| Airway inhalation treatment (94640) |
$78.52 |
$314.07 |
0.4× |
| Appl on-body injector for timed subq injection (96377) |
$23.92 |
$95.68 |
0.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$52.78 |
$211.12 |
0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$155.48 |
$621.92 |
0.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$176.80 |
$707.20 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$296.40 |
$1,185.60 |
1.4× |
| Cardioversion (92960) |
$379.86 |
$1,519.44 |
0.6× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$4,090.84 |
$16,363.36 |
1.3× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$4,090.84 |
$16,363.36 |
1.3× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$12,166.96 |
$48,667.84 |
0.7× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$4,090.84 |
$16,363.36 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,090.84 |
$16,363.36 |
1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$54.60 |
$218.40 |
0.8× |
| Chemo IV push addl drug (96411) |
$101.14 |
$404.56 |
1.5× |
| Chemo Iv Push Sngl Drug (96409) |
$199.16 |
$796.64 |
0.6× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$127.66 |
$510.64 |
0.4× |
| Chemother, IV infusion, 1 hr (96413) |
$320.06 |
$1,280.24 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$58.50 |
$234 |
0.8× |
| Chemother,Ia Push Technique (96420) |
$127.66 |
$510.64 |
0.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$122.20 |
$488.80 |
1.8× |
| Chemotherapy, unspecified procedure (96549) |
$22.10 |
$88.40 |
0.5× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$341.90 |
$1,367.60 |
1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$100.88 |
$403.52 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$232.18 |
$928.72 |
1.0× |
| Color/duplex Doppler, limited (93976) |
$156 |
$624 |
1.5× |
| Coronary artery angio s&i (93454) |
$4,090.84 |
$16,363.36 |
1.3× |
| Cpap initiation and management (94660) |
$86.58 |
$346.30 |
0.4× |
| Critical care (99291) |
$1,183 |
$4,732 |
1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$201.71 |
$806.85 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$87.62 |
$350.48 |
0.4× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$74.88 |
$299.52 |
0.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$198.64 |
$794.56 |
0.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$147.68 |
$590.72 |
1.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$184.86 |
$739.44 |
0.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$158.60 |
$634.40 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$209.56 |
$838.23 |
2.1× |
| Duplex hemodialysis access (93990) |
$167.96 |
$671.84 |
1.7× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$136.50 |
$546 |
0.6× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$65.52 |
$262.08 |
0.6× |
| Duplex scan extracranial art compl bi study (93880) |
$291.20 |
$1,164.80 |
1.3× |
| Echo Heart Xthoracic,Limited (93308) |
$314.26 |
$1,257.02 |
1.4× |
| Echo transesophageal (93312) |
$646.62 |
$2,586.48 |
1.2× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$430.56 |
$1,722.24 |
0.8× |
| EEG awake asleep (95819) |
$334.62 |
$1,338.48 |
1.6× |
| EEG awake drowsy (95816) |
$326.56 |
$1,306.24 |
1.6× |
| EEG cerebral death evaluation (95824) |
$353.34 |
$1,413.36 |
1.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$155.48 |
$621.92 |
0.7× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$604.24 |
$2,416.96 |
2.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$148.20 |
$592.80 |
0.7× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$283.92 |
$1,135.68 |
0.8× |
| EKG (93005) |
$32.50 |
$129.98 |
0.6× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$664 |
$2,655.98 |
3.2× |
| Er level 1 (99281) |
$455 |
$1,820 |
5.6× |
| Er level ii (99282) |
$656.50 |
$2,626 |
4.4× |
| Er level iii (99283) |
$786.49 |
$3,145.94 |
3.0× |
| Er level IV (99284) |
$864.49 |
$3,457.96 |
2.1× |
| Er level v (99285) |
$1,052.71 |
$4,210.85 |
1.8× |
| Evaluation of speech fluency (92521) |
$63.96 |
$255.84 |
0.5× |
| Evaluation of speech sound production (92522) |
$51.74 |
$206.96 |
0.5× |
| Evaluation of swallowing function (92610) |
$86.84 |
$347.35 |
1.0× |
| External ECG rec>48hr<7d recording (93242) |
$41.60 |
$166.40 |
1.1× |
| External ECG rec>7d<15d recording (93246) |
$41.60 |
$166.40 |
1.1× |
| Group Therapeutic Procedures (97150) |
$39.26 |
$157.04 |
2.2× |
| Hemodialysis (90935) |
$301.60 |
$1,206.40 |
0.5× |
| Holter Monitor Recording (93225) |
$127.66 |
$510.64 |
1.0× |
| Immunization Admin (90471) |
$24.61 |
$98.43 |
0.4× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$38.48 |
$153.92 |
1.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$25.48 |
$101.92 |
0.4× |
| IV infusion hydration each additional hour (96361) |
$28.34 |
$113.35 |
