| Advance care planning first 30 mins (99497) |
$80 |
$160 |
0.8× |
| Airway inhalation treatment (94640) |
$239.50 |
$479 |
1.1× |
| Analyze neurostim complex (95972) |
$154.50 |
$309 |
1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$43 |
$86 |
3.0× |
| Application Modality 1/> Areas Infrared (97026) |
$27.30 |
$39 |
4.1× |
| Bedside Swallowing Eval (92610) |
$157.50 |
$315 |
1.9× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$49.20 |
$82 |
0.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$101.50 |
$203 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$215.50 |
$381 |
0.6× |
| Canalith Repositioning Procedure (95992) |
$10 |
$20 |
0.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$518.50 |
$1,037 |
2.5× |
| Cardiopulmonary resuscitation (92950) |
$249.50 |
$499 |
1.2× |
| Cardioversion (92960) |
$173 |
$346 |
0.3× |
| Cardioversion elective internal (92961) |
$983.50 |
$1,405 |
1.6× |
| Care mgmt svc bhvl hlth cond (99484) |
$50.50 |
$101 |
1.4× |
| Cbt 1st hour (94644) |
$91.40 |
$172 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$113 |
$226 |
0.4× |
| Chemother, IV infusion, ea add hr (96415) |
$25 |
$50 |
0.4× |
| Chronic care management services 1st 20 min (99490) |
$51 |
$102 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$440 |
$880 |
1.9× |
| Computerized dynamic posturography (92548) |
$44.50 |
$89 |
0.3× |
| Continuous Glucose Monitoring (95250) |
$175 |
$350 |
1.4× |
| Cpap/bipap (94660) |
$130.65 |
$233.50 |
0.6× |
| Cpt initial (94667) |
$145 |
$290 |
1.1× |
| Critical care (99291) |
$293.30 |
$436 |
0.4× |
| Dbrdmt prmlg les w/pdt (96574) |
$237 |
$474 |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$92 |
$184 |
0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$207.50 |
$415 |
1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$258 |
$516 |
2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$440.50 |
$881 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$293 |
$586 |
2.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$416.50 |
$833 |
1.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$197.50 |
$395 |
2.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$491.50 |
$983 |
2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$321.50 |
$643 |
3.2× |
| Duplex penile vessels ltd (93981) |
$749.70 |
$1,071 |
7.5× |
| Duplex scan extracranial art compl bi study (93880) |
$825.50 |
$1,651 |
3.6× |
| Ear and throat examination (92502) |
$720 |
$1,440 |
1.4× |
| Echo Heart Xthoracic,Limited (93308) |
$345.84 |
$691.68 |
1.5× |
| Echo transesophag montr cardiac pump functj (93318) |
$700 |
$1,400 |
1.3× |
| Echo transesophageal (93312) |
$783.50 |
$1,567 |
1.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$521.25 |
$1,042.50 |
1.0× |
| EKG rhythm strip (93041) |
$72 |
$144 |
1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$110.50 |
$221 |
3.1× |
| Electrocardiogram Tracing (93005) |
$99.50 |
$199 |
1.8× |
| Electroconvulsive Therapy (90870) |
$604.50 |
$1,209 |
0.7× |
| Er level 1 (99281) |
$45.50 |
$68 |
0.6× |
| Er level ii (99282) |
$93.85 |
$160.50 |
0.6× |
| Er level iii (99283) |
$112.50 |
$168 |
0.4× |
| Er level IV (99284) |
$128.80 |
$184 |
0.3× |
| Er level v (99285) |
$245 |
$453 |
0.4× |
| Eval speech sound production (92522) |
$101.50 |
$203 |
0.9× |
| Eval to use/fit voice prosth (92597) |
$140 |
$280 |
2.0× |
| Evaluation of speech fluency (92521) |
$101.50 |
$203 |
0.8× |
| Exhaled air analysis o2 (94680) |
$37.80 |
$54 |
0.3× |
| External ECG rec>48hr<7d recording (93242) |
$104.50 |
$209 |
2.9× |
| External ECG rec>7d<15d recording (93246) |
$104 |
$208 |
2.9× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$138 |
$276 |
0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$739.50 |
$1,479 |
0.9× |
| Gi tract capsule endoscopy (91110) |
$1,275 |
$2,550 |
1.5× |
| Group Therapeutic Procedures (97150) |
$26 |
$52 |
1.4× |
| Holter Monitor (93225) |
$198 |
$396 |
1.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$51.50 |
$103 |
1.3× |
| Immune Admin Oral/Nasal (90473) |
$16 |
$32 |
0.2× |
| Immunization Admin (90471) |
$16 |
$32 |
0.2× |
| Induction of arrhythmia by electrical pacing (93618) |
$274 |
$548 |
0.2× |
| Iontophoresis 15 min (97033) |
$43 |
$86 |
2.3× |
| Irrig drug delivery device (96523) |
$86.50 |
$173 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$13.70 |
$23.50 |
0.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$30 |
$60 |
0.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$25.50 |
$48 |
0.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$150 |
$300 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$41.10 |
$79 |
0.9× |
| IV push ea addl new drug (96375) |
$14 |
$28 |
0.3× |
| IV push initial (96374) |
$33.50 |
$67 |
0.2× |
| Manual therapy 15 min (97140) |
$43.40 |
$86 |
1.6× |
| Massage 15 min (97124) |
$41 |
$67 |
1.4× |
| Mechanical traction (97012) |
$49.50 |
$99 |
3.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$22.50 |
$45 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26.50 |
$53 |
0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$12.50 |
$25 |
0.7× |
| Multiple Family Group Psychotherapy (90849) |
$43.08 |
$86.16 |
0.3× |
| Multiple Sleep Latency Test (95805) |
$1,015.25 |
$2,030.50 |
1.2× |
| Nasopharyngoscopy (92511) |
