| Airway inhalation treatment (94640) |
$94 |
$188 |
0.4× |
| Appl modality 1+lllt po pain (97037) |
$55 |
$110 |
1.5× |
| Assessment of aphasia (96105) |
$171.50 |
$343 |
1.8× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$65 |
$130 |
1.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$152 |
$304 |
1.4× |
| Bfb training 1st 15 min (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 (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 1st 30 min (97550) |
$63.50 |
$127 |
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 Hormon Antineopl Sq/Im (96402) |
$199.50 |
$399 |
2.8× |
| Chemo IV push addl drug (96411) |
$123.50 |
$247 |
1.7× |
| Chemo Iv Push Sngl Drug (96409) |
$212.50 |
$425 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$378.50 |
$757 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$301.50 |
$603 |
4.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$213.50 |
$427 |
3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$162 |
$324 |
2.3× |
| Color/duplex Doppler, complete (93975) |
$398 |
$796 |
1.7× |
| Color/duplex Doppler, limited (93976) |
$811.50 |
$1,623 |
7.9× |
| Cpap initiation and management (94660) |
$392.50 |
$785 |
1.8× |
| Cpt initial (94667) |
$43.50 |
$87 |
0.3× |
| Critical care (99291) |
$883 |
$1,766 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$212.50 |
$425 |
1.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$128.50 |
$257 |
0.6× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$699.75 |
$1,399.50 |
1.7× |
| 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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$653.50 |
$1,307 |
2.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$221.50 |
$443 |
2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$278 |
$556 |
2.7× |
| Duplex scan extracranial art compl bi study (93880) |
$486 |
$972 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$252.50 |
$505 |
1.1× |
| Echo transesophageal (93312) |
$813.50 |
$1,627 |
1.5× |
| EEG awake 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 coma or sleep only (95822) |
$309 |
$618 |
1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$416 |
$832 |
2.0× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$798.50 |
$1,597 |
2.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$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 w/o video by tech 2-12hr continuous r-t mntr (95707) |
$416 |
$832 |
2.0× |
| EKG (93005) |
$81 |
$162 |
1.4× |
| EKG rhythm strip (93041) |
$129 |
$258 |
2.2× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$960 |
$1,920 |
0.8× |
| Er level 1 (99281) |
$167 |
$334 |
2.0× |
| Er level ii (99282) |
$230 |
$460 |
1.5× |
| Er level iii (99283) |
$346.50 |
$693 |
1.3× |
| Er level IV (99284) |
$506.50 |
$1,013 |
1.2× |
| Er level v (99285) |
$759.50 |
$1,519 |
1.3× |
| Evaluation of speech fluency (92521) |
$179 |
$358 |
1.3× |
| Evaluation of speech sound production (92522) |
$146 |
$292 |
1.3× |
| Evaluation of swallowing function (92610) |
$205.50 |
$411 |
2.4× |
| Evaluation with prescription of speech-generating alternative (92607) |
$129.50 |
$259 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$40.50 |
$81 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$220.50 |
$441 |
3.8× |
| 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× |
| Flow volume loop (94375) |
$178.50 |
$357 |
0.8× |
| 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 (90935) |
$384.50 |
$769 |
0.6× |
| Holter Monitor Recording (93225) |
$150 |
$300 |
1.1× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$56 |
$112 |
1.4× |
| Immunization Admin (90471) |
$51 |
$102 |
0.7× |
| Injection intra arterial (96373) |
$125.50 |
$251 |
0.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) |
$72 |
$144 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$191.50 |
$383 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$43.50 |
$87 |
0.9× |
| IV push initial (96374) |
$211.50 |
$423 |
1.0× |
| Manual therapy 15 min (97140) |
$90 |
$180 |
3.2× |
| Massage 15 min (97124) |
$69.50 |
$139 |
2.3× |
| Maximum voluntary ventilation (94200) |
$162.50 |
$325 |
2.8× |
| Mechanical chest wall oscillation (94669) |
$54 |
$108 |
0.3× |
| Mechanical traction (97012) |
$27.50 |
$55 |
1.9× |
| Methacholine challenge (94070) |
$219 |
$438 |
0.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (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 press wnd tx </=50 sq cm (97607) |
$409 |
$818 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$477 |
