| Advance care planning first 30 mins (99497) |
$106.20 |
$177 |
1.1× |
| Airway inhalation treatment (94640) |
$202.80 |
$338 |
1.0× |
| Allergy skin tests (95028) |
$28.80 |
$48 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$61.20 |
$102 |
1.4× |
| Application of heat wave therapy (97024) |
$69 |
$115 |
9.4× |
| Assessment of aphasia (96105) |
$130.80 |
$218 |
1.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$137.40 |
$229 |
1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$394.20 |
$657 |
1.1× |
| Car seat/bed test 60 min (94780) |
$46.20 |
$77 |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$448.20 |
$747 |
2.2× |
| Cardiopulmonary resuscitation (92950) |
$303 |
$505 |
1.5× |
| Cardioversion (92960) |
$870.30 |
$1,450.50 |
1.4× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$6,090.60 |
$10,151 |
2.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$9,397.80 |
$15,663 |
3.0× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$18,624 |
$31,040 |
1.1× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$9,934.80 |
$16,558 |
3.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$8,949.60 |
$14,916 |
2.9× |
| Cbt 1st hour (94644) |
$139.80 |
$233 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$149.40 |
$249 |
2.2× |
| Chemo IV push addl drug (96411) |
$204.60 |
$341 |
2.9× |
| Chemo Iv Push Sngl Drug (96409) |
$363 |
$605 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$539.40 |
$899 |
1.7× |
| Chemother, IV infusion, ea add hr (96415) |
$234 |
$390 |
3.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$210 |
$350 |
3.0× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$125.40 |
$209 |
0.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$234 |
$390 |
3.4× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$43.20 |
$72 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$784.20 |
$1,307 |
3.4× |
| Color/duplex Doppler, limited (93976) |
$455.40 |
$759 |
4.5× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$70.20 |
$117 |
0.4× |
| Coronary artery angio s&i (93454) |
$5,288.40 |
$8,814 |
1.7× |
| Cpap initiation and management (94660) |
$183 |
$305 |
0.9× |
| Cpt initial (94667) |
$108 |
$180 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$210.60 |
$351 |
1.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$183 |
$305 |
0.9× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$533.40 |
$889 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$337.20 |
$562 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$280.80 |
$468 |
1.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$163.20 |
$272 |
1.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$195.60 |
$326 |
0.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$121.80 |
$203 |
1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$595.20 |
$992 |
5.9× |
| Duplex hemodialysis access (93990) |
$147.60 |
$246 |
1.5× |
| Duplex scan extracranial art compl bi study (93880) |
$372.60 |
$621 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$258.60 |
$431 |
1.1× |
| Echo transesophageal (93312) |
$1,561.20 |
$2,602 |
3.0× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$947.40 |
$1,579 |
1.8× |
| EEG awake asleep (95819) |
$275.10 |
$458.50 |
1.3× |
| EEG awake drowsy (95816) |
$474.60 |
$791 |
2.3× |
| EEG cerebral death evaluation (95824) |
$149.10 |
$248.50 |
0.4× |
| EEG coma or sleep only (95822) |
$474.60 |
$791 |
2.3× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$176.40 |
$294 |
0.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$599.40 |
$999 |
2.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$351.60 |
$586 |
1.7× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$598.80 |
$998 |
1.7× |
| EKG (93005) |
$92.70 |
$154.50 |
1.6× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$539.40 |
$899 |
2.6× |
| Er level 1 (99281) |
$103.20 |
$172 |
1.3× |
| Er level ii (99282) |
$205.80 |
$343 |
1.4× |
| Er level iii (99283) |
$308.40 |
$514 |
1.2× |
| Er level IV (99284) |
$581.40 |
$969 |
1.4× |
| Er level v (99285) |
$855 |
$1,425 |
1.5× |
| Evaluation of speech fluency (92521) |
$189 |
$315 |
1.4× |
| Evaluation of speech sound production (92522) |
$97.80 |
$163 |
0.9× |
| Evaluation of swallowing function (92610) |
$114 |
$190 |
1.3× |
| External Ecg Scanning Analysis Report (93226) |
$226.80 |
$378 |
4.0× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$213 |
$355 |
1.1× |
| Group Therapeutic Procedures (97150) |
$48.60 |
$81 |
2.7× |
| Hast w/report (94452) |
$121.80 |
$203 |
1.0× |
| Icd Device Interrogate (93289) |
$59.70 |
$99.50 |
1.7× |
| Immunization Admin (90471) |
$93.60 |
$156 |
1.3× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$816 |
$1,360 |
2.3× |
| Ins swan ganz bedside (93503) |
$936 |
$1,560 |
0.6× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$56.40 |
$94 |
2.0× |
| Interrogate subq defib (93261) |
$45 |
$75 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$84.60 |
$141 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$91.80 |
$153 |
2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$346.20 |
$577 |
1.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$183.60 |
$306 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$417.60 |
$696 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$112.80 |
$188 |
2.5× |
| IV push initial (96374) |
$132.60 |
$221 |
0.6× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$249 |
$415 |
0.8× |
| Manual therapy 15 min (97140) |
$36.60 |
$61 |
1.3× |
| Massage 15 min (97124) |
$48 |
$80 |
1.6× |
| Mechanical traction (97012) |
$46.80 |
$78 |
3.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$22.80 |
$38 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$45 |
$75 |
1.2× |
| Methacholine challenge (94070) |
$390.60 |
$651 |
1.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$151.20 |
$252 |
1.7× |
| Multiple sleep latency test (95805) |
$628.80 |
$1,048 |
0.8× |
| Neg press wnd tx </=50 sq cm (97607) |
$394.80 |
$658 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$394.80 |
$658 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$181.80 |
$303 |
0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$375 |
