| Appl modality 1+lllt po pain (97037) |
$60.46 |
$86 |
1.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$29.89 |
$61 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$81.72 |
$137 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$88.28 |
$148 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$65.62 |
$110 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$64.42 |
$108 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$84.36 |
$120 |
— |
| Bipap initial day (94660) |
$507.99 |
$885 |
2.3× |
| Breathing capacity test (94010) |
$299.65 |
$461 |
1.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$381.55 |
$587 |
1.0× |
| Canalith repositioning (95992) |
$158.17 |
$225 |
— |
| Cardiovascular stress test (93017) |
$1,069.28 |
$1,630 |
4.8× |
| Cardioversion elective external (92960) |
$637.30 |
$1,189 |
0.9× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$127.74 |
$178 |
3.3× |
| Caregiver training 1st 30 min (97550) |
$115.72 |
$194 |
— |
| Caregiver training ea addl 15 (97551) |
$57.86 |
$97 |
— |
| Chemo anti-neopl sq/im (96401) |
$288.58 |
$495 |
3.9× |
| Chemo hormon antineopl sq/im (96402) |
$107.85 |
$185 |
1.5× |
| Chemo IV infus each addl seq (96417) |
$108.60 |
$200 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$47.78 |
$88 |
0.6× |
| Chemo IV push addl drug (96411) |
$103.77 |
$178 |
1.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$221 |
$407 |
0.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$227.95 |
$391 |
0.7× |
| Chest physiotherapy initial (94667) |
$81.51 |
$142 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$902.48 |
$1,349 |
3.7× |
| Color/duplex Doppler, limited (93976) |
$532.52 |
$796 |
5.0× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$49 |
$100 |
— |
| Cpr (92950) |
$465.78 |
$869 |
2.1× |
| Critical care ill/injured patient init 30-74 min (99291) |
$782.02 |
$1,459 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$159.58 |
$227 |
0.8× |
| Delivery/birthing room resuscitation (99465) |
$708.33 |
$987 |
1.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$501.75 |
$750 |
2.1× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$388.69 |
$581 |
3.6× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$978.08 |
$1,462 |
4.0× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$525.17 |
$785 |
4.9× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,148 |
$1,716 |
4.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$871.04 |
$1,302 |
8.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$995.47 |
$1,488 |
4.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$646.25 |
$966 |
6.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$859.67 |
$1,285 |
3.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$719.18 |
$1,075 |
6.7× |
| ECG monit/reprt up to 48 hrs (93226) |
$449.97 |
$627 |
7.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,026.54 |
$1,594 |
1.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$606.65 |
$942 |
2.5× |
| EKG 12 lead tracing only (93005) |
$214.17 |
$330 |
3.6× |
| EKG rhythm strip (93041) |
$112.93 |
$174 |
1.9× |
| Emergency department visit high mdm (99285) |
$3,272.86 |
$1,120 |
5.4× |
| Emergency department visit low mdm (99283) |
$814.19 |
$454 |
2.9× |
| Emergency department visit may not req phys/qhp (99281) |
$286.51 |
$146 |
3.3× |
| Emergency department visit moderate mdm (99284) |
$2,142.59 |
$771 |
5.0× |
| Emergency department visit straightforward mdm (99282) |
$365.45 |
$273 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$142.93 |
$249 |
0.6× |
| Evoked auditory test limited (92587) |
$172.96 |
$241 |
0.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$301.42 |
$420 |
2.2× |
| Fluidotherapy (97022) |
$58.31 |
$119 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$267.80 |
$412 |
1.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$771.26 |
$985 |
0.9× |
| Group caregiver training strategies & technique (97552) |
$38.78 |
$65 |
— |
| Immunization administration (90471) |
$48.49 |
$108 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$127.32 |
$222 |
2.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$195.52 |
$320 |
0.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$155.19 |
$254 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$69.02 |
$114 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$256.73 |
$424 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$80.54 |
$133 |
1.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$272.48 |
$450 |
1.3× |
