| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
$96 |
$320 |
0.8× |
| Acoustic Reflex Testing (92568) |
$12 |
$40 |
0.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$18.55 |
$61.83 |
0.4× |
| Advncd Care Plan 30 Min (99497) |
$48 |
$160 |
0.4× |
| Aep neurodiagnostic i&r (92653) |
$69.30 |
$231 |
0.3× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$64.76 |
$215.87 |
0.2× |
| Airway Inhalation Treatment (94640) |
$12.30 |
$41 |
0.0× |
| Analyze neurostim complex (95972) |
$34.20 |
$114 |
0.3× |
| Analyze neurostim no prog (95970) |
$109.50 |
$365 |
0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$9 |
$30 |
0.6× |
| Application on-body injector (96377) |
$66 |
$220 |
1.1× |
| Assessment of aphasia per hr (96105) |
— |
$173.65 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
$122.52 |
$408.41 |
1.0× |
| Behavral qualit analys voice (92524) |
— |
$250 |
— |
| Brief Emotional/Behav Assmt (96127) |
$4.50 |
$15 |
0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$33.60 |
$112 |
0.1× |
| Canalith repositioning proc (95992) |
— |
$90 |
— |
| Car seat/bed test 60 min (94780) |
$63 |
$210 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$89.72 |
$299.06 |
0.3× |
| Cardiopulmonary resuscitation (92950) |
$324 |
$1,080 |
1.2× |
| Cardioversion (92960) |
$138 |
$460 |
0.2× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$30 |
$100 |
0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$16.05 |
$53.50 |
0.6× |
| Chemo Admin Peritoneal Cavity (96446) |
$441 |
$1,470 |
1.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$56.70 |
$189 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$30 |
$100 |
0.3× |
| Chemo Ia Push (96420) |
$453 |
$1,510 |
1.1× |
| Chemo Intralesional Over 7 (96406) |
$324 |
$1,080 |
1.2× |
| Chemo intralesional up to 7 (96405) |
$132 |
$440 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$100.50 |
$335 |
1.1× |
| Chemo IV push addl drug (96411) |
$115.50 |
$385 |
1.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$466.50 |
$1,555 |
1.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$481.50 |
$1,605 |
1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$94.50 |
$315 |
1.6× |
| Chemotherapy Into Cns (96450) |
$489 |
$1,630 |
1.2× |
| Chemotherapy Intracavitary (96440) |
$795 |
$2,650 |
1.9× |
| Chemotherapy Unspecified (96549) |
$180 |
$600 |
3.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$427.50 |
$1,425 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$121.50 |
$405 |
1.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$468 |
$1,560 |
1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$453 |
$1,510 |
1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$409.50 |
$1,365 |
1.0× |
| Chest Wall Manipulation (94668) |
$9 |
$30 |
0.1× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$147 |
$490 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$120 |
$400 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$70.20 |
$234 |
0.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$17.13 |
$57.09 |
0.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$48.90 |
$163 |
0.2× |
| Comprehensive Hearing Test (92557) |
$31.50 |
$105 |
0.2× |
| Conditioning Play Audiometry (92582) |
$48 |
$160 |
0.3× |
| Continuous Pulse Ox (94762) |
$15 |
$50 |
0.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$39 |
$130 |
0.1× |
| Cpt initial (94667) |
$15 |
$50 |
0.1× |
| Critical care first hour (99291) |
$633 |
$2,110 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$43.50 |
$145 |
0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$190.85 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$37.50 |
$125 |
0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$120 |
$400 |
0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$127.50 |
$425 |
0.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$56.10 |
$187 |
0.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$70.50 |
$235 |
0.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$40.80 |
$136 |
0.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$142.50 |
$475 |
0.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$84 |
$280 |
0.6× |
| Duplex up extrem art bilat (93930) |
$77.99 |
$259.95 |
0.3× |
| Duplex up extrem art unilat/ltd (93931) |
$40.50 |
$135 |
0.3× |
| Echo Heart Xthoracic,Limited (93308) |
$30.60 |
$102 |
0.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$10.50 |
