| Acupunct w/o stimul 15 min (97810) |
$38.94 |
$64.90 |
1.3× |
| Acupunct w/stimul 15 min (97813) |
$38.94 |
$64.90 |
1.3× |
| Administration of chemotherapy into artery using push technique (96420) |
$555.48 |
$925.80 |
1.7× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$972.16 |
$1,620.26 |
2.9× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$293.72 |
$489.53 |
1.4× |
| Aep neurodiagnostic interpretation and report (92653) |
$710.53 |
$1,184.22 |
3.3× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$710.53 |
$1,184.22 |
3.3× |
| Aerosol inhalation pentamidine (94642) |
$364.91 |
$608.18 |
1.7× |
| Airway inhalation treatment (94640) |
$188.42 |
$314.03 |
0.9× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$396.97 |
$661.62 |
3.0× |
| Ambulatory bp recording (93786) |
$373.60 |
$622.66 |
2.8× |
| Analyze pacemaker system (93724) |
$1,108.14 |
$1,846.90 |
3.6× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$142.98 |
$238.30 |
0.7× |
| Appl modality 1+lllt po pain (97037) |
$45 |
$75 |
1.2× |
| Appl on-body injector for timed subq injection (96377) |
$155.72 |
$259.53 |
3.3× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$87.17 |
$145.28 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$95.25 |
$158.75 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$154.64 |
$257.74 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$85.93 |
$143.21 |
— |
| Assessment of aphasia (96105) |
$340.20 |
$567 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$96.08 |
$160.14 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$398.54 |
$664.24 |
— |
| Bfb training ea addl 15 min (90913) |
$272.95 |
$454.92 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$148.66 |
$247.76 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$270.37 |
$450.62 |
— |
| Biopsy of heart lining (93505) |
$5,819.15 |
$9,698.59 |
1.8× |
| Bipap initial day (94660) |
$858.89 |
$1,431.49 |
3.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$195.53 |
$325.88 |
1.5× |
| Blink reflex test (95933) |
$280.17 |
$466.95 |
4.7× |
| Breath hydrogen/methane test (91065) |
$548.19 |
$913.65 |
2.5× |
| Breathing capacity test (94010) |
$375.62 |
$626.04 |
1.7× |
| Bronchial allergy tests (95070) |
$752.04 |
$1,253.40 |
2.0× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$581.95 |
$969.92 |
1.6× |
| Bundle of his recording (93600) |
$5,557.78 |
$9,262.97 |
0.7× |
| C motor evoked lwr limbs (95929) |
$621 |
$1,035 |
1.7× |
| C motor evoked uppr limbs (95928) |
$649.09 |
$1,081.81 |
0.8× |
| Canalith repositioning (95992) |
$137.20 |
$228.66 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$219.59 |
$365.98 |
5.9× |
| Cardiopulmonary exercise testing (94621) |
$1,407.14 |
$2,345.24 |
3.8× |
| Cardiovascular procedure unlisted (93799) |
$5,024.73 |
$8,374.55 |
38.9× |
| Cardiovascular stress test (93017) |
$1,390.98 |
$2,318.30 |
6.4× |
| Cardioversion elective external (92960) |
$1,829.36 |
$3,048.94 |
2.8× |
| Cardioversion elective internal (92961) |
$1,819.78 |
$3,032.96 |
2.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$64.40 |
$107.33 |
1.7× |
| Caregiver training 1st 30 min (97550) |
$183.68 |
$306.14 |
— |
| Caregiver training ea addl 15 (97551) |
$91.84 |
$153.07 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$18,931.51 |
$31,552.51 |
5.8× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$16,963.25 |
$28,272.09 |
5.2× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$15,525.65 |
$25,876.08 |
4.8× |
| Cervical & ocular vemp testing w/i&r (92519) |
$317.34 |
$528.90 |
1.5× |
| Cervical vemp testing w/i&r (92517) |
$167.46 |
$279.10 |
1.3× |
| Chemo anti-neopl sq/im (96401) |
$319.17 |
$531.95 |
4.4× |
| Chemo hormon antineopl sq/im (96402) |
$272.80 |
$454.66 |
3.8× |
| Chemo IV infus each addl seq (96417) |
$386.14 |
$643.56 |
5.3× |
| Chemo IV infusion addl hr (96415) |
$308.49 |
$514.15 |
4.3× |
| Chemo IV push addl drug (96411) |
$385.27 |
$642.11 |
5.3× |
| Chemother prolong infuse w/pump (96416) |
$777.07 |
$1,295.12 |
2.3× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$507.17 |
$845.28 |
1.5× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$238.06 |
$396.76 |
5.1× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$724.16 |
$1,206.93 |
2.2× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$743.41 |
