| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$110 |
$110 |
0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$219 |
$219 |
6.3× |
| Advance care planning first 30 mins (99497) |
$190 |
$190 |
1.6× |
| Airway inhalation treatment (94640) |
$213.53 |
$213.53 |
0.8× |
| Analyze neurostim no prog (95970) |
$109.32 |
$109.32 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$172 |
$172 |
3.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$450.36 |
$450.36 |
4.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$502.01 |
$502.01 |
1.1× |
| Canalith Repositioning (95992) |
$179.28 |
$179.28 |
4.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,231.88 |
$1,231.88 |
4.8× |
| Cardiopulmonary resuscitation (92950) |
$944.99 |
$944.99 |
3.7× |
| Cardioversion (92960) |
$1,958.96 |
$1,958.96 |
2.5× |
| Cbt 1st hour (94644) |
$217.42 |
$217.42 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$251.85 |
$251.85 |
2.9× |
| Chemo Iv Push Sngl Drug (96409) |
$722.70 |
$722.70 |
1.8× |
| Chemother, IV infusion, 1 hr (96413) |
$1,104.86 |
$1,104.86 |
2.8× |
| Chemother, IV infusion, ea add hr (96415) |
$220.10 |
$220.10 |
2.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$251.85 |
$251.85 |
2.9× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$1,026.02 |
$1,026.02 |
2.6× |
| Color/duplex Doppler, complete (93975) |
$709.21 |
$709.21 |
2.5× |
| Color/duplex Doppler, limited (93976) |
$547.60 |
$547.60 |
4.4× |
| Comprehensive Hearing Test (92557) |
$112.18 |
$112.18 |
0.7× |
| Conditioning Play Audiometry (92582) |
$305.70 |
$305.70 |
2.0× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$128.19 |
$128.19 |
1.8× |
| Cpap initiation and management (94660) |
$327.41 |
$327.41 |
1.2× |
| Cpt initial (94667) |
$129.21 |
$129.21 |
0.8× |
| Critical care (99291) |
$5,890 |
$5,890 |
5.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$121.58 |
$121.58 |
0.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$213.53 |
$213.53 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$537.14 |
$537.14 |
4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$709.21 |
$709.21 |
2.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$537.14 |
$537.14 |
4.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$650.55 |
$650.55 |
2.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$541.98 |
$541.98 |
4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$487.65 |
$487.65 |
3.9× |
| Duplex hemodialysis access (93990) |
$332.37 |
$332.37 |
2.7× |
| Duplex scan extracranial art compl bi study (93880) |
$709.21 |
$709.21 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$1,339.19 |
$1,339.19 |
4.7× |
| Echo transesophageal (93312) |
$2,480.18 |
$2,480.18 |
3.8× |
| EEG awake asleep (95819) |
$1,558.19 |
$1,558.19 |
6.0× |
| EEG awake drowsy (95816) |
$1,448.69 |
$1,448.69 |
5.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$520.13 |
$520.13 |
2.0× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,721.34 |
$1,721.34 |
6.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$843.15 |
$843.15 |
3.3× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$1,678.64 |
$1,678.64 |
3.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,058.60 |
$2,058.60 |
4.6× |
| EKG (93005) |
$232.14 |
$232.14 |
3.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$314.57 |
$314.57 |
2.8× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$174.68 |
$174.68 |
1.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$262.80 |
$262.80 |
5.9× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$145 |
$145 |
1.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,431.17 |
$1,431.17 |
5.5× |
| EMG cranial nerve bilat (95868) |
$372.94 |
$372.94 |
1.4× |
| EMG one extremity (95860) |
$212.50 |
$212.50 |
1.3× |
| EMG thoracic paraspinal (95869) |
