Abnormal Uterine Bleeding - Endometrial Ablation

This procedure involves using extreme temperatures or high energy radio waves to destroy the tissue that lines the inside of the uterus. This care bundle includes an office visit before and after the surgical procedure.

Abnormal Uterine Bleeding - Office Visit

This is any vaginal bleeding that is different from a normal menstrual pattern, such as bleeding or spotting after menopause.

Acne

This occurs when the pores, or holes, in the skin become blocked with excessive oil, dirt and bacteria. This care bundle includes 2 visits with a healthcare provider to evaluate your acne and determine the best course of treatment.

Acupuncture

This is the placing of hair-thin needles through the skin at specific points in the body aimed at improving certain symptoms and health conditions. This care bundle includes 8 visits with an acupuncturist and thirteen physical therapy sessions.

Allergic Rash

This is when the skin becomes pink, red, or swollen in response to something a person has contact with or has eaten. It is caused by an allergy.

Allergy and Immunology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of allergies and disorders of the immune system.

Allergy Injections

These are injections given to decrease allergy symptoms if avoidance of allergens and the use of medication don't adequately control them. This care bundle includes 2 visits with a specialist and 16 visits for allergy injections.

Allergy Symptoms

These symptoms are due to the body’s reaction to a foreign substance. They can include itchy eyes and nose, runny nose, sneezing, and watery eyes. This care bundle includes 2 visits with a primary care provider.

Allergy Testing

These tests are done to determine if you are allergic to a specific substance (allergen). They are often done to find the cause of certain symptoms. This care bundle includes a visit with a specialist and allergy testing.

Ankle Pain

This can develop after an injury to the ankle joint, overuse of the ankle joint, arthritis in the ankle joint, or infection in the ankle joint.

Appendectomy - Outpatient

This minimally invasive surgery uses small instruments and a camera to remove the appendix through several small cuts in the abdomen. This care bundle includes an office visit before and after the surgical procedure.

Asthma

This is a lung condition characterized by swelling and narrowing of the airways, which can cause wheezing, coughing, and difficulty breathing. This care bundle includes four visits with a primary care physician to evaluate your asthma and determine the best course of treatment.

Athlete's Foot

This is a fungal infection on the foot or both feet. It is also known as tinea pedis.

Back Pain - Chiropractor Visit - Six Visits

A history, physical exam, assessment, and treatment of back pain by a chiropractor. This care bundle includes six visits with a chiropractor.

Back Pain - Doctor Visit

A history, physical exam, evaluation, and treatment of back pain by a healthcare provider.

Back Pain - Lumbar Diskectomy

This surgery involves removing all or part of the disk that cushions or lubricates the bones in the back and protects the spinal column. This care bundle includes a visit with the surgeon before surgery, 9 visits with a physical therapist after surgery and 3 visits with the surgeon after surgery.

Back Pain - Lumbar Fusion

This surgery involves fusing, or joining, two or more lumbar vertebrae, the bones that make up the lower part of the spine. This care bundle includes a visit with the surgeon before surgery, 9 visits with a physical therapist after surgery and 3 visits with the surgeon after surgery.

Back Pain - Lumbar Laminectomy

This is a surgery to remove part of one or more lumbar vertebrae, the bones that make up the lower part of the spine. This care bundle includes a visit with the surgeon before surgery, 9 visits with a physical therapist after surgery and 3 visits with the surgeon after surgery.

Back Pain - Physical Therapy

A history, physical exam, evaluation, and treatment of back pain by a physical therapist. This care bundle includes one visit with a primary care physician and 6 visits with a physical therapist.

Bacterial Culture - Other Source Test

This test checks for the presence of bacteria in body fluids other than urine, blood, or stool.

Bacterial Culture - Urine Test

This test measures the presence of bacteria in the urine.

Basic Metabolic Panel Test

This test measures the level of sugar, electrolytes, and waste products in the blood.

Biopsy - Bladder

This procedure involves the removal of a suspicious sample of bladder tissue to check for the presence of abnormal, or cancerous, cells.This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Breast

This procedure involves the removal of a suspicious sample of breast tissue to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Cervix

This procedure involves the removal of a suspicious sample of the cervix to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Colon

This procedure involves the removal of a suspicious sample of colon tissue to check for the presence of abnormal, cells in the bowels or rectum. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Esophagus

This procedure involves the removal of a suspicious sample of tissue from the esophagus to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Kidney

This procedure involves the removal of a sample of kidney tissue to check for kidney disease or the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Neck

This procedure involves removing a suspicious sample of tissue from the mouth or throat to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Prostate

This procedure involves the removal of a sample of prostate tissue to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Skin

This involves the removal of a skin lesion to check for abnormal or cancerous cells and Moh’s Surgery to repair the defect. This care bundle includes an office visit before and after the surgical procedure.

Biopsy - Thyroid

This procedure involves the removal of a suspicious sample of tissue from the thyroid to check for the presence of abnormal, or cancerous, cells. This care bundle includes an office visit before and after the surgical procedure.

