Per state law (Senate Bill 105) we are required to annually post this list of our 10 most frequently billed service codes from the six sections of Category I of the Current Procedural Terminology (CPT codes) book, as adopted by the American Medical Association. The six sections are:
Category:CPT code Range:
Evaluation and Management 99201-99499
Anesthesia 00100-01999; 99100-99140
Surgery 10021-69990
Radiology 70010-79999
Pathology and Laboratory 80047-89398
Medicine 90281-99199;99500-99607
The state department responsible for overseeing this law is the State of Alaska Department of Health and Social Services (DHSS), their website is:
http://dhss.alaska.gov/Pages/default.aspx
In adherence to the law, Cornerstone Medical Clinic (CMC) is listing our “undiscounted price.” This is the price is taken directly from our Fee Schedule.
You are entitled, upon request, to receive a good-faith estimate of reasonably anticipated charges for a given nonemergency service(s) prior to providing those services and no later than 10 days following the receipt of your request. . The estimate does not include facility fees or charges incurred outside of the service rendered by a CMC provider. This estimate will be provided in the form of your choosing- Orally, Written or Electronic. Please do not hesitate to ask any questions.
10 Most Commonly Performed – Evaluation and Management Codes:
CPT Code/Cost
Description of Service
99212/$151
Office Visit Level 2- Shortest non-annual visit, sometimes as a follow-up to a previous encounter or otherwise a focused evaluation of a specific problem and a straightforward decision on the part of the practitioner.
99213/$225
Office Visit Level 3- Most common “sick visit” involves an exploratory exam and evaluation of signs and symptoms resulting in a medical decision of low complexity, treatment plan, and any prescription.
99214/$345
Office Visit Level 4- Most commonly seen for visits regarding ongoing, chronic problems or issues taking more time to evaluate progress and present status of the patient resulting in a moderate complexity of the medical decision and treatment plan.
99242/$370
Office Consultation for a new or established patient which requires these 3 components: an expanded problem-focused history, expanded problem-focused examination, and straightforward medical decision-making.
99243/$471
Office Consultation for a new or established patient which requires these 3 components: a detailed history, a detailed examination, and medical decision-making of moderate complexity.
99384/$395
Initial Comprehensive Preventative Medicine evaluation 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 procedure new patient (age 12-17)
99385/$475
Initial Comprehensive Preventative Medicine evaluation 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 procedure new patient (age 18-39)
99394/$325
Periodic comprehensive preventative 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 procedure, established patient (age 12-17)
99395/$394
Periodic comprehensive preventative 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 procedure, established patient (age 18-39)
99396/$431
Periodic comprehensive preventative 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 procedure, established patient (age 40—64)
10 Most Commonly Performed – Anesthesia– We do not bill for this category
10 (ONLY 6) Most Commonly Performed – Surgery/Procedure Codes
CPT Code/Cost
Description of Service
10060/$546
Incision and drainage of abscess; simple or single
11055/$165
Paring or cutting benign lesion
11100/$241
Biopsy of skin, subcutaneous tissue, and/or mucous membrane (including simple closure), unless otherwise listed; single lesion
11200/$450
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15
17110/$352
Destruction (laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions
69210/$200
Removal of impacted cerumen requiring instrumentation, unilateral
10 Most Commonly Performed–Radiology Codes
We do not bill for this category
10 Most Commonly Performed – Pathology and Laboratory Codes:
CPT Code/Cost
Description of Service
80050/$260
General Health Panel – includes CMP & CBC
80053/$115
Comprehensive metabolic panel
80061/$132
Lipid Panel
81002/$35
Urinalysis- non-automated, without microscopy
81025/$70
Urine pregnancy test, by visual color comparison methods
82272/$38
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations
82306/$263
Vitamin D; 25 hydroxy, includes fractions if performed
80305/$100
Presumptive drug screen
87880/$10
Streptococcus, group A
88175/$136
Pap Smear
10 Most Commonly Performed – Medicine Codes
CPT Code/Cost
Description of Service
90460/$105
Immunization administration through 18 years of age via any route of counseling, with counseling by a physician or other qualified health care professional; first or only component of each vaccine or toxoid administered
90461/$69
Each additional vaccine or toxoid component administered- through 18 years of age
90471/$60
Immunization administration 1 vaccine – 19 years and older
90472/$36
Each additional vaccine-19 years and older
90636/$249
Hepatitis A and Hepatitis B, adult dose
90649/$304
Human Papillomavirus Vaccine types 6,11,16,18 – 3 dose schedule
90658/$42
Influenza virus vaccine
90715/$80
TdaP age 7 years and older
90716/$231
Varicella virus vaccine
90732/$150
Pneumococcal polysaccharide vaccine
If you have any questions, please feel free to contact us at 907-522-7090 option 3.
Transparency Law
Cornerstone Medical Clinic
10 Most Commonly Performed Services
Effective 5/1/2022
Per state law (Senate Bill 105) we are required to annually post this list of our 10 most frequently billed service codes from the six sections of Category I of the Current Procedural Terminology (CPT codes) book, as adopted by the American Medical Association. The six sections are:
Category: CPT code Range:
Evaluation and Management 99201-99499
Anesthesia 00100-01999; 99100-99140
Surgery 10021-69990
Radiology 70010-79999
Pathology and Laboratory 80047-89398
Medicine 90281-99199;99500-99607
The state department responsible for overseeing this law is the State of Alaska Department of Health and Social Services (DHSS), their website is:
http://dhss.alaska.gov/Pages/default.aspx
In adherence to the law, Cornerstone Medical Clinic (CMC) is listing our “undiscounted price.” This is the price is taken directly from our Fee Schedule.
You are entitled, upon request, to receive a good-faith estimate of reasonably anticipated charges for a given nonemergency service(s) prior to providing those services and no later than 10 days following the receipt of your request. . The estimate does not include facility fees or charges incurred outside of the service rendered by a CMC provider. This estimate will be provided in the form of your choosing- Orally, Written or Electronic. Please do not hesitate to ask any questions.
10 Most Commonly Performed – Evaluation and Management Codes:
10 Most Commonly Performed – Anesthesia– We do not bill for this category
10 (ONLY 6) Most Commonly Performed – Surgery/Procedure Codes
10 Most Commonly Performed–Radiology Codes
We do not bill for this category
10 Most Commonly Performed – Pathology and Laboratory Codes:
10 Most Commonly Performed – Medicine Codes
If you have any questions, please feel free to contact us at 907-522-7090 option 3.