$250 |
$500 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$181.25 |
$362.50 |
0.9× |
| Nitric oxide expired gas determination (95012) |
$21 |
$35 |
0.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$52.50 |
$75 |
0.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$162 |
$270 |
6.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$262.50 |
$375 |
7.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$81 |
$135 |
5.9× |
| Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) |
$66.50 |
$133 |
0.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$33 |
$66 |
0.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$97.50 |
$195 |
4.7× |
| Ot eval high complex 60 min (97167) |
$135 |
$270 |
1.3× |
| Ot eval low complex 30 min (97165) |
$112.50 |
$225 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$118.50 |
$237 |
1.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$73 |
$146 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$34.50 |
$69 |
0.9× |
| Ot Range Motion Measure,Each Extrem (95851) |
$38.25 |
$76.50 |
1.5× |
| Ot re-evaluation (97168) |
$60.50 |
$121 |
0.9× |
| Ot therapeutic activity 15 min (97530) |
$38 |
$76 |
1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$114.90 |
$207 |
0.9× |
| Paraffin bath pt (97018) |
$43 |
$86 |
7.2× |
| Pdt dstr prmlg les phys/qhp (96573) |
$191.50 |
$383 |
1.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$112.50 |
$225 |
0.6× |
| Phlebotomy therapeutic (99195) |
$145 |
$290 |
1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$86 |
$172 |
1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$86 |
$172 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,484.60 |
$2,608 |
1.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,563 |
$3,126 |
1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,578.50 |
$3,157 |
1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$63.50 |
$127 |
1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$63.50 |
$127 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$185.75 |
$371.50 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$197 |
$394 |
1.2× |
| Psytx crisis initial 60 min (90839) |
$185.50 |
$371 |
1.1× |
| Pt Electrical Stimulation (97032) |
$47.25 |
$94.50 |
3.2× |
| Pt eval high complex 45 min (97163) |
$113.74 |
$227.47 |
1.2× |
| Pt eval low complex 20 min (97161) |
$86 |
$172 |
0.9× |
| Pt eval mod complex 30 min (97162) |
$92.45 |
$184.90 |
0.9× |
| Pt gait training 15 min (97116) |
$35 |
$70 |
1.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$38 |
$76 |
1.2× |
| Pt Physical Performance Test (97750) |
$37 |
$74 |
1.1× |
| Pt re-evaluation (97164) |
$60.50 |
$121 |
0.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$33 |
$66 |
1.0× |
| Pt Whirlpool Therapy (97022) |
$90.30 |
$129 |
5.8× |
| Pt-focused hlth risk assmt (96160) |
$4 |
$8 |
0.1× |
| Pulm function test by gas (94727) |
$120 |
$200 |
0.6× |
| Pulmonary stress test simple (94618) |
$150 |
$250 |
1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$17.50 |
$35 |
0.1× |
| Rem mntr physiol param dev (99454) |
$37 |
$74 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$39.50 |
$79 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$48 |
$96 |
0.2× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$50 |
$100 |
2.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$145 |
$290 |
1.1× |
| Sensory Integration Ea 15 Min (97533) |
$37.50 |
$75 |
0.6× |
| Sleep study attended (95807) |
$437.50 |
$875 |
1.2× |
| Sleep study unattended (95806) |
$275.50 |
$551 |
1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$270.50 |
$541 |
1.3× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$229 |
$458 |
4.0× |
| Smoking cessation > 10 min (99407) |
$27 |
$54 |
0.8× |
| Speech sound lang comprehen (92523) |
$207.05 |
$373.50 |
0.9× |
| Spirometry (94010) |
$56 |
$85 |
0.3× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$211 |
$422 |
1.0× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$23.10 |
$33 |
0.5× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$34 |
$68 |
0.5× |
| Temp transcutaneous pacing (92953) |
$736 |
$1,472 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$43 |
$86 |
1.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$47.50 |
$95 |
2.3× |
| Ther/prop/diag inj/inf proc (96379) |
$10 |
$20 |
0.2× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$13 |
$26 |
0.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$14 |
$28 |
0.4× |
| Tte w/doppler, complete (93306) |
$1,067.50 |
$2,135 |
2.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$668.60 |
$1,076 |
2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$95 |
$190 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$130 |
$260 |
1.5× |
| Unlisted psychiatric service or procedure (90899) |
$169.40 |
$242 |
4.7× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$752.65 |
$1,259.50 |
3.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$692 |
$1,384 |
6.9× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$366.50 |
$733 |
1.8× |
| Vent mgmt inpat init day (94002) |
$119 |
$170 |
0.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$269.50 |
$385 |
0.5× |
| Vital capacity, total (94150) |
$22.40 |
$32 |
0.2× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$105 |
$150 |
0.3× |