$35 |
0.7× |
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines |
$31.50–$41.70 |
$105–$139 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$54 |
$180 |
0.3× |
| Emergency Dept Visit Level 3 (99283) |
$141.90 |
$473 |
0.4× |
| Emergency Dept Visit Level 4 (99284) |
$212.10 |
$707 |
0.4× |
| Er level 1 (99281) |
$37.59 |
$125.29 |
0.4× |
| Er level v (99285) |
$341.48 |
$1,138.25 |
0.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$62.10 |
$207 |
0.4× |
| Evaluate pt use of inhaler (94664) |
$12 |
$40 |
0.0× |
| Evaluate Speech Production (92522) |
— |
$188.18 |
— |
| Evaluate Swallowing Function (92610) |
— |
$184 |
— |
| Evaluation of speech fluency (92521) |
— |
$130 |
— |
| Evoked Auditory Test,Limited (92587) |
$81.71 |
$272.38 |
0.3× |
| External ECG rec>48hr<7d recording (93242) |
$13.50 |
$45 |
0.3× |
| External ECG rec>7d<15d recording (93246) |
$14.70 |
$49 |
0.3× |
| Extracranial Bilat Study (93880) |
$105 |
$350 |
0.4× |
| Extracranial Uni/Ltd Study (93882) |
$79.50 |
$265 |
0.6× |
| Eye exam w anesth; complete (92018) |
$140.55 |
$468.50 |
0.0× |
| Group Therapeutic Procedures (97150) |
$13.20 |
$44 |
0.7× |
| Icm Device Eval (93290) |
$26.10 |
$87 |
0.6× |
| Ilr Device Interrogate (93291) |
$30 |
$100 |
0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$12.05 |
$40.17 |
0.1× |
| Immunization administration (90471) |
$18.85 |
$62.83 |
0.2× |
| Inital newborn e/m (99460) |
$95.97 |
$319.90 |
0.6× |
| Insert/Place Heart Catheter (93503) |
$324 |
$1,080 |
0.2× |
| Iontophoresis 15 min (97033) |
$14.70 |
$49 |
0.8× |
| Irrig Drug Delivery Device (96523) |
$24.90 |
$83 |
0.3× |
| IV infusion hydration each additional hour (96361) |
$15 |
$50 |
0.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$44.70 |
$149 |
0.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$30 |
$100 |
0.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$20.79 |
$69.30 |
0.4× |
| IV push initial (96374) |
$38.35 |
$127.82 |
0.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$14.40 |
$48 |
0.2× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$2,056.50 |
$6,855 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$19.13 |
$63.78 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$21.99 |
$73.30 |
0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$10.50 |
$35 |
0.6× |
| Methacholine challenge (94070) |
$39.60 |
$132 |
0.1× |
| Motion Fluoroscopy/Swallow (92611) |
— |
$311.05 |
— |
| Multiple Sleep Latency Test (95805) |
$570 |
$1,900 |
0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$180 |
$600 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$180 |
$600 |
0.4× |
| Neuromuscular Reeducation (97112) |
$18.60 |
$62 |
0.6× |
| Newborn resuscitation (99465) |
$262.50 |
$875 |
0.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$16.50 |
$55 |
0.7× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$31.20 |
$104 |
0.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$7.83 |
$26.10 |
0.6× |
| Oral Function Therapy (92526) |
— |
$173 |
— |
| Oral Speech Device Eval (92597) |
$88.50 |
$295 |
1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$27.90 |
$93 |
0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$27 |
$90 |
0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$21 |
$70 |
0.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$27 |
$90 |
1.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$34.50 |
$115 |
1.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$40.50 |
$135 |
1.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$49.14 |
$163.80 |
1.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$10.50 |
$35 |
0.7× |
| Ot eval high complexity (97167) |
— |
$150 |
— |
| Ot Eval Low Complex (97165) |
— |
$180 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$150 |
— |
| Ot manual therapy 15 min (97140) |
$18 |
$60 |
0.6× |
| Ot paraffin bath (97018) |
$9 |
$30 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$12.30 |
$41 |
0.3× |
| Ot Re-Eval Est Plan Care (97168) |
— |
$118 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$23.10 |
$77 |
0.1× |
| Oxygen Uptake Rest Indirect (94690) |
$38.40 |
$128 |
0.5× |
| Phlebotomy therapeutic (99195) |
$34.59 |
$115.31 |
0.2× |
| Physical Performance Test (97750) |
$18 |
$60 |
0.5× |
| Pm device eval in person (93288) |
$28.50 |
$95 |
0.6× |
| Pm device progr eval dual (93280) |
$46.20 |
