Common Services and CPT Codes

Service

New Patient Consult

Follow-Up Patient Consult

Allergy Shots (Single Vial)

Allergy Shots (Multiple Vials)

Allergy Shots (Cluster)

Allergy Shot Vial Prep

Skin Prick Testing

Intradermal Testing

SIBO/Food Intolerance Breath Testing

Patch Testing

Pulmonary Function Test

Supervised Oral Challenge

EGD with Biopsies

Transnasal EGD with Biopsies

Screening Colonoscopy

Colonoscopy with Biopsies

Capsule Endoscopy

Alpha-One PH Study

Rhinoscopy

CPT Code

99204

99214

95115

95117

95180

95165

95004

95024

91065

95044

94060

95076

43239

43198

G0121

45380

91110

43239 + 91035

31231

CMS Standard Rates

$167.10

$128.16

$10.32

$12.32

$138.14

$14.65/unit (up to 96 units)

$3.66/prick (up to 89 units)

$7.99/prick (up to 25 units)

$73.90/unit (up to 2 units)

$4.99/unit (80 units per test)

$38.95

$123.19

$375.48 (Doe not include anesthesia or pathology)

$211.04 (Doe not include anesthesia or pathology)

$339.53 (Doe not include anesthesia or pathology)

$432.40 (Doe not include anesthesia or pathology)

$729.00

$829.52 (For placement and interpretation)

$187.41