Birth Control - Cut and Tie Tubes

This minimally invasive surgery uses small instruments and a camera to cut or clamp the fallopian tubes to prevent a pregnancy. This care bundle includes an office visit before and after the surgical procedure.

Birth Control - Intrauterine Device

This is the insertion of a small device, called an IUD, into the uterus to prevent pregnancy. This care bundle includes an office visit and insertion of intrauterine device.

Bladder Exam - Cystoscopy

This is an exam of the bladder and urethra using a special tube with a light and camera on the end. This care bundle includes an office visit before and after the surgical procedure.

Blood Draw

This is a procedure that involves taking blood from a vein for various types of testing.

Blood in Stool Test

This test checks to see if there is any hidden blood in the stool.

Bone Density Study - Hips, Pelvis, and Spine

This test measures bone density in the lower spine and the hip.

Bronchitis - Acute

This is when the lung’s air passages quickly become swollen due to a recent infection or exposure to an irritant.

Bunion Surgery

This surgery involves removing a bony growth at the base of the big toe and allowing the toe to be straightened.This care bundle includes an office visit before and after the surgical procedure.

C-Reactive Protein - CRP Test

This test measures the blood level of C-reactive protein, an indicator of inflammation in the body.

Cardiac Catheterization - Diagnostic

This is when a small flexible tube is fed through a blood vessel in the groin into the heart to diagnose a variety of heart conditions. This care bundle includes an office visit before and after the surgical procedure.

Cardiology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of disorders of the heart and blood vessels.

Carpal Tunnel Surgery

This involves cutting a ligament in the palm of the hand to relieve pressure on the nerve that runs through a passageway called the carpal tunnel. This care bundle includes a visit with the surgeon before the surgery, 5 visits with a physical therapist after surgery and 1 visit with the surgeon after surgery.

Cataract Removal with Lens Implant

This is the removal of a cloudy lens (cataract) that impairs a person’s vision. A man-made lens is then inserted in its place. This care bundle includes an office visit before the surgical procedure.

Chickenpox

This is a childhood viral infection (varicella-zoster) that is characterized by itchy, fluid-filled blisters (pox) that crust over after bursting.

Childbirth - Cesarean Delivery and Newborn Care

This is the delivery of a baby through an incision in the mother's abdomen. This care bundle includes routine prenatal care, labs, ultrasound, delivery of newborn, and routine postnatal care.

Childbirth - Vaginal Delivery and Newborn Care

This is the delivery of a baby through the mother's vagina, or birth canal. This care bundle includes routine prenatal care, labs, ultrasound, delivery of newborn, and routine postnatal care.

Chiropractic Manipulation

Chiropractic care focuses on the body's structure, how it functions, and how it affects health. This care bundle includes 6 visits with a chiropractor.

Chlamydia Test

This test checks for the presence of the bacteria that causes chlamydia.

Cholesterol Test

This group of tests measures the cholesterol and triglyceride levels in your blood.

Cold Sore

This is a viral infection that causes blister-like sores, most commonly on the outer edge of the lip. They are also called fever blisters.

Colonoscopy - Preventive Screening

An examination of the large intestine (colon) using a thin, lighted tube with a camera on the end.

Colonoscopy with Polyp Removal

This involves an examination of the large intestine (colon) and removal of a polyp using a thin, flexible lighted tube with a camera on the end.

Common Cold

This occurs when exposure to a virus results in a runny nose, sore throat, sneezing, and coughing. It is also called infectious nasopharyngitis.

Complete Blood Count - CBC Test

This test measures the level of red blood cells, white blood cells, and other parts of the blood.

Comprehensive Metabolic Panel Test

This test measures the level of cholesterol, protein, sugar, calcium, and electrolytes in the blood.

COPD - Chronic Obstructive Pulmonary Disease

This is a lung disease that makes breathing difficult through destruction of lung tissue and, or, the chronic blocking of airways.This care bundle includes 2 visits with a primary care physician to evaluate your COPD and determine the best course of treatment.

Coronary Angioplasty with Drug-Eluting Stent

This is the placement of a small flexible catheter and mesh tube with a medication put into it to open a blocked heart artery. This care bundle includes 4 visits with a cardiologist, 1 before the procedure and 3 after.

Coronary Artery Disease - Heart Disease

This condition occurs when the arteries that carry blood and oxygen to the heart muscle become narrowed or clogged. This care bundle includes 3 visits with a cardiologist and diagnostic testing.

Creatine Kinase Test

This test measures the blood level of creatine kinase, an enzyme released after a muscle injury.

Creatinine Test

This test measures the blood level of creatinine in your blood.

CT Scan Angiography Without Dye Followed by With Dye - Chest

A special x-ray that can create detailed images of the blood vessels in your chest.

CT Scan With Dye - Abdomen

A special x-ray that can create detailed images of the tissues and organs in your abdomen.

CT Scan With Dye - Abdomen and Pelvis

A special x-ray that can create detailed images of the tissues and organs in your abdomen and pelvic area.