$954 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$88.50 |
$177 |
0.4× |
| Newborn resuscitation (99465) |
$726.50 |
$1,453 |
1.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$237 |
$474 |
1.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$264.50 |
$529 |
1.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$92.50 |
$185 |
0.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$37.50 |
$75 |
0.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$63 |
$126 |
2.0× |
| Ot Contrast Bath Ea 15 Min (97034) |
$64 |
$128 |
4.6× |
| Ot eval high complex 60 min (97167) |
$177.50 |
$355 |
1.8× |
| Ot eval low complex 30 min (97165) |
$97 |
$194 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$125 |
$250 |
1.2× |
| Ot Range Motion Measure,Each Extrem (95851) |
$57.50 |
$115 |
2.2× |
| Ot re-eval est plan care (97168) |
$79 |
$158 |
1.2× |
| 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× |
| Paraffin bath (97018) |
$40 |
$80 |
6.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$128.50 |
$257 |
0.6× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$227.50 |
$455 |
3.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$227.50 |
$455 |
3.9× |
| 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 Aquatic Therapy/Exercises (97113) |
$56.50 |
$113 |
1.5× |
| Pt Electric Current Therapy (97033) |
$46 |
$92 |
2.4× |
| Pt Electrical Stimulation (97032) |
$48 |
$96 |
3.3× |
| Pt eval high complex 45 min (97163) |
$196.50 |
$393 |
2.0× |
| Pt eval low complex 20 min (97161) |
$80 |
$160 |
0.8× |
| Pt Gait Training Therapy (97116) |
$36.50 |
$73 |
1.3× |
| Pt group caregiver training (97552) |
$33.50 |
$67 |
1.5× |
| Pt Infrared Therapy (97026) |
$54.50 |
$109 |
8.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$39 |
$78 |
1.2× |
| Pt Physical Performance Test (97750) |
$44 |
$88 |
1.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$134.50 |
$269 |
1.4× |
| Pt re-evaluation (97164) |
$40.50 |
$81 |
0.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$33.50 |
$67 |
1.0× |
| Pt Ultrasound Therapy (97035) |
$35.50 |
$71 |
2.5× |
| Pt Whirlpool Therapy (97022) |
$34 |
$68 |
2.2× |
| Pulm function test by gas (94727) |
$171.50 |
$343 |
0.8× |
| Pulmonary stress testing (94618) |
$155 |
$310 |
1.2× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$97 |
$194 |
2.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$141.50 |
$283 |
3.9× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$90.50 |
$181 |
1.7× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$74.50 |
$149 |
1.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$136.50 |
$273 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$100 |
$200 |
0.5× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$78.50 |
$157 |
3.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$35.50 |
$71 |
0.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$43.50 |
$87 |
0.9× |
| Sensory Integration Ea 15 Min (97533) |
$69.50 |
$139 |
1.1× |
| Sleep study unattended (95806) |
$381.75 |
$763.50 |
1.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$742 |
$1,484 |
3.5× |
| Smoking cessation > 10 min (99407) |
$54.50 |
$109 |
1.5× |
| Speech group therapy (92508) |
$61.50 |
$123 |
2.6× |
| 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) |
$64.50 |
$129 |
2.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$69.50 |
$139 |
3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77.50 |
$155 |
1.1× |
| Therapeutic Activities (97530) |
$39 |
$78 |
1.1× |
| Therapeutic phlebotomy (99195) |
$95.50 |
$191 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28 |
$56 |
0.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,112 |
$2,224 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$72 |
$144 |
0.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$90.50 |
$181 |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$56.50 |
$113 |
1.2× |
| Unlisted otorhinolaryngological service (92700) |
$270 |
$540 |
9.5× |
| Unlisted pulmonary service/procedure (94799) |
$136.50 |
$273 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$316 |
$632 |
1.3× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$448 |
$896 |
4.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$260 |
$520 |
1.2× |
| Vasopneumatic device (97016) |
$50.50 |
$101 |
4.2× |
| Ventilation assist & mgmt inpatient 1st 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× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$184.50 |
$369 |
3.2× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$736 |
$1,472 |
7.9× |