$1,239.01 |
2.2× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$533.61 |
$889.35 |
1.6× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$482.78 |
$804.63 |
1.5× |
| Chest physiotherapy initial (94667) |
$209.75 |
$349.59 |
1.6× |
| Chron care mgmt srvc 20 min (99490) |
$71.94 |
$119.90 |
0.7× |
| Color vision examination, extended, eg, anomaloscope or equivalent (92283) |
$105.04 |
$175.07 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$967.27 |
$1,612.12 |
4.0× |
| Color/duplex Doppler, limited (93976) |
$666.64 |
$1,111.06 |
6.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$107.57 |
$179.29 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$103.84 |
$173.06 |
0.6× |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$10,778.39 |
$17,963.98 |
1.4× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$36,478.99 |
$60,798.32 |
1.4× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$13,879.96 |
$23,133.26 |
1.8× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$52,673.30 |
$87,788.83 |
2.0× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$46,556.12 |
$77,593.53 |
1.8× |
| Concurrent chemotherapy (96549) |
$379.37 |
$632.28 |
8.1× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$323.27 |
$538.78 |
2.4× |
| Coronary art/grft angio s&i (93455) |
$12,782.64 |
$21,304.40 |
3.9× |
| Coronary artery angio s&i (93454) |
$11,159.61 |
$18,599.35 |
3.4× |
| Cpr (92950) |
$1,259.42 |
$2,099.03 |
5.8× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$357 |
$595 |
1.6× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$130.41 |
$217.35 |
2.2× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$207.29 |
$345.49 |
3.5× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$192.24 |
$320.40 |
3.2× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,352.06 |
$3,920.10 |
2.8× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,452.04 |
$2,420.06 |
1.7× |
| Debridement open wound 20 sq cm< (97597) |
$324.98 |
$541.64 |
1.6× |
| Delivery/birthing room resuscitation (99465) |
$845.64 |
$1,409.40 |
1.3× |
| Dialysis one evaluation (90945) |
$1,644.30 |
$2,740.50 |
3.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$374.62 |
$624.37 |
1.0× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$847.15 |
$1,411.91 |
8.1× |
| Duplex hemodialysis access (93990) |
$462.71 |
$771.18 |
4.4× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$403.69 |
$672.82 |
1.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$167.75 |
$279.59 |
1.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$755.24 |
$1,258.74 |
3.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$471.62 |
$786.03 |
4.5× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$560.57 |
$934.29 |
5.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,274.06 |
$2,123.44 |
5.3× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$556.92 |
$928.20 |
5.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,111.90 |
$1,853.17 |
4.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$743.79 |
$1,239.65 |
7.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,089.89 |
$1,816.49 |
4.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$688.56 |
$1,147.60 |
6.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$931.12 |
$1,551.86 |
3.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$650.12 |
$1,083.54 |
6.2× |
| Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles (96002) |
$711.79 |
$1,186.32 |
3.3× |
| ECG monit/reprt up to 48 hrs (93226) |
$848.80 |
$1,414.67 |
14.3× |
| Echo transesophageal (93312) |
$2,798.47 |
$4,664.12 |
5.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,721.33 |
$4,535.55 |
5.0× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$2,734.24 |
$4,557.07 |
5.0× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$593.07 |
$988.45 |
1.1× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,806.55 |
$3,010.92 |
7.5× |
| Ecog implanted brain npgt w/rec i&r <30 days (95836) |
$225.28 |
$375.47 |
6.0× |
| EEG 41-60 minutes (95812) |
$1,108.55 |
$1,847.59 |
5.1× |
| EEG awake & asleep (95819) |
$1,073.20 |
$1,788.66 |
4.9× |
| EEG awake/drowsy (95816) |
$1,035.09 |
$1,725.15 |
4.8× |
| EEG coma or sleep only (95822) |
$1,129.09 |
$1,881.81 |
5.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$498.20 |
