| PRACTICE | CHARGE CODE | DESCRIPTION | CPT CODE | CURRENT FEE |
| FLP | 72192 | CT PELVIS WO CONTRAST | 72192 | 1604 |
| FLP | 93005 | EKG | 93005 | 59 |
| FLP | 93010 | RTN ECG 12 LEADS INTRP/RP | 93010 | 105 |
| FLP | 99281 | EVALUATION AND MANAGEMENT SERVICES LEVEL 1 | 99281 | 185 |
| FLP | 99281D | EVALUATION AND MANAGEMENT SERVICES LEVEL 1 | 99281 | 185 |
| FLP | 99406 | SMOKING CESSATION 3-10 | 99406 | 228 |
| FLP | 99282 | EVALUATION AND MANAGEMENT SERVICES LEVEL 2 | 99282 | 250 |
| FLP | 99282D | EVALUATION AND MANAGEMENT SERVICES LEVEL 2 | 99282 | 250 |
| FLP | 99283 | EVALUATION AND MANAGEMENT SERVICES LEVEL 3 | 99283 | 415 |
| FLP | 99283D | EVALUATION AND MANAGEMENT SERVICES LEVEL 3 | 99283 | 415 |
| FLP | 99292 | CRITICAL CARE ADD 30 MIN | 99292 | 431 |
| FLP | 99284 | EVALUATION AND MANAGEMENT SERVICES LEVEL 4 | 99284 | 630 |
| FLP | 99284D | EVALUATION AND MANAGEMENT SERVICES LEVEL 4 | 99284 | 630 |
| FLP | 99285 | EVAULATION AND MANAGEMENT SERVICES LEVEL 5 | 99285 | 964 |
| FLP | 99285D | EVAULATION AND MANAGEMENT SERVICES LEVEL 5 | 99285 | 964 |
| FLP | 99291 | CRITICAL CARE 30-74 MIN | 99291 | 1197 |
| FLP | 99291D | CRITICAL CARE 30-74 MIN | 99291 | 1197 |
| FLP | 85025 | CBC | 85025 | 43 |
| FLP | 82784 | IGC IMMUNOGLOBULIN | 82784 | 51 |
| FLP | 81000 | U/A DIPSTICK | 81000 | 52 |
| FLP | 87275 | IAADI INF B VIRUS | 87275 | 52 |
| FLP | 87807 | INF AGT DET IMNAS OPT RSV | 87807 | 59 |
| FLP | 81003 | U/A W/O MICRO DIPSTICK | 81003 | 65 |
| FLP | 82607 | VITAMIN B-12 | 82607 | 80 |
| FLP | 86038 | ANTINUCLEAR AB | 86038 | 80 |
| FLP | 82055 | ALCOHOL-BLOOD | 82055 | 90 |
| FLP | H0048 | ALCOHOL TEST-SPECIAL COLL NON-BLOOD | H0048 | 117 |
| FLP | 87400 | INFLUENZA A&B | 87400 | 118 |
| FLP | 83970 | PARATHORMONE(PARATHYRIOD) | 83970 | 130 |
| FLP | 80100 | DRUG ABUSE PANEL II | 80100 | 146 |
| FLP | 80101 | DRUG SCREEN-EMERGENCY | 80101 | 146 |
| FLP | 87804 | INFLUENZA IMMUNOASSAY OPT | 87804 | 176 |
| FLP | 80053 | METABOLIC COMPRE PANEL | 80053 | 190 |
| FLP | 87110 | CHLAMYDIA CULTURE | 87110 | 642 |
| FLP | 99217 | OBSERVATION CARE DISCHARGE SERVICE | 99217 | 367 |
| FLP | 99218 | INITIAL OBSERVATION CARE | 99218 | 788 |
| FLP | 99219 | INITIAL OBSERVATION CARE | 99219 | 817 |
| FLP | 99220 | INITIAL OBSERVATION CARE | 99220 | 834 |
| FLP | 99234 | OBSERVATION AND DISCHARGE ON SAME DAY | 99234 | 1137 |
| FLP | 99235 | OBSERVATION ADMIT AND DISCHARGE ON SAME DAY | 99235 | 1167 |
