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Cost Estimator
Sweetwater Memorial Clinics
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Cash Pricing
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Clinic Visit
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
G0008 Administration of influenza virus vaccine; p
G0442 Annual alcohol misuse screening, 15 minutes
G0444 Annual depression screening, 15 minutes
G9919, SDoH Screening performed and positive and p
G9920 SDoH Screening performed and negative
0500F
0500F Initial prenatal care visit
29105
29105 - Long Arm Splint
36415
36415 Collection of venous blood by venipuncture (
90791
90791 Psych Diagnostic Evaluation
99050
99050 Medical services after hours, in addition to
99051
99051 med serv eve/wkend/holiday
99058
99058 Service(s) provided on an emergency basis in
99202
99202 Office Visit Level 2 New
99202
99202 Office Visit New Pt. Level 2
99203
99203 Office Visit Level 3 New
99203
99203 Office Visit New Pt. Level 3
99204
99204 Office Visit Level 4 New
99204
99204 Office Visit New Pt. Level 4
99205
99205 Office Visit Level 5 New
99205
99205 Office Visit New Pt. Level 5
99211
99211 Office Visit Established Pt. Level 1
99211
99211 Office Visit Level 1 Est
99212
99212 Office Visit Established Pt. Level 2
99212
99212 Office Visit Level 2 Est
99213
99213 Office Visit Established Pt. Level 3
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