$830.33 |
2.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,456.56 |
$2,427.60 |
6.7× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$4,210.59 |
$7,017.65 |
11.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,646.64 |
$4,411.07 |
7.1× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$4,134.04 |
$6,890.06 |
11.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,249.01 |
$2,081.69 |
5.8× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$1,449.56 |
$2,415.93 |
6.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$2,098.82 |
$3,498.03 |
9.7× |
| EKG 12 lead tracing only (93005) |
$302.13 |
$503.55 |
5.1× |
| EKG rhythm strip (93041) |
$161.40 |
$269 |
2.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$121.23 |
$202.05 |
1.3× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$360.69 |
$601.15 |
3.8× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$367.90 |
$613.17 |
9.8× |
| Electro-oculography with interpretation and report (92270) |
$369.67 |
$616.12 |
2.8× |
| Electroconvulsive therapy (90870) |
$1,052.70 |
$1,754.50 |
1.2× |
| Electrode stimulation brain (95961) |
$1,031.09 |
$1,718.48 |
1.2× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$3,843.87 |
$6,406.45 |
3.1× |
| Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) |
$8,760.47 |
$14,600.78 |
1.1× |
| Emergency department visit high mdm (99285) |
$2,235.55 |
$3,725.91 |
3.7× |
| Emergency department visit low mdm (99283) |
$713 |
$1,188.33 |
2.6× |
| Emergency department visit may not req phys/qhp (99281) |
$265.69 |
$442.81 |
3.1× |
| Emergency department visit moderate mdm (99284) |
$1,179.34 |
$1,965.56 |
2.8× |
| Emergency department visit straightforward mdm (99282) |
$434.62 |
$724.36 |
2.8× |
| EMG thoracic paraspinal (95869) |
$291.63 |
$486.05 |
1.3× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$231.20 |
$385.33 |
1.8× |
| Endoscopy swallow (fees) vid (92612) |
$538.85 |
$898.09 |
— |
| Esoph balloon distension tst (91040) |
$1,330.72 |
$2,217.87 |
3.5× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,447.96 |
$2,413.26 |
3.9× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$800.22 |
$1,333.70 |
3.7× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,257.17 |
$2,095.29 |
3.4× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$354.30 |
$590.50 |
— |
| Evaluate pt use of inhaler (94664) |
$222.15 |
$370.25 |
1.0× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$162.65 |
$271.08 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$461 |
$768.34 |
— |
| Evaluation of speech fluency (92521) |
$377.30 |
$628.83 |
— |
| Evaluation of speech sound production articulate (92522) |
$378.72 |
$631.20 |
— |
| Evoked auditory test limited (92587) |
$234.32 |
$390.54 |
1.1× |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$469.15 |
$781.92 |
3.5× |
| Exercise tst brncspsm wo ECG (94619) |
$80.36 |
$133.93 |
1.4× |
| External ECG rec>48hr<7d recording (93242) |
$578.57 |
$964.29 |
15.4× |
| External ECG rec>7d<15d recording (93246) |
$578.57 |
$964.29 |
15.4× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$664.72 |
$1,107.86 |
5.0× |
| Eye allergy tests (95060) |
$129.56 |
$215.94 |
1.0× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$343.84 |
$573.07 |
11.8× |
| Full field electroretinography w/i&r (92273) |
$574.20 |
$957 |
2.6× |
| Fundus photography with interpretation and report (92250) |
$209.46 |
$349.10 |
1.6× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$367.32 |
$612.20 |
1.7× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$1,393.53 |
$2,322.55 |
3.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,886.71 |
$3,144.52 |
2.2× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$2,418.92 |
$4,031.53 |
2.7× |
| Group caregiver training strategies & technique (97552) |
$12.85 |
$21.42 |
— |
| Hast w/oxygen titrate (94453) |
$458.17 |
$763.61 |
3.4× |
| Health behavior assessment/re-assessment (96156) |
$292.46 |
$487.43 |
2.9× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$208.20 |
$347 |
5.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$109.76 |
$182.94 |
2.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$192.81 |
$321.35 |
1.1× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,988.72 |
$3,314.54 |
2.9× |
| High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) |