| IV tx, each additional hour (96366) |
$73.87 |
$122 |
1.5× |
| Low frequency non-thermal us (97610) |
$210.90 |
$300 |
1.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$105.62 |
$184 |
0.8× |
| Maximum voluntary ventilation (94200) |
$113.75 |
$175 |
1.9× |
| Mechanical chest wall oscillation lung function (94669) |
$176.22 |
$307 |
0.8× |
| Mechanical traction therapy (97012) |
$108.26 |
$154 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44.69 |
$49 |
— |
| Medical nutrition group (97804) |
$35.57 |
$39 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$41.95 |
$46 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$343.77 |
$489 |
0.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$403.52 |
$574 |
1.0× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$153.25 |
$218 |
0.7× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$274.87 |
$391 |
0.7× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$115.94 |
$220 |
0.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$71.26 |
$262 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$70.99 |
$261 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$68.54 |
$252 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$78.14 |
$131 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$70.98 |
$119 |
— |
| Ot manual therapy ea 15 min (97140) |
$90.67 |
$152 |
— |
| Ot neuromuscular re-education (97112) |
$85.90 |
$144 |
— |
| Ot paraffin bath (97018) |
$38.78 |
$65 |
— |
| Ot re-evaluation (97168) |
$61.20 |
$225 |
— |
| OT Therapeutic Activities Charges (97530) |
$56.66 |
$95 |
— |
| Ot wheelchair management (97542) |
$50.70 |
$85 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$154.44 |
$234 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$97.68 |
$148 |
0.7× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$288.60 |
$444 |
4.8× |
| Phlebotomy therapeutic (99195) |
$157.03 |
$257 |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$140.97 |
$254 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$132.65 |
$239 |
2.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$166.63 |
$262 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$166 |
$261 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$160.27 |
$252 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$73.82 |
$105 |
— |
| Psych diag eval w/med srvcs (90792) |
$296.39 |
$413 |
1.6× |
| Psychiatric diagnostic evaluation (90791) |
$259.08 |
$361 |
1.4× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$117.52 |
$223 |
0.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$41.11 |
$78 |
0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$26.88 |
$51 |
0.2× |
| Psytx crisis initial 60 min (90839) |
$218.17 |
$304 |
1.2× |
| Pt gait training 15 min (97116) |
$59.05 |
$84 |
— |
| Pt physical performance test (97750) |
$65.38 |
$93 |
— |
| Pt re-evaluation (97164) |
$143.10 |
$225 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$194.73 |
$277 |
— |
| Pulmonary stress testing (94618) |
$375.70 |
$578 |
2.8× |
| Refilling and maintenance of portable pump (96521) |
$188.19 |
$308 |
0.9× |
| Remote 30 day ECG rev/report (93270) |
$294.24 |
$410 |
7.7× |
| Respiratory flow volume loop (94375) |
$187.20 |
$288 |
0.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$57.86 |
$97 |
— |
| Stress tte only (93350) |
$830.12 |
$1,289 |
1.5× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$82.35 |
$122 |
1.7× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$882.22 |
$1,307 |
4.1× |
| Tcd emboli detect wo inj (93892) |
$400.73 |
$599 |
3.8× |
| Temp transcutaneous pacing (92953) |
$529.03 |
$987 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$48.51 |
$99 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$45.57 |
$93 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$52.39 |
$73 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$77.33 |
$110 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$54.13 |
$77 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$101.51 |
$177 |
1.4× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$388.02 |
$580 |
3.6× |
| Tte f-up or lmtd (93308) |
$430.84 |
$669 |
1.8× |
| Tte w/doppler complete (93306) |
$1,906.24 |
$2,960 |
3.4× |
| Ventilation ip/obs initial day (94002) |
$698.56 |
$1,217 |
1.1× |
| Ventilator subsequent day (94003) |
$563.67 |
$982 |
0.9× |
| Vital capacity total (94150) |
$56.55 |
$87 |
0.4× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$97.72 |
$139 |
— |
| Wound(s) care non-selective (97602) |
$139.19 |
$198 |
0.7× |