| Airway inhalation treatment (94640) |
$60.17 |
$85.95 |
0.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$70.46 |
$100.66 |
1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$55.30 |
$79 |
3.9× |
| Application Modality 1/> Areas Infrared (97026) |
$22.16 |
$31.66 |
3.3× |
| Bedside Swallowing Eval (92610) |
$144.20 |
$206 |
1.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$80.50 |
$115 |
1.0× |
| Brief Emotional/Behavioral Assessment (96127) |
$12.83 |
$18.32 |
0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$512.30 |
$731.85 |
1.4× |
| Canalith Repositioning Procedure (95992) |
$63 |
$90 |
1.5× |
| Car seat/bed test 60 min (94780) |
$55.13 |
$78.75 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$52.79 |
$75.42 |
0.2× |
| Cardiopulmonary exercise testing (94621) |
$1,030.47 |
$1,472.10 |
2.8× |
| Cardiopulmonary resuscitation (92950) |
$638.16 |
$911.66 |
3.0× |
| Cardioversion (92960) |
$490.22 |
$700.32 |
0.8× |
| Cbt 1st hour (94644) |
$242.20 |
$346 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$197.40 |
$282 |
2.8× |
| Chemo Ia Infuse Each Addl Hr (96423) |
$55.35 |
$79.07 |
1.2× |
| Chemo IV push addl drug (96411) |
$246.40 |
$352 |
3.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$632.80 |
$904 |
1.9× |
| Chemother, IV infusion, 1 hr (96413) |
$716.80 |
$1,024 |
2.2× |
| Chemother, IV infusion, ea add hr (96415) |
$214.90 |
$307 |
3.0× |
| Chemother,ia infusn tech,<1 hr (96422) |
$519.02 |
$741.46 |
1.6× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$222.60 |
$318 |
3.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$280.70 |
$401 |
3.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$424.90 |
$607 |
1.3× |
| Chronic care management services 1st 20 min (99490) |
$117.45 |
$167.78 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$897.35 |
$1,281.93 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$527.80 |
$754 |
5.1× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$158.75 |
$226.78 |
0.9× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$121.10 |
$173 |
2.1× |
| Continuous Glucose Monitoring (95250) |
$264.60 |
$378 |
2.0× |
| Cpap/bipap (94660) |
$644.70 |
$921 |
3.0× |
| Cpt initial (94667) |
$136.20 |
$194.57 |
1.0× |
| Critical care (99291) |
$591.93 |
$845.62 |
0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$109.92 |
$157.03 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$709.80 |
$1,014 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$770.70 |
$1,101 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$552.30 |
$789 |
5.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$525.70 |
$751 |
5.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$834.40 |
$1,192 |
3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$548.10 |
$783 |
5.3× |
| Duplex scan extracranial art compl bi study (93880) |
$807.80 |
$1,154 |
3.4× |
| Echo Heart Xthoracic,Limited (93308) |
$683.20 |
$976 |
2.9× |
| Electrocardiogram Tracing (93005) |
$33.81 |
$48.30 |
0.6× |
| Er level 1 (99281) |
$80.89 |
$115.55 |
1.0× |
| Er level ii (99282) |
$134.44 |
$192.05 |
0.9× |
| Er level iii (99283) |
$204.22 |
$291.74 |
0.8× |
| Er level IV (99284) |
$295.29 |
$421.84 |
0.7× |
| Er level v (99285) |
$450.93 |
$644.18 |
0.8× |
| Eval speech sound production (92522) |
$141.40 |
$202 |
1.3× |
| Evaluation of speech fluency (92521) |
$132.47 |
$189.24 |
1.0× |
| Exercise tst brncspsm (94617) |
$374.12 |
$534.45 |
2.8× |
| External ECG rec>48hr<7d recording (93242) |
$274.01 |
$391.44 |
7.4× |
| External ECG rec>7d<15d recording (93246) |
$274.01 |
$391.44 |
7.4× |
| Fluorescein icg angrph w/multiframe i&r uni/bi (92242) |
$355.50 |
$507.86 |
1.7× |
| Holter Monitor (93225) |
$349.30 |
$499 |
2.7× |
| Immune Admin Oral/Nasal (90473) |
$49.82 |
$71.18 |
0.7× |
| Immunization Admin (90471) |
$48.30 |
$69 |
0.7× |
| Inital newborn e/m (99460) |
$238.66 |
$340.94 |
1.8× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$267.10 |
$381.57 |
2.0× |
| Intrapulmonary Surfactant Administj Phys/Qhp (94610) |
$146.30 |
$209 |
0.7× |
| Iontophoresis 15 min (97033) |
$86.41 |
$123.44 |
4.5× |
| Irrig drug delivery device (96523) |
$174.30 |
$249 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$137.90 |
$197 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$372.40 |
$532 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$180.60 |
$258 |
2.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$304.34 |
