| Airway inhalation treatment (94640) |
$48.20 |
$241 |
0.2× |
| Appl on-body injector for timed subq injection (96377) |
$27.80 |
$139 |
0.7× |
| Assessment of aphasia (96105) |
$97.40 |
$487 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$57.60 |
$288 |
0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$93.40 |
$467 |
0.3× |
| Car seat/bed test 60 min (94780) |
$12.40 |
$62 |
0.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$151 |
$755 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$291.80 |
$1,459 |
1.5× |
| Cardioversion (92960) |
$146.40 |
$732 |
0.2× |
| Caregiver training 1st 30 min (97550) |
$31.20 |
$156 |
0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$15.60 |
$78 |
0.6× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,432.40 |
$17,162 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,384.60 |
$16,923 |
1.2× |
| Cbt 1st hour (94644) |
$70.60 |
$353 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$61.80 |
$309 |
0.9× |
| Chemo inj subarach/intravent (96542) |
$126.20 |
$631 |
0.4× |
| Chemo IV push addl drug (96411) |
$83.20 |
$416 |
1.3× |
| Chemo Iv Push Sngl Drug (96409) |
$83.20 |
$416 |
0.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$99.60 |
$498 |
0.3× |
| Chemother, IV infusion, 1 hr (96413) |
$159.80 |
$799 |
0.5× |
| Chemother, IV infusion, ea add hr (96415) |
$74.40 |
$372 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$61.80 |
$309 |
0.9× |
| Chemotherapy, unspecified procedure (96549) |
$99.60 |
$498 |
2.3× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$163 |
$815 |
0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$61.80 |
$309 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$311.60 |
$1,558 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$304 |
$1,520 |
3.2× |
| Cpap initiation and management (94660) |
$113.90 |
$569.50 |
0.6× |
| Cpt initial (94667) |
$56.60 |
$283 |
0.5× |
| Critical care (99291) |
$855 |
$4,275 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$112.50 |
$562.50 |
0.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$159.20 |
$796 |
1.4× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$250 |
$1,250 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$349.40 |
$1,747 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$196.80 |
$984 |
2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$426.70 |
$2,133.50 |
2.0× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$261.60 |
$1,308 |
2.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$383 |
$1,915 |
1.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$228 |
$1,140 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$119.40 |
$597 |
1.3× |
| Duplex scan extracranial art compl bi study (93880) |
$387.60 |
$1,938 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$220.80 |
$1,104 |
1.0× |
| Echo transesophageal (93312) |
$546 |
$2,730 |
1.1× |
| EEG awake asleep (95819) |
$236.80 |
$1,184 |
1.2× |
| EEG awake drowsy (95816) |
$214.60 |
$1,073 |
1.1× |
| EKG (93005) |
$66.80 |
$334 |
1.2× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$287 |
$1,435 |
1.5× |
| Er level 1 (99281) |
$97.40 |
$487 |
1.3× |
| Er level ii (99282) |
$126 |
$630 |
0.9× |
| Er level iii (99283) |
$207 |
$1,035 |
0.8× |
| Er level IV (99284) |
$577.80 |
$2,889 |
1.5× |
| Er level v (99285) |
$904.40 |
$4,522 |
1.7× |
| Evaluation of speech fluency (92521) |
$68.60 |
$343 |
0.5× |
| Evaluation of speech sound production (92522) |
$56.20 |
$281 |
0.5× |
| Evaluation of swallowing function (92610) |
$110 |
$550 |
1.3× |
| Evaluation with prescription of speech-generating alternative (92607) |
$129.20 |
$646 |
1.1× |
| Exercise tst brncspsm (94617) |
$43 |
$215 |
0.4× |
| Flow volume loop (94375) |
$95.60 |
$478 |
0.5× |
| Group Therapeutic Procedures (97150) |
$72 |
$360 |
4.0× |
| Hemodialysis (90935) |
$246.60 |
$1,233 |
0.4× |
| Holter Monitor Recording (93225) |
$168.60 |
$843 |
1.4× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$26 |
$130 |
0.7× |
| Immunization Admin (90471) |
$23 |
$115 |
0.4× |
| Injection intra arterial (96373) |
$58 |
$290 |
0.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$72.80 |
$364 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$31.20 |
$156 |
0.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$102.20 |
$511 |
0.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$47.70 |
$238.50 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$102.20 |
$511 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$31.20 |
$156 |
0.7× |
| IV push initial (96374) |
$66.20 |
$331 |
0.3× |
| Laryngeal Function Studies (92520) |
$150.40 |
$752 |
1.2× |
| Manual therapy 15 min (97140) |
$38.40 |
$192 |
1.4× |
| Massage 15 min (97124) |
$42.60 |
$213 |
1.4× |
| Measurement of heart blood flow and respiration (93701) |
$60.60 |
$303 |
0.5× |
| Mechanical chest wall oscillation (94669) |
$61.80 |
$309 |
0.3× |
| Mechanical traction (97012) |
$45 |
$225 |
3.1× |
| Methacholine challenge (94070) |
$204.40 |
$1,022 |
0.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$158.20 |
$791 |
1.7× |
| Multiple sleep latency test (95805) |
$575.40 |
$2,877 |
0.7× |
| Nasopharyngoscopy (92511) |
$112.80 |
$564 |
0.6× |
| Neg press wnd tx </=50 sq cm (97607) |