| FLP | 99236 | OBSERVATION ADMIT AND DISCHARGE ON SAME DAY | 99236 | 1184 |
| FLP | A0394 | ALS IV DRUG THERAPY SUPPLIES | A0394 | 1 |
| FLP | A6455 | SELF ADHER BANDAGE | A6455 | 6 |
| FLP | J3490 | UNCLASSIFIED DRUGS | J3490 | 8 |
| FLP | A6449 | LIGHT COMP BANDAGE | A6449 | 22 |
| FLP | J1885 | TORADOL INJ 15 MG | J1885 | 22 |
| FLP | J2405 | ONDANSETRON HCI, PER MG | J2405 | 22 |
| FLP | L1830 | KNEE IMMOBOLIZER | L1830 | 24 |
| FLP | Q9965 | LOW OSMOLAR CON MAT PER M | Q9965 | 25 |
| FLP | J2150 | MANNITOL INJECTION | J2150 | 26 |
| FLP | J2930 | SOLU-MEDROL 125 MG | J2930 | 26 |
| FLP | A0396 | ALS ESPOHAGEAL INTUB SUPPLIES | A0396 | 30 |
| FLP | J1630 | HALOPERIDOL 5MG | J1630 | 35 |
| FLP | J3260 | TOBRAMYCIN SULFATE INJECTION | J3260 | 36 |
| FLP | A4649 | SURGICAL SUPPLY MISC | A4649 | 41 |
| FLP | S0020 | INJ, BUPIVICAINE, 30ML | S0020 | 46 |
| FLP | J3301 | KENOLOG 10 MG | J3301 | 58 |
| FLP | A4570 | SPECIAL CASTING MATERIAL | A4570 | 125 |
| FLP | J0696 | ROCEPHIN 250 MG | J0696 | 133 |
| FLP | G0168 | WND CLS TISSUE ADHESIVE | G0168 | 152 |
| FLP | L3650 | SO FIGURE EIGHT ABDUCTION | L3650 | 251 |
| FLP | L3660 | SO FIG 8 ABDUCTION RESTRA | L3660 | 272 |
| FLP | 94760 | EAR OR PULSE OXIMETRY | 94760 | 46 |
| FLP | 99080 | MEDICAL RECORDS | 99080 | 46 |
| FLP | 96372 | THERAPEUTIC PROPHYLACTIC/ | 96372 | 50 |
| FLP | 10120 | I & RMVL SUB-CUT SIMPLE | 10120 | 59 |
| FLP | 11042 | DBRD SKN SUBQ TISSUE | 11042 | 59 |
| FLP | 11400 | EXC BGN LSN ARM/LEG | 11400 | 59 |
| FLP | 36415 | VENIPUNCTURE | 36415 | 59 |
| FLP | 95992 | CANALITH REPOSITIONING PROCEDURE(EG, EPLEY MANEUVER, SEMONT) PER DAY | 95992 | 70 |
| FLP | 29130 | APPLICATION FINGER SPLINT | 29130 | 77 |
| FLP | 36410 | VENIPUNCTURE, 3 YRS OR OLDER | 36410 | 90 |
| FLP | 99153 | MODERATE SEDATION ADD 15 MINUTES | 99153 | 95 |
| FLP | 11201 | REMOVAL SK TGS MLT FIBRO TAGS ANY | 11201 | 102 |
| FLP | 28400 | CLSD TX CLAVICLE FX WO MA | 28400 | 106 |
| FLP | 28430 | CLTX TALUS FX W/O MNPJ | 28430 | 106 |
| FLP | 28470 | CLTX METAR FX WO MNP | 28470 | 106 |
| FLP | 28475 | CL TX METAR FX W/MNPJ | 28475 | 106 |
| FLP | 28600 | CLOSED TX TARSOMETATARSAL DISLOC | 28600 | 106 |
| FLP | 28660 | CLSD TX PIP JNT DISLOCATI | 28660 | 106 |
| FLP | 29700 | RMVL/BIVALV GAUNTLET BOOT | 29700 | 106 |
| FLP | 28515 | FX CARE PHALANX NOT GREAT | 28515 | 111 |
| FLP | 69210 | RMVL IMPACTED CERUMEN | 69210 | 116 |