CT Scan With Dye - Chest

A special x-ray that can create detailed images of the tissues and organs in your chest.

CT Scan With Dye - Pelvis

A special x-ray that can create detailed images of the tissues and organs in your pelvic area.

CT Scan Without Dye - Abdomen

A special x-ray that can create detailed images of the tissues and organs in your abdomen.

CT Scan Without Dye - Head or Brain

A special x-ray that can create detailed images of your head and brain.

CT Scan Without Dye - Maxillofacial - Face

A special x-ray that can create detailed images of the structures in the face, including the mouth and jaw.

CT Scan Without Dye - Pelvis

A special x-ray that can create detailed images of the tissues and organs in your pelvic area.

CT Scan Without Dye Followed by With Dye - Abdomen

A special x-ray that can create detailed images of the tissues and organs in your abdomen both before and after contrast.

D and C - Miscarriage

This is the spontaneous (sudden or unplanned) loss of a pregnancy before 20 weeks from the first day of your last menstrual period. This care bundle includes a visit with a specialist before and after the surgical procedure.

Dermatology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of healthy and diseased skin, hair, and nails.

Diabetes

This is a condition where the body can’t use glucose, a type of sugar, normally and its level in the blood rises. This care bundle includes 2 visits with a specialist for evaluation and management of your diabetes.

Ear Infection - Acute

This is a bacterial or viral infection of the middle ear that results in ear pain.

Ear Infection - Chronic - Ear Tubes

This is persistent middle ear fluid or infection that can develop after an acute ear infection. This care bundle includes a visit with a specialist before and after the surgical procedure.

Ear, Nose and Throat - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of conditions of the ear, nose, and throat.

Eczema

This is a chronic condition characterized by areas of skin that are itchy, irritated, and dry.

Electrocardiogram - EKG

An electrocardiogram is a recording of the electrical activity of the heart. It may be called an EKG or ECG. This care bundle includes a visit with a specialist before and after the test.

Electroencephalogram - EEG

This is a recording of the electrical activity of the brain, often done to evaluate seizures. It is also known as an EEG. This care bundle includes a visit with a specialist before and after the test.

Electromyogram - EMG

This is a recording of a muscle’s electrical activity that is used to evaluate the muscle and nerves that control it. It is also known as an EMG. This care bundle includes a visit with a specialist before and after the test.

Endometriosis - Inpatient

This is when the cells that normally line the inside of the uterus are found in other parts of the body outside the uterus. This care bundle includes a visit with a specialist before and after the surgical procedure.

Endometriosis - Outpatient

This is when the cells that normally line the inside of the uterus are found in other parts of the body outside the uterus. This care bundle includes a visit with a specialist before and after the surgical procedure.

Enlarged Prostate - BPH

This condition involves the enlargement of the prostate, a male reproductive gland that surrounds the urethra.

Enlarged Prostate Surgery - TURP

This surgery involves removing part or all of the prostate gland using a thin, lighted tube with a camera on the end. This care bundle includes 3 visits with a specialist, 1 before the surgery and 2 after.

ERCP

This procedure involves placing a small tube through the mouth into the small bowel to evaluate the pancreatic and biliary duct. This care bundle includes a visit with a specialist before and after the procedure.

Family Medicine - Specialist Visit

This is an office visit with a doctor who specializes in the primary care of people of all ages, ranging from infants to the elderly.

Fasting Blood Glucose Test

This test measures the blood level of glucose (sugar) after fasting for 6 hours.

Flu - Influenza

This is a viral illness resulting in fever, chills, body aches, fatigue, headaches, and various respiratory symptoms.

Gallbladder Removal - Laparoscopic

This minimally invasive surgery uses small instruments and a camera to remove the gallbladder through several small cuts in the abdomen. This care bundle includes a visit with a specialist before and after the procedure.

Gastroenterology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of conditions that affect the digestive tract.

General Health Panel Test

This test includes a CBC (blood count), Chem 20 (metabolism), and TSH (thyroid function).

Gonorrhea Test

This test checks for the presence of the bacteria that causes gonorrhea.

Head Lice

This is the presence of tiny insects on the scalp, the skin that covers the top of your head. It is also known as pediculosis capitus.

Hearing Loss - Adult

This is the progressive or increasing loss of hearing that occurs as a person ages. It is also known as presbycusis. This care bundle includes a visit with a specialist before and after a hearing test.

Heart SPECT Imaging Studies

This test uses a radioactive substance to create detailed images of blood flow to the heart muscle.

Heart Stress Test With Heart Ultrasound

A test that uses both a heart stress test and ultrasound to diagnose problems with your heart and coronary arteries.

Heart Ultrasound for Birth Defects

This test uses ultrasound (sound waves) to create images of the heart.

Heart Ultrasound With Blood Flow Study

This test uses different types of ultrasounds (sound waves) to create images of the heart and the flow of blood through the heart.

Heartburn

This condition can occur if the contents of a person’s stomach back up into the esophagus (food pipe).

Hematocrit Test

This test measures the red blood cells in your blood.