$207.80 |
$1,039 |
0.6× |
| Neg press wound tx >50 cm (97608) |
$216.40 |
$1,082 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$50 |
$250 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$77.40 |
$387 |
0.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$207.80 |
$1,039 |
1.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$264.40 |
$1,322 |
1.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$75.80 |
$379 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$39.80 |
$199 |
0.9× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$39.80 |
$199 |
1.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$39.80 |
$199 |
2.8× |
| Ot eval high complex 60 min (97167) |
$168.80 |
$844 |
1.7× |
| Ot eval low complex 30 min (97165) |
$168.80 |
$844 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$168.80 |
$844 |
1.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$38.20 |
$191 |
0.8× |
| Ot re-eval est plan care (97168) |
$89 |
$445 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$54 |
$270 |
0.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$54 |
$270 |
0.5× |
| Paraffin bath (97018) |
$38.20 |
$191 |
6.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$61.80 |
$309 |
0.3× |
| Peripheral arterial disease rehab per session (93668) |
$21.20 |
$106 |
0.4× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$25.60 |
$128 |
0.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$25.60 |
$128 |
0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$967.80 |
$4,839 |
1.2× |
| Pt Aquatic Therapy/Exercises (97113) |
$21.20 |
$106 |
0.6× |
| Pt Electric Current Therapy (97033) |
$50.40 |
$252 |
2.6× |
| Pt Electrical Stimulation (97032) |
$41.60 |
$208 |
2.8× |
| Pt eval high complex 45 min (97163) |
$173.20 |
$866 |
1.8× |
| Pt eval low complex 20 min (97161) |
$173.20 |
$866 |
1.8× |
| Pt Gait Training Therapy (97116) |
$41.70 |
$208.50 |
1.4× |
| Pt group caregiver training (97552) |
$6.20 |
$31 |
0.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$39 |
$195 |
1.2× |
| Pt Physical Performance Test (97750) |
$40 |
$200 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$173.20 |
$866 |
1.8× |
| Pt re-evaluation (97164) |
$87 |
$435 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$39.80 |
$199 |
1.2× |
| Pt Ultrasound Therapy (97035) |
$35.50 |
$177.50 |
2.5× |
| Pt Whirlpool Therapy (97022) |
$100.20 |
$501 |
6.4× |
| Pulmonary stress testing (94618) |
$43 |
$215 |
0.4× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$2,871.60 |
$14,358 |
1.0× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$3,612.20 |
$18,061 |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$3,612.20 |
$18,061 |
1.2× |
| Rapid Desensitization Procedure Each Hour (95180) |
$127.20 |
$636 |
0.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$116.40 |
$582 |
0.6× |
| Refill/maint, portable pump (96521) |
$116.40 |
$582 |
0.6× |
| Right heart cath (93451) |
$3,110.40 |
$15,552 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$41 |
$205 |
0.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$36 |
$180 |
0.3× |
| Sensory Integration Ea 15 Min (97533) |
$39.80 |
$199 |
0.7× |
| Sleep study attended (95807) |
$418.20 |
$2,091 |
1.2× |
| Sleep study unattended (95806) |
$98.20 |
$491 |
0.5× |
| Smoking cessation > 10 min (99407) |
$22.60 |
$113 |
0.7× |
| Speech group therapy (92508) |
$69.60 |
$348 |
2.9× |
| Speech sound lang comprehen (92523) |
$115.60 |
$578 |
0.5× |
| Spirometry (94010) |
$66 |
$330 |
0.3× |
| Standardized Cognitive Performance Testing (96125) |
$64.20 |
$321 |
0.6× |
| Stress echo (93350) |
$429.60 |
$2,148 |
0.9× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$26 |
$130 |
0.6× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$83.60 |
$418 |
0.4× |
| Temp transcutaneous pacing (92953) |
$132.80 |
$664 |
0.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$79.60 |
$398 |
3.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$26.60 |
$133 |
1.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$74.20 |
$371 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$34.10 |
$170.50 |
0.5× |
| Therapeutic Activities (97530) |
$45.70 |
$228.50 |
1.3× |
| Therapeutic phlebotomy (99195) |
$46.20 |
$231 |
0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$11.40 |
$57 |
0.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$612 |
$3,060 |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$347.80 |
$1,739 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$151.40 |
$757 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$151.40 |
$757 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$48.40 |
$242 |
1.1× |
| Unlisted pulmonary service/procedure (94799) |
$37.20 |
$186 |
0.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$349 |
$1,745 |
1.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$248 |
$1,240 |
2.6× |
| Vasopneumatic device (97016) |
$39.80 |
$199 |
3.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$428.20 |
$2,141 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$339.20 |
$1,696 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$40.60 |
$203 |
1.3× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$34.40 |
$172 |
0.6× |