Transparency in Health Care 15 Most Commonly Provided Services

In compliance with Colorado Revised Statute: 25-49-103 – Transparency in Health Care Prices Act we are listing our top 15 most commonly provided services, CPT code, description and charge.  Please be advised that the health care price for any given health care service is an estimate and that the actual charges for the health care service are dependent on the circumstances at the time the service is rendered; and the following statement or a statement containing substantially similar information:

If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office.  If you are not covered by health insurance, you are strongly encourage to contact our billing office at 303-547-1709 to discuss payment options prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility.

94760 – Noninvasive ear or pulse oximetry for oxygen saturation, single determination.  $15.00

36416 – Collection of capillary blood specimen (eg, finger, heel, ear stick).  $20.00

99173 – Screening test of visual acuity, quantitative, bilateral. $20.00

90461 – Each additional vaccine or toxoid component administered (listed separately in addition to code for primary procedure).  $22.00

92551 – Screening test, pure tone, air only.  $29.00

85025 – Completed (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count.  $33.00

87880 – Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A.  $36.00

90688 – Influenza virus vaccine, quadrivalent (IIV4), split virus, when administered to individuals 3 years of age and older, for intramuscular use.  $45.00

90460 – Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered.  $48.00

96110 – Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument.  $55.00

99213 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; and expanded problem focused examination; medial decision making of low complexity.  Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.  Usually, the presenting problem(s) are of low to moderate severity.  Typically, 15 minutes are spent face to face with the patient and/or family.  $106.00

99391 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year).  $144.00

99392 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years).  $154.00

99393 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years).  $154.00

99214 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.  Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.  Usually, the presenting problem(s) are of moderate to high severity.  Typically, 25 minutes are spent face to face with the patient and/or family.  $156.00