Hemoglobin A1c Test

This test measures the average blood sugar (glucose) level for the past 2 to 3 months.

Hemoglobin Test

This test measures the amount of hemoglobin (a protein that carries oxygen) in your blood.

Hemorrhoid Surgery

This is the surgical removal of a hemorrhoid, an enlarged and often painful vein in the anus and/or beginning of the rectum. This care bundle includes a visit with a surgeon before and after the surgery.

Hernia Repair in Groin - Incision

This surgery repairs a bulging in the groin area (inguinal hernia) through an incision made near the hernia. This care bundle includes a visit with a surgeon before and after the surgery.

Hernia Repair in Groin - Laparoscopic

This surgery uses small instruments and a camera to evaluate and repair a bulging in the groin area (inguinal hernia). This care bundle includes a visit with a surgeon before and after the surgery.

HIDA Scan

This is a special test that uses a radioactive tracer to diagnose problems in the gallbladder, bile ducts, and liver.

High Blood Pressure - Hypertension

This condition occurs when the blood places excessive pressure on the wall of the arteries; it is also called hypertension.

High Cholesterol

This is a condition when you have too much ‘bad’ cholesterol, or fat, circulating in your blood.

Hip Replacement

This surgery replaces the two major parts of the hip joint with man-made materials. This care bundle includes a visit with the surgeon before the surgery, 10 visits with a physical therapist after surgery and 2 visits with the surgeon after surgery.

Hives

This is the development of itchy, red welts. A cause may not be known, but it can be an allergic reaction to something you had contact with or ate.

Human Papillomavirus - HPV Test

This test checks for the presence of the human papillomavirus (HPV).

Hysterectomy - Abdominal

This surgery involves the removal of a woman’s uterus, also known as a womb, through an incision in the abdomen. This care bundle includes a visit with a surgeon before and after the surgery.

Hysterectomy - Vaginal

This surgery involves the removal of a woman’s uterus, also known as womb, through the vagina. This care bundle includes a visit with a surgeon before and after the surgery.

Influenza Test

This test checks for the presence of the influenza virus.

Internal Medicine - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of common and complex illnesses of adults.

Kidney Stone

This is a hard, solid mass that forms in the urinary tract and often resembles a small pebble.

Kidney Stone Disintegration - Lithotripsy

This is a procedure that uses shock waves to break up stones in the urinary tract. The small pieces are then passed out of the body in the urine. This care bundle includes a visit with a surgeon before and after the procedure.

Knee Arthroscopy With ACL Surgery

This surgery uses small instruments and a camera to look in the knee joint and treat a torn ligament. This care bundle includes a visit with the primary care physician, a visit with the surgeon before the surgery, 10 visits with a physical therapist after surgery and a visit with the surgeon after surgery.

Knee Arthroscopy With Meniscus Surgery

This surgery uses small instruments and a camera to look in the knee joint and treat a torn meniscus. This care bundle includes a visit with the primary care physician, a visit with the surgeon before the surgery, 17 visits with a physical therapist after surgery and a visit with the surgeon after surgery.

Knee Injection

This procedure delivers medicine to the knee joint to ease pain. This care bundle includes a visit with a surgeon before and after the procedure.

Knee Pain - Minor

This can develop due to arthritis in the knee joint, overuse of the knee joint, or after an injury to the knee joint.

Knee Replacement

This surgery replaces the major parts of the knee joint with a man-made or artificial joint, called a prosthesis. This care bundle includes a visit with the surgeon before the surgery, 12 visits with a physical therapist after surgery and 2 visits with the surgeon after surgery.

Lactate Dehydrogenase - LDH Test

This test measures the blood level of lactate dehydrogenase (LDH).

Laryngitis

This is inflammation and/or swelling of the larynx (voice box), which leads to hoarseness or difficulty speaking.

Laryngoscopy

This is an examination of the back of the throat, including the voice box, using a small flexible tube placed through the nose or mouth into the throat. This care bundle includes a visit with a specialist after the procedure.

Liver Enzyme Study - GGT Test

This test measures the blood level of glutamyltransferase (GGT) in your blood.

Liver Panel Test

This group of blood tests measures how well your liver is working.

Low Testosterone - Office Visit

This is a condition where a man’s testosterone level is below the normal range. Testosterone is a hormone important for male growth and development.

Low Thyroid

This condition occurs when your thyroid gland doesn’t make enough thyroid hormone, or the hormone is not working effectively.

Mammogram - Diagnostic - Digital

This is a special x-ray of the breast that provides images on a computer. Check with your provider to see if they use film or digital images.

Mammogram - Diagnostic - Film

This is a special x-ray of the breast that provides images on radiology film. Check with your provider to see if they use film or digital images.

Mammogram - Preventive Screening - Digital

This is a special x-ray of the breast that provides images on a computer. Check with your provider to see if they use film or digital images.

Mammogram - Preventive Screening - Film

This is a special x-ray of the breast that provides images on radiology film. Check with your provider to see if they use film or digital images.

Medical Oncology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and medical treatment of various types of cancer in adults.

