57 Common US Billing Codes

Medical CPT & HCPCS Code Directory

Search any 5-digit code from your hospital bill or doctor's statement to see fair prices, plain English definitions, and questions to ask billing.

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Office & Evaluation

9 codes

Doctor appointments, new patient evaluations, and established patient follow-up visits.

CPT 99202 $70 – $130

New Patient Office Visit (Level 2)

A 15-29 minute office visit for a new patient with a straightforward medical problem.

View CPT 99202 Breakdown →
CPT 99203 $100 – $200

New Patient Office Visit (Level 3)

A 30-44 minute office visit for a new patient requiring a low level of medical decision making.

View CPT 99203 Breakdown →
CPT 99204 $150 – $300

New Patient Office Visit (Level 4)

A 45-59 minute office visit for a new patient with a moderate complexity problem.

View CPT 99204 Breakdown →
CPT 99205 $200 – $400

New Patient Office Visit (Level 5)

A 60-74 minute office visit for a new patient with a high complexity problem.

View CPT 99205 Breakdown →
CPT 99211 $20 – $50

Established Patient Office Visit (Level 1)

A brief visit by a nurse or technician, not typically requiring a doctor.

View CPT 99211 Breakdown →
CPT 99212 $40 – $90

Established Patient Office Visit (Level 2)

A 10-19 minute visit for an existing patient with a straightforward problem.

View CPT 99212 Breakdown →
CPT 99213 $70 – $150

Established Patient Office Visit (Level 3)

A 20-29 minute visit for an existing patient with low complexity needs.

View CPT 99213 Breakdown →
CPT 99214 $100 – $220

Established Patient Office Visit (Level 4)

A 30-39 minute visit for an existing patient with moderate complexity needs.

View CPT 99214 Breakdown →
CPT 99215 $150 – $350

Established Patient Office Visit (Level 5)

A 40-54 minute visit for an existing patient with high complexity needs.

View CPT 99215 Breakdown →

ER Visit

5 codes

Emergency department severity levels 1 through 5 and physician emergency evaluations.

CPT 99281 $100 – $250

Emergency Dept Visit (Level 1)

Minor emergency problem.

View CPT 99281 Breakdown →
CPT 99282 $150 – $350

Emergency Dept Visit (Level 2)

Low severity emergency problem.

View CPT 99282 Breakdown →
CPT 99283 $250 – $600

Emergency Dept Visit (Level 3)

Moderate severity emergency problem.

View CPT 99283 Breakdown →
CPT 99284 $400 – $1000

Emergency Dept Visit (Level 4)

High severity problem but not life-threatening immediately.

View CPT 99284 Breakdown →
CPT 99285 $700 – $2000

Emergency Dept Visit (Level 5)

High severity with immediate significant threat to life or function.

View CPT 99285 Breakdown →

Lab & Blood Tests

11 codes

Routine blood draws, metabolic panels, lipid profiles, urinalysis, and CBC tests.

CPT 80048 $20 – $60

Basic Metabolic Panel (BMP)

A blood test measuring 8 substances: Calcium, Carbon Dioxide, Chloride, Creatinine, Glucose, Potassium, Sodium, Urea Nitrogen.

View CPT 80048 Breakdown →
CPT 80053 $30 – $80

Comprehensive Metabolic Panel (CMP)

A blood test measuring 14 substances (all in BMP plus liver function tests).

View CPT 80053 Breakdown →
CPT 80061 $25 – $70

Lipid Panel

Measures cholesterol levels (Total, HDL, LDL, Triglycerides).

View CPT 80061 Breakdown →
CPT 81001 $15 – $40

Urinalysis with Microscopy

Testing urine with a machine and looking at it under a microscope.

View CPT 81001 Breakdown →
CPT 81002 $10 – $30

Urinalysis without Microscopy

Dipstick test of urine.

View CPT 81002 Breakdown →
CPT 82043 $20 – $50

Microalbumin (Urine)

Checks for tiny amounts of protein (albumin) in urine.

View CPT 82043 Breakdown →
CPT 83036 $30 – $80

Hemoglobin A1c

Measures average blood sugar over the past 3 months.

View CPT 83036 Breakdown →
CPT 84443 $35 – $90

TSH (Thyroid Stimulating Hormone)

Measures thyroid function.

View CPT 84443 Breakdown →
CPT 85025 $20 – $50

Complete Blood Count (CBC) with Differential

Counts red cells, white cells, and platelets, plus types of white cells.

View CPT 85025 Breakdown →
CPT 85027 $15 – $40

Complete Blood Count (CBC) without Differential

Counts red cells, white cells, and platelets.

View CPT 85027 Breakdown →
CPT 36415 $10 – $35

Venipuncture (Blood Draw)

The act of inserting a needle to take a blood sample.

View CPT 36415 Breakdown →

Imaging

11 codes

Diagnostic X-rays, 2D and 3D screening mammograms, spinal MRIs, and radiological scans.

CPT 71045 $40 – $100

Chest X-Ray (Single View)

One picture of the chest.

View CPT 71045 Breakdown →
CPT 71046 $50 – $120

Chest X-Ray (Two Views)

Two pictures of the chest (usually front and side).

View CPT 71046 Breakdown →
CPT 71047 $60 – $150

Chest X-Ray (3 or 4 Views)

Multiple views of the chest.