| FLP | 99053 | SERVICES PROVIDED BETWEEN 10P AND 8A AT A 24 HR FACILITY | 99053 | 117 |
| FLP | 29125 | SHORT ARM SPLINT | 29125 | 122 |
| FLP | 11040 | DBRDMT, SKIN, PARTIAL THICK | 11040 | 128 |
| FLP | 36000 | INTRODUCTION OF NEEDLE/IN | 36000 | 128 |
| FLP | 29515 | SHORT LEG SPLINT | 29515 | 142 |
| FLP | 11011 | DBRDMT W RMVL FM FX & DISLC SKN SUBQ T/M/F/ MUSC | 11011 | 146 |
| FLP | 99051 | SCV PRV OV REG SCHED EVN | 99051 | 146 |
| FLP | 11000 | DBRDMT X10SV ECZMT/INFCT | 11000 | 150 |
| FLP | 51702 | INSERTION BLADDER CATH | 51702 | 152 |
| FLP | 69200 | RMVL FOREIGN BODY EAR | 69200 | 161 |
| FLP | 30901 | NASAL PACKING | 30901 | 163 |
| FLP | 30903 | CTRL NSL HEMRRG ANT CPLX | 30903 | 163 |
| FLP | 31500 | INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE | 31500 | 163 |
| FLP | 20552 | TRIGGER POINT INJ 1-2 MUS | 20552 | 166 |
| FLP | 20605 | ARTHROCENTESIS, MED JOINT | 20605 | 166 |
| FLP | 96366 | IV INFUS THER PROPH/DX EA | 96366 | 176 |
| FLP | 10060 | INCISION/DRAINAGE ABSCESS | 10060 | 193 |
| FLP | 56405 | INC/DRAIN VULVA/PERINEAL | 56405 | 193 |
| FLP | 11200 | RMVL SKIN TAGS | 11200 | 194 |
| FLP | 31525 | LARGSC +-TRACHEOSCOPY DX | 31525 | 198 |
| FLP | 56420 | I & D BARTHOLIN ABSCESS | 56420 | 198 |
| FLP | 69209 | REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | 69209 | 204 |
| FLP | 24640 | RADIAL HEAD SUBLUX. CHILD | 24640 | 210 |
| FLP | 24670 | CLTX ULNR FX PROX END WO | 24670 | 210 |
| FLP | 64400 | INJ ANESTHETIC, TRIGEMINA | 64400 | 210 |
| FLP | 64450 | INJ ANESTHETIC AGENT | 64450 | 210 |
| FLP | 65220 | RMVL FB EYE W/O SLIT LAMP | 65220 | 210 |
| FLP | 65222 | RMVL FB EYE | 65222 | 210 |
| FLP | 11730 | AVULSION/1-NAIL PLATE | 11730 | 217 |
| FLP | 11740 | EVAC SUBUNGUAL HEMATOMA | 11740 | 217 |
| FLP | 11760 | REPAIR NAIL BED | 11760 | 217 |
| FLP | 69005 | DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED | 69005 | 220 |
| FLP | 11041 | DEBRIDE SKIN, FULL | 11041 | 221 |
| FLP | 31505 | LARYNGOSCOPY, INDRCT DX | 31505 | 229 |
| FLP | 23650 | SHOULDER DISLOCATION TRMT | 23650 | 233 |
| FLP | 24530 | CLTX SPRCNDYLR/TRANSCNDYL | 24530 | 233 |
| FLP | 24650 | CLTX RDL HEAD FX WO MANP | 24650 | 233 |
| FLP | 29105 | LONG ARM SPLINT | 29105 | 233 |
| FLP | 29505 | LONG LEG SPLINT | 29505 | 233 |
| FLP | 10121 | I & RMVL FB, SUB-CUT,COMP | 10121 | 240 |
| FLP | 11765 | WEDGE EXC SKIN/NAIL BED | 11765 | 242 |
| FLP | 65205 | REMOVAL FB EYE-SUPERFCL | 65205 | 244 |
