| Advance care planning first 30 mins (99497) |
$55.60 |
$139 |
0.6× |
| Airway inhalation treatment (94640) |
$180 |
$450 |
1.0× |
| Analyze neurostim no prog (95970) |
$120 |
$300 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$178 |
$445 |
4.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$101.20 |
$253 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$198.80 |
$497 |
0.6× |
| Capsule endoscopy (91110) |
$876.80 |
$2,192 |
1.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$456 |
$1,140 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$342.40 |
$856 |
1.8× |
| Cardioversion (92960) |
$594.80 |
$1,487 |
1.0× |
| Caregiver training 1st 30 min (97550) |
$62.40 |
$156 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$31.20 |
$78 |
1.2× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$2,660 |
$6,650 |
1.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$4,393.20 |
$10,983 |
1.6× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,451.20 |
$8,628 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,272.80 |
$8,182 |
1.2× |
| Cbt 1st hour (94644) |
$118.40 |
$296 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$256.80 |
$642 |
4.1× |
| Chemo IV push addl drug (96411) |
$245.60 |
$614 |
4.0× |
| Chemo Iv Push Sngl Drug (96409) |
$355.60 |
$889 |
1.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$723.20 |
$1,808 |
2.5× |
| Chemother, IV infusion, 1 hr (96413) |
$282.40 |
$706 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$106 |
$265 |
1.7× |
| Chemother,Ia Push Technique (96420) |
$359.60 |
$899 |
1.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$141.60 |
$354 |
2.3× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$1,474 |
$3,685 |
5.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$131.20 |
$328 |
2.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$36 |
$90 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$207.20 |
$518 |
2.3× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$106.80 |
$267 |
2.1× |
| Continuous Glucose Monitoring (95250) |
$210.40 |
$526 |
1.8× |
| Coronary artery angio s&i (93454) |
$2,660 |
$6,650 |
1.0× |
| Cpap initiation and management (94660) |
$239.20 |
$598 |
1.3× |
| Cpt initial (94667) |
$40.80 |
$102 |
0.4× |
| Critical care (99291) |
$1,682.40 |
$4,206 |
2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$174 |
$435 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$180.40 |
$451 |
1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$318.40 |
$796 |
2.9× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$733.60 |
$1,834 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$126 |
$315 |
1.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$140.80 |
$352 |
1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$280 |
$700 |
1.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$141.20 |
$353 |
1.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$280 |
$700 |
1.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$141.20 |
$353 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$205.60 |
$514 |
2.3× |
| Duplex hemodialysis access (93990) |
$206 |
$515 |
2.3× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$268.40 |
$671 |
1.3× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$183.60 |
$459 |
2.0× |
| Duplex scan extracranial art compl bi study (93880) |
$261.60 |
$654 |
1.3× |
| Echo Heart Xthoracic,Limited (93308) |
$261.60 |
$654 |
1.3× |
| Echo transesophageal (93312) |
$696.80 |
$1,742 |
1.5× |
| EEG awake asleep (95819) |
$364 |
$910 |
2.0× |
| EEG awake drowsy (95816) |
$231.60 |
$579 |
1.2× |
| EEG coma or sleep only (95822) |
$184 |
$460 |
1.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$108 |
$270 |
0.6× |
| EKG (93005) |
$106.80 |
$267 |
2.1× |
| EKG rhythm strip (93041) |
$106.80 |
$267 |
2.1× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$132.80 |
$332 |
1.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$42.40 |
$106 |
1.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$216.40 |
$541 |
1.2× |
| EMG four extremities (95864) |
$108 |
$270 |
1.0× |
| Er level 1 (99281) |
$168 |
$420 |
2.3× |
| Er level ii (99282) |
$265.60 |
$664 |
2.0× |
| Er level iii (99283) |
$450.80 |
$1,127 |
1.9× |
| Er level IV (99284) |
$998.40 |
$2,496 |
2.8× |
| Er level v (99285) |
$1,286 |
$3,215 |
2.5× |
| Esophageal Capsule Endoscopy (91111) |
$876.80 |
$2,192 |
1.1× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$128.40 |
$321 |
1.8× |
| Evaluation of speech fluency (92521) |
$119.20 |
$298 |
0.9× |
| Evaluation of speech sound production (92522) |
$97.20 |
$243 |
0.9× |
| Evaluation of swallowing function (92610) |
$98 |
$245 |
1.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$128.40 |
$321 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$254.40 |
$636 |
5.0× |
| Flow volume loop (94375) |
$192.80 |
$482 |
1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$539.60 |
$1,349 |
1.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$341.20 |
$853 |
1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$704.80 |
$1,762 |
1.0× |
| Group Therapeutic Procedures (97150) |
$70.80 |
$177 |
3.9× |
| Hemodialysis (90935) |
$704 |
$1,760 |
1.2× |
| Holter Monitor Recording (93225) |
$214 |
$535 |
1.9× |
| Hydrotherapy (97036) |
$159.20 |
$398 |
4.6× |
| Imaging of colon using capsule endoscope, with interpretation and report (91113) |
$992.40 |
$2,481 |
1.2× |
| Immunization Admin (90471) |
$54.40 |
$136 |
0.9× |
| Ins swan ganz bedside (93503) |
$1,276.80 |
$3,192 |
0.9× |
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure |
$484.40 |
$1,211 |
0.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$78.40 |
$196 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$34 |
$85 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$236 |
$590 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$246.80 |
$617 |
4.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$236 |
$590 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$48 |
$120 |
1.2× |
| IV push initial (96374) |
$228.80 |
$572 |
1.2× |
| Laryngeal Function Studies (92520) |