$527.51 |
$879.19 |
3.9× |
| Hot/cold pack (97010) |
$39.99 |
$66.65 |
— |
| Hypoxia response curve (94450) |
$169.23 |
$282.05 |
1.3× |
| Im adm intransl/oral 1 vaccine (90473) |
$31.50 |
$52.50 |
0.4× |
| Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or… (92227) |
$51.17 |
$85.28 |
0.9× |
| Img rta detc/mntr ds poc aly (92229) |
$66.79 |
$111.32 |
1.1× |
| Imm admn sarscov2 vaccine single dose (90480) |
$48 |
$80 |
1.2× |
| Immunization administration (90471) |
$77.72 |
$129.54 |
1.1× |
| Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92240) |
$777.16 |
$1,295.26 |
3.6× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$6,074.47 |
$10,124.12 |
5.0× |
| Infrared therapy (97026) |
$41.02 |
$68.36 |
— |
| Initial set-up and programming by a physician or other qualified health care professional of wearable… (93745) |
$373.29 |
$622.15 |
1.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$239.90 |
$399.83 |
5.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$304.24 |
$507.06 |
1.4× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$3,699.78 |
$6,166.30 |
2.3× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$232.60 |
$387.66 |
6.2× |
| Interrog device eval heart (93289) |
$247.93 |
$413.22 |
6.6× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$162.05 |
$270.09 |
4.3× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$217.94 |
$363.23 |
7.5× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$155.53 |
$259.21 |
4.1× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$191.33 |
$318.89 |
5.1× |
| Interrogation vad in prson w/phys/qhp analysis (93750) |
$401.35 |
$668.91 |
4.2× |
Intra-atrial pacing (93610)
unusually low — confirm this is the full procedure |
$2,602.26 |
$4,337.10 |
0.3× |
| Intra-atrial recording (93602) |
$5,252.30 |
$8,753.83 |
0.7× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$13,144.70 |
$21,907.84 |
1.7× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$57.42 |
$95.70 |
1.0× |
| Intraventricular pacing (93612) |
$5,976.77 |
$9,961.28 |
0.8× |
| Io anal gast n-stim subsq (95981) |
$129.56 |
$215.94 |
2.2× |
| Io ga n-stim subsq w/reprog (95982) |
$202.72 |
$337.86 |
5.4× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$191.37 |
$318.95 |
3.2× |
| IV infusion hydration each additional hour (96361) |
$198.61 |
$331.02 |
4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$508.96 |
$848.27 |
2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$260.10 |
$433.50 |
3.6× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$563.82 |
$939.70 |
2.6× |
| IV tx, each additional hour (96366) |
$206.60 |
$344.33 |
4.4× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$7,452.60 |
$12,421 |
2.3× |
| Liver elastography (91200) |
$312 |
$520 |
2.4× |
| Low frequency non-thermal us (97610) |
$364.77 |
$607.95 |
1.8× |
| Lwr xtr vasc stdy bilat (93924) |
$839.99 |
$1,399.99 |
3.9× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$159.98 |
$266.64 |
1.2× |
| Maximum voluntary ventilation (94200) |
$223.90 |
$373.17 |
3.8× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$970.07 |
$1,616.78 |
2.6× |
| Mechanical chest wall oscillation lung function (94669) |
$313.22 |
$522.03 |
1.4× |
| Mechanical traction therapy (97012) |
$86.94 |
$144.90 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$65.84 |
$109.73 |
— |
| Medical nutrition group (97804) |
$48.45 |
$80.75 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$66.77 |
$111.29 |
— |
| Methacholine challenge (94070) |
$906.80 |
$1,511.34 |
2.4× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$489.88 |
$816.46 |
— |
| Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study,… (95905) |
$296.34 |
$493.90 |
0.7× |
| Multi-family group psychotherapy - psychologist (90849) |
$453 |
$755 |
2.5× |
| Multifocal electroretinography w/i&r (92274) |
$574.20 |
$957 |
4.4× |
| Multiple sleep latency (95805) |
$2,878.96 |
$4,798.26 |
3.3× |
| Muscle test 3 limbs (95863) |
$545.38 |
$908.96 |
4.2× |
| Muscle test larynx (95865) |
$287.64 |
$479.40 |
2.2× |
| Nasopharyngoscopy (92511) |
$366.32 |
$610.54 |
1.8× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$685.70 |
$1,142.84 |
5.3× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$603.09 |
$1,005.15 |
4.5× |
| Needle electromyography cranial nrv muscle uni (95867) |