| FLP | 24500 | CLTX HUMRL SHFT FX W/O MN | 24500 | 252 |
| FLP | 25530 | CLSD TX ULNAR SHFT FX NO | 25530 | 252 |
| FLP | 28450 | TX TARSAL B1 FX XCP TALUS | 28450 | 252 |
| FLP | 24576 | CLTX HUMRL CNDLYR FX MEDI | 24576 | 254 |
| FLP | 27508 | CLTX FEM FX DSTAL END MED | 27508 | 254 |
| FLP | 27560 | CLTX PATELLAR DISLC W/O A | 27560 | 254 |
| FLP | 11401 | EXC BGN LSN TRUNK 0.6-1.0 | 11401 | 257 |
| FLP | 20610 | ARTHROCENTESIS, LG JOINT | 20610 | 262 |
| FLP | 16020 | BURN, DRESSING/DBRDMNT-SM | 16020 | 270 |
| FLP | 16000 | BURN, INITIAL TREATMENT | 16000 | 274 |
| FLP | 10080 | I & D CYST SIMPLE | 10080 | 275 |
| FLP | 30300 | RMVL FOREIGN BODY NASAL | 30300 | 279 |
| FLP | 10140 | I & D HEMATOMA/SEROMA | 10140 | 282 |
| FLP | 27220 | CLTX ACETABULUM HIP/SOCKT FX W/O MNP | 27220 | 293 |
| FLP | 40650 | RPR LIP FULL THICKNESS | 40650 | 293 |
| FLP | 42809 | RMVL FB PHARYNX | 42809 | 293 |
| FLP | 46083 | INCISION THROM HEMORRHOID | 46083 | 293 |
| FLP | 46255 | HRHC SMPL | 46255 | 293 |
| FLP | 99144 | MOD SEDATION SERV UNDER 5 | 99144 | 293 |
| FLP | 12014 | REPAIR LAC FACE 5.1-7.5CM | 12014 | 320 |
| FLP | 12032 | REPAIR-INT SCALP 2.6-7.5 | 12032 | 320 |
| FLP | 12034 | INTERM RPR SCLP/TRNK/EXTR | 12034 | 320 |
| FLP | 21310 | CLTX NSL B1 FX W/O MNPJ | 21310 | 320 |
| FLP | 21480 | CLDS TX TEMP DISLOCATION | 21480 | 320 |
| FLP | 21800 | CLTX RIB FX UNCOMP EA | 21800 | 320 |
| FLP | 27520 | CLTX PATELLAR FX W/O MNPJ | 27520 | 320 |
| FLP | 16030 | BURN, DRESSNG/DBRDMNT-LG | 16030 | 330 |
| FLP | 12002 | REPAIR LAC SCALP 2.6-7.5 | 12002 | 332 |
| FLP | 99152 | SEDATION |
| 336 |
| FLP | 12011 | REPAIR LAC FACE | 12011 | 341 |
| FLP | 11421 | EXC BGN LSN,SCALP 0.6-1.0 | 11421 | 344 |
| FLP | 26700 | CLS TX MCP DISLOCATION | 26700 | 381 |
| FLP | 27808 | CLOSED TX BIMALLEOLAR ANK | 27808 | 381 |
| FLP | 10061 | INS/DRAIN ABSCESS COMPL | 10061 | 385 |
| FLP | 12031 | LYR CLSR S/A/T/E 2.5CM | 12031 | 387 |
| FLP | 23500 | CLTX CLAVICULAR FX WO MNP | 23500 | 392 |
| FLP | 25565 | CLOSED TX RADIAL&ULNAR SH | 25565 | 392 |
| FLP | 25600 | CLSD TX DISTAL RAD FX WO | 25600 | 392 |
| FLP | 25650 | CLTX UR SYLOID FX | 25650 | 392 |
| FLP | 11422 | EXC BGN LSN,SCALP 1.1-2.0 | 11422 | 398 |
| FLP | 12013 | REPAIR LAC FACE 2.6-5.0CM | 12013 | 403 |
| FLP | 12001 | LACERATION REPAIR | 12001 | 425 |
| FLP | 20600 | ARTHROCENTESIS, SML JOINT | 20600 | 427 |
| FLP | 64402 | INJ ANESTHETIC FACIAL NRV | 64402 | 427 |