$312.80 |
$782 |
2.7× |
| Manual therapy 15 min (97140) |
$51.60 |
$129 |
1.9× |
| Mechanical chest wall oscillation (94669) |
$90 |
$225 |
0.5× |
| Mechanical traction (97012) |
$51.60 |
$129 |
3.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$26.80 |
$67 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$46 |
$115 |
1.3× |
| Mnt Group Ea 30 Min (97804) |
$17.60 |
$44 |
1.0× |
| Motility study esophagus (91010) |
$704.80 |
$1,762 |
2.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$196.80 |
$492 |
2.2× |
| Multiple sleep latency test (95805) |
$855.20 |
$2,138 |
1.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$350.40 |
$876 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$142.80 |
$357 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$83.60 |
$209 |
0.5× |
| Nerve conduction studies 13/> studies (95913) |
$251.60 |
$629 |
0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$251.60 |
$629 |
0.8× |
| Nerve conduction studies; 1-2 studies (95907) |
$108 |
$270 |
0.6× |
| Nerve conduction studies; 11-12 studies (95912) |
$251.60 |
$629 |
0.8× |
| Nerve conduction studies; 5-6 studies (95909) |
$219.60 |
$549 |
1.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$251.60 |
$629 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$247.20 |
$618 |
2.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$296.80 |
$742 |
1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$207.20 |
$518 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$53.20 |
$133 |
1.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$82.80 |
$207 |
2.6× |
| Ot eval high complex 60 min (97167) |
$94 |
$235 |
0.9× |
| Ot eval low complex 30 min (97165) |
$94 |
$235 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$94 |
$235 |
0.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$44 |
$110 |
0.9× |
| Ot re-eval est plan care (97168) |
$62 |
$155 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$187.60 |
$469 |
1.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$130.80 |
$327 |
1.2× |
| Paraffin bath (97018) |
$44.80 |
$112 |
7.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$134.40 |
$336 |
0.7× |
| Peripheral arterial disease rehab per session (93668) |
$136 |
$340 |
2.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$82.80 |
$207 |
1.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$82.80 |
$207 |
1.6× |
| Plethysmography (94726) |
$133.60 |
$334 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,420.80 |
$6,052 |
3.3× |
| Positional Nystagmus Test (92542) |
$129.60 |
$324 |
1.1× |
| Prq card revasc chronic 1vsl (92943) |
$9,153.60 |
$22,884 |
0.9× |
| Prq revasc byp graft 1 vsl (92937) |
$9,153.60 |
$22,884 |
0.9× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$9,153.60 |
$22,884 |
0.9× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$4,528.80 |
$11,322 |
0.9× |
| Pt Electrical Stimulation (97032) |
$77.60 |
$194 |
5.3× |
| Pt eval high complex 45 min (97163) |
$96.40 |
$241 |
1.0× |
| Pt eval low complex 20 min (97161) |
$96.40 |
$241 |
1.0× |
| Pt Gait Training Therapy (97116) |
$37.20 |
$93 |
1.3× |
| Pt group caregiver training (97552) |
$12.40 |
$31 |
0.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$52.40 |
$131 |
1.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$96.40 |
$241 |
1.0× |
| Pt re-evaluation (97164) |
$65.20 |
$163 |
1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$32.80 |
$82 |
1.0× |
| Pt Ultrasound Therapy (97035) |
$48 |
$120 |
3.3× |
| Pulm function test by gas (94727) |
$100.80 |
$252 |
0.5× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$5,174.40 |
$12,936 |
1.9× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$5,531.20 |
$13,828 |
2.0× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$227.60 |
$569 |
0.9× |
| Right heart cath (93451) |
$2,660 |
$6,650 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$84 |
$210 |
0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$40.80 |
$102 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$62.40 |
$156 |
1.3× |
| Sleep study attended (95807) |
$358.40 |
$896 |
1.1× |
| Sleep study unattended (95806) |
$640 |
$1,600 |
3.4× |
| Speech group therapy (92508) |
$70.80 |
$177 |
2.9× |
| Speech sound lang comprehen (92523) |
$201.20 |
$503 |
0.9× |
| Spirometry (94010) |
$134 |
$335 |
0.7× |
| Stress echo (93350) |
$562 |
$1,405 |
1.2× |
| Temp transcutaneous pacing (92953) |
$594.80 |
$1,487 |
1.0× |
| Testing of autonomic (sympathetic) nervous system function (95923) |
$126.80 |
$317 |
1.1× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$49.20 |
$123 |
2.2× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$52.40 |
$131 |
2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$154.40 |
$386 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$59.20 |
$148 |
1.0× |
| Therapeutic Activities (97530) |
$47.60 |
$119 |
1.4× |
| Therapeutic phlebotomy (99195) |
$96.40 |
$241 |
0.8× |
| Tilt Table Eval (93660) |
$514.40 |
$1,286 |
1.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$137.60 |
$344 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$137.60 |
$344 |
1.2× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$305.60 |
$764 |
1.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$759.20 |
$1,898 |
1.6× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$533.60 |
$1,334 |
2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$90.40 |
$226 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$97.60 |
$244 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$51.60 |
$129 |
1.3× |
| Unlisted pulmonary service/procedure (94799) |
$153.60 |
$384 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$408.80 |
$1,022 |
2.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$220 |
$550 |
2.4× |
| Vasopneumatic device (97016) |
$53.60 |
$134 |
4.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$306 |
$765 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$292 |
$730 |
0.5× |
| Vital capacity total (94150) |
$31.20 |
$78 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$49.60 |
$124 |
1.6× |