| Admn Sarscov2 Vacc 1 Dose (90480) |
$56 |
$112 |
1.4× |
| Airway Inhalation Treatment (94640) |
$94 |
$188 |
0.4× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$55 |
$110 |
1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$35.50 |
$71 |
2.5× |
| Application Modality 1/> Areas Infrared (97026) |
$54.50 |
$109 |
8.2× |
| Assessment of aphasia per hr (96105) |
$171.50 |
$343 |
1.8× |
| Behavral qualit analys voice (92524) |
$152 |
$304 |
1.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$205.50 |
$411 |
2.5× |
| Bfb training ea addl 15 min (90913) |
$108 |
$216 |
3.3× |
| Biofeedback training any modality (90901) |
$71.50 |
$143 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$171.50 |
$343 |
0.5× |
| Canalith repositioning proc (95992) |
$311 |
$622 |
7.6× |
| Car seat/bed test 60 min (94780) |
$48 |
$96 |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$282 |
$564 |
1.3× |
| Cardiopulmonary exercise testing (94621) |
$722 |
$1,444 |
2.0× |
| Cardiopulmonary resuscitation (92950) |
$735 |
$1,470 |
3.5× |
| Cardioversion (92960) |
$793 |
$1,586 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$33.50 |
$67 |
1.3× |
| Cbt 1st hour (94644) |
$63 |
$126 |
0.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$213.50 |
$427 |
3.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$199.50 |
$399 |
2.8× |
| Chemo IV infusion addl hr (96415) |
$301.50 |
$603 |
4.3× |
| Chemo IV push addl drug (96411) |
$123.50 |
$247 |
1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$162 |
$324 |
2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$378.50 |
$757 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$212.50 |
$425 |
0.7× |
| Chest Wall Manipulation (94668) |
$35.50 |
$71 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$398 |
$796 |
1.7× |
| Color/duplex Doppler, limited (93976) |
$811.50 |
$1,623 |
7.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$63 |
$126 |
2.0× |
| Continuous Pulse Ox (94762) |
$92.50 |
$185 |
0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$392.50 |
$785 |
1.8× |
| Cpt initial (94667) |
$43.50 |
$87 |
0.3× |
| Critical care first hour (99291) |
$883 |
$1,766 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$212.50 |
$425 |
1.1× |
Dialysis One Evaluation (90945)
range across 2 matching MRF lines |
$560–$839.50 |
$1,120–$1,679 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$504.50 |
$1,009 |
2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$246 |
$492 |
2.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$316 |
$632 |
1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$188.50 |
$377 |
1.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$316 |
$632 |
1.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$278 |
$556 |
2.7× |
| Duplex up extrem art bilat (93930) |
$653.50 |
$1,307 |
2.8× |
| Duplex up extrem art unilat/ltd (93931) |
$221.50 |
$443 |
2.2× |
| ECG/monitoring and analysis (93271) |
$736 |
$1,472 |
7.9× |
| Echo Heart Xthoracic,Limited (93308) |
$252.50 |
$505 |
1.1× |
| Echo transesophageal (93312) |
$813.50 |
$1,627 |
1.5× |
| EEG awake and asleep (95819) |
$348 |
$696 |
1.6× |
| EEG awake drowsy (95816) |
$418 |
$836 |
2.0× |
| EEG cerebral death evaluation (95824) |
$278.50 |
$557 |
0.8× |
| Eeg Sleep Only (95822) |
$309 |
$618 |
1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$416 |
$832 |
2.0× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$416 |
$832 |
2.0× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$798.50 |
$1,597 |
2.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$798.50 |
$1,597 |
2.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$416 |
$832 |
2.0× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$798.50 |
$1,597 |
2.2× |
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines |
$34.50–$61.50 |
$69–$123 |
