| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$614.94 |
$1,380 |
1.8× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$113.18 |
$254 |
0.5× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$9.50 |
$32 |
0.1× |
| Ambulatory bp recording (93786) |
$49.60 |
$167 |
0.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$9.12 |
$81 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$6.87 |
$79 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$5.74 |
$66 |
— |
| Assessment of aphasia (96105) |
$135.36 |
$427 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$119.83 |
$378 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$16.31 |
$145 |
— |
| Bipap initial day (94660) |
$218.70 |
$813 |
0.9× |
| Breathing capacity test (94010) |
$129.60 |
$432 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$172.80 |
$576 |
0.4× |
| C motor evoked uppr limbs (95928) |
$1,089.75 |
$1,453 |
1.2× |
| Canalith repositioning (95992) |
$15.08 |
$134 |
— |
| Cardiovascular procedure unlisted (93799) |
$3,062.72 |
$4,785.50 |
22.6× |
| Cardiovascular stress test (93017) |
$474.98 |
$741 |
2.1× |
| Cardioversion elective external (92960) |
$674.37 |
$1,661 |
1.0× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$10,442.24 |
$16,316 |
3.1× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$9,310.72 |
$14,548 |
2.7× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$8,839.04 |
$13,811 |
2.6× |
| Chemo anti-neopl sq/im (96401) |
$235.28 |
$528 |
3.1× |
| Chemo IV infus each addl seq (96417) |
$110.51 |
$248 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$60.16 |
$135 |
0.8× |
| Chemo IV push addl drug (96411) |
$120.31 |
$270 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$280.73 |
$630 |
0.8× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$291.87 |
$655 |
0.8× |
| Chest physiotherapy initial (94667) |
$62.95 |
$234 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$416.74 |
$1,215 |
1.7× |
| Color/duplex Doppler, limited (93976) |
$240.44 |
$701 |
2.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$19.60 |
$142 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$7,339.46 |
$24,712 |
0.9× |
Compre ep eval abltj atr fib pulm vein isolation (93656)
unusually low — confirm this is the full procedure |
$10,926.93 |
$36,791 |
0.4× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$11,542.01 |
$38,862 |
1.4× |
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653)
unusually low — confirm this is the full procedure |
$9,636.46 |
$32,446 |
0.3× |
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654)
unusually low — confirm this is the full procedure |
$11,609.43 |
$39,089 |
0.4× |
| Coronary art/grft angio s&i (93455) |
$8,764.16 |
$13,694 |
2.6× |
| Coronary artery angio s&i (93454) |
$6,622.08 |
$10,347 |
1.9× |
| Cpr (92950) |
$435.40 |
$1,466 |
1.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,920.70 |
$7,613 |
4.5× |
| Delivery/birthing room resuscitation (99465) |
$393.47 |
$883 |
0.6× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$372.50 |
$1,086 |
3.4× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$307.33 |
$896 |
1.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$429.44 |
$1,252 |
1.7× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$375.93 |
$1,096 |
3.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$329.97 |
$962 |
1.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$323.45 |
$943 |
2.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$403.03 |
$1,175 |
1.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$240.44 |
$701 |
2.2× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$318.30 |
$928 |
1.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$199.63 |
$582 |
1.8× |
| ECG monit/reprt up to 48 hrs (93226) |
$270.44 |
$605 |
4.3× |
| Echo transesophageal (93312) |
$538.56 |
$1,360 |
0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$591.23 |
$1,493 |
1.0× |
| EEG 41-60 minutes (95812) |
$906.91 |
$1,608 |
4.0× |
| EEG awake & asleep (95819) |
$991.51 |
$1,758 |
4.4× |
| EEG awake/drowsy (95816) |
$842.62 |
$1,494 |
3.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,119.54 |
$1,985 |
4.9× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$1,376.72 |
$2,441 |
3.5× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,251.52 |
$2,219 |
3.2× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$1,460.20 |
$2,589 |
3.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$959.36 |
$1,701 |
4.2× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$834.16 |
$1,479 |
3.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,042.84 |
$1,849 |
4.6× |
| EKG 12 lead tracing only (93005) |
$85.82 |
$288 |
1.4× |
| EKG rhythm strip (93041) |
$41.72 |
$140 |
0.7× |
| Emergency department visit high mdm (99285) |
$2,245.25 |
$2,675 |
3.6× |
| Emergency department visit low mdm (99283) |
$1,074.28 |
$1,669 |
3.7× |
| Emergency department visit may not req phys/qhp (99281) |
$352.83 |
$616 |
4.0× |
| Emergency department visit moderate mdm (99284) |
$2,127.47 |
$2,175 |
4.8× |
| Emergency department visit straightforward mdm (99282) |
$525.17 |
$1,163 |
3.2× |
| Endoscopy swallow (fees) vid (92612) |
$178.53 |
$330 |
— |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,123 |
$2,103 |
2.9× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$186.65 |
$345 |
— |
| Evaluate pt use of inhaler (94664) |
$61.06 |
$227 |
0.3× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$102.25 |
$189 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$233.17 |
$431 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$166.63 |
$308 |
— |
| Evaluation of speech fluency (92521) |
$145.50 |
$459 |
— |
| Evaluation of speech sound production articulate (92522) |
$121.73 |
$384 |
— |
| External ECG rec>48hr<7d recording (93242) |
$143.93 |
$322 |
3.7× |
| External ECG rec>7d<15d recording (93246) |
$103.26 |
$231 |
2.6× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$181.04 |
$405 |
1.3× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$297.55 |
$550 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$112.20 |
$374 |
0.5× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$975.62 |
$1,827 |
2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,980.61 |
$3,709 |
