| Airway Inhalation Treatment (94640) |
$288 |
$576 |
1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$24 |
$48 |
1.7× |
| Assessment of aphasia per hr (96105) |
$94.25 |
$188.50 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$405.50 |
$811 |
1.2× |
| Canalith repositioning proc (95992) |
$60.50 |
$121 |
1.5× |
| Car seat/bed test 60 min (94780) |
$51.88 |
$103.75 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$405.50 |
$811 |
2.0× |
| Cardiopulmonary resuscitation (92950) |
$405.50 |
$811 |
2.0× |
| Cardioversion (92960) |
$860.62 |
$1,721.25 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$4,442.38 |
$8,884.75 |
1.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,442.38 |
$8,884.75 |
1.5× |
| Cbt 1st hour (94644) |
$172.75 |
$345.50 |
1.4× |
| Chemo IV infusion addl hr (96415) |
$190 |
$380 |
2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$977 |
$1,954 |
3.2× |
| Chest Wall Manipulation (94668) |
$172.75 |
$345.50 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$258 |
$516 |
2.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$109 |
$218 |
3.4× |
| Continuous Pulse Ox (94762) |
$214 |
$428 |
1.8× |
| Coronary Artery Angio S&I (93454) |
$4,442.38 |
$8,884.75 |
1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$288 |
$576 |
1.4× |
| Cpt initial (94667) |
$172.75 |
$345.50 |
1.4× |
| Critical care first hour (99291) |
$1,141.12 |
$2,282.25 |
1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$449.75 |
$899.50 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$280 |
$560 |
2.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$352.50 |
$705 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$286.75 |
$573.50 |
2.9× |
| Duplex up extrem art bilat (93930) |
$358 |
$716 |
1.6× |
| Duplex up extrem art unilat/ltd (93931) |
$236.25 |
$472.50 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$352.50 |
$705 |
1.6× |
| Echo transesophageal (93312) |
$740.25 |
$1,480.50 |
1.4× |
| EEG awake and asleep (95819) |
$405.50 |
$811 |
2.0× |
| EEG awake drowsy (95816) |
$405.50 |
$811 |
2.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$28.25 |
$56.50 |
1.9× |
| Electrocardiogram Tracing (93005) |
$93.88 |
$187.75 |
1.7× |
| Emergency Dept Visit Level 2 (99282) |
$402.50 |
$805 |
2.8× |
| Emergency Dept Visit Level 3 (99283) |
$354.62 |
$709.25 |
1.4× |
| Emergency Dept Visit Level 4 (99284) |
$43,475.25 |
$86,950.50 |
111.1× |
| Er level 1 (99281) |
$111.12 |
$222.25 |
1.4× |
| Er level v (99285) |
$60,800 |
$121,600 |
108.9× |
| Evaluate Speech Production (92522) |
$110.50 |
$221 |
1.0× |
| Evaluate Swallowing Function (92610) |
$82.25 |
$164.50 |
1.0× |
| Evoked Auditory Test,Limited (92587) |
$405.50 |
$811 |
2.0× |
| External Ecg Scanning Analysis Report (93226) |
$172.75 |
$345.50 |
3.1× |
| Extracranial Bilat Study (93880) |
$357 |
$714 |
1.6× |
| Group Therapeutic Procedures (97150) |
$205 |
$410 |
11.4× |
| Health Behavior Assessment/Re-Assessment (96156) |
$114.75 |
$229.50 |
1.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$4,442.38 |
$8,884.75 |
1.5× |
| Immunization administration (90471) |
$95 |
$190 |
1.4× |
| Iontophoresis 15 min (97033) |
$71.50 |
$143 |
3.8× |
| Irrig Drug Delivery Device (96523) |
$85.38 |
$170.75 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$1,473 |
$2,946 |
33.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$940.50 |
$1,881 |
4.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$1,330 |
$2,660 |
19.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$306.88 |
$613.75 |
7.0× |
| IV push initial (96374) |
$940.50 |
$1,881 |
4.7× |
| L Hrt Art/Grft Angio (93459) |
$4,442.38 |
$8,884.75 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$132 |
$264 |
1.4× |
| Multiple Sleep Latency Test (95805) |
$747.88 |
$1,495.75 |
0.9× |
| Neuromuscular Reeducation (97112) |
$25 |
$50 |
0.8× |
| Oral Function Therapy (92526) |
$68.25 |
$136.50 |
0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$26.75 |
$53.50 |
0.6× |
| Ot eval high complexity (97167) |
$92.50 |
$185 |
0.9× |
| Ot Eval Low Complex (97165) |
$77.50 |
$155 |
0.8× |
| Ot Eval Moderate Complexity (97166) |
$85 |
$170 |
0.8× |
| Ot manual therapy 15 min (97140) |
$21.75 |
$43.50 |
0.8× |
| Ot Re-Eval Est Plan Care (97168) |
$49.38 |
$98.75 |
0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$177.88 |
$355.75 |
1.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$7,592.88 |
$15,185.75 |
1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$15,387.75 |
$30,775.50 |
1.4× |
| Phlebotomy therapeutic (99195) |
$172.75 |
$345.50 |
1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,409.50 |
$2,819 |
1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$15,387.75 |
$30,775.50 |
1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$15,387.75 |
$30,775.50 |
1.4× |
| Pt Eval High Complex (97163) |
$92.50 |
$185 |
0.9× |
| Pt eval low complex 20 min (97161) |
$77.50 |
$155 |
0.8× |
| Pt Eval Mod Complex (97162) |
$85 |
$170 |
0.9× |
| Pt gait training 15 min (97116) |
$100 |
$200 |
3.4× |
| Pt mechanical traction (97012) |
$38.75 |
$77.50 |
2.7× |
| Pt Re-Eval Est Plan Care (97164) |
$49.32 |
$98.64 |
0.7× |
| Pulmonary service/procedure (94799) |
$214 |
$428 |
1.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$85.38 |
$170.75 |
1.5× |
| Right Heart Cath (93451) |
$4,442.38 |
$8,884.75 |
1.5× |
| Self Care Mngment Training (97535) |
$29.75 |
$59.50 |
0.9× |
| Speech sound lang comprehen (92523) |
$228 |
$456 |
1.0× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$140 |
$280 |
3.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$316 |
$632 |
1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$42 |
$84 |
1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$64 |
$128 |
2.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$940.50 |
$1,881 |
4.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$475 |
$950 |
7.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$1,254 |
$2,508 |
6.3× |
| Therapeutic Activities (97530) |
$65.25 |
$130.50 |
1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$40.38 |
$80.75 |
1.1× |
| Tte w/doppler, complete (93306) |
$740.25 |
$1,480.50 |
1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$66.50 |
$133 |
0.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$184.12 |
$368.25 |
4.2× |
| Upr/L Xtremity Art 2 Levels (93922) |
$208 |
$416 |
1.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$214.25 |
$428.50 |
1.1× |
| Vent Mgmt Inpat Init Day (94002) |
$746.38 |
$1,492.75 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$746.38 |
$1,492.75 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$44.25 |
$88.50 |
1.4× |