| Acoustic reflex testing (92568) |
— |
$33 |
— |
| Advance care planning first 30 mins (99497) |
— |
$100 |
— |
| Airway inhalation treatment (94640) |
— |
$269 |
— |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
— |
$38 |
— |
| Analyze Neurostim Complex (95972) |
— |
$562 |
— |
| Assessment of aphasia (96105) |
— |
$294 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
— |
$205 |
— |
| Breath Hydrogen/Methane Test (91065) |
— |
$218 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$671 |
— |
| Canalith Repositioning (95992) |
— |
$63.50 |
— |
| Capsule endoscopy (91110) |
— |
$763 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,186 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$319 |
— |
| Cardioversion (92960) |
— |
$285 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$75 |
— |
| Chemo IV push addl drug (96411) |
— |
$119 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$238 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$395 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$395 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$94 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$130 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$119 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,252 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$718 |
— |
| Comprehensive Hearing Test (92557) |
— |
$122.50 |
— |
| Cpap initiation and management (94660) |
— |
$1,586 |
— |
| Cpt initial (94667) |
— |
$153 |
— |
| Critical care (99291) |
— |
$9,994 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$288 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$249 |
— |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
— |
$185 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$525 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$291.50 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$716 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$504 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$451.30 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$248.50 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$974 |
— |
| Duplex hemodialysis access (93990) |
— |
$1,244 |
— |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
— |
$745.50 |
— |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
— |
$354 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$801.12 |
— |
| Ear and throat examination (92502) |
— |
$98.50 |
— |
| Ear Protector Attenuation Measurements (92596) |
— |
$33 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$507.68 |
— |
| Echo transesophageal (93312) |
— |
$1,257 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$1,144 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$120 |
— |
| EEG awake asleep (95819) |
— |
$634 |
— |
| EKG (93005) |
— |
$125 |
— |
| EKG rhythm strip (93041) |
— |
$121 |
— |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$63 |
— |
| EMG four extremities (95864) |
— |
$191 |
— |
| EMG one extremity (95860) |
— |
$189.38 |
— |
| EMG three extremities (95863) |
— |
$156 |
— |
| EMG two extremities (95861) |
— |
$257.50 |
— |
| Er level 1 (99281) |
— |
$360.50 |
— |
| Er level ii (99282) |
— |
$680 |
— |
| Er level iii (99283) |
— |
$1,224 |
— |
| Er level IV (99284) |
— |
$1,725 |
— |
| Er level v (99285) |
— |
$1,791 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$1,026 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$148 |
— |
| Evaluation of speech fluency (92521) |
— |
$145 |
— |
| Evaluation of speech sound production (92522) |
— |
$161 |
— |
| Evaluation of swallowing function (92610) |
— |
$188 |
— |
| Evoked auditory test,limited (92587) |
— |
$300 |
— |
| Exercise tst brncspsm (94617) |
— |
$141.75 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,007 |
— |
| Flow volume loop (94375) |
— |
$191.50 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$945 |
— |
| Group Therapeutic Procedures (97150) |
— |
$84 |
— |
| Hemodialysis (90935) |
— |
$168 |
— |
| Holter Monitor Recording (93225) |
— |
$511 |
— |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
— |
$21 |
— |
| Immunization Admin (90471) |
— |
$80 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$35 |
— |
| Inital newborn e/m (99460) |
— |
$246.50 |
— |
| Initial normal newborn care, same day discharge (99463) |
— |
$195 |
— |
| Injection intra arterial (96373) |
— |
$222 |
— |
| Ins swan ganz bedside (93503) |
— |
$206 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$80 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$589 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$456 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$203 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$440 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$242 |
— |
| IV push initial (96374) |
— |
$440 |
— |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
— |
$509 |
— |
| Manual therapy 15 min (97140) |
— |
$116 |
— |
| Massage 15 min (97124) |
— |
$65 |
— |
| Maximum voluntary ventilation (94200) |
— |
$126 |
— |
| Mechanical traction (97012) |
— |
$275 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$7.25 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$17.50 |
— |
| Motility study esophagus (91010) |
— |
$288 |
— |
| Multiple sleep latency test (95805) |
— |
$1,613 |
— |
| Nasopharyngoscopy (92511) |
— |
$145 |
— |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
— |
$46 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$374 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$374 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$161.50 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$490 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$487 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$391 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$849 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$213 |
