| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | REM/ADJ DEV/CATH ONLY EP | $4,412 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,339 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,523 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,706 [source] | gross_charge | 1 month ago |