$357.15 |
$357.15 |
1.4× |
| Er level 1 (99281) |
$614 |
$614 |
6.1× |
| Er level ii (99282) |
$975 |
$975 |
5.3× |
| Er level iii (99283) |
$2,167 |
$2,167 |
6.6× |
| Er level IV (99284) |
$3,483 |
$3,483 |
7.0× |
| Er level v (99285) |
$4,646 |
$4,646 |
6.5× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$291.60 |
$291.60 |
4.1× |
| Evaluation of speech sound production (92522) |
$460.08 |
$460.08 |
4.1× |
| Evaluation of swallowing function (92610) |
$349.92 |
$349.92 |
4.1× |
| External ECG rec>48hr<7d recording (93242) |
$249.66 |
$249.66 |
5.6× |
| External ECG rec>7d<15d recording (93246) |
$312.08 |
$312.08 |
7.0× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$779.76 |
$779.76 |
3.9× |
| Holter Monitor Recording (93225) |
$424.86 |
$424.86 |
2.7× |
| Icd Device Interrogate (93289) |
$80.50 |
$80.50 |
1.8× |
| Ilr Device Eval Progr (93285) |
$52 |
$52 |
1.2× |
| Immunization Admin (90471) |
$83.20 |
$83.20 |
1.0× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$22 |
$22 |
0.6× |
| Interrogate subq defib (93261) |
$134.69 |
$134.69 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$132.50 |
$132.50 |
2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$671.24 |
$671.24 |
2.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$204.77 |
$204.77 |
2.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$671.24 |
$671.24 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$132.50 |
$132.50 |
2.4× |
| IV push initial (96374) |
$341.80 |
$341.80 |
1.3× |
| Manual therapy 15 min (97140) |
$136.62 |
$136.62 |
4.9× |
| Mechanical traction (97012) |
$86.40 |
$86.40 |
6.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$93.13 |
$93.13 |
2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$93.13 |
$93.13 |
2.5× |
| Methacholine challenge (94070) |
$621.11 |
$621.11 |
1.4× |
| Mnt Group Ea 30 Min (97804) |
$115.13 |
$115.13 |
6.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$379.08 |
$379.08 |
4.1× |
| Multiple sleep latency test (95805) |
$3,738.33 |
$3,738.33 |
3.6× |
| Nasopharyngoscopy (92511) |
$315 |
$315 |
1.3× |
| Needle electromyography hemidiaphragm (95866) |
$170 |
$170 |
1.1× |
| Neg press wnd tx </=50 sq cm (97607) |
$82.48 |
$82.48 |
0.2× |
| Neg press wound tx >50 cm (97608) |
$72.80 |
$72.80 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$392.01 |
$392.01 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$819.06 |
$819.06 |
1.7× |
| Nerve conduction studies 13/> studies (95913) |
$1,910.32 |
$1,910.32 |
4.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$775.19 |
$775.19 |
3.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,425.92 |
$1,425.92 |
3.2× |
| Nerve conduction studies; 1-2 studies (95907) |
$636.83 |
$636.83 |
2.5× |
| Nerve conduction studies; 11-12 studies (95912) |
$1,681.12 |
$1,681.12 |
3.8× |
| Nerve conduction studies; 5-6 studies (95909) |
$916.99 |
$916.99 |
3.5× |
| Nerve conduction studies; 7-8 studies (95910) |
$1,214.41 |
$1,214.41 |
2.7× |
| Neuromuscular junction test (95937) |
$326.99 |
$326.99 |
2.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$457.91 |
$457.91 |
2.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$206.28 |
$206.28 |
4.5× |
| Ot eval high complex 60 min (97167) |
$398.52 |
$398.52 |
4.0× |
| Ot eval low complex 30 min (97165) |
$398.52 |
$398.52 |
4.0× |
| Ot eval mod complex 45 min (97166) |
$398.52 |
$398.52 |
4.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$226.80 |
$226.80 |
4.5× |
| Ot re-eval est plan care (97168) |
$270 |
$270 |
3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$448.21 |
$448.21 |
2.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$271.23 |
$271.23 |
1.8× |
| Paraffin bath (97018) |
$55.08 |
$55.08 |
9.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$54.75 |