$385.07 |
$641.78 |
1.8× |
| Needle electromyography hemidiaphragm (95866) |
$300.55 |
$500.92 |
2.3× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$497.35 |
$828.91 |
2.3× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$424.06 |
$706.76 |
3.2× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$277.15 |
$461.91 |
2.1× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$494.13 |
$823.55 |
2.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$585.90 |
$976.50 |
1.4× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$614.25 |
$1,023.75 |
1.5× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$293.35 |
$488.92 |
1.5× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$459.43 |
$765.71 |
1.1× |
| Nerve conduction studies 1-2 studies (95907) |
$352.31 |
$587.19 |
1.6× |
| Nerve conduction studies 11-12 studies (95912) |
$828.97 |
$1,381.62 |
2.2× |
| Nerve conduction studies 13/> studies (95913) |
$1,989.54 |
$3,315.90 |
5.3× |
| Nerve conduction studies 3-4 studies (95908) |
$387.66 |
$646.10 |
1.8× |
| Nerve conduction studies 5-6 studies (95909) |
$473.39 |
$788.98 |
2.2× |
| Nerve conduction studies 7-8 studies (95910) |
$387.66 |
$646.10 |
1.0× |
| Nerve conduction studies 9-10 studies (95911) |
$1,349.40 |
$2,249 |
3.6× |
| Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) |
$453.97 |
$756.61 |
2.1× |
| Neuromuscular junction test (95937) |
$369.46 |
$615.77 |
2.9× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$387.66 |
$646.10 |
1.0× |
| Nitric oxide expired gas determination (95012) |
$159.90 |
$266.50 |
4.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$815.98 |
$1,359.97 |
3.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$401.94 |
$669.90 |
3.1× |
| Occupational therapy eval high complex 60 mins (97167) |
$346.40 |
$577.34 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$248.37 |
$413.95 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$325.97 |
$543.29 |
— |
| Ocular vemp testing w/i&r (92518) |
$167.46 |
$279.10 |
1.3× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$142.80 |
$238 |
1.1× |
| Oral function therapy (92526) |
$275.71 |
$459.52 |
— |
| Oral speech device eval (92597) |
$424.73 |
$707.89 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$121.47 |
$202.45 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$132.07 |
$220.12 |
— |
| Osteopath manj 1-2 regions (98925) |
$102.06 |
$170.10 |
4.7× |
| Ot manual therapy ea 15 min (97140) |
$126.41 |
$210.69 |
— |
| Ot neuromuscular re-education (97112) |
$127.79 |
$212.99 |
— |
| Ot paraffin bath (97018) |
$84.96 |
$141.60 |
— |
| Ot re-evaluation (97168) |
$210.25 |
$350.41 |
— |
| OT Therapeutic Activities Charges (97530) |
$127.88 |
$213.13 |
— |
| Ot wheelchair management (97542) |
$88 |
$146.66 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$130.78 |
$217.96 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$268.85 |
$448.09 |
2.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$210.63 |
$351.05 |
1.6× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$483.66 |
$806.10 |
1.3× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$311.62 |
$519.37 |
5.3× |
| Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990) |
$12,700.66 |
$21,167.77 |
1.1× |
| Percutaneous tests w/allergenic extracts (95004) |
$47.44 |
$79.07 |
0.1× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$24,215.41 |
$40,359.01 |
1.3× |
| Peripheral vascular rehab (93668) |
$142.11 |
$236.85 |
2.4× |
| Perq transcath closure pda (93582) |
$14,297.12 |
$23,828.52 |
0.8× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$35,806.50 |
$59,677.50 |
1.9× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$32,632.58 |
$54,387.64 |
1.8× |
| Pharmacological or physical activation requiring physician or other qualified health care professional attendance… (95954) |
$749.87 |
$1,249.78 |
2.0× |
| Phlebotomy therapeutic (99195) |
$265.57 |
$442.61 |
2.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$184.49 |
$307.48 |
3.1× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$184.49 |
$307.48 |
3.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$282.66 |
$471.10 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$219.71 |
$366.18 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$263.98 |
$439.96 |
— |
