HCPCS HCPCS description SI APC Group Title Relative Weight Payment Rate National Unadjusted Co-payment Minimum Unadjusted Co-payment 00100 Anesth, salivary gland N 00102 Anesth, repair of cleft lip N 00103 Anesth, blepharoplasty N 00104 Anesth, electroshock N 00120 Anesth, ear surgery N 00124 Anesth, ear exam N 00126 Anesth, tympanotomy N 00140 Anesth, procedures on eye N ...... 01991 Anesth, nerve block/inj N 01992 Anesth, n block/inj, prone N 01996 Hosp manage cont drug admin N 01999 Unlisted anesth procedure N 10021 Fna w/o image T 0002 Level I Fine Needle Biopsy/Aspiration 1.1097 $70.68 $14.14 10022 Fna w/image T 0004 Level I Needle Biopsy/ Aspiration Except Bone Marrow 4.3270 $275.60 $55.12 10040 Acne surgery T 0013 Level II Debridement & Destruction 0.7930 $50.51 $10.10 10060 Drainage of skin abscess T 0006 Level I Incision & Drainage 1.4066 $89.59 $17.92 10061 Drainage of skin abscess T 0006 Level I Incision & Drainage 1.4066 $89.59 $17.92 10080 Drainage of pilonidal cyst T 0006 Level I Incision & Drainage 1.4066 $89.59 $17.92 10081 Drainage of pilonidal cyst T 0007 Level II Incision & Drainage 11.5594 $736.26 $147.25