$54.75 |
0.1× |
| Peripheral arterial disease rehab per session (93668) |
$141.91 |
$141.91 |
2.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$591.30 |
$591.30 |
8.4× |
| Plethysmography (94726) |
$562.83 |
$562.83 |
1.3× |
| Pm device eval in person (93288) |
$276 |
$276 |
6.2× |
| Pm device progr eval dual (93280) |
$343.83 |
$343.83 |
7.7× |
| Pm device progr eval multi (93281) |
$343.83 |
$343.83 |
7.7× |
| Pm device progr eval sngl (93279) |
$289.08 |
$289.08 |
6.5× |
| Pm/Icd Remote Tech Serv (93296) |
$261 |
$261 |
5.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,287.76 |
$5,287.76 |
5.1× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$420.48 |
$420.48 |
9.4× |
| Programming of dual lead implantable defibrillator system (93283) |
$420.48 |
$420.48 |
9.4× |
| Programming of single lead implantable defibrillator system (93282) |
$375.59 |
$375.59 |
8.4× |
| Psych diag eval w/med srvcs (90792) |
$293.46 |
$293.46 |
1.4× |
| Psychiatric diagnostic evaluation (90791) |
$293.46 |
$293.46 |
1.4× |
| Pt Electrical Stimulation (97032) |
$86.40 |
$86.40 |
5.9× |
| Pt eval high complex 45 min (97163) |
$412.56 |
$412.56 |
4.2× |
| Pt eval low complex 20 min (97161) |
$412.56 |
$412.56 |
4.2× |
| Pt Gait Training Therapy (97116) |
$123.12 |
$123.12 |
4.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$142.56 |
$142.56 |
4.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$412.56 |
$412.56 |
4.2× |
| Pt re-evaluation (97164) |
$282.96 |
$282.96 |
4.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$137.16 |
$137.16 |
4.2× |
| Pt Ultrasound Therapy (97035) |
$97.74 |
$97.74 |
6.8× |
| Pulm function test by gas (94727) |
$409.53 |
$409.53 |
1.6× |
| Pulmonary stress testing (94618) |
$424.86 |
$424.86 |
2.7× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$293 |
$293 |
6.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$297 |
$297 |
6.6× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$78 |
$78 |
1.7× |
| Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) |
$137.50 |
$137.50 |
3.1× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$88 |
$88 |
1.6× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$72 |
$72 |
1.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$270 |
$270 |
1.7× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$468 |
$468 |
1.3× |
| Sleep study unattended (95806) |
$1,235.16 |
$1,235.16 |
4.8× |
| Smoking cessation > 10 min (99407) |
$59.90 |
$59.90 |
1.3× |
| Speech sound lang comprehen (92523) |
$948.24 |
$948.24 |
4.2× |
| Spirometry (94010) |
$308.42 |
$308.42 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$432 |
$432 |
4.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$204.77 |
$204.77 |
2.4× |
| Therapeutic Activities (97530) |
$160.92 |
$160.92 |
4.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$85.41 |
$85.41 |
1.9× |
| Trans Care Mgmt 14 Day Disch (99495) |
$381.25 |
$381.25 |
2.4× |
| Trans Care Mgmt 7 Day Disch (99496) |
$229.13 |
$229.13 |
1.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,289.10 |
$2,289.10 |
3.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$164.69 |
$164.69 |
0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$314.28 |
$314.28 |
4.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$349.92 |
$349.92 |
4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$132.50 |
$132.50 |
2.4× |
| Tympanometry (92567) |
$51.88 |
$51.88 |
1.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$569.54 |
$569.54 |
2.0× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$3,251.06 |
$3,251.06 |
3.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$845.34 |
$845.34 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$715.43 |
$715.43 |
1.0× |
| Visual reinforcement audiometry (vra) (92579) |
$273.06 |
$273.06 |
1.1× |