| Airway inhalation treatment (94640) |
$112.50 |
$225 |
0.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$109.19 |
$218.37 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$270.49 |
$540.97 |
0.8× |
| Canalith Repositioning (95992) |
$32.19 |
$64.38 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$465.83 |
$931.66 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$251.20 |
$502.39 |
1.3× |
| Cardioversion (92960) |
$186.05 |
$372.09 |
0.3× |
| Cbt 1st hour (94644) |
$111.20 |
$222.40 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$61.85 |
$123.70 |
0.9× |
| Chemo IV push addl drug (96411) |
$73.84 |
$147.68 |
1.1× |
| Chemo Iv Push Sngl Drug (96409) |
$119.92 |
$239.83 |
0.4× |
| Chemother, IV infusion, 1 hr (96413) |
$196.91 |
$393.82 |
0.7× |
| Chemother, IV infusion, ea add hr (96415) |
$31.56 |
$63.12 |
0.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$66.27 |
$132.53 |
1.0× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$267.50 |
$535 |
0.8× |
| Cpap initiation and management (94660) |
$199.28 |
$398.56 |
1.0× |
| Cpt initial (94667) |
$55.76 |
$111.53 |
0.5× |
| Critical care (99291) |
$235.40 |
$470.80 |
0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$85.60 |
$171.20 |
0.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$78.14 |
$156.28 |
0.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$334.50 |
$669 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$205.12 |
$410.23 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$273.28 |
$546.56 |
1.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$195.65 |
$391.30 |
2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$249.30 |
$498.59 |
2.6× |
| Duplex scan extracranial art compl bi study (93880) |
$362.90 |
$725.80 |
1.7× |
| EKG (93005) |
$85.10 |
$170.20 |
1.6× |
| Er level 1 (99281) |
$29.67 |
$59.33 |
0.4× |
| Er level ii (99282) |
$46.07 |
$92.14 |
0.3× |
| Er level iii (99283) |
$72.59 |
$145.17 |
0.3× |
| Er level IV (99284) |
$102.25 |
$204.49 |
0.3× |
| Er level v (99285) |
$151.47 |
$302.94 |
0.3× |
| Evaluation of speech fluency (92521) |
$129.38 |
$258.76 |
1.0× |
| Evaluation of speech sound production (92522) |
$106.03 |
$212.06 |
0.9× |
| Evaluation of swallowing function (92610) |
$113.60 |
$227.20 |
1.3× |
| External Ecg Scanning Analysis Report (93226) |
$210.38 |
$420.76 |
3.9× |
| Group Therapeutic Procedures (97150) |
$29.04 |
$58.07 |
1.6× |
| Holter Monitor Recording (93225) |
$165.30 |
$330.59 |
1.4× |
| Immunization Admin (90471) |
$22.09 |
$44.18 |
0.3× |
| Immunotherapy, 2+ Injections (95117) |
$24.62 |
$49.23 |
0.6× |
| Injection intra arterial (96373) |
$69.43 |
$138.85 |
0.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$37.87 |
$75.73 |
0.7× |
| IV infusion hydration each additional hour (96361) |
$62.49 |
$124.97 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$100.36 |
$200.70 |
0.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$61.85 |
$123.70 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$113.61 |
$227.21 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$43.87 |
$87.73 |
1.0× |
| IV push initial (96374) |
$73.98 |
$147.96 |
0.4× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$150.27 |
$300.54 |
0.5× |
| Manual therapy 15 min (97140) |
$22.09 |
$44.18 |
0.8× |
| Massage 15 min (97124) |
$35.34 |
$70.68 |
1.2× |
| Mechanical traction (97012) |
$32.19 |
$64.38 |
2.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$128.75 |
$257.50 |
1.4× |
| Multiple sleep latency test (95805) |
$808.47 |
$1,616.94 |
1.0× |
| Neurobehavioral Status Exam (96116) |
$109.19 |
$218.38 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$194.52 |
$389.02 |
1.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$260.03 |
$520.05 |
1.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$261.47 |
$522.93 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$35.98 |
$71.95 |
0.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$31.56 |
$63.12 |
1.0× |
| Ot Contrast Bath Ea 15 Min (97034) |
$13.25 |
$26.50 |
0.9× |
| Ot eval high complex 60 min (97167) |
$120.22 |
$240.43 |
1.2× |
| Ot eval low complex 30 min (97165) |
$96.17 |
$192.34 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$108.20 |
$216.39 |
1.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$33.45 |
$66.90 |
0.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$26.67 |
$53.34 |
0.7× |
| Ot re-eval est plan care (97168) |
$49.23 |
$98.46 |
0.7× |
| Paraffin bath (97018) |
$23.99 |
$47.97 |
4.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,983.54 |
$3,967.08 |
2.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$22.09 |
$44.18 |
0.5× |
| Pt Electric Current Therapy (97033) |
$38.50 |
$77 |
2.0× |
| Pt Electrical Stimulation (97032) |
$30.93 |
$61.85 |
2.1× |
| Pt eval high complex 45 min (97163) |
$120.22 |
$240.43 |
1.2× |
| Pt eval low complex 20 min (97161) |
$96.17 |
$192.34 |
1.0× |
| Pt Gait Training Therapy (97116) |
$39.76 |
$79.52 |
1.4× |
| Pt Infrared Therapy (97026) |
$20.83 |
$41.66 |
3.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$40.40 |
$80.79 |
1.2× |
| Pt Physical Performance Test (97750) |
$29.50 |
$59.01 |
0.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$108.20 |
$216.39 |
1.1× |
| Pt re-evaluation (97164) |
$47.34 |
$94.67 |
0.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$34.71 |
$69.42 |
1.1× |
| Pt Ultrasound Therapy (97035) |
$34.71 |
$69.42 |
2.4× |
| Pt Whirlpool Therapy (97022) |
$44.18 |
$88.36 |
2.8× |
| Pulmonary stress testing (94618) |
$66 |
$132 |
0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$77.63 |
$155.26 |
0.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$48.09 |
$96.17 |
0.4× |
| Sensory Integration Ea 15 Min (97533) |
$29.67 |
$59.33 |
0.5× |
| Sleep study unattended (95806) |
$112.50 |
$225 |
0.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$112.50 |
$225 |
0.6× |
| Speech sound lang comprehen (92523) |
$217.74 |
$435.48 |
1.0× |
| Spirometry (94010) |
$132.24 |
$264.48 |
0.7× |
| Temp transcutaneous pacing (92953) |
$300.54 |
$601.07 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$41.18 |
$82.34 |
0.6× |
| Therapeutic Activities (97530) |
$44.18 |
$88.36 |
1.3× |
| Therapeutic phlebotomy (99195) |
$90.17 |
$180.33 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$15.15 |
$30.29 |
0.4× |
| Trans Care Mgmt 14 Day Disch (99495) |
$151.47 |
$302.94 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$208.28 |
$416.55 |
1.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$520.68 |
$1,041.36 |
1.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$359.75 |
$719.49 |
1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$50.81 |
$101.62 |
0.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$74.48 |
$148.95 |
0.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$57.78 |
$115.56 |
1.4× |
| Tympanometry (92567) |
$26.51 |
$53.02 |
0.8× |
| Unlisted pulmonary service/procedure (94799) |
$79.22 |
$158.44 |
0.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$255.61 |
$511.21 |
1.2× |
| Vasopneumatic device (97016) |
$13.89 |
$27.78 |
1.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$586.05 |
$1,172.09 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$234.42 |
$468.84 |
0.4× |
| Vital capacity total (94150) |
$66.27 |
$132.53 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$22.72 |
$45.44 |
0.7× |