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Evaluation Management Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Evaluation-Management.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
EVALUATION & MANAGEMENT4100000001HC TRANSITIONAL CARE $ 450.00
3
EVALUATION & MANAGEMENT4710092587HC AUDX (OTOACOUSTIC EMMISIONS) LTD $ 405.00
4
EVALUATION & MANAGEMENT7610096127HC BRIEF EMOTIONAL/BEH ASSMT $ 41.00
5
EVALUATION & MANAGEMENT9420097802HC INITIAL NUTR 15 MI-UNIT $ 104.00
6
EVALUATION & MANAGEMENT9420197802HC INITIAL NUTR 15MIN UNIT (DH) $ 104.00
7
EVALUATION & MANAGEMENT9420097803HC F/U NUTR 15 MIN-UNIT $ 82.00
8
EVALUATION & MANAGEMENT9420197803HC F/U NUTR 15MIN UNIT (DH) $ 82.00
9
EVALUATION & MANAGEMENT5300098925HC OSTEOPATHIC MANIPULATION 1-2 $ 59.00
10
EVALUATION & MANAGEMENT5300098926HC OSTEOPATHIC MANIPULATION 3-4 $ 64.00
11
EVALUATION & MANAGEMENT5300098927HC OSTEOPATHIC MANIPULATION 5-6 $ 70.00
12
EVALUATION & MANAGEMENT5300198928HC OSTEOPATHIC MANIPULATION 7-8 $ 71.00
13
EVALUATION & MANAGEMENT2800099211MEDICATION MANAGEMENT VISIT FACILITY $ 101.00
14
EVALUATION & MANAGEMENT5160099213HC FACILITY CLINIC ASSESS/MGMT SERVICES $ 125.00
15
EVALUATION & MANAGEMENT9420199406HC SMOKING CESSATION ASYMPTOMATIC INTERMEDIATE 3-10MIN $ 67.00
16
EVALUATION & MANAGEMENT9420199407HC SMOKING CESSATION SYMPTOMATIC INTENSIVE > 10 MIN $ 148.00
17
EVALUATION & MANAGEMENT7610099495HC TRANSITIONAL CARE MANAGEMENT, MDM MOD COMPLEX $ 225.00
18
EVALUATION & MANAGEMENT7610099496HC TRANSITIONAL CARE MANAGEMENT, MDM HIGH COMPLEX $ 257.00
19
EVALUATION & MANAGEMENT7610099497HC ADVNCD CARE PLAN 30 MIN $ 89.00
20
EVALUATION & MANAGEMENT77000G0101HC CA SCREEN,PELVIC/BREAST EXAM $ 96.00
21
EVALUATION & MANAGEMENT77000G0296HC VISIT TO DETERM LDCT ELIG $ 97.00
22
EVALUATION & MANAGEMENT51000G0402HC IPPE VISIT $ 138.00
23
EVALUATION & MANAGEMENT77001G0444HC ANNUAL DEPRESSION SCREEN $ 151.00
24
EVALUATION & MANAGEMENT90600H0001IOP, INITIAL EVALUATION $ 160.00
25
EVALUATION & MANAGEMENT90600H0015IOP, GROUP THERAPY, PER 60 MIN $ 75.00
26
EVALUATION & MANAGEMENT90601H0015IOP, INDIVIDUAL PSYCHOTHERAPY, 30 MIN $ 75.00
27
EVALUATION & MANAGEMENT90602H0015IOP, INDIVIDUAL PSYCHOTHERAPY, 45 MIN $ 100.00
28
EVALUATION & MANAGEMENT90603H0015IOP, INDIVIDUAL PSYCHOTHERAPY, 60 MIN $ 125.00
29
EVALUATION & MANAGEMENT9140090832PHP, INDIVIDUAL PSYCHOTHERAPY, 30 MIN $ 100.00
30
EVALUATION & MANAGEMENT9140190832PHP, INDIVIDUAL PSYCHOTHERAPY, 45 MIN $ 150.00
31
EVALUATION & MANAGEMENT9140290832PHP, INDIVIDUAL PSYCHOTHERAPY, 60 MIN $ 200.00
32
EVALUATION & MANAGEMENT91500G0410PHP, GROUP PSYCH $ 100.00
33
EVALUATION & MANAGEMENT91500G0411PHP, FAMILY GROUP PSYCH $ 100.00
34
EVALUATION & MANAGEMENT94200G0177PHP, TRAINING & EDUC SVCS $ 100.00