| Pm device progr eval multi (93281) |
$225.60 |
$376 |
6.0× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$4,848.28 |
$8,080.47 |
5.6× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$4,802.77 |
$8,004.62 |
5.6× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,902.39 |
$4,837.31 |
3.4× |
| Pr corneal topography (92025) |
$182.35 |
$303.91 |
3.1× |
| Pr unlisted therapeutic procedure specify (97139) |
$67.42 |
$112.36 |
— |
| Prgrmg dev eval pm/ldls pm (93279) |
$194.40 |
$324 |
5.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$91.70 |
$152.84 |
0.9× |
| Program eval implantable in persn dual ld pacer (93280) |
$252.07 |
$420.12 |
6.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$202.13 |
$336.89 |
5.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$210 |
$350 |
5.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$180.33 |
$300.55 |
4.8× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$247.66 |
$412.77 |
6.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$218.79 |
$364.65 |
5.8× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$108.31 |
$180.51 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$13,509.68 |
$22,516.14 |
1.2× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$11,818.12 |
$19,696.86 |
2.1× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$12,158.72 |
$20,264.53 |
1.0× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$12,158.72 |
$20,264.53 |
1.0× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$16,678.62 |
$27,797.70 |
1.4× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$14,295.96 |
$23,826.60 |
0.8× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$9,721.21 |
$16,202.01 |
0.8× |
| Psych diag eval w/med srvcs (90792) |
$310.89 |
$518.15 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$355.88 |
$593.13 |
2.0× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$353.54 |
$589.23 |
1.6× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$256.51 |
$427.52 |
0.6× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$216.01 |
$360.01 |
1.6× |
| Psytx crisis initial 60 min (90839) |
$326.34 |
$543.90 |
1.8× |
| Pt gait training 15 min (97116) |
$120.87 |
$201.45 |
— |
| Pt physical performance test (97750) |
$116.72 |
$194.53 |
— |
| Pt re-evaluation (97164) |
$119.29 |
$198.81 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$64.40 |
$107.33 |
1.7× |
| Pulm funct tst plethysmograp (94726) |
$418.42 |
$697.37 |
1.1× |
| Pulmonary stress testing (94618) |
$378.25 |
$630.42 |
2.8× |
| R hrt art/grft angio (93457) |
$16,898.38 |
$28,163.96 |
5.2× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$9,114.35 |
$15,190.59 |
2.8× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$8,285.78 |
$13,809.63 |
2.5× |
| R hrt coronary artery angio (93456) |
$15,927.46 |
$26,545.76 |
4.9× |
| R&l hrt art/ventricle angio (93461) |
$19,223.40 |
$32,039 |
5.9× |
| R&l hrt cath w/ventriclgrphy (93453) |
$16,367.53 |
$27,279.22 |
5.0× |
| Rapid desensitization procedure each hour (95180) |
$331.20 |
$552 |
0.7× |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$373.12 |
$621.86 |
6.3× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$588.96 |
$981.60 |
1.8× |
| Refilling and maintenance of portable pump (96521) |
$386.60 |
$644.33 |
1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$236.38 |
$393.97 |
6.3× |
| Rem interrog scrms <30 d phys/qhp (93298) |
$236.38 |
$393.97 |
6.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$42.73 |
$71.22 |
1.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$136.67 |
$227.78 |
1.0× |
| Respiratory flow volume loop (94375) |
$352.30 |
$587.16 |
1.6× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$229.80 |
$383 |
0.7× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$8,169.46 |
$13,615.76 |
2.5× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$8,577.93 |
$14,296.55 |
2.6× |
| Right heart cath o2 saturation & cardiac output (93451) |
$10,400.23 |
$17,333.72 |
3.2× |
| Right ventricular recording (93603) |
$1,468.47 |
$2,447.45 |
1.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$115.43 |
$192.38 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$109.79 |
$182.99 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$1,066.46 |
$1,777.44 |
4.9× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,838.87 |