| FLP | 23570 | CLSD TX SCAPULAR FX WO MA | 23570 | 438 |
| FLP | 10160 | PUNCTURE ASP OF ABSCESS | 10160 | 439 |
| FLP | 62270 | SPINAL PUNCTURE,LUMBAR | 62270 | 450 |
| FLP | 27550 | CLOSED TX KNEE DISLOCATION W/O ANESTHESIA | 27550 | 455 |
| FLP | 12004 | REPAIR LAC SCALP 7.6-12.5 | 12004 | 466 |
| FLP | 12041 | LAYER CLSR NECK/HAND 2.6 | 12041 | 466 |
| FLP | 12042 | REPAIR LAC HAND/FOOT 2.6- | 12042 | 466 |
| FLP | 41800 | DRNG ABSC DENTOALVEOLAR S | 41800 | 466 |
| FLP | 41250 | LACERATION REPAIR OF TONGUE | 41250 | 472 |
| FLP | 11403 | EXC BNGN LSN,TRUNK 2.1-3. | 11403 | 474 |
| FLP | 28490 | CLTX FX GRT TOE W/O MNLJ | 28490 | 477 |
| FLP | 12021 | TX SUPERFICIAL WOUND DEHISCENCE V | 12021 | 483 |
| FLP | 10081 | I&D PILONIDAL CST COMP | 10081 | 491 |
| FLP | 46050 | INC/DRAIN PERIANAL ABS SU | 46050 | 505 |
| FLP | 12045 | REPAIR INTERMEDIATE N/H/F/XTRNAL GEN 12.6 -20 CM | 12045 | 506 |
| FLP | 27530 | CLTX TIBL FX PROX W/O MNPJ | 27530 | 507 |
| FLP | 12036 | REPAIR INTERM S/A/T/E 20.1-30.0 CM | 12036 | 508 |
| FLP | 46320 | ENULEATION EXCC OF EXT HE | 46320 | 513 |
| FLP | 26750 | CLS TX FX FINGER/THUMB | 26750 | 519 |
| FLP | 11750 | EXC NAIL PART/COMP | 11750 | 520 |
| FLP | 24560 | CLTX HUMERAL EPICONYLAR | 24560 | 520 |
| FLP | 28510 | CLSD TX FX PLALANX/PHALAN | 28510 | 523 |
| FLP | 26720 | CLSD TX PHALANGEAL SHFTFX | 26720 | 531 |
| FLP | 27760 | CLTX MEDIAL MALLS FX W/O | 27760 | 531 |
| FLP | 11423 | EXC BGN LSN,SCALP 2.1-3.0 | 11423 | 536 |
| FLP | 12020 | TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE | 12020 | 557 |
| FLP | 12005 | REPAIR LAC,SCALP 12.6-20C | 12005 | 559 |
| FLP | 26770 | TREAT FINGER DISLOC FINGE | 26770 | 560 |
| FLP | 26725 | CLTX PHLNGL FX PROX/MIDDL | 26725 | 567 |
| FLP | 42700 | I&D ABSC PRITONSILLAR | 42700 | 571 |
| FLP | 12051 | LAYER CLSR OF WND NCK/HND | 12051 | 583 |
| FLP | 12052 | LYR CLSR WOUND 2.6-5.0FAC | 12052 | 583 |
| FLP | 91105 | GASTRIC INTUBATION/ASPER | 91105 | 596 |
| FLP | 11404 | EXC BGN LSN TRUNK 3.1-4.0 | 11404 | 601 |
| FLP | 25535 | CLOSED TREATMENT OF ULNAR SHAFT FRACTURE, WITH MANIPULATION | 25535 | 605 |
| FLP | 12015 | REPAIR LAC FACE 7.6-12.5 | 12015 | 615 |
| FLP | 25560 | CLTX RDL&UR SHFT FXS W/O | 25560 | 635 |
| FLP | 23600 | CLTX PROX HUMRL FX WO MAN | 23600 | 642 |
| FLP | 12053 | LYR CLSR F/E/E/N/L/M&/MUC | 12053 | 645 |
| FLP | 24600 | CLSD TX ELBOW DISLOCAT | 24600 | 650 |
| FLP | 25500 | CLTX RDL SHFT FX WO MANP | 25500 | 650 |
