| Destruction of Lesion (outpatient) | $353 | 0% | $353 | 
Medium |
| Mammogram (outpatient) | $761 | 0% | $761 |
Medium |
| Office Visit - Basic | $63 | 0% | $63 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $226 | 0% | $226 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $226 | 0% | $226 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $263 | 0% | $263 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $200 | 0% | $200 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $200 | 0% | $200 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $215 | 0% | $215 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $179 | 0% | $179 |
Medium |
| Office Visit - Established Patient, High Complexity | $215 | 0% | $215 |
Medium |
| Office Visit - Established Patient, Low Complexity | $110 | 0% | $110 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $163 | 0% | $163 |
Medium |
| Office Visit - New Patient, Low Complexity | $173 | 0% | $173 |
Medium |
| Office Visit - New Patient, Minor | $121 | 0% | $121 |
Medium |
