CASE
CPT Code
Charge per Code
# items
Description
Case 1
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 2
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 3
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 4
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 5
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 6
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 7
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 8
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 9
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
Case 10
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter CPT Code
88300
88302
88304
88305
88307
88309
88311
88312
88313
88318
88321
88323
88329 88331
88332
88342
88346
88348
88360
88365
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
Enter $ per Code
$97
$109
$155
$164
$190
$220
$268
$273
$304
$306
$326
$340
$359
$420
$461
$489
$490
$667
$1427
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10
# Items
x 1
x 2
x 3
x 4
x 5
x 6
x 7
x 8
x 9
x 10