| Airway inhalation treatment (94640) |
— |
$570 |
— |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$71.25 |
$85 |
2.5× |
| Analyze Neurostim Complex (95972) |
$82.50 |
$192.50 |
0.9× |
| Analyze neurostim no prog (95970) |
$48.75 |
$162.50 |
0.4× |
| Appl on-body injector for timed subq injection (96377) |
— |
$5,925 |
— |
| Application of heat wave therapy (97024) |
— |
$75 |
— |
| Assessment of aphasia (96105) |
— |
$290 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
— |
$305 |
— |
| Blink reflex test (95933) |
$146.25 |
$162.50 |
2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$26.25 |
$410 |
0.1× |
| Canalith Repositioning (95992) |
$71.25 |
$95 |
1.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$620 |
— |
| Cardiopulmonary resuscitation (92950) |
$423.75 |
$570 |
2.0× |
| Cardioversion (92960) |
$243.75 |
$325 |
0.4× |
| Cbt 1st hour (94644) |
— |
$310 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$195 |
— |
| Chemo IV push addl drug (96411) |
— |
$195 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$630 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$980 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$980 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$195 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$195 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$195 |
— |
| Color/duplex Doppler, complete (93975) |
$127.50 |
$755 |
0.5× |
| Color/duplex Doppler, limited (93976) |
$90 |
$500 |
0.9× |
| Cortical mapping 1st hr (95961) |
$506.25 |
$617.50 |
0.6× |
| Cpap initiation and management (94660) |
— |
$570 |
— |
| Cpt initial (94667) |
— |
$190 |
— |
| Critical care (99291) |
$502.50 |
$670 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$112.50 |
$267.50 |
0.6× |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$90 |
— |
| Dermatological procedure (96999) |
$63.75 |
$850 |
0.3× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$90 |
$627.50 |
0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$56.25 |
$305 |
0.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$90 |
$680 |
0.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$48.75 |
$192.50 |
0.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$90 |
$782.50 |
0.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$56.25 |
$527.50 |
0.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$52.50 |
$500 |
0.5× |
| Duplex scan extracranial art compl bi study (93880) |
$90 |
$730 |
0.4× |
| Ear and throat examination (92502) |
$210 |
$850 |
0.4× |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,135 |
— |
| EEG awake drowsy (95816) |
$596.25 |
$632.50 |
2.8× |
| EEG cerebral death evaluation (95824) |
$78.75 |
$332.50 |
0.2× |
| EEG coma or sleep only (95822) |
$607.50 |
$640 |
2.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$855 |
$805 |
4.0× |
| EKG (93005) |
— |
$335 |
— |
| EKG rhythm strip (93041) |
— |
$142.50 |
— |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$320 |
— |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$727.50 |
$720 |
3.4× |
| EMG cranial nerve bilat (95868) |
$228.75 |
$317.50 |
1.1× |
| EMG cranial nerve unilat (95867) |
$165 |
$275 |
0.8× |
| EMG four extremities (95864) |
$412.50 |
$440 |
3.2× |
| EMG one extremity (95860) |
$213.75 |
$207.50 |
1.6× |
| EMG thoracic paraspinal (95869) |
$131.25 |
$152.50 |
0.6× |
| EMG three extremities (95863) |
$360 |
$405 |
2.8× |
| EMG two extremities (95861) |
$296.25 |
$362.50 |
2.2× |
| Er level 1 (99281) |
$60 |
$260 |
0.7× |
| Er level ii (99282) |
$116.25 |
$465 |
0.8× |
| Er level iii (99283) |
$195 |
$775 |
0.7× |
| Er level IV (99284) |
$311.25 |
$1,185 |
0.7× |
| Er level v (99285) |
$427.50 |
$1,650 |
0.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$125 |
$150 |
1.0× |
| Evaluation of speech fluency (92521) |
— |
$360 |
— |
| Evaluation of speech sound production (92522) |
— |
$305 |
— |
| Evaluation of swallowing function (92610) |
— |
$305 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$375 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$110 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$180 |
— |
| Flow volume loop (94375) |
$33.75 |
$50 |
0.2× |
| Health Behavior Assessment/Re-Assessment (96156) |
$52.50 |
$135 |
0.5× |
| Holter Monitor Recording (93225) |
— |
$415 |
— |
| Icd Device Interrogate (93289) |
— |
$110 |
— |
| Immunization Admin (90471) |
— |
$55 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$120 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
$168.75 |
$680 |
0.5× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$97.50 |
$262.50 |
0.5× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$67.50 |
$100 |
0.9× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$180 |
— |
| Ischemic limb exercise test (95875) |
$225 |
$315 |
1.7× |
| IV infusion hydration each additional hour (96361) |
— |
$125 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$630 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$195 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$630 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$125 |
— |
| IV push initial (96374) |
— |
$630 |
— |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
— |
$955 |
— |
| Manual therapy 15 min (97140) |
— |
$140 |
— |
| Massage 15 min (97124) |
— |
$140 |
— |
| Maximum voluntary ventilation (94200) |
— |
$130 |
— |
| Mechanical traction (97012) |
— |
$75 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$23 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$30 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$460 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$116.25 |
