| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
— |
$191.05 |
— |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
— |
$191.05 |
— |
| Airway Inhalation Treatment (94640) |
— |
$479.93 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$18.58 |
— |
| Application on-body injector (96377) |
— |
$102.18 |
— |
| Assessment of aphasia per hr (96105) |
— |
$128 |
— |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
— |
$191.05 |
— |
| Behavral qualit analys voice (92524) |
— |
$134.60 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$86.43 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$675.73 |
— |
| Canalith repositioning proc (95992) |
— |
$211.25 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$675.73 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$675.73 |
— |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
— |
$67.10 |
— |
| Cbt 1st hour (94644) |
— |
$287.90 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$814.10 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$158.30 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$158.30 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$158.30 |
— |
| Chemo IV push addl drug (96411) |
— |
$158.30 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$814.10 |
— |
| Chemotherapy Into Cns (96450) |
— |
$814.10 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$158.30 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$814.10 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$522.33 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$522.33 |
— |
| Chest Wall Manipulation (94668) |
— |
$287.90 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,466.75 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$161.25 |
— |
| Continuous Pulse Ox (94762) |
— |
$356.48 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$479.93 |
— |
| Cpt initial (94667) |
— |
$287.90 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$458.50 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$675.73 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,320.40 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$862.13 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,229.56 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$277.98 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,110 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$277.98 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,221.81 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$277.98 |
— |
| Echo Congenital Complete (93303) |
— |
$1,233.70 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$587.50 |
— |
| EEG awake and asleep (95819) |
— |
$1,053 |
— |
| EEG awake drowsy (95816) |
— |
$906.04 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,246.33 |
— |
| Eeg Sleep Only (95822) |
— |
$985.54 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$21.65 |
— |
| Electrocardiogram Tracing (93005) |
— |
$142.13 |
— |
| Electroconvulsive Therapy (90870) |
— |
$1,246.33 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$356.48 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$479.93 |
— |
| Evaluate Speech Production (92522) |
— |
$134.60 |
— |
| Evaluate Swallowing Function (92610) |
— |
$84.55 |
— |
| Evaluation of speech fluency (92521) |
— |
$187.45 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$142.13 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$288.57 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,403.63 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$910 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,233.70 |
— |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
— |
$67.10 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$287.30 |
— |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
— |
$67.10 |
— |
| Group Therapeutic Procedures (97150) |
— |
$33.85 |
— |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
— |
$67.10 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$191.05 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$154.58 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$67.10 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$191.05 |
— |
| High altitude simulation test (94452) |
— |
$287.90 |
— |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
— |
$287.90 |
— |
| Holter monitor recording (93225) |
— |
$287.90 |
— |
| Hypnotherapy (90880) |
— |
$191.05 |
— |
| Icd Device Interrogate (93289) |
— |
$145.50 |
— |
| Icd device progr eval dual (93283) |
— |
$189.75 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$222.33 |
— |
| Ilr Device Interrogate (93291) |
— |
$63.08 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$3,590.40 |
— |
| Intracranial Complete Study (93886) |
— |
$587.50 |
— |
| Iontophoresis 15 min (97033) |
— |
$22.95 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$142.13 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$112.72 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$112.72 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$158.30 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$69.60 |
— |
| IV push initial (96374) |
— |
$522.33 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$142.13 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$675.73 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$25.50 |
— |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
— |
$67.10 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$341.63 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$882.50 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$882.50 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$458.50 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$882.50 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$675.73 |
— |
| Neuromuscular Reeducation (97112) |
— |
$30.55 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$28.75 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$134.40 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$28.75 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$675.73 |
— |
| Oral Function Therapy (92526) |
— |
$84.55 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$28.75 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$28.75 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$19.58 |
— |
| Ot eval high complexity (97167) |
— |
$314.35 |
— |
| Ot Eval Low Complex (97165) |
— |
$287.75 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$287.75 |
— |
| Ot manual therapy 15 min (97140) |
— |
$55.53 |
— |
| Ot paraffin bath (97018) |
— |
$24.60 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$28.75 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$218.30 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$296.38 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$142.13 |
— |
| Phlebotomy therapeutic (99195) |
— |
$287.90 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$142.13 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$142.13 |
— |
| Physical Performance Test (97750) |
— |
$28.75 |
— |
| Plethysmography (94726) |
— |
$675.73 |
— |
| Pm device eval in person (93288) |
— |
$95.08 |
— |
| Pm device progr eval dual (93280) |
— |
$144.78 |
— |
| Pm device progr eval multi (93281) |
— |
$169.23 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$121.98 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$155.88 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$341.63 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$341.63 |
— |
| Psychoanalysis (90845) |
— |
$341.63 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$675.73 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$63.08 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$692.95 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$287.90 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$341.63 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$28.75 |
— |
| Pt Eval High Complex (97163) |
— |
$338.90 |
— |
| Pt eval low complex 20 min (97161) |
— |
$287.75 |
— |
| Pt Eval Mod Complex (97162) |
— |
$287.75 |
— |
| Pt gait training 15 min (97116) |
— |
$28.20 |
— |
| Pt mechanical traction (97012) |
— |
$27.85 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$235.35 |
— |
| Pulmonary Stress Testing (94618) |
— |
$287.90 |
— |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
— |
$675.73 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$142.13 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$458.50 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$326.45 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$134.60 |
— |
| Self Care Mngment Training (97535) |
— |
$13.28 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$60.43 |
— |
| Speech sound lang comprehen (92523) |
— |
$326.45 |
— |
| Spirometry (94010) |
— |
$356.48 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$129.68 |
— |
| Stress Tte Only (93350) |
— |
$1,889.75 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$102.18 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$522.33 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$51.95 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$49.60 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$34.83 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$25.73 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$129.88 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$48.26 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$219.29 |
— |
| Therapeutic Activities (97530) |
— |
$27.85 |
— |
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines |
— |
$45–$307.14 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$95 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$277.98 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,233.70 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$74.30 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$102.18 |
— |
| Unlisted Psychiatric Service/Procedure (90899) |
— |
$67.10 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$287.90 |
— |
| Vasopneumatic device (97016) |
— |
$27.85 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,243.85 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,243.85 |
— |
| Vital capacity, total (94150) |
— |
$356.48 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$136.25 |
— |