| Airway inhalation treatment (94640) |
$225 |
$250 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$43.63 |
$48.47 |
0.9× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$83.70 |
$93 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$94.50 |
$105 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$73.80 |
$82 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$117 |
$130 |
— |
| Bipap initial day (94660) |
$559.80 |
$622 |
2.5× |
| Breathing capacity test (94010) |
$396 |
$440 |
1.8× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$403.20 |
$448 |
1.1× |
| Canalith repositioning (95992) |
$120.60 |
$134 |
— |
| Cardiopulmonary exercise testing (94621) |
$1,165.50 |
$1,295 |
3.1× |
| Cardiovascular stress test (93017) |
$771.98 |
$857.75 |
3.5× |
| Cardioversion elective external (92960) |
$1,170 |
$1,300 |
1.7× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$14,944.50 |
$16,605 |
4.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$13,001.40 |
$14,446 |
3.9× |
| Chemo anti-neopl sq/im (96401) |
$234 |
$260 |
3.2× |
| Chemo hormon antineopl sq/im (96402) |
$122.40 |
$136 |
1.7× |
| Chemo IV infus each addl seq (96417) |
$315 |
$350 |
4.3× |
| Chemo IV infusion addl hr (96415) |
$194.40 |
$216 |
2.6× |
| Chemo IV push addl drug (96411) |
$246.15 |
$273.50 |
3.3× |
| Chemother prolong infuse w/pump (96416) |
$810 |
$900 |
2.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$472.50 |
$525 |
1.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$382.50 |
$425 |
1.1× |
| Chest physiotherapy initial (94667) |
$110.70 |
$123 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$734.40 |
$816 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$202.50 |
$225 |
1.9× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$306 |
$340 |
2.3× |
| Cpr (92950) |
$612 |
$680 |
2.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,941.30 |
$2,157 |
2.3× |
| Debridement open wound 20 sq cm< (97597) |
$180 |
$200 |
0.9× |
| Delivery/birthing room resuscitation (99465) |
$1,137.60 |
$1,264 |
1.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$446.40 |
$496 |
3.4× |
| Duplex hemodialysis access (93990) |
$635.40 |
$706 |
5.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$734.40 |
$816 |
3.0× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$352.80 |
$392 |
3.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$540 |
$600 |
2.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$270 |
$300 |
2.5× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$829.80 |
$922 |
3.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$270 |
$300 |
2.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$970.20 |
$1,078 |
4.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$744.30 |
$827 |
7.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,032.75 |
$1,147.50 |
4.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$735.75 |
$817.50 |
6.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$912.15 |
$1,013.50 |
3.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$706.95 |
$785.50 |
6.6× |
| ECG monit/reprt up to 48 hrs (93226) |
$589.95 |
$655.50 |
9.8× |
| Echo transesophageal (93312) |
$1,275.75 |
$1,417.50 |
2.3× |
| EEG 41-60 minutes (95812) |
$1,258.65 |
$1,398.50 |
5.7× |
| EEG awake & asleep (95819) |
$855 |
$950 |
3.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,309.50 |
$1,455 |
5.9× |
| EKG 12 lead tracing only (93005) |
$221.40 |
$246 |
3.7× |
| Emergency department visit high mdm (99285) |
$1,076.40 |
$1,196 |
1.8× |
| Emergency department visit low mdm (99283) |
$445.50 |
$495 |
1.6× |
| Emergency department visit may not req phys/qhp (99281) |
$139.50 |
$155 |
1.6× |
| Emergency department visit moderate mdm (99284) |
$823.50 |
$915 |
1.9× |
| Emergency department visit straightforward mdm (99282) |
$279 |
$310 |
1.8× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$238.05 |
$264.50 |
1.8× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$2,628.90 |
$2,921 |
11.9× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,655.10 |
$1,839 |
4.3× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$262.80 |
$292 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$336.60 |
$374 |
— |
| Evaluation of speech fluency (92521) |
$237.60 |
$264 |
— |
| Evaluation of speech sound production articulate (92522) |
$239.40 |
$266 |
— |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$2,475 |
$2,750 |
2.7× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$2,084.40 |
$2,316 |
3.0× |
| Hot/cold pack (97010) |
$54 |
$60 |
— |
| Immunization administration (90471) |
$47.02 |
$52.25 |
0.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$117 |
$130 |
2.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$190.80 |
$212 |
0.9× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$765 |
$850 |
0.5× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$85.50 |
$95 |
2.2× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$56.18 |
$62.42 |
0.9× |
