| Aep hearing status deter broadband stimuli i&r (92651) |
$107.48 |
$190 |
0.5× |
| Appl on-body injector for timed subq injection (96377) |
$41.28 |
$80 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$211.86 |
$409 |
0.5× |
| Canalith Repositioning (95992) |
$38.91 |
$167 |
1.0× |
| Capsule endoscopy (91110) |
$1,144.25 |
$1,990 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$466.36 |
$929 |
2.0× |
| Cardiopulmonary exercise testing (94621) |
$470.86 |
$909 |
1.2× |
| Cardiopulmonary resuscitation (92950) |
$249.62 |
$511 |
1.1× |
| Cardioversion (92960) |
$420.74 |
$872 |
0.6× |
| Chemo Admin Peritoneal Cavity (96446) |
$240.01 |
$678 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$75.76 |
$214 |
1.0× |
| Chemo inj subarach/intravent (96542) |
$153.99 |
$435 |
0.4× |
| Chemo IV push addl drug (96411) |
$42.13 |
$119 |
0.5× |
| Chemo Iv Push Sngl Drug (96409) |
$67.61 |
$191 |
0.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$33.13 |
$211 |
0.1× |
| Chemother, IV infusion, 1 hr (96413) |
$31.56 |
$201 |
0.1× |
| Chemother, IV infusion, ea add hr (96415) |
$7.07 |
$45 |
0.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$195.41 |
$552 |
2.5× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$236.12 |
$667 |
0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$15.54 |
$99 |
0.2× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$541.31 |
$1,045 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$322.46 |
$669 |
1.3× |
| Color/duplex Doppler, limited (93976) |
$187.98 |
$390 |
1.7× |
| Cpap initiation and management (94660) |
$216.43 |
$439 |
0.9× |
| Cpt initial (94667) |
$35.50 |
$72 |
0.3× |
| Critical care (99291) |
$539.66 |
$1,115 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$26.33 |
$113 |
0.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$55.71 |
$113 |
0.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$219.31 |
$455 |
0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$139.30 |
$289 |
1.2× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$239.55 |
$497 |
2.1× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$146.53 |
$304 |
1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$373.07 |
$774 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$230.88 |
$479 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$391.38 |
$812 |
1.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$256.91 |
$533 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$317.64 |
$659 |
2.8× |
| Duplex hemodialysis access (93990) |
$294.02 |
$610 |
2.6× |
| Duplex scan extracranial art compl bi study (93880) |
$395.24 |
$820 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$292.36 |
$559 |
1.1× |
| Echo transesophageal (93312) |
$758.87 |
$1,451 |
1.3× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$834.71 |
$1,596 |
1.4× |
| EEG awake asleep (95819) |
$231.22 |
$433 |
1.0× |
| EEG awake drowsy (95816) |
$197.58 |
$370 |
0.9× |
| EKG (93005) |
$117.39 |
$232 |
1.9× |
| EKG rhythm strip (93041) |
$55.66 |
$110 |
0.9× |
| Electroconvulsive Therapy (90870) |
$445.21 |
$787 |
0.5× |
| Er level 1 (99281) |
$197.65 |
$255 |
2.2× |
| Er level ii (99282) |
$252.10 |
$315 |
1.5× |
| Er level iii (99283) |
$496.79 |
$445 |
1.7× |
| Er level IV (99284) |
$1,191.40 |
$565 |
2.7× |
| Er level v (99285) |
$1,496.11 |
$775 |
2.4× |
| Evaluation of swallowing function (92610) |
$162.40 |
$251 |
1.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$265.08 |
$461 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$695.18 |
$1,209 |
0.8× |
| Group Therapeutic Procedures (97150) |
$31.11 |
$55 |
1.7× |
| Immunization Admin (90471) |
$21.06 |
$60 |
0.3× |
| Ins swan ganz bedside (93503) |
$1,256.37 |
$2,612 |
0.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$93.46 |
$264 |
0.4× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$59.47 |
$168 |
0.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$68.11 |
$132 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$27.84 |
$58 |
0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$101.28 |
$211 |
0.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$53.76 |
$112 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$121.44 |
$253 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$31.68 |
$66 |
0.6× |
| IV push initial (96374) |
$132.10 |
$256 |
0.6× |
| Low frequency non-thermal us (97610) |
$39.61 |
$170 |
0.2× |
| Manual therapy 15 min (97140) |
$11.46 |
$83 |
0.4× |
| Massage 15 min (97124) |
$9.24 |
$67 |
0.3× |
| Maximum voluntary ventilation (94200) |
$49.21 |
$95 |
0.8× |
| Mechanical chest wall oscillation (94669) |
$171.56 |
$348 |
0.7× |
| Mechanical traction (97012) |
$18.17 |
$78 |
1.3× |
| Methacholine challenge (94070) |
$211.86 |
$409 |
0.5× |
| Motility study esophagus (91010) |
$427.22 |
$743 |
1.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$190.86 |
$295 |
2.1× |
| Multiple sleep latency test (95805) |
$3,123.50 |
$3,924 |
3.4× |
| Neg press wnd tx </=50 sq cm (97607) |
$210.13 |
$368 |
0.5× |
| Neg press wound tx >50 cm (97608) |
$246.10 |
$431 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$23.07 |