Migraine Headache

This is a very painful disabling and recurrent headache, often described as a throbbing pain on one side of the head.

Mole Removal

This procedure involves the removal of a mole during a single office visit. This care bundle includes an office visit and removal of a mole.

Mononucleosis

This is a viral illness that usually results in fever, sore throat, and swollen glands. It is spread by close contact with an infected person.

Mononucleosis Test

This test checks the level of a specific antibody in your blood that can indicate an infection with a virus that causes mononucleosis.

MRI Scan With and Without Dye - Abdomen

This test uses magnets and radio waves to create detailed images of the tissues and organs in your abdomen.

MRI Scan With and Without Dye - Brain

This test uses magnets and radio waves to make detailed images of the brain.

MRI Scan Without and With Dye - Lumbar Spine

This test uses magnets and radio waves to make detailed images of the lower spine.

MRI Scan Without Dye - Brain

This test uses magnets and radio waves to make detailed images of the brain.

MRI Scan Without Dye - Cervical Spine

This test uses magnets and radio waves to make detailed images of the cervical spine (neck).

MRI Scan Without Dye - Knee

This test uses magnets and radio waves to make detailed images of the knee joint.

MRI Scan Without Dye - Lumbar Spine

This test uses magnets and radio waves to make detailed images of the lower spine.

MRI Scan Without Dye - Upper Extremity - Arm

This test uses magnets and radio waves to make detailed images of the structures in your arm and hand.

Neck Pain - Cervical Spine Fusion

This surgery involves fusing, or joining, two or more cervical vertebrae, the bones that make up the upper part of the spine.

Neck Pain - Primary Care Physician

This relates to a history, physical exam, and treatment of neck pain by a healthcare provider.

Nerve Conduction Studies

These are tests that measure the speed and strength of electrical signals as they travel along a nerve.

Neurology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of conditions of the nervous system.

Nutritionist - Specialist Visit

This is an office visit with a health care provider who specializes in food and nutrition.

Obstetrics and Gynecology - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis, prevention, and treatment of conditions of women’s health.

Office Visit - Primary Doctor - Established Patient - High Complexity

This is an office visit with a regular health care provider for severe symptoms.

Office Visit - Primary Doctor - Established Patient - Low Complexity

This is an office visit with a regular health care provider for limited symptoms.

Office Visit - Primary Doctor - Established Patient - Minimal Complexity

This is an office visit with a regular health care provider for minor symptoms.

Office Visit - Primary Doctor - Established Patient - Moderate Complexity

This is an office visit with a regular health care provider for moderate symptoms.

Office Visit - Primary Doctor - Established Patient - Moderate to High Complexity

This is an office visit with a regular health care provider for moderate to severe symptoms.

Office Visit - Primary Doctor - New Patient - High Complexity

This is an office visit with a new health care provider for severe symptoms.

Office Visit - Primary Doctor - New Patient - Low Complexity

This is an office visit with a new health care provider for limited symptoms.

Office Visit - Primary Doctor - New Patient - Minimal Complexity

This is an office visit with a new health care provider for minor symptoms.

Office Visit - Primary Doctor - New Patient - Moderate Complexity

This is an office visit with a new health care provider for moderate symptoms.

Office Visit - Primary Doctor - New Patient - Moderate to High Complexity

This is an office visit with a new health care provider for moderate to severe symptoms.

Office Visit - Specialist - High Complexity

This is an office visit with a specialist you were referred to for severe symptoms.

Office Visit - Specialist - Low Complexity

This is an office visit with a specialist you were referred to for limited symptoms.

Office Visit - Specialist - Minimal Complexity

This is an office visit with a specialist you were referred to for minor symptoms.

Office Visit - Specialist - Moderate Complexity

This is an office visit with a specialist you were referred to for moderate symptoms.

Office Visit - Specialist - Moderate to High Complexity

This is an office visit with a specialist you were referred to for moderate to severe symptoms.

Orthopedic Surgery - Specialist Visit

This is an office visit with a doctor who specializes in the diagnosis and treatment of diseases and injuries of the bones, muscles and joints.

Ovary and Fallopian Tube Removal

This surgery is when a woman’s ovaries and fallopian tubes are removed through several small incisions or a larger single incision in the abdomen. This care bundle includes a visit with a surgeon before and after the surgery.

Pap Smear Test

This test checks for abnormal changes in cells taken from the cervix.

PET Scan with CT Scan

This test uses a radioactive substance to determine how well the organs are functioning.

Physical Medicine and Rehabilitation - Specialist Visit

This is an office visit with a doctor whose primary focus is helping individuals with physical impairments and disabilities.

Physical Therapy - Exercises

These are exercises to help to increase strength, endurance, range of motion, and flexibility. This care bundle includes 6 visits with a physical therapist.

Physical Therapy - Functional Activities

This is the use of lifting, pulling, and bending to improve daily functioning. This care bundle includes 6 visits with a physical therapist.

Physical Therapy - Massage and Traction

This is hands-on treatments provided by a physical therapist. This care bundle includes 6 visits with a physical therapist.