| FLP | 25622 | CLSD TX NAVICULAR FX WO M | 25622 | 650 |
| FLP | 67700 | I&D ABSCESS EYELID | 67700 | 663 |
| FLP | 31515 | LARYNGOSCOPY +- TRACHEOSCOPY ASPIRATION | 31515 | 670 |
| FLP | 12044 | LYR CLSR N/H/F/ETRNL GENT | 12044 | 674 |
| FLP | 12006 | REPAIR LAC SCALP 20.1-30. | 12006 | 679 |
| FLP | 11043 | DEBRIDEMENT SUBQ TISS&MUS | 11043 | 712 |
| FLP | 28190 | RMVL FB BODY FOOT SUBQ | 28190 | 712 |
| FLP | 10180 | INCISION & DRAINAGE COMPLEX PO WO | 10180 | 727 |
| FLP | 13151 | CMPX RPR EYE NOSE 1.1-2.5 | 13151 | 759 |
| FLP | 12016 | REPAIR LAC,FACE 12.6-20CM | 12016 | 790 |
| FLP | 12007 | REPAIR LAC SCALP >30.0CM | 12007 | 791 |
| FLP | 26755 | CLTX DSTL PHLNGL FX FNGR/ | 26755 | 792 |
| FLP | 26600 | CLSD TX METACARPAL FX | 26600 | 838 |
| FLP | 11406 | EXC BGN LSN ARM/LEG >4.0 | 11406 | 853 |
| FLP | 12035 | REPAIR INTERM S/A/T/E 12. | 12035 | 860 |
| FLP | 12054 | REPAIR INTERMEDIATE F/E/E/N/L/M&MUC 7.6-12.5CM | 12054 | 865 |
| FLP | 32551 | TUBE THORACOSTOMY INCLUDES WATER SEAL | 32551 | 894 |
| FLP | 27780 | CLTX PROX FIVULA/SHFT FX | 27780 | 956 |
| FLP | 12017 | REPAIR LAC FACE 20-30 CM | 12017 | 986 |
| FLP | 27786 | CLSD TX DISTAL FIBULAR FX | 27786 | 993 |
| FLP | 26605 | CLSD TX MEDICARPAL FX | 26605 | 1053 |
| FLP | 12018 | REPAIR LAC FACE >30.0 CM | 12018 | 1179 |
| FLP | 36556 | INS NON TUN CTR CVC 5YR> | 36556 | 1297 |
| FLP | 13132 | RPR CMPX FOREHEAD/CHECK/C | 13132 | 1345 |
| FLP | 28192 | RMVL FB FOOT DEEP | 28192 | 1373 |
| FLP | 27810 | CLTX BIMAL ANKLE FX W/POT | 27810 | 1704 |
| FLP | 13152 | RPR CPLX E/N/E/L 2.6-7.5 | 13152 | 1830 |
| FLP | 25605 | CLSD TX DISTAL RAD FX | 25605 | 1876 |
| FLP | 46040 | I&D ISCHIOR/PRIRC ABSC SP | 46040 | 1957 |
| FLP | 27752 | CLTX TIBL SFT FX W/MANP | 27752 | 1968 |
| FLP | 25505 | CLSD TX RAD SHAFT W/MANIP | 25505 | 2213 |
| FLP | 59409 | VAG DLVR ONLY | 59409 | 2704 |
| FLP | 90723 | DTAP-HEPB-IPV VACCINE INTRAMUSCLAR | 90723 | 141 |
| FLP | XRAYCD | RADIOLOGICAL CD | XRAYCD | 28 |
| FLP | 71101 | RIB UNILATERAL W CHEST | 71101 | 187 |
| FLP | 72170 | RAD EXAM PELVIS 1/2 VEIW | 72170 | 251 |
| FLP | 73560 | XRAY KNEE, SUNRISE VIEW | 73560 | 312 |
| FLP | 73510 | XRAY HIP MIN 2 VIEWS | 73510 | 325 |
| FLP | 71020 | XRAY CHEST PA & LATERAL | 71020 | 327 |
| FLP | 70150 | XRAY FACIAL BONES >3 VIEW | 70150 | 409 |
| FLP | 73630 | XRAY FOOT MIN 3 VIEWS | 73630 | 537 |
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