$434.78 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$147 |
$210 |
3.2× |
| IV push ea addl new drug (96375) |
$159.60 |
$228 |
3.5× |
| IV push initial (96374) |
$211.40 |
$302 |
1.0× |
| Manual therapy 15 min (97140) |
$77 |
$110 |
2.8× |
| Maximum voluntary ventilation (94200) |
$176.40 |
$252 |
3.0× |
| Mechanical traction (97012) |
$60.20 |
$86 |
4.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$72.80 |
$104 |
2.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$64.17 |
$91.67 |
1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$70.71 |
$101.01 |
4.2× |
| Multiple Sleep Latency Test (95805) |
$2,935.80 |
$4,194 |
3.5× |
| Nasopharyngoscopy (92511) |
$396.20 |
$566 |
2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$558.89 |
$798.42 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$244.30 |
$349 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$505.42 |
$722.02 |
1.3× |
| Newborn resuscitation (99465) |
$421.36 |
$601.95 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$354.20 |
$506 |
2.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$211.40 |
$302 |
1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$93.05 |
$132.93 |
2.0× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$74.31 |
$106.16 |
2.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$47.60 |
$68 |
3.4× |
| Ot eval high complex 60 min (97167) |
$240.10 |
$343 |
2.4× |
| Ot eval low complex 30 min (97165) |
$158.20 |
$226 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$199.50 |
$285 |
2.0× |
| Ot re-evaluation (97168) |
$112 |
$160 |
1.6× |
| Ot therapeutic activity 15 min (97530) |
$89.29 |
$127.55 |
2.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$326.90 |
$467 |
1.5× |
| Phlebotomy therapeutic (99195) |
$227.50 |
$325 |
1.7× |
| Plethysmography (94726) |
$224.70 |
$321 |
0.6× |
| Pm device eval in person (93288) |
$105 |
$150 |
2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,756.12 |
$5,365.88 |
4.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$60.27 |
$86.10 |
0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$25.10 |
$35.86 |
0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$33.81 |
$48.30 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$295.64 |
$422.34 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$222.12 |
$317.31 |
1.3× |
| Pt Electrical Stimulation (97032) |
$68.60 |
$98 |
4.7× |
| Pt eval high complex 45 min (97163) |
$214.20 |
$306 |
2.2× |
| Pt eval low complex 20 min (97161) |
$141.40 |
$202 |
1.4× |
| Pt eval mod complex 30 min (97162) |
$178.50 |
$255 |
1.8× |
| Pt gait training 15 min (97116) |
$77.70 |
$111 |
2.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$87.50 |
$125 |
2.7× |
| Pt re-evaluation (97164) |
$105.70 |
$151 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$85.40 |
$122 |
2.6× |
| Pulmonary Service/Procedure (94799) |
$154 |
$220 |
1.2× |
| Pulmonary stress test simple (94618) |
$284.20 |
$406 |
2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$175 |
$250 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$119.70 |
$171 |
0.9× |
| Sleep study attended (95807) |
$1,381.35 |
$1,973.35 |
3.7× |
| Sleep study unattended (95806) |
$606.90 |
$867 |
2.8× |
| Speech sound lang comprehen (92523) |
$220.50 |
$315 |
1.0× |
| Spirometry (94010) |
$152.52 |
$217.88 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$298.20 |
$426 |
2.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$114.56 |
$163.66 |
5.1× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$81.54 |
$116.48 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$27.24 |
$38.91 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$271.47 |
$387.82 |
2.1× |
| Trans Care Mgmt 7 Day Disch (99496) |
$398.22 |
$568.88 |
3.0× |
| Tte w/doppler, complete (93306) |
$1,486.54 |
$2,123.63 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$121.80 |
$174 |
1.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$145.60 |
$208 |
1.7× |
| Tympanometry (92567) |
$30.10 |
$43 |
0.8× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$42 |
$60 |
0.2× |
| Unlisted otorhinolaryngological service (92700) |
$14.70 |
$21 |
0.5× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$580.30 |
$829 |
2.7× |
| Vent mgmt inpat init day (94002) |
$1,620.50 |
$2,315 |
2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$980.36 |
$1,400.52 |
1.6× |
| Vital capacity, total (94150) |
$195.30 |
$279 |
1.5× |