Physical Therapy - Nerve and Muscle Retraining

These are exercises to improve movement, balance, coordination, and posture. This care bundle includes 6 visits with a physical therapist.

Pink Eye

This condition is an infection of the eye; it is also known as conjunctivitis.

Podiatrist - Specialist Visit

This is an office visit with a health care provider who specializes in the prevention, diagnosis, and treatment of conditions of the foot and ankle.

Prostate-Specific Antigen - PSA Test

This test measures the blood level of an enzyme released by the prostate gland.

Psoriasis

This is a chronic condition typically characterized by skin that is red, thick, and covered with patchy areas that are silver or white in color. This care bundle includes 2 visits with a primary care physician or dermatologist to evaluate your psoriasis.

PT Blood Test

This test measures how long it takes your blood to clot.

Radiation Treatment Delivery - Complex

This is the use of high-energy rays to kill cancer cells or keep them from growing/dividing.

Radiation Treatment Delivery - Varied Intensity Complex

This is the use of high-energy rays to kill cancer cells or keep them from growing/dividing.

Retinal Detachment Repair

This is the repair of a membrane in the back of the eye (retina) that has become separated from the structures that support it.

Rheumatoid Arthritis

This is a form of arthritis characterized by inflammation, which can lead to extensive damage to the tissues in and around the joints. This care bundle includes 2 visits with a specialist to evaluate your rheumatoid arthritis.

Ringworm

This is a skin infection caused by a fungus called tinea. The specific name of the fungal infection is determined by the body part affected.

Scabies

This is a contagious skin infection caused by tiny mites, which cause sores and intense itching.

Screening Culture Test

This test checks to see if bacteria is present in body fluids.

Sed Rate - ESR Test

This test is used to determine if there is significant inflammation in the body.

Shingles

This is a painful, burning rash characterized by blisters on one side of the body. It is caused by the same virus that causes chickenpox.

Shoulder Arthroscopy with Labrum Repair

This surgery uses small instruments and a camera to look in the shoulder joint and treat a torn cartilage, or labrum. This care bundle includes a visit with the surgeon before the surgery, 10 visits with a physical therapist after surgery and 2 visits with the surgeon after surgery.

Shoulder Arthroscopy with Rotator Cuff Repair

This surgery uses small instruments and a camera to look in the shoulder joint and repair a torn tendon in the rotator cuff. This care bundle includes a visit with the surgeon before the surgery, 13 visits with a physical therapist after surgery and 2 visits with the surgeon after surgery.

Shoulder Pain

This can be caused by overuse, injury, degenerative changes, inflammation, or infection in the shoulder joint. This care bundle includes a visit with a primary care physician and 7 visits with a physical therapist.

Sinusitis - Acute

This is an inflammation or infection of the sinuses, air-filled spaces behind the forehead, nose, cheeks, and eyes. This care bundle includes a visit with a specialist before and after a procedure.

Sleep Apnea

This is a condition in which a narrowed or blocked airway causes someone’s breathing to either stop briefly or slow down when they are sleeping. This care includes a visit with a specialist before and after a sleep study.

Sleep Study

This test assesses how long and how well you sleep.

Sleep Study at Home

This test assesses how long and how well you sleep.

Sleep Study With CPAP

This test assesses how well you sleep while wearing a mask that delivers pressurized air.

Sore Throat

This condition includes pain, soreness, or scratchiness in the throat; it is also known as pharyngitis.

Strep Throat Test

This test checks for a specific bacteria, Group A Streptococcus, in the throat.

Stuffy Nose

This condition occurs when the inside of the nose swells, causing a person to feel like they can’t breathe through their nose.

Swimmer's Ear

This is an inflamed, swollen outer ear and ear canal caused by an infection. It is also known as otitis externa.

Swimmer's Itch

This is a rash that develops when a parasite that lives in the water burrows under the skin. It is also known as schistosomiasis.

Thyroid Hormone Test - Thyroxine - T4

This tests measures the blood level of a hormone made by the thyroid gland (Thyroxine).

Thyroid Hormone Test - Triiodothyronine - T3

This test measures the blood levels of a protein that carries the thyroid hormone.

Thyroid-Stimulating Hormone Test - TSH

This test measures the level of thyroid-stimulating hormone (TSH) in the blood.

Tonsil and Adenoid Removal

This is the removal of the adenoids and tonsils, which are glands located above your mouth and on the sides of your throat. This care bundle includes a visit with a specialist before and after a surgery.

Tonsil Removal

The tonsils are lymph glands (also known as lymph nodes) located in the back of the throat; the removal of these glands is called a tonsillectomy. This care bundle includes a visit with a specialist before and after a surgery.

Tuberculosis - TB Test

This test is used to determine if you have been infected with tuberculosis.

Ultrasound - Abdomen

This test uses sound waves to create images of the organs in the upper abdomen.

Ultrasound - Breasts

This test uses sound waves to create detailed images of the structures in the breast.

Ultrasound - Pelvic - via Abdominal Wall

This test uses sound waves to create detailed images of the organs in the lower abdomen.

