critical Care

99291

Critical Care — First 30-74 Minutes

Medicare: $268 → Typical: $1000–$5000

99292

Critical Care — Each Additional 30 Minutes

Medicare: $124 → Typical: $400–$2000

Imaging

71045

Chest X-Ray — Single View

Medicare: $22 → Typical: $80–$400

71046

Chest X-Ray — 2 Views

Medicare: $26 → Typical: $100–$500

70553

Brain MRI — With and Without Contrast

Medicare: $322 → Typical: $1000–$5000

70551

Brain MRI — Without Contrast

Medicare: $218 → Typical: $700–$3500

72148

Lumbar Spine MRI — Without Contrast

Medicare: $248 → Typical: $800–$4000

72141

Cervical Spine MRI — Without Contrast

Medicare: $248 → Typical: $800–$4000

73721

MRI of Knee — Without Contrast

Medicare: $248 → Typical: $800–$3500

73221

MRI of Shoulder — Without Contrast

Medicare: $248 → Typical: $800–$3500

74177

CT Abdomen and Pelvis — With Contrast

Medicare: $225 → Typical: $800–$4000

74176

CT Abdomen and Pelvis — Without Contrast

Medicare: $175 → Typical: $600–$3000

74178

CT Abdomen and Pelvis — With and Without Contrast

Medicare: $275 → Typical: $900–$5000

70450

CT Head/Brain — Without Contrast

Medicare: $110 → Typical: $400–$2000

76856

Pelvic Ultrasound — Complete

Medicare: $106 → Typical: $200–$1000

76830

Transvaginal Ultrasound

Medicare: $100 → Typical: $200–$800

76805

Obstetric Ultrasound — Complete (After 14 Weeks)

Medicare: $130 → Typical: $300–$1000

77067

Screening Mammography — Bilateral

Medicare: $83 → Typical: $200–$600

77066

Diagnostic Mammography — Bilateral

Medicare: $100 → Typical: $250–$800

72110

Lumbar Spine X-Ray — Complete

Medicare: $38 → Typical: $100–$400

73610

Ankle X-Ray — Complete

Medicare: $28 → Typical: $80–$350

73560

Knee X-Ray — 2 Views

Medicare: $26 → Typical: $80–$300

73030

Shoulder X-Ray — 2+ Views

Medicare: $28 → Typical: $80–$350

73130

Hand X-Ray — 3+ Views

Medicare: $28 → Typical: $80–$300

Lab Work

36415

Blood Draw (Venipuncture)

Medicare: $3 → Typical: $15–$75

80053

Comprehensive Metabolic Panel (CMP)

Medicare: $11 → Typical: $50–$400

80048

Basic Metabolic Panel (BMP)

Medicare: $9 → Typical: $40–$300

85025

Complete Blood Count (CBC) with Differential

Medicare: $8 → Typical: $30–$200

80061

Lipid Panel

Medicare: $14 → Typical: $40–$250

84443

TSH — Thyroid Stimulating Hormone

Medicare: $16 → Typical: $40–$200

81001

Urinalysis — Automated with Microscopy

Medicare: $4 → Typical: $20–$100

82947

Blood Glucose (Blood Sugar)

Medicare: $5 → Typical: $20–$100

83036

Hemoglobin A1c (HbA1c)

Medicare: $11 → Typical: $30–$200

82306

Vitamin D Level (25-Hydroxy)

Medicare: $22 → Typical: $50–$250

82728

Ferritin Level

Medicare: $14 → Typical: $30–$200

84153

PSA — Prostate Specific Antigen

Medicare: $18 → Typical: $40–$200

87491

Chlamydia Test (DNA/RNA)

Medicare: $28 → Typical: $50–$250

87591

Gonorrhea Test (DNA/RNA)

Medicare: $28 → Typical: $50–$250

86803

Hepatitis C Antibody Test

Medicare: $14 → Typical: $30–$150

87389

HIV Test — Antigen/Antibody

Medicare: $20 → Typical: $40–$200

Cardiology

93000

Electrocardiogram (EKG/ECG) — Complete

Medicare: $17 → Typical: $50–$300

93306

Echocardiogram — Complete

Medicare: $188 → Typical: $500–$3000

93452

Cardiac Catheterization — Left Heart

Medicare: $550 → Typical: $5000–$25000

93015

Stress Test — Cardiovascular (Complete)