varies |
| Electrocardiogram Tracing (93005) |
$81 |
$162 |
1.4× |
| Electrophysiology Evaluation (93642) |
$960 |
$1,920 |
0.8× |
| Emergency Dept Visit Level 2 (99282) |
$230 |
$460 |
1.5× |
| Emergency Dept Visit Level 3 (99283) |
$346.50 |
$693 |
1.3× |
| Emergency Dept Visit Level 4 (99284) |
$506.50 |
$1,013 |
1.2× |
| Er level 1 (99281) |
$167 |
$334 |
2.0× |
| Er level v (99285) |
$759.50 |
$1,519 |
1.3× |
| Evaluate pt use of inhaler (94664) |
$128.50 |
$257 |
0.6× |
| Evaluate Speech Production (92522) |
$146 |
$292 |
1.3× |
| Evaluate Swallowing Function (92610) |
$205.50 |
$411 |
2.4× |
| Evaluation of speech fluency (92521) |
$179 |
$358 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$40.50 |
$81 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$220.50 |
$441 |
3.8× |
| Extracranial Bilat Study (93880) |
$486 |
$972 |
2.1× |
| Extracranial Uni/Ltd Study (93882) |
$448 |
$896 |
4.4× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$281 |
$562 |
1.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$246.50 |
$493 |
1.1× |
| Health Behavior Assessment/Re-Assessment (96156) |
$154.50 |
$309 |
1.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$158.50 |
$317 |
0.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$384.50 |
$769 |
0.6× |
| Holter monitor recording (93225) |
$150 |
$300 |
1.1× |
| Immunization administration (90471) |
$51 |
$102 |
0.7× |
| Iontophoresis 15 min (97033) |
$46 |
$92 |
2.4× |
| Irrig Drug Delivery Device (96523) |
$106.50 |
$213 |
1.8× |
| IV infusion hydration each additional hour (96361) |
$36 |
$72 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$201.50 |
$403 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$72 |
$144 |
1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$43.50 |
$87 |
0.9× |
| IV push initial (96374) |
$211.50 |
$423 |
1.0× |
| Lung Function Test (Mbc/Mvv) (94200) |
$162.50 |
$325 |
2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$260 |
$520 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$54 |
$108 |
0.3× |
| Methacholine challenge (94070) |
$219 |
$438 |
0.6× |
| Motion Fluoroscopy/Swallow (92611) |
$246.50 |
$493 |
2.7× |
| Multiple Sleep Latency Test (95805) |
$943.50 |
$1,887 |
1.1× |
| Nasopharyngoscopy (92511) |
$168.50 |
$337 |
0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$409 |
$818 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$477 |
$954 |
1.2× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
$86–$91 |
$172–$182 |
varies |
| Neuromuscular Reeducation (97112) |
$39 |
$78 |
1.2× |
Newborn resuscitation (99465)
range across 2 matching MRF lines |
$698.50–$754.50 |
$1,397–$1,509 |
varies |
| Oral Function Therapy (92526) |
$90.50 |
$181 |
1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$37.50 |
$75 |
0.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$64 |
$128 |
4.6× |
| Ot eval high complexity (97167) |
$177.50 |
$355 |
1.8× |
| Ot Eval Low Complex (97165) |
$97 |
$194 |
1.0× |
| Ot Eval Moderate Complexity (97166) |
$125 |
$250 |
1.2× |
| Ot manual therapy 15 min (97140) |
$90 |
$180 |
3.2× |
| Ot paraffin bath (97018) |
$40 |
$80 |
6.7× |
| Ot Re-Eval Est Plan Care (97168) |
$79 |
$158 |
1.2× |
| Ot rom hand (95852) |
$78.50 |
$157 |
3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$95.50 |
$191 |
0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$240.50 |
$481 |
1.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$128.50 |
$257 |
0.6× |
| Phlebotomy therapeutic (99195) |
$95.50 |
$191 |
0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$227.50 |
$455 |
3.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$227.50 |
$455 |
3.9× |
| Physical Performance Test (97750) |
$44 |
$88 |
1.3× |
| Plethysmography (94726) |
$187.50 |
$375 |
0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,593.50 |