— |
| Nerve conduction studies; 11-12 studies (95912) |
— |
$1,164.50 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$482.50 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$705 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$587 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$428 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$519 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$137 |
— |
| Osteopathic manipulative tx 1-2 body regions (98925) |
— |
$54 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$65 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$92 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$110 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$58.25 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$70 |
— |
| Ot eval high complex 60 min (97167) |
— |
$318 |
— |
| Ot eval low complex 30 min (97165) |
— |
$117 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$286 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$79.50 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$50 |
— |
| Ot re-eval est plan care (97168) |
— |
$360 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$413 |
— |
| Paraffin bath (97018) |
— |
$251 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$1,084 |
— |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
— |
$80 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$228 |
— |
| Photochemotx psoralens&ultraviolet puva (96912) |
— |
$54 |
— |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
— |
$54 |
— |
| Plethysmography (94726) |
— |
$588 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$5,804 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$2,394 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$45 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$45 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$225 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$175 |
— |
| Pt Electric Current Therapy (97033) |
— |
$86 |
— |
| Pt Electrical Stimulation (97032) |
— |
$550 |
— |
| Pt eval high complex 45 min (97163) |
— |
$356 |
— |
| Pt eval low complex 20 min (97161) |
— |
$258 |
— |
| Pt Gait Training Therapy (97116) |
— |
$110 |
— |
| Pt Infrared Therapy (97026) |
— |
$59 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$110 |
— |
| Pt Physical Performance Test (97750) |
— |
$128 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$282 |
— |
| Pt re-evaluation (97164) |
— |
$288 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$96 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$280 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$504 |
— |
| Pulm function test by gas (94727) |
— |
$478 |
— |
| Pure Tone Audiometry Air & Bone (92553) |
— |
$89 |
— |
| Pure Tone Audiometry, Air (92552) |
— |
$80.50 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$99 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
— |
$328.50 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$276 |
— |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
— |
$45 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$150 |
— |
| Sc Ther Infusion Reset Pump (96371) |
— |
$82 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$120 |
— |
| Sleep study attended (95807) |
— |
$1,155 |
— |
| Sleep study unattended (95806) |
— |
$818 |
— |
| Smoking cessation > 10 min (99407) |
— |
$28.50 |
— |
| Speech Audiometry, Complete (92556) |
— |
$40.50 |
— |
| Speech sound lang comprehen (92523) |
— |
$431 |
— |
| Spirometry (94010) |
— |
$409 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$130 |
— |
| Stress echo (93350) |
— |
$1,191.50 |
— |
| Stress Tte Complete (93351) |
— |
$1,590 |
— |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
— |
$50 |
— |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
— |
$220 |
— |
| Temp transcutaneous pacing (92953) |
— |
$641 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$28 |
— |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
— |
$30 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$188 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$145 |
— |
| Therapeutic Activities (97530) |
— |
$105 |
— |
| Therapeutic phlebotomy (99195) |
— |
$227 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$20 |
— |
| Tone Decay Test (92563) |
— |
$33 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$1,406.50 |
— |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$353 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$202 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$175 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$227 |
— |
| Tympanometry (92567) |
— |
$53 |
— |
| Tympanometry And Reflex Threshold Measurements (92550) |
— |
$149.50 |
— |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
— |
$736 |
— |
| Ultraviolet Therapy (97028) |
— |
$86 |
— |
| Unlisted Cardiovascular Service/Procedure (93799) |
— |
$245.75 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$75 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$150 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$1,244 |
— |
| Vasc Duplex Scan Extracranial,Limited (93882) |
— |
$410.50 |
— |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
— |
$642 |
— |
| Vasopneumatic device (97016) |
— |
$242 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,004 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,107 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$109 |
— |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
— |
$315 |
— |