Medicare: $72 → Typical: $200–$1000

93350

Stress Echocardiogram

Medicare: $120 → Typical: $400–$2000

Procedures

43239

Upper GI Endoscopy with Biopsy

Medicare: $295 → Typical: $800–$3500

45378

Colonoscopy — Diagnostic

Medicare: $266 → Typical: $1000–$4000

45380

Colonoscopy — with Biopsy

Medicare: $318 → Typical: $1200–$5000

45385

Colonoscopy — with Polyp Removal

Medicare: $370 → Typical: $1500–$6000

29881

Knee Arthroscopy — Meniscectomy

Medicare: $504 → Typical: $5000–$15000

27447

Total Knee Replacement

Medicare: $1250 → Typical: $15000–$50000

27130

Total Hip Replacement

Medicare: $1300 → Typical: $15000–$50000

63030

Lumbar Discectomy — Single Level

Medicare: $800 → Typical: $8000–$30000

10060

Incision and Drainage of Abscess — Simple

Medicare: $109 → Typical: $200–$800

12001

Simple Wound Repair — 2.5cm or Less

Medicare: $95 → Typical: $200–$800

12002

Simple Wound Repair — 2.6 to 7.5cm

Medicare: $115 → Typical: $250–$1000

Maternity

59400

Obstetric Care — Vaginal Delivery (Global)

Medicare: $2284 → Typical: $5000–$15000

59510

Cesarean Delivery (Global)

Medicare: $2750 → Typical: $7000–$20000

Mental Health

90791

Psychiatric Diagnostic Evaluation

Medicare: $150 → Typical: $200–$500

90832

Psychotherapy — 30 Minutes

Medicare: $57 → Typical: $75–$200

90834

Psychotherapy — 45 Minutes

Medicare: $86 → Typical: $100–$300

90837

Psychotherapy — 60 Minutes

Medicare: $126 → Typical: $150–$400

90847

Family Psychotherapy — With Patient

Medicare: $97 → Typical: $120–$350

90853

Group Psychotherapy

Medicare: $30 → Typical: $40–$150

Injections

96372

Therapeutic Injection — IM or Subcutaneous

Medicare: $18 → Typical: $25–$150

96374

IV Push — Single Drug

Medicare: $42 → Typical: $100–$500

96360

IV Infusion — First Hour (Hydration)

Medicare: $32 → Typical: $100–$600

96365

IV Infusion — First Hour (Therapeutic)

Medicare: $55 → Typical: $150–$800

20610

Joint Injection — Major Joint

Medicare: $64 → Typical: $200–$1000

64483

Epidural Steroid Injection — Lumbar

Medicare: $175 → Typical: $1000–$4000

Telehealth

99441

Telephone E/M — 5-10 Minutes

Medicare: $37 → Typical: $50–$150

99442

Telephone E/M — 11-20 Minutes

Medicare: $72 → Typical: $80–$200

99443

Telephone E/M — 21-30 Minutes

Medicare: $104 → Typical: $120–$300

Preventive

99391

Well-Baby Visit — Under Age 1

Medicare: $65 → Typical: $120–$350

99392

Well-Child Visit — Age 1-4

Medicare: $75 → Typical: $130–$350

99393

Well-Child Visit — Age 5-11

Medicare: $75 → Typical: $130–$350

99394

Well-Visit — Age 12-17

Medicare: $85 → Typical: $150–$400

99395

Annual Wellness Visit — Age 18-39

Medicare: $108 → Typical: $200–$500

99396

Annual Wellness Visit — Age 40-64

Medicare: $119 → Typical: $200–$550

99397

Annual Wellness Visit — Age 65+

Medicare: $130 → Typical: $200–$600

Dermatology

17000

Destruction of Skin Lesion — First Lesion

Medicare: $64 → Typical: $100–$400

11102

Skin Biopsy — Tangential (Shave)

Medicare: $72 → Typical: $150–$500

11104

Skin Biopsy — Punch

Medicare: $88 → Typical: $200–$600

Physical Therapy

97110

Therapeutic Exercises — 15 Minutes

Medicare: $30 → Typical: $50–$200

97140

Manual Therapy — 15 Minutes

Medicare: $30 → Typical: $50–$200

97530

Therapeutic Activities — 15 Minutes

Medicare: $30 → Typical: $50–$200

Pulmonary

94010

Spirometry — Breathing Test

Medicare: $22 → Typical: $50–$250

95810

Sleep Study — Polysomnography

Medicare: $375 → Typical: $1000–$5000

Pathology

88305

Surgical Pathology — Level IV

Medicare: $65 → Typical: $100–$500

Vaccines

90471

Vaccine Administration — First Injection

Medicare: $17 → Typical: $20–$75

Other

99024

Post-Operative Follow-Up Visit

Medicare: $0 → Typical: $0–$0

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