$99 |
0.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$45.20 |
$194 |
0.1× |
| Newborn resuscitation (99465) |
$290.77 |
$514 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$161.95 |
$336 |
1.1× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$204.61 |
$395 |
0.5× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$8.83 |
$64 |
0.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$10.76 |
$78 |
0.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$6.76 |
$49 |
0.5× |
| Ot eval high complex 60 min (97167) |
$29.59 |
$216 |
0.3× |
| Ot eval low complex 30 min (97165) |
$17.67 |
$129 |
0.2× |
| Ot eval mod complex 45 min (97166) |
$23.56 |
$172 |
0.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$9.11 |
$66 |
0.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$8.28 |
$60 |
0.2× |
| Ot Range Motion Measure,Each Extrem (95851) |
$15.15 |
$65 |
0.6× |
| Ot re-eval est plan care (97168) |
$17.67 |
$129 |
0.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$157.82 |
$288 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$121.66 |
$222 |
0.9× |
| Paraffin bath (97018) |
$4.69 |
$34 |
0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$149.87 |
$304 |
0.6× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$144.74 |
$306 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$114.47 |
$242 |
1.8× |
| Plethysmography (94726) |
$113.44 |
$219 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,077.71 |
$5,763.50 |
3.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,318.81 |
$6,215 |
3.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$5,224.15 |
$6,563 |
5.7× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,464.76 |
$2,743 |
1.6× |
| Psych diag eval w/med srvcs (90792) |
$197.43 |
$349 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$179.33 |
$317 |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$18.17 |
$78 |
0.5× |
| Pt Electric Current Therapy (97033) |
$10.49 |
$76 |
0.6× |
| Pt Electrical Stimulation (97032) |
$9.38 |
$68 |
0.6× |
| Pt eval high complex 45 min (97163) |
$44.50 |
$216 |
0.5× |
| Pt eval low complex 20 min (97161) |
$26.57 |
$129 |
0.3× |
| Pt Gait Training Therapy (97116) |
$16.78 |
$72 |
0.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$10.08 |
$73 |
0.3× |
| Pt Physical Performance Test (97750) |
$14.68 |
$63 |
0.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$35.43 |
$172 |
0.4× |
| Pt re-evaluation (97164) |
$26.57 |
$129 |
0.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$11.46 |
$83 |
0.4× |
| Pt Ultrasound Therapy (97035) |
$10.08 |
$73 |
0.7× |
| Pt Whirlpool Therapy (97022) |
$16.31 |
$70 |
1.0× |
| Pulm Funct Test Oscillometry (94728) |
$99.97 |
$193 |
0.7× |
| Pulm function test by gas (94727) |
$106.19 |
$205 |
0.5× |
| Pulmonary stress testing (94618) |
$134.68 |
$260 |
0.9× |
| Refill/Maint Pump/Resvr Syst (96522) |
$65.02 |
$126 |
0.3× |
| Refill/maint, portable pump (96521) |
$78.95 |
$153 |
0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$56.53 |
$99 |
0.3× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$15.84 |
$68 |
0.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$44.86 |
$91 |
0.3× |
| Sensory Integration Ea 15 Min (97533) |
$9.11 |
$66 |
0.1× |
| Sleep study attended (95807) |
$1,303.23 |
$2,440.50 |
3.3× |
| Sleep study unattended (95806) |
$520.58 |
$654 |
2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$497.50 |
$625 |
2.2× |
| Speech sound lang comprehen (92523) |
$181.30 |
$370 |
0.8× |
| Spirometry (94010) |
$118.62 |
$229 |
0.5× |
| Stress echo (93350) |
$557 |
$1,065 |
1.0× |
| Surfactant Admin Thru Tube (94610) |
$39.37 |
$76 |
0.2× |
| Temp transcutaneous pacing (92953) |
$261.84 |
$541 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$3.74 |
$87 |
0.2× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$3.57 |
$83 |
0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$37.50 |
$75 |
0.5× |
| Therapeutic Activities (97530) |
$9.24 |
$67 |
0.3× |
| Therapeutic phlebotomy (99195) |
$66.05 |
$128 |
0.5× |
| Tilt Table Eval (93660) |
$665.22 |
$1,383 |
1.7× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$402.47 |
$835 |
1.6× |
| Transcranial Doppler Limited (93888) |
$233.77 |
$485 |
2.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$652.70 |
$1,248 |
1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$90.65 |
$185 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$100.45 |
$205 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$37.50 |
$75 |
0.8× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,276.64 |
$2,441 |
2.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$365.36 |
$758 |
1.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$253.53 |
$526 |
2.3× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$205.33 |
$426 |
0.9× |
| Vasopneumatic device (97016) |
$1.63 |
$38 |
0.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$501.38 |
$1,017 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$358.90 |
$728 |
0.5× |
| Vital capacity total (94150) |
$22.27 |
$43 |
0.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$16.78 |
$72 |
0.5× |