$625 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$135.60 |
$226 |
1.1× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$199.50 |
$332.50 |
1.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$455.40 |
$759 |
3.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$81.60 |
$136 |
1.8× |
| Ot eval high complex 60 min (97167) |
$238.80 |
$398 |
2.4× |
| Ot eval low complex 30 min (97165) |
$143.40 |
$239 |
1.4× |
| Ot eval mod complex 45 min (97166) |
$191.40 |
$319 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$32.40 |
$54 |
0.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$62.40 |
$104 |
1.5× |
| Ot re-eval est plan care (97168) |
$143.40 |
$239 |
2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$152.40 |
$254 |
1.2× |
| Paraffin bath (97018) |
$18 |
$30 |
3.0× |
| Peripheral arterial disease rehab per session (93668) |
$63.60 |
$106 |
1.1× |
| Plethysmography (94726) |
$358.20 |
$597 |
1.0× |
| Pm device eval in person (93288) |
$45.60 |
$76 |
1.3× |
| Pm device progr eval dual (93280) |
$54.30 |
$90.50 |
1.5× |
| Pm device progr eval multi (93281) |
$62.10 |
$103.50 |
1.7× |
| Pm device progr eval sngl (93279) |
$46.50 |
$77.50 |
1.3× |
| Pm/Icd Remote Tech Serv (93296) |
$56.40 |
$94 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,606.40 |
$4,344 |
3.2× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$390.30 |
$650.50 |
0.5× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$83.40 |
$139 |
2.3× |
| Programming of dual lead implantable defibrillator system (93283) |
$71.40 |
$119 |
2.0× |
| Programming of single lead implantable defibrillator system (93282) |
$59.40 |
$99 |
1.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$11,731.80 |
$19,553 |
1.1× |
| Prq revasc byp graft 1 vsl (92937) |
$11,731.80 |
$19,553 |
1.1× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$16,309.80 |
$27,183 |
1.5× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$8,284.80 |
$13,808 |
1.5× |
| Psych diag eval w/med srvcs (90792) |
$157.20 |
$262 |
0.9× |
| Psychiatric diagnostic evaluation (90791) |
$168.30 |
$280.50 |
1.0× |
| Pt Aquatic Therapy/Exercises (97113) |
$53.40 |
$89 |
1.4× |
| Pt Electric Current Therapy (97033) |
$59.40 |
$99 |
3.1× |
| Pt Electrical Stimulation (97032) |
$45.60 |
$76 |
3.1× |
| Pt eval high complex 45 min (97163) |
$277.20 |
$462 |
2.8× |
| Pt eval low complex 20 min (97161) |
$166.80 |
$278 |
1.7× |
| Pt Gait Training Therapy (97116) |
$70.80 |
$118 |
2.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$74.40 |
$124 |
2.3× |
| Pt Physical Performance Test (97750) |
$82.20 |
$137 |
2.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$222 |
$370 |
2.3× |
| Pt re-evaluation (97164) |
$166.80 |
$278 |
2.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$56.40 |
$94 |
1.7× |
| Pt Ultrasound Therapy (97035) |
$35.40 |
$59 |
2.5× |
| Pt Whirlpool Therapy (97022) |
$34.80 |
$58 |
2.2× |
| Pulmonary stress testing (94618) |
$134.40 |
$224 |
1.0× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$3,899.40 |
$6,499 |
1.2× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$10,650.60 |
$17,751 |
3.4× |
| R hrt art/grft angio (93457) |
$9,955.20 |
$16,592 |
3.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$12,261.60 |
$20,436 |
3.9× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$41.40 |
$69 |
1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$39.30 |
$65.50 |
1.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$126 |
$210 |
3.5× |
| Right heart cath (93451) |
$2,694.60 |
$4,491 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$138.60 |
$231 |
0.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$129.60 |
$216 |
1.0× |
| Sleep study unattended (95806) |
$431.40 |
$719 |
2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$391.80 |
$653 |
1.9× |
| Speech sound lang comprehen (92523) |
$310.20 |
$517 |
1.4× |
| Spirometry (94010) |
$225 |
$375 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$123 |
$205 |
1.2× |
| Stress echo (93350) |
$879.60 |
$1,466 |
1.7× |
| Surfactant Admin Thru Tube (94610) |
$86.40 |
$144 |
0.4× |
| Temp transcutaneous pacing (92953) |
$295.80 |
$493 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$44.40 |
$74 |
2.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$44.40 |
$74 |
2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$53.70 |
$89.50 |
0.8× |
| Therapeutic Activities (97530) |
$54.60 |
$91 |
1.6× |
| Therapeutic phlebotomy (99195) |
$162 |
$270 |
1.3× |
| Tilt Table Eval (93660) |
$900.60 |
$1,501 |
2.5× |
| Trans Care Mgmt 14 Day Disch (99495) |
$147.60 |
$246 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$214.80 |
$358 |
1.7× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$56.40 |
$94 |
1.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,680 |
$2,800 |
3.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$300.90 |
$501.50 |
1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$100.80 |
$168 |
1.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$163.80 |
$273 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$65.40 |
$109 |
1.4× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$187.80 |
$313 |
1.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$880.80 |
$1,468 |
3.8× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$238.80 |
$398 |
2.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$235.50 |
$392.50 |
1.1× |
| Vasopneumatic device (97016) |
$44.40 |
$74 |
3.7× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,199.40 |
$1,999 |
5.8× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$932.40 |
$1,554 |
2.6× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$599.40 |
$999 |
1.7× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,914 |
$3,190 |
2.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,601.40 |
$2,669 |
4.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,012.80 |
$1,688 |
2.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$615 |
$1,025 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$442.80 |
$738 |
0.7× |
| Vital capacity total (94150) |
$178.80 |
$298 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$28.20 |
$47 |
0.9× |