$3,064.79 |
2.1× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$885.81 |
$1,476.35 |
4.1× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$908.54 |
$1,514.23 |
4.2× |
| Sleep study unattended (95806) |
$809.12 |
$1,348.53 |
3.7× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$1,034.77 |
$1,724.61 |
4.8× |
| Speech sound lang comprehen (92523) |
$422.55 |
$704.25 |
— |
| Standardized cognitive performance testing (96125) |
$327.04 |
$545.07 |
— |
| Stress tte only (93350) |
$2,144.62 |
$3,574.37 |
3.9× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$99.98 |
$166.63 |
2.1× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$393.99 |
$656.65 |
1.8× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$125.46 |
$209.10 |
1.7× |
| Surfactant administration (94610) |
$204.44 |
$340.74 |
0.9× |
| Tcd emboli detect wo inj (93892) |
$600.96 |
$1,001.60 |
5.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$592.79 |
$987.99 |
5.6× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$53.40 |
$89 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$87.78 |
$146.30 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$27.60 |
$46 |
— |
| Temp transcutaneous pacing (92953) |
$1,148.65 |
$1,914.41 |
1.7× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$436.14 |
$726.90 |
3.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$114.64 |
$191.06 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$110.83 |
$184.72 |
— |
| Ther/proph/diag inj ia (96373) |
$257.64 |
$429.40 |
1.2× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$122.66 |
$204.44 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$90.52 |
$150.86 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$82.54 |
$137.56 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$200.75 |
$334.58 |
2.8× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$292.87 |
$488.12 |
— |
| Tilt table evaluation (93660) |
$2,325.16 |
$3,875.27 |
6.2× |
| Tobacco use cessation intensive >10 minutes (99407) |
$72.20 |
$120.34 |
1.9× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$50.40 |
$84 |
1.3× |
| Trans care mgmt 14 day disch (99495) |
$64.44 |
$107.40 |
0.5× |
| Trans care mgmt 7 day disch (99496) |
$84.79 |
$141.32 |
0.6× |
| Transcath closure of asd (93580) |
$27,128 |
$45,213.34 |
1.5× |
| Transcranial doppler stdy intracranial art compl (93886) |
$1,211.57 |
$2,019.29 |
5.1× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$418.44 |
$697.40 |
4.0× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$2,007.89 |
$3,346.48 |
3.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$1,413.63 |
$2,356.05 |
2.6× |
| Tte congenital complete (93303) |
$2,646 |
$4,410 |
4.8× |
| Tte f-up or lmtd (93308) |
$838.44 |
$1,397.40 |
3.5× |
| Tte w/doppler complete (93306) |
$2,589.56 |
$4,315.93 |
4.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$271.39 |
$452.32 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$70.86 |
$118.10 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
$759.33 |
$1,265.55 |
26.1× |
| Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) |
$292.70 |
$487.83 |
6.2× |
| Upr/l xtremity art 2 levels (93922) |
$563.27 |
$938.78 |
4.2× |
| Valvuloplasty aortic valve (92986) |
$16,030.65 |
$26,717.75 |
2.8× |
| Valvuloplasty mitral valve (92987) |
$17,175.83 |
$28,626.39 |
1.5× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,853.86 |
$3,089.77 |
8.5× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,945.98 |
$3,243.30 |
5.2× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$2,164.91 |
$3,608.18 |
5.8× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$3,900.16 |
$6,500.27 |
4.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,625.51 |
$6,042.52 |
9.7× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$2,944.09 |
$4,906.82 |
7.9× |
| Ventilation ip/obs initial day (94002) |
$1,854.25 |
$3,090.41 |
3.0× |
| Ventilator subsequent day (94003) |
$1,455.64 |
$2,426.06 |
2.3× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$964.14 |
$1,606.90 |
4.4× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$246.29 |
$410.48 |
1.8× |
| Vital capacity total (94150) |
$186.11 |
$310.18 |
1.4× |
| Wada activation test (95958) |
$1,640.50 |
$2,734.16 |
1.9× |
| Wound(s) care non-selective (97602) |
$320.14 |
$533.56 |
1.6× |