$3,187 |
1.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,682.50 |
$3,365 |
2.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$2,531 |
$5,062 |
5.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$65 |
$130 |
1.7× |
| Pt Eval High Complex (97163) |
$196.50 |
$393 |
2.0× |
| Pt eval low complex 20 min (97161) |
$80 |
$160 |
0.8× |
| Pt Eval Mod Complex (97162) |
$134.50 |
$269 |
1.4× |
| Pt gait training 15 min (97116) |
$36.50 |
$73 |
1.3× |
| Pt group caregiver training (97552) |
$33.50 |
$67 |
1.5× |
| Pt mechanical traction (97012) |
$27.50 |
$55 |
1.9× |
| Pt Re-Eval Est Plan Care (97164) |
$40.50 |
$81 |
0.6× |
| Pulm function test by gas (94727) |
$171.50 |
$343 |
0.8× |
| Pulmonary service/procedure (94799) |
$136.50 |
$273 |
1.1× |
| Pulmonary Stress Testing (94618) |
$155 |
$310 |
1.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$97 |
$194 |
2.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$141.50 |
$283 |
3.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$136.50 |
$273 |
1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$74.50 |
$149 |
1.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$90.50 |
$181 |
1.7× |
| Respiratory flow volume loop (94375) |
$178.50 |
$357 |
0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$129 |
$258 |
2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$100 |
$200 |
0.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$57.50 |
$115 |
2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$129.50 |
$259 |
1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$43.50 |
$87 |
0.9× |
| Self Care Mngment Training (97535) |
$33.50 |
$67 |
1.0× |
| Sensory Integration Ea 15 Min (97533) |
$69.50 |
$139 |
1.1× |
Sleep study unattended (95806)
range across 2 matching MRF lines |
$356–$407.50 |
$712–$815 |
varies |
| Slp caregiver training 1st 30 min (97550) |
$63.50 |
$127 |
1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$742 |
$1,484 |
3.5× |
| Speech sound lang comprehen (92523) |
$302 |
$604 |
1.3× |
| Spirometry (94010) |
$153.50 |
$307 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$362 |
$724 |
3.5× |
| Surfactant Admin Thru Tube (94610) |
$103 |
$206 |
0.5× |
| Temp transcutaneous pacing (92953) |
$373 |
$746 |
0.6× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines |
$59.50–$69.50 |
$119–$139 |
varies |
| Ther Ivntj Ea Addl 15 Min (97130) |
$69.50 |
$139 |
3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$56.50 |
$113 |
1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$69.50 |
$139 |
2.3× |
| Ther/Proph/Diag Inj Ia (96373) |
$125.50 |
$251 |
0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77.50 |
$155 |
1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$191.50 |
$383 |
0.9× |
| Therapeutic Activities (97530) |
$39 |
$78 |
1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$54.50 |
$109 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28 |
$56 |
0.8× |
| Tte w/doppler, complete (93306) |
$1,112 |
$2,224 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$72 |
$144 |
0.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$61.50 |
$123 |
2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$56.50 |
$113 |
1.2× |
| Unlisted otorhinolaryngological service (92700) |
$270 |
$540 |
9.5× |
| Upr/L Xtremity Art 2 Levels (93922) |
$237 |
$474 |
1.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$264.50 |
$529 |
1.2× |
| Vasopneumatic device (97016) |
$50.50 |
$101 |
4.2× |
| Vent Mgmt Inpat Init Day (94002) |
$538 |
$1,076 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$510 |
$1,020 |
0.8× |
| Vital capacity, total (94150) |
$107 |
$214 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$23 |
$46 |
0.7× |
| Whirlpool Therapy (97022) |
$34 |
$68 |
2.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$184.50 |
$369 |
3.2× |