| Airway inhalation treatment (94640) |
$544 |
$544 |
2.4× |
| Bipap initial day (94660) |
$1,033 |
$1,033 |
4.5× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$666 |
$666 |
1.7× |
| C motor evoked lwr limbs (95929) |
$2,079 |
$2,079 |
5.3× |
| C motor evoked uppr limbs (95928) |
$2,079 |
$2,079 |
2.3× |
| Cardioversion elective external (92960) |
$1,567.50 |
$1,567.50 |
2.2× |
| Cardioversion elective internal (92961) |
$1,606 |
$1,606 |
2.3× |
| Chemo IV infus each addl seq (96417) |
$448 |
$448 |
5.9× |
| Chemo IV infusion addl hr (96415) |
$745 |
$745 |
9.8× |
| Chemo IV push addl drug (96411) |
$1,287 |
$1,287 |
16.9× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$780 |
$780 |
2.2× |
| Color/duplex Doppler, complete (93975) |
$1,565.50 |
$1,565.50 |
6.2× |
| Color/duplex Doppler, limited (93976) |
$782.50 |
$782.50 |
7.1× |
| Concurrent chemotherapy (96549) |
$159 |
$159 |
3.2× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$181 |
$181 |
1.3× |
| Cpr (92950) |
$1,268 |
$1,268 |
5.6× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,394 |
$3,394 |
3.9× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$3,260 |
$3,260 |
3.6× |
| Debridement open wound 20 sq cm< (97597) |
$807 |
$807 |
3.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,565.50 |
$1,565.50 |
6.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,565.50 |
$1,565.50 |
6.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$782.50 |
$782.50 |
7.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,565.50 |
$1,565.50 |
6.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$782.50 |
$782.50 |
7.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,604 |
$1,604 |
6.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$745.50 |
$745.50 |
6.8× |
| EKG 12 lead tracing only (93005) |
$188 |
$188 |
3.0× |
| Emergency department visit high mdm (99285) |
$2,263.50 |
$2,263.50 |
3.6× |
| Emergency department visit low mdm (99283) |
$897 |
$897 |
3.1× |
| Emergency department visit may not req phys/qhp (99281) |
$351 |
$351 |
3.9× |
| Emergency department visit moderate mdm (99284) |
$1,501 |
$1,501 |
3.4× |
| Emergency department visit straightforward mdm (99282) |
$565 |
$565 |
3.5× |
| Endoscopy swallow (fees) vid (92612) |
$334 |
$334 |
— |
| Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Other Outpatient (92614) |
$334 |
$334 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$493 |
$493 |
— |
| Immunization administration (90471) |
$124.50 |
$124.50 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$207.50 |
$207.50 |
4.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$1,222 |
$1,222 |
5.4× |
| Interrog device eval heart (93289) |
$271 |
$271 |
6.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$260 |
$260 |
4.2× |
| IV infusion hydration each additional hour (96361) |
$167 |
$167 |
3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$764 |
$764 |
3.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$243 |
$243 |
3.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$975 |
$975 |
4.3× |
| IV tx, each additional hour (96366) |
$211.50 |
$211.50 |
4.3× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$163 |
$163 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$132.50 |
$132.50 |
— |
| Medical nutrition group (97804) |
$65 |
$65 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$115 |
$115 |
— |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$623 |
$623 |
4.6× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$688 |
$688 |
4.9× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$364 |
$364 |
2.6× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$516 |
$516 |
2.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$876 |
$876 |
2.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$1,464 |
$1,464 |
10.8× |
| Occupational therapy eval high complex 60 mins (97167) |
$385 |
$385 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$457.50 |
$457.50 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$385 |
$385 |
— |
| Osteopath manj 1-2 regions (98925) |
$94.50 |
$94.50 |
4.1× |
| Ot manual therapy ea 15 min (97140) |
$251 |
$251 |
— |
| Ot re-evaluation (97168) |
$255 |
$255 |
— |
| OT Therapeutic Activities Charges (97530) |
$396.50 |
$396.50 |
— |
| Ot wheelchair management (97542) |
$251 |
$251 |
— |
| Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education,… (94015) |
$370 |
$370 |
1.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$399 |
$399 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$397 |
$397 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$407 |
$407 |
— |
| Pt gait training 15 min (97116) |
$212 |
$212 |
— |
| Pt re-evaluation (97164) |
$273 |
$273 |
— |
| Remote 30 day ECG rev/report (93270) |
$784 |
$784 |
19.9× |
| Respiratory flow volume loop (94375) |
$370 |
$370 |
1.6× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$1,235 |
$1,235 |
3.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$321 |
$321 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,627 |
$1,627 |
1.8× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$1,246 |
$1,246 |
5.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$1,246 |
$1,246 |
5.5× |
| Temp transcutaneous pacing (92953) |
$2,354 |
$2,354 |
3.4× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$187 |
$187 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$212 |
$212 |
2.8× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$78 |
$78 |
2.0× |
| Trans care mgmt 14 day disch (99495) |
$467 |
$467 |
3.3× |
| Trans care mgmt 7 day disch (99496) |
$593 |
$593 |
4.2× |
| Tte f-up or lmtd (93308) |
$1,056 |
$1,056 |
4.2× |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$101 |
$101 |
— |
| Upr/l xtremity art 2 levels (93922) |
$574 |
$574 |
4.1× |
| Vital capacity total (94150) |
$202 |
$202 |
1.5× |
| Wound(s) care non-selective (97602) |
$341 |
$341 |
1.6× |