| IV infusion hydration each additional hour (96361) |
$103.50 |
$115 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$268.20 |
$298 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$126 |
$140 |
1.7× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$301.50 |
$335 |
1.4× |
| IV tx, each additional hour (96366) |
$103.50 |
$115 |
2.2× |
| Mechanical chest wall oscillation lung function (94669) |
$193.50 |
$215 |
0.9× |
| Mechanical traction therapy (97012) |
$54 |
$60 |
— |
| Methacholine challenge (94070) |
$301.50 |
$335 |
0.8× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$370.80 |
$412 |
— |
| Multiple sleep latency (95805) |
$1,589.40 |
$1,766 |
1.8× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$346.50 |
$385 |
0.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$346.50 |
$385 |
0.8× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$234 |
$260 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$346.50 |
$385 |
0.8× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$501.30 |
$557 |
2.3× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$244.80 |
$272 |
1.9× |
| Occupational therapy eval high complex 60 mins (97167) |
$237.60 |
$264 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$162 |
$180 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$193.50 |
$215 |
— |
| Oral function therapy (92526) |
$216.90 |
$241 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$112.50 |
$125 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$100.35 |
$111.50 |
— |
| Ot manual therapy ea 15 min (97140) |
$110.70 |
$123 |
— |
| Ot neuromuscular re-education (97112) |
$157.50 |
$175 |
— |
| Ot re-evaluation (97168) |
$144 |
$160 |
— |
| OT Therapeutic Activities Charges (97530) |
$105.75 |
$117.50 |
— |
| Ot wheelchair management (97542) |
$67.50 |
$75 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$194.40 |
$216 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$121.50 |
$135 |
0.9× |
| Phlebotomy therapeutic (99195) |
$129.60 |
$144 |
1.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$127.92 |
$142.13 |
2.1× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$127.92 |
$142.13 |
2.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$225 |
$250 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$166.50 |
$185 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$189 |
$210 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$4,294.80 |
$4,772 |
4.9× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$112.50 |
$125 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
$15,289.65 |
$16,988.50 |
2.6× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$26,603.55 |
$29,559.50 |
2.3× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$15,795 |
$17,550 |
1.3× |
| Pt gait training 15 min (97116) |
$75.60 |
$84 |
— |
| Pt physical performance test (97750) |
$85.50 |
$95 |
— |
| Pt re-evaluation (97164) |
$135 |
$150 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$299.70 |
$333 |
— |
| Pulm funct tst plethysmograp (94726) |
$540 |
$600 |
1.4× |
| Pulmonary stress testing (94618) |
$388.80 |
$432 |
2.9× |
| R&l hrt cath w/ventriclgrphy (93453) |
$14,025.15 |
$15,583.50 |
4.2× |
| Refilling and maintenance of portable pump (96521) |
$348.30 |
$387 |
1.6× |
| Right heart cath o2 saturation & cardiac output (93451) |
$7,703.10 |
$8,559 |
2.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$85.50 |
$95 |
— |
| Sleep study unattended (95806) |
$665.10 |
$739 |
3.0× |
| Speech sound lang comprehen (92523) |
$330.30 |
$367 |
— |
| Standardized cognitive performance testing (96125) |
$211.50 |
$235 |
— |
| Stress tte only (93350) |
$1,440 |
$1,600 |
2.6× |
| Surfactant administration (94610) |
$428.40 |
$476 |
1.9× |
| Temp transcutaneous pacing (92953) |
$1,170 |
$1,300 |
1.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$79.20 |
$88 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$144 |
$160 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$50.40 |
$56 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$157.50 |
$175 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$76.50 |
$85 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$126 |
$140 |
1.7× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$210.60 |
$234 |
— |
| Tte congenital complete (93303) |
$1,568.70 |
$1,743 |
2.8× |
| Tte f-up or lmtd (93308) |
$650.25 |
$722.50 |
2.7× |
| Tte w/doppler complete (93306) |
$1,568.70 |
$1,743 |
2.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$164.70 |
$183 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$131.40 |
$146 |
— |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$87.30 |
$97 |
— |
| Unlisted psychiatric service or procedure (90899) |
$118.80 |
$132 |
3.1× |
| Ventilation ip/obs initial day (94002) |
$1,696.50 |
$1,885 |
2.7× |
| Ventilator subsequent day (94003) |
$1,134 |
$1,260 |
1.8× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$138.60 |
$154 |
— |
| Wound(s) care non-selective (97602) |
$190.80 |
$212 |
0.9× |