0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$119.85 |
$479.40 |
0.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$70.72 |
$282.88 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$134.67 |
$538.67 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$44.70 |
$178.81 |
1.0× |
| IV push initial (96374) |
$105.81 |
$423.24 |
0.5× |
| Manual therapy 15 min (97140) |
$39.26 |
$157.04 |
1.4× |
| Mechanical chest wall oscillation (94669) |
$86.52 |
$346.09 |
0.4× |
| Mechanical traction (97012) |
$39.26 |
$157.04 |
2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$20.28 |
$81.12 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26.26 |
$105.04 |
0.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$93.34 |
$373.36 |
1.0× |
| Multiple sleep latency test (95805) |
$604.24 |
$2,416.96 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$71.76 |
$287.04 |
0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$163.80 |
$655.20 |
0.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$191.88 |
$767.52 |
0.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$39.26 |
$157.04 |
0.9× |
| Ot eval high complex 60 min (97167) |
$122.98 |
$491.92 |
1.2× |
| Ot eval low complex 30 min (97165) |
$61.36 |
$245.44 |
0.6× |
| Ot eval mod complex 45 min (97166) |
$92.30 |
$369.20 |
0.9× |
| Ot re-eval est plan care (97168) |
$61.36 |
$245.44 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$361.14 |
$1,444.56 |
2.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$143 |
$572 |
2.5× |
| Plethysmography (94726) |
$105.82 |
$423.28 |
0.3× |
| Pm/Icd Remote Tech Serv (93296) |
$28.80 |
$115.18 |
0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,043.38 |
$4,173.52 |
1.3× |
| Prq card revasc chronic 1vsl (92943) |
$8,959.41 |
$35,837.62 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$8,637.20 |
$34,548.80 |
0.8× |
| Prq revasc byp graft 1 vsl (92937) |
$9,069.06 |
$36,276.24 |
0.8× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$7,890.22 |
$31,560.88 |
0.7× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$4,787.12 |
$19,148.48 |
0.9× |
| Pt Electrical Stimulation (97032) |
$39.26 |
$157.04 |
2.7× |
| Pt eval high complex 45 min (97163) |
$122.98 |
$491.92 |
1.3× |
| Pt eval low complex 20 min (97161) |
$65.26 |
$261.04 |
0.7× |
| Pt Gait Training Therapy (97116) |
$39.26 |
$157.04 |
1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$40.56 |
$162.24 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$92.30 |
$369.20 |
0.9× |
| Pt re-evaluation (97164) |
$61.36 |
$245.44 |
0.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$65 |
$260 |
2.0× |
| Pt Ultrasound Therapy (97035) |
$39.26 |
$157.04 |
2.7× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$4,090.84 |
$16,363.36 |
1.3× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$4,090.84 |
$16,363.36 |
1.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$22.36 |
$89.44 |
0.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$22.36 |
$89.44 |
0.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$127.66 |
$510.64 |
3.5× |
| Right heart cath (93451) |
$4,090.84 |
$16,363.36 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$79.30 |
$317.20 |
0.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$45.24 |
$180.96 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$39.26 |
$157.04 |
0.8× |
| Speech sound lang comprehen (92523) |
$113.36 |
$453.44 |
0.5× |
| Spirometry (94010) |
$155.74 |
$622.96 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$162.24 |
$648.96 |
1.6× |
| Stress Tte Complete (93351) |
$353.86 |
$1,415.44 |
0.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$39.26 |
$157.04 |
1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$46.28 |
$185.12 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$47.06 |
$188.23 |
0.7× |
| Therapeutic Activities (97530) |
$62.78 |
$251.10 |
1.8× |
| Therapeutic phlebotomy (99195) |
$56.16 |
$224.64 |
0.4× |
| Tilt Table Eval (93660) |
$243.88 |
$975.52 |
0.7× |
| Transcranial Doppler Limited (93888) |
$196.30 |
$785.20 |
1.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$478.06 |
$1,912.24 |
0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$105.56 |
$422.24 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$72.02 |
$288.08 |
0.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$41.86 |
$167.43 |
0.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$156.32 |
$625.29 |
0.7× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$148.20 |
$592.80 |
0.7× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$283.92 |
$1,135.68 |
0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$305.50 |
$1,222 |
0.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$521.30 |
$2,085.20 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$486.20 |
$1,944.80 |
0.8× |