View CPT 71047 Breakdown →
CPT 72148 $400 – $1500

MRI Lumbar Spine (No Contrast)

Magnetic scan of the lower back.

View CPT 72148 Breakdown →
CPT 72149 $500 – $1800

MRI Lumbar Spine (With Contrast)

Magnetic scan of lower back with dye injection.

View CPT 72149 Breakdown →
CPT 72150 $600 – $2200

MRI Lumbar Spine (With & Without Contrast)

Double scan sequence.

View CPT 72150 Breakdown →
CPT 73560 $50 – $120

Knee X-Ray (1 or 2 Views)

Basic pictures of the knee joint.

View CPT 73560 Breakdown →
CPT 73562 $60 – $140

Knee X-Ray (3 Views)

Standard knee series (front, side, kneecap).

View CPT 73562 Breakdown →
CPT 73610 $60 – $150

Ankle X-Ray (Complete, 3+ Views)

Full set of ankle pictures.

View CPT 73610 Breakdown →
CPT 77063 $50 – $160

Screening 3D Breast Tomosynthesis (Bilateral)

Digital 3D breast imaging performed as an add-on during a routine screening mammogram.

View CPT 77063 Breakdown →
CPT 77067 $150 – $400

Screening Mammography (2D, Bilateral)

Routine bilateral breast cancer screening examination, including computer-aided detection (CAD).

View CPT 77067 Breakdown →

Cardiology

5 codes

Electrocardiograms (ECGs/EKGs), echocardiograms, and continuous Holter heart monitoring.

CPT 93000 $50 – $150

Electrocardiogram (ECG/EKG) Complete

Recording of heart's electrical activity with interpretation.

View CPT 93000 Breakdown →
CPT 93005 $20 – $60

Electrocardiogram (ECG/EKG) Tracing Only

Just the recording, no doctor reading included.

View CPT 93005 Breakdown →
CPT 93010 $20 – $60

Electrocardiogram (ECG/EKG) Report Only

Doctor's reading of the EKG.

View CPT 93010 Breakdown →
CPT 93306 $500 – $1500

Echocardiogram (Complete)

Ultrasound of the heart including Doppler flow.

View CPT 93306 Breakdown →
CPT 93224 $200 – $600

Holter Monitor (24-48 hr)

Wearable heart monitor for a day or two.

View CPT 93224 Breakdown →

Mental Health

4 codes

Diagnostic psychiatric evaluations, family therapy, and 45-60 minute psychotherapy sessions.

CPT 90791 $150 – $350

Psychiatric Diagnostic Evaluation

Initial intake interview for mental health.

View CPT 90791 Breakdown →
CPT 90834 $100 – $250

Psychotherapy (45 minutes)

Standard therapy session (38-52 mins).

View CPT 90834 Breakdown →
CPT 90837 $120 – $300

Psychotherapy (60 minutes)

Extended therapy session (53+ mins).

View CPT 90837 Breakdown →
CPT 90847 $120 – $300

Family Psychotherapy

Therapy session with patient and family members.

View CPT 90847 Breakdown →

Procedures

3 codes

Simple wound repairs, superficial laceration suturing, and minor outpatient procedures.

CPT 12001 $100 – $300

Repair of Superficial Wound (up to 2.5cm)

Stitches for a small cut on body (not face).

View CPT 12001 Breakdown →
CPT 12002 $150 – $400

Repair of Superficial Wound (2.6cm to 7.5cm)

Stitches for a medium cut on body.

View CPT 12002 Breakdown →
CPT 12004 $200 – $500

Repair of Superficial Wound (7.6cm to 12.5cm)

Stitches for a long cut.

View CPT 12004 Breakdown →

Injections

5 codes

Therapeutic, prophylactic, and diagnostic subcutaneous or intramuscular injections and immunizations.

CPT 96372 $40 – $100

Therapeutic Injection (SubQ/IM)

Shot into muscle or skin (e.g., pain med, antibiotic).

View CPT 96372 Breakdown →
CPT 96375 $20 – $60

Each Additional Therapeutic Injection

Second shot given during same visit.

View CPT 96375 Breakdown →
CPT 96376 $20 – $60

Each Additional Injection (Same Drug)

Repeat shot of same drug.

View CPT 96376 Breakdown →
CPT 90471 $30 – $70

Vaccine Administration (1st)

The act of giving a vaccine.

View CPT 90471 Breakdown →
CPT 90472 $20 – $50

Vaccine Administration (Addl)

Giving extra vaccines in same visit.

View CPT 90472 Breakdown →

Medications

4 codes

HCPCS 'J' codes for injectable emergency room medications, antibiotics, and vitamins.

CPT J1100 $10 – $40

Injection, Dexamethasone Sodium Phosphate, 1mg

Steroid medication.

View CPT J1100 Breakdown →
CPT J1885 $15 – $50

Injection, Ketorolac Tromethamine (Toradol), 15mg

Strong non-narcotic pain reliever.

View CPT J1885 Breakdown →
CPT J0696 $20 – $80

Injection, Ceftriaxone Sodium (Rocephin), 250mg

Strong antibiotic.

View CPT J0696 Breakdown →
CPT J3420 $15 – $45

Injection, Vitamin B-12 Cyanocobalamin, up to 1000mcg

Vitamin B12 shot.

View CPT J3420 Breakdown →

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