$142.50 |
0.3× |
| Multiple sleep latency test (95805) |
$157.50 |
$1,135 |
0.2× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$150 |
$170 |
1.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$371.25 |
$412.50 |
1.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$52.50 |
$990 |
0.1× |
| Neg press wound tx >50 cm (97608) |
$60 |
$535 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$545 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$63.75 |
$990 |
0.2× |
| Nerve conduction studies 13/> studies (95913) |
$547.50 |
$645 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$210 |
$420 |
1.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$401.25 |
$547.50 |
1.1× |
| Nerve conduction studies; 1-2 studies (95907) |
$168.75 |
$277.50 |
0.8× |
| Nerve conduction studies; 11-12 studies (95912) |
$472.50 |
$595 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$251.25 |
$447.50 |
1.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$330 |
$500 |
0.9× |
| Neuromuscular junction test (95937) |
$142.50 |
$160 |
1.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$33.75 |
$307.50 |
0.3× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$52.50 |
$382.50 |
0.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$205 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
— |
$105 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) |
— |
$40 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
— |
$70 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$85 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$125 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$42 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$115 |
— |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$45 |
$53.50 |
2.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$67.50 |
$68.50 |
3.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$95 |
— |
| Ot eval high complex 60 min (97167) |
— |
$295 |
— |
| Ot eval low complex 30 min (97165) |
— |
$295 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$295 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$140 |
— |
| Ot re-eval est plan care (97168) |
— |
$190 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$340 |
— |
| Paraffin bath (97018) |
— |
$75 |
— |
| Patch/Application Test Specify Number Tests (95044) |
$15 |
$655 |
0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$273.75 |
$345 |
1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$515 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
$15.75 |
$660 |
0.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
— |
$185 |
— |
| Phy/qhp op pulm rhb w/o mntr (94625) |
— |
$185 |
— |
| Pm device eval in person (93288) |
— |
$77.50 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$273.75 |
$2,062.50 |
0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$35 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$100 |
— |
| Psychiatric diagnostic evaluation (90791) |
$292.50 |
$390 |
1.6× |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$140 |
— |
| Pt Electric Current Therapy (97033) |
— |
$85 |
— |
| Pt eval high complex 45 min (97163) |
— |
$295 |
— |
| Pt eval low complex 20 min (97161) |
— |
$295 |
— |
| Pt Gait Training Therapy (97116) |
— |
$140 |
— |
| Pt Infrared Therapy (97026) |
— |
$75 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$140 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$295 |
— |
| Pt re-evaluation (97164) |
— |
$190 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$95 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$85 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$75 |
— |
| Pulm function test by gas (94727) |
$30 |
$240 |
0.1× |
| Pulmonary stress testing (94618) |
— |
$310 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$120 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$93.75 |
$380 |
0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$545 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$155 |
— |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$753.75 |
$667.50 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
— |
$140 |
— |
| Sleep study unattended (95806) |
$116.25 |
$490 |
0.5× |
| Speech sound lang comprehen (92523) |
— |
$615 |
— |
| Spirometry (94010) |
$19.50 |
$228 |
0.1× |
| Stress Tte Complete (93351) |
— |
$2,475 |
— |
| Test for allergy using allergenic extract injected into skin (95024) |
$15 |
$80 |
0.3× |
| Test for allergy using combination of methods with drug or biological (95018) |
$15.75 |
$48 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$125 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$195 |
— |
| Therapeutic Activities (97530) |
— |
$140 |
— |
| Therapeutic phlebotomy (99195) |
— |
$365 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$2,060 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$390 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$260 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$125 |
— |
| Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) |
— |
$35 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$78.75 |
$775 |
0.3× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$60 |
$645 |
0.3× |
| Vasopneumatic device (97016) |
— |
$75 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,500 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,500 |
— |
| Vital capacity total (94150) |
— |
$252.50 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$978.75 |
$1,765 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$140 |
— |
| Xtrnl mobile cv telemetry w/technical support (93229) |
— |
$80 |
— |