2.2× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$987.03 |
$2,215 |
1.4× |
| Hot/cold pack (97010) |
$1.74 |
$20 |
— |
| Immunization administration (90471) |
$16.40 |
$118 |
0.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$83.24 |
$168 |
1.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$151.37 |
$318 |
0.7× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,231.68 |
$3,487 |
1.3× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$59.10 |
$199 |
1.5× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$62.37 |
$210 |
1.6× |
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650)
unusually low — confirm this is the full procedure |
$3,700.62 |
$12,460 |
0.4× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$80.44 |
$169 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$67.48 |
$119 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$220 |
$388 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$107.73 |
$190 |
1.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$282.36 |
$498 |
1.3× |
| IV tx, each additional hour (96366) |
$72 |
$127 |
1.5× |
| Lwr xtr vasc stdy bilat (93924) |
$332.02 |
$968 |
1.5× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$75.05 |
$279 |
0.5× |
| Mechanical chest wall oscillation lung function (94669) |
$120.78 |
$449 |
0.5× |
| Mechanical traction therapy (97012) |
$12.97 |
$94 |
— |
| Methacholine challenge (94070) |
$216 |
$720 |
0.5× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$245.07 |
$453 |
— |
| Muscle test 3 limbs (95863) |
$420.66 |
$944 |
3.1× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$280.29 |
$629 |
2.0× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$270.12 |
$787.50 |
1.2× |
| Occupational therapy eval high complex 60 mins (97167) |
$175.15 |
$492 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$124.96 |
$351 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$139.55 |
$392 |
— |
| Oral function therapy (92526) |
$40.43 |
$293 |
— |
| Oral speech device eval (92597) |
$129.02 |
$407 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$19.01 |
$169 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$18.79 |
$167 |
— |
| Ot manual therapy ea 15 min (97140) |
$15.42 |
$137 |
— |
| Ot neuromuscular re-education (97112) |
$15.42 |
$137 |
— |
| Ot re-evaluation (97168) |
$105.02 |
$295 |
— |
| OT Therapeutic Activities Charges (97530) |
$14.51 |
$129 |
— |
| Ot wheelchair management (97542) |
$17.66 |
$157 |
— |
| Phlebotomy therapeutic (99195) |
$228.48 |
$480 |
1.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$184.50 |
$492 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$131.62 |
$351 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$147 |
$392 |
— |
| Prgrmg dev eval pm/ldls pm (93279) |
$43.96 |
$148 |
1.1× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$16.76 |
$149 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
$8,323.84 |
$13,006 |
1.4× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$9,795.20 |
$15,305 |
0.8× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$10,850.56 |
$16,954 |
0.9× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$12,243.84 |
$19,131 |
1.0× |
| Pt gait training 15 min (97116) |
$12.38 |
$110 |
— |
| Pt re-evaluation (97164) |
$110.62 |
$295 |
— |
| Pulm funct tst plethysmograp (94726) |
$141 |
$470 |
0.4× |
| Pulmonary stress testing (94618) |
$315.30 |
$1,051 |
2.2× |
| R hrt art/grft angio (93457) |
$10,387.20 |
$16,230 |
3.0× |
| R hrt coronary artery angio (93456) |
$9,783.04 |
$15,286 |
2.9× |
| R&l hrt art/ventricle angio (93461) |
$11,514.24 |
$17,991 |
3.4× |
| R&l hrt cath w/ventriclgrphy (93453) |
$11,791.36 |
$18,424 |
3.4× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$419.83 |
$882 |
1.2× |
| Remote 30 day ECG rev/report (93270) |
$209.64 |
$469 |
5.3× |
| Respiratory flow volume loop (94375) |
$64.20 |
$214 |
0.3× |
| Right heart cath o2 saturation & cardiac output (93451) |
$4,751.36 |
$7,424 |
1.4× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$17.53 |
$127 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$30.22 |
$219 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$561.47 |
$1,260 |
2.5× |
| Speech sound lang comprehen (92523) |
$173.08 |
$546 |
— |
| Standardized cognitive performance testing (96125) |
$101.70 |
$447 |
— |
| Stress tte only (93350) |
$389.27 |
$983 |
0.7× |
| Temp transcutaneous pacing (92953) |
$427.11 |
$1,052 |
0.6× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$105.30 |
$351 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$16.97 |
$123 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$16.28 |
$118 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$42.78 |
$96 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$17.78 |
$158 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$10.27 |
$118 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$66.40 |
$134 |
0.9× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$63.40 |
$200 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$113.49 |
$358 |
— |
| Tilt table evaluation (93660) |
$357.88 |
$1,205 |
0.9× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$327.89 |
$828 |
0.6× |
| Tte congenital complete (93303) |
$427.68 |
$1,080 |
0.7× |
| Tte f-up or lmtd (93308) |
$291.06 |
$735 |
1.2× |
| Tte w/doppler complete (93306) |
$760.72 |
$1,921 |
1.3× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$90.98 |
$287 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$52.14 |
$117 |
— |
| Upr/l xtremity art 2 levels (93922) |
$174.93 |
$510 |
1.2× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,042.84 |
$1,849 |
4.6× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,303.97 |
$2,312 |
3.3× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,199.63 |
$2,127 |
3.0× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,825.67 |
$3,237 |
2.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,721.33 |
$3,052 |
4.4× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$1,564.54 |
$2,774 |
4.0× |
| Ventilation ip/obs initial day (94002) |
$1,188.44 |
$4,418 |
1.8× |
| Ventilator subsequent day (94003) |
$1,089.99 |
$4,052 |
1.7× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$524.04 |
$1,176 |
2.3× |
| Vital capacity total (94150) |
$56.70 |
$189 |
0.4× |