Ultrasound - Pelvic - via Vagina

This test uses sound waves from a probe inserted in the vagina to create images of the reproductive organs.

Ultrasound - Pregnancy

This test uses sound waves to create detailed images of your unborn baby.

Ultrasound - Rear of Abdomen

This test uses sound waves to create detailed pictures of the organs in the rear of the abdomen.

Upper Endoscopy

This is an exam of the esophagus, stomach, and upper intestine using a thin tube with a camera.

Upper Endoscopy With Biopsy

This is an exam of the esophagus, stomach, and upper intestine using a thin tube with a camera; a biopsy evaluates abnormal findings.

Upper Endoscopy With Dilation

This is when a small tube and guide wire are placed through the mouth into the esophagus (food pipe) to stretch a narrowed area.

Upper Intestine Removal - Laparoscopic

This surgery uses small instruments and a camera to remove a section of the small bowel through several small cuts in the abdomen. This care bundle includes a visit with the surgeon before surgery and 2 visits after surgery.

Uric Acid Test

This test measures the amount of uric acid in your blood.

Urinalysis - Automated Urine Test

This is when a machine is used to check for abnormal levels of various substances in the urine (bacteria, blood, and protein).

Urinalysis - Manual Urine Test

This is when a microscope is used to check for abnormal levels of various substances in the urine (bacteria, blood, and protein).

Urinary Tract - Bladder Infection

This is a bacterial infection of the urinary tract. This includes infection in the bladder, kidney, ureters, or urethra.

Urine Microalbumin Test

This test measures for small quantities of albumin (a protein) in your urine.

Urine Pregnancy Test

This test measures the level of human chorionic gonadotropin hormone in the urine.

Urology - Specialist Visit

This is an office visit with a doctor who specializes in evaluating and treating conditions of the urinary tract and male reproductive system.

Uterine Fibroid Removal

This surgery involves the removal of an abnormal growth of non-cancerous (benign) tissue from a woman’s uterus or womb. This care bundle includes a visit with the surgeon before and after surgery.

Uterus Exam - Hysterosalpingography

This is a procedure where an x-ray of the uterus and fallopian tubes after a dye is injected through the cervix into the uterus. This care bundle includes a visit with the surgeon before and after the procedure.

Uterus Exam with Biopsy

This is an exam of the inside lining of the uterus using a special tube with a light and camera on the end.

Vaccine - Chickenpox

This is a vaccine that decreases your child’s risk of getting chickenpox, a viral infection that causes itchy, fluid-filled blisters that crust over.

Vaccine - Diphtheria, Tetanus, Pertussis - DTaP

This is a vaccine that decreases your child’s risk of getting diphtheria, tetanus, or pertussis, which are diseases caused by 3 different bacteria.

Vaccine - Flu - Adult

This is a vaccine that decreases your risk of getting the flu, also known as influenza.

Vaccine - Flu - Child

This is a vaccine that decreases your child’s risk of getting the flu, also known as influenza.

Vaccine - Hepatitis A - Adult

This is a vaccine that decreases your risk of getting hepatitis A, a viral infection of the liver.

Vaccine - Hepatitis A - Child

This is a vaccine that decreases your child’s risk of getting hepatitis A, a viral infection of the liver.

Vaccine - Hepatitis B - Adult

This is a vaccine that decreases your risk of getting hepatitis B, a viral infection of the liver.

Vaccine - Hepatitis B - Child

This is a vaccine that decreases your child’s risk of getting hepatitis B, a viral infection of the liver.

Vaccine - Hib

This is a vaccine that decreases your child’s risk of getting serious infections caused by Haemophilus influenza type B bacteria.

Vaccine - Human Papillomavirus - HPV

This is a vaccine that protects against the strains of human papillomavirus (HPV) that cause cervical cancer and genital warts.

Vaccine - Measles, Mumps, Rubella - MMR

This is a vaccine that decreases your child’s risk of getting measles, mumps or rubella, which are childhood diseases caused by different viruses.

Vaccine - Meningitis

This is a vaccine that decreases your risk of getting bacterial meningitis, an infection of the lining around the spinal cord and brain.

Vaccine - Pneumonia

This vaccine decreases the risk of a streptococcus pneumoniae infection, which can cause ear infections, pneumonia, and meningitis.

Vaccine - Polio

This is a vaccine that decreases your child’s risk of getting polio, a viral infection that affects the nervous system and can lead to paralysis.

Vaccine - Rotavirus

This is a vaccine that decreases your child’s risk of becoming sick with rotavirus, a viral infection that causes diarrhea and dehydration.

Vaccine - Shingles

This is a vaccine that protects against the development of shingles, a painful rash, and the nerve pain that can develop after the rash goes away.

Vaccine - Tetanus - Td

This is a vaccine that decreases your risk of getting tetanus, also known as lockjaw, and diphtheria.

Vaccine - Tetanus, Diphtheria, Pertussis - TdaP

This is a vaccine that decreases your risk of getting tetanus, diphtheria, or pertussis, diseases caused by 3 different bacteria.