$154 |
1.0× |
| Pm/Icd Remote Tech Serv (93296) |
$31.20 |
$104 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$220.20 |
$734 |
0.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$147 |
$490 |
1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$12.30 |
$41 |
0.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$18.60 |
$62 |
0.3× |
| Psych diag eval w/med srvcs (90792) |
$97.50 |
$325 |
0.4× |
| Psychiatric diagnostic evaluation (90791) |
$72 |
$240 |
0.3× |
| Psytx Crisis Initial 60 Min (90839) |
$75 |
$250 |
0.3× |
| Pt Eval High Complex (97163) |
$51.90 |
$173 |
0.5× |
| Pt eval low complex 20 min (97161) |
$48 |
$160 |
0.5× |
| Pt Eval Mod Complex (97162) |
$48 |
$160 |
0.5× |
| Pt gait training 15 min (97116) |
$16.50 |
$55 |
0.6× |
| Pt group caregiver training (97552) |
$17.10 |
$57 |
0.8× |
| Pt mechanical traction (97012) |
$9.30 |
$31 |
0.6× |
| Pt Re-Eval Est Plan Care (97164) |
$30 |
$100 |
0.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$3.60 |
$12 |
0.1× |
| Pulmonary service/procedure (94799) |
$157.80 |
$526 |
1.0× |
| Pure Tone Audiometry Air (92552) |
$18 |
$60 |
0.1× |
| Refill/Maint Portable Pump (96521) |
$319.50 |
$1,065 |
1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$90 |
$300 |
1.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$133.50 |
$445 |
2.9× |
| Remote 30 Day Ecg Rev/Report (93270) |
$23.40 |
$78 |
0.5× |
| Respiratory flow volume loop (94375) |
$24 |
$80 |
0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$9.35 |
$31.18 |
0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$31.20 |
$104 |
0.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$215 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$95 |
— |
| Same day nb discharge (99463) |
$91.52 |
$305.08 |
0.6× |
| Sbsq Psyc Collab Care Mgmt (99493) |
$77.40 |
$258 |
0.6× |
| Select picture audiometry (92583) |
$82.50 |
$275 |
1.1× |
| Self Care Mngment Training (97535) |
$16.91 |
$56.35 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$25.50 |
$85 |
0.4× |
| Sleep study attended (95807) |
$120.85 |
$402.84 |
0.3× |
| Sleep study unattended (95806) |
$73.20 |
$244 |
0.3× |
| Slp caregiver training 1st 30 min (97550) |
$32.10 |
$107 |
0.6× |
| Slp Stdy Unatnd W/Anal (95801) |
$105 |
$350 |
1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$247.50 |
$825 |
0.9× |
| Speech sound lang comprehen (92523) |
— |
$331.20 |
— |
| Spirometry (94010) |
$22.50 |
$75 |
0.1× |
| Standardized Cognitive Performance Testing (96125) |
— |
$200 |
— |
| Stress Tte Only (93350) |
$75.60 |
$252 |
0.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$331.50 |
$1,105 |
1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$45.16 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$43.16 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$19.50 |
$65 |
0.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$12.95 |
$43.16 |
0.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$150 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
$264 |
$880 |
1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$14.36 |
$47.85 |
0.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$58.11 |
$193.70 |
0.2× |
| Therapeutic Activities (97530) |
$19.50 |
$65 |
0.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$16.50 |
$55 |
0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$9.08 |
$30.28 |
0.2× |
| Trans Care Mgmt 14 Day Disch (99495) |
$103.50 |
$345 |
0.6× |
| Trans Care Mgmt 7 Day Disch (99496) |
$315 |
$1,050 |
1.9× |
| Tte w/doppler, complete (93306) |
$300 |
$1,000 |
0.4× |
| Tte W/O Doppler Complete (93307) |
$45.60 |
$152 |
0.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$138 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$10.50 |
$35 |
0.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$19.80 |
$66 |
0.3× |
| Tympanometry (92567) |
$25.80 |
$86 |
0.6× |
| Unlisted cardiovascular service/procedure (93799) |
$24.45 |
$81.50 |
0.2× |
| Upr/L Xtremity Art 2 Levels (93922) |
$138.17 |
$460.58 |
0.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$76.20 |
$254 |
0.3× |
| Vent Mgmt Inpat Init Day (94002) |
$165 |
$550 |
0.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$58.24 |
$194.13 |
0.1× |
| Vital capacity, total (94150) |
$15 |
$50 |
0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$16.91 |
$56.35 |
0.5× |
| Whirlpool Therapy (97022) |
$13.50 |
$45 |
0.9× |