Vasectomy - Male Sterilization

This procedure involves cutting and blocking the tubes that carry sperm. This prevents sperm from leaving a man’s body and resulting in a pregnancy.

Vitamin D Test

This test measures the level of vitamin D in the blood.

Weight Loss Surgery - Gastric Bypass

This type of weight loss surgery makes the stomach smaller and does not allow food to go through a portion of the stomach and bowels. This care bundle includes a visit with the surgeon before surgery, a visit with a nutritionist, and a visit with the surgeon after surgery.

Weight Loss Surgery - Laparoscopic Band

This type of weight loss surgery is done using small instruments and a camera to place an adjustable band around the top part of the stomach. This care bundle includes a visit with the surgeon before surgery, a visit with a nutritionist, and 2 visits with the surgeon after surgery.

Wellness Visit - Established Female Patient - Age 12-17

This is a routine office visit with a regular health care provider for females 12 to 17 years of age.

Wellness Visit - Established Female Patient - Age 18-39

This is a routine office visit with a regular healthcare provider for females 18 to 39 years of age.

Wellness Visit - Established Female Patient - Age 40-64

This is a routine office visit with a regular healthcare provider for females 40 to 64 years of age.

Wellness Visit - Established Male Patient - Age 12-17

This is a routine office visit with a regular healthcare provider for males 12 to 17 years of age.

Wellness Visit - Established Male Patient - Age 18-39

This is a routine office visit with a regular healthcare provider for males 18 to 39 years of age.

Wellness Visit - Established Male Patient - Age 40-64

This is a routine office visit with a regular healthcare provider for males 40 to 64 years of age.

Wellness Visit - Established Patient - Age 1-4

This is a routine office visit with a regular healthcare provider for children 1 to 4 years of age.

Wellness Visit - Established Patient - Age 5-11

This is a routine office visit with a regular healthcare provider for children 5 to 11 years of age.

Wellness Visit - Established Patient - Age Less Than 1

This is a routine office visit with a regular health care provider for children younger than 1.

Wellness Visit - Established Patient - Female Age 65 and Over

This is a routine office visit with a regular health care provider for females age 65 and older.

Wellness Visit - Established Patient - Male Age 65 and Over

This is a routine office visit with a regular healthcare provider for males age 65 and older.

Wellness Visit - New Female Patient - Age 12-17

This is a routine office visit with a new healthcare provider for children 12 to 17 years of age.

Wellness Visit - New Female Patient - Age 18-39

This is a routine office visit with a new healthcare provider for females 18 to 39 years of age.

Wellness Visit - New Female Patient - Age 40-64

This is a routine office visit with a new health care provider for females 40 to 64 years of age.

Wellness Visit - New Male Patient - Age 12-17

This is a routine office visit with a new healthcare provider for children 12 to 17 years of age.

Wellness Visit - New Male Patient - Age 18-39

This is a routine office visit with a new health care provider for people 18 to 39 years of age.

Wellness Visit - New Male Patient - Age 40-64

This is a routine office visit with a new healthcare provider for people 40 to 64 years of age.

Wellness Visit - New Patient - Age 1-4

This is a routine office visit with a new health care provider for children 1 to 4 years of age.

Wellness Visit - New Patient - Age 5-11

This is a routine office visit with a new healthcare provider for children 5 to 11 years of age.

Wellness Visit - New Patient - Age Less Than 1

This is a routine office visit with a regular healthcare provider for children younger than 1.

Wellness Visit - New Patient - Female Age 65 and Over

This is a routine office visit with a new healthcare provider for females age 65 and older.

Wellness Visit - New Patient - Male Age 65 and Over

This is a routine office visit with a new health care provider for males age 65 and older.

X-ray Abdomen

This x-ray creates images of the organs in the abdomen (stomach, liver, spleen, and intestines).

X-ray Ankle - 3 Views

This x-ray creates several different images of the bones in the ankle.

X-ray Cervical Spine

This x-ray creates several different images of the bones in the neck (cervical vertebrae).

X-ray Chest - 2 Views

This x-ray creates images of the lungs, heart, ribs, and other structures in the chest.

X-ray Chest - Single View

This x-ray creates an image of the lungs, heart, ribs, and other structures in the chest.

X-ray Fingers - 2 Views

This x-ray creates several different images of one or more fingers.

X-ray Foot - 3 Views

This x-ray creates several different images of the bones in your foot.

X-ray Hand - 3 Views

This x-ray creates several different images of the bones in your hand.

X-ray Hip - 2 Views

This x-ray creates several different images of a hip joint.

X-ray Knee

This x-ray creates several different images of the knee joint and surrounding structures.

X-ray Lumbar Spine

This x-ray creates several different mages of the bones in the lower back (lumbar vertebrae).

X-ray Shoulder - 2 Views

This x-ray creates several different images of the shoulder joint and surrounding structures.

X-ray Wrist - 3 Views

This x-ray creates several different images of the wrist bones and surrounding structures.