| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$280.15 |
$431 |
2.4× |
| Airway inhalation treatment (94640) |
$122.20 |
$188 |
0.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$98.80 |
$152 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$297.70 |
$458 |
0.9× |
| Canalith Repositioning (95992) |
$91 |
$140 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$548.60 |
$844 |
2.8× |
| Cardiopulmonary resuscitation (92950) |
$689 |
$1,060 |
3.5× |
| Cardioversion (92960) |
$780 |
$1,200 |
1.3× |
| Cbt 1st hour (94644) |
$286.65 |
$441 |
2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$128.70 |
$198 |
1.9× |
| Chemo IV push addl drug (96411) |
$288.60 |
$444 |
4.4× |
| Chemo Iv Push Sngl Drug (96409) |
$143.98 |
$221.50 |
0.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$600.60 |
$924 |
2.0× |
| Chemother, IV infusion, 1 hr (96413) |
$473.20 |
$728 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$211.90 |
$326 |
3.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$138.45 |
$213 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$287.95 |
$443 |
4.3× |
| Color/duplex Doppler, complete (93975) |
$800.15 |
$1,231 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$417.95 |
$643 |
4.3× |
| Comprehensive Hearing Test (92557) |
$280.15 |
$431 |
2.4× |
| Conditioning Play Audiometry (92582) |
$280.15 |
$431 |
2.4× |
| Cpap initiation and management (94660) |
$800.15 |
$1,231 |
4.0× |
| Cpt initial (94667) |
$71.50 |
$110 |
0.6× |
| Critical care (99291) |
$1,093.30 |
$1,682 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$117.65 |
$181 |
0.6× |
| Demo &/or eval,pt use,aerosol device (94664) |
$117 |
$180 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$635.70 |
$978 |
2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$689 |
$1,060 |
3.1× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$458.25 |
$705 |
4.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$673.40 |
$1,036 |
3.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$455 |
$700 |
4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$660.40 |
$1,016 |
6.9× |
| Duplex scan extracranial art compl bi study (93880) |
$679.90 |
$1,046 |
3.1× |
| Echo Heart Xthoracic,Limited (93308) |
$1,254.50 |
$1,930 |
5.7× |
| EKG (93005) |
$159.90 |
$246 |
2.9× |
| EMG four extremities (95864) |
$287.30 |
$442 |
2.4× |
| EMG one extremity (95860) |
$207.35 |
$319 |
1.7× |
| EMG three extremities (95863) |
$264.55 |
$407 |
2.2× |
| EMG two extremities (95861) |
$231.40 |
$356 |
1.9× |
| Er level 1 (99281) |
$148.20 |
$228 |
1.9× |
| Er level ii (99282) |
$258.70 |
$398 |
1.8× |
| Er level iii (99283) |
$397.15 |
$611 |
1.6× |
| Er level IV (99284) |
$677.95 |
$1,043 |
1.8× |
| Er level v (99285) |
$1,054.30 |
$1,622 |
1.9× |
| Evaluation of swallowing function (92610) |
$242.45 |
$373 |
2.9× |
| Evoked Auditory Test,Comprehsv (92588) |
$557.58 |
$857.82 |
1.6× |
| Evoked auditory test,limited (92587) |
$557.58 |
$857.82 |
2.8× |
| External ECG rec>48hr<7d recording (93242) |
$137.80 |
$212 |
4.0× |
| External ECG rec>7d<15d recording (93246) |
$354.25 |
$545 |
10.3× |
| Flow volume loop (94375) |
$308.75 |
$475 |
1.6× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$340.60 |
$524 |
1.7× |
| Holter Monitor Recording (93225) |
$200.20 |
$308 |
1.6× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$13.65 |
$21 |
0.4× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$39.65 |
$61 |
0.6× |
| Immunization Admin (90471) |
$37.70 |
$58 |
0.6× |
| Immunotherapy, 2+ Injections (95117) |
$18.20 |
$28 |
0.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$322.40 |
$496 |
5.9× |
| IV infusion hydration each additional hour (96361) |
$172.25 |
$265 |
4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$198.25 |
$305 |
1.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$157.95 |
$243 |
2.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$248.95 |
$383 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$157.95 |
$243 |
3.7× |
| IV push initial (96374) |
$126.75 |
$195 |
0.6× |
| Low frequency non-thermal us (97610) |
$308.75 |
$475 |
1.7× |
| Manual therapy 15 min (97140) |
$92.30 |
$142 |
3.3× |
| Massage 15 min (97124) |
$14.62 |
$22.50 |
0.5× |
| Mechanical traction (97012) |
$170.95 |
$263 |
11.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$46.80 |
$72 |
1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$73.12 |
$112.50 |
2.0× |
| Motility study esophagus (91010) |
$1,049.10 |
$1,614 |
3.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$326.30 |
$502 |
3.6× |
| Nasopharyngoscopy (92511) |
$138.45 |
$213 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$159.25 |
$245 |
0.9× |
| Nerve conduction studies 13/> studies (95913) |
$1,023.75 |
$1,575 |
3.0× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$351 |
$540 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$598 |
$920 |
1.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$191.75 |
$295 |
1.0× |
| Nerve conduction studies; 11-12 studies (95912) |
$820.30 |
$1,262 |
2.4× |
| Nerve conduction studies; 5-6 studies (95909) |
$403 |
$620 |
2.0× |
| Nerve conduction studies; 7-8 studies (95910) |
$455 |
$700 |
1.3× |
| Neuromuscular junction test (95937) |
$227.50 |
$350 |
1.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$445.90 |
$686 |
3.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$445.90 |
$686 |
2.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$552.50 |
$850 |
4.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$106.28 |
$163.50 |
2.3× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$47.45 |
$73 |
2.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$69.55 |
$107 |
3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$83.20 |
$128 |
4.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$99.45 |
$153 |
5.0× |
| Ot eval high complex 60 min (97167) |
$180.05 |
$277 |
1.8× |
| Ot eval low complex 30 min (97165) |
$163.80 |
$252 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$183.30 |
$282 |
1.8× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$52 |
$80 |
1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$90.35 |
$139 |
2.2× |
| Ot re-eval est plan care (97168) |
$92.30 |
$142 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$164.45 |
$253 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$246.68 |
$379.50 |
2.1× |
| Paraffin bath (97018) |
$39.65 |
$61 |
6.6× |
| Patch/Application Test Specify Number Tests (95044) |
$1,911 |
$2,940 |
2.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$292.50 |
$450 |
1.5× |
| Percutaneous tests w/allergenic extracts (95004) |
$698.42 |
$1,074.50 |
0.9× |
| Peripheral arterial disease rehab per session (93668) |
$91.65 |
$141 |
1.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$218.40 |
$336 |
4.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$288.60 |
$444 |
5.3× |
| Plethysmography (94726) |
$190.45 |
$293 |
0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$21.78 |
$33.50 |
0.5× |
| Pt Electric Current Therapy (97033) |
$58.50 |
$90 |
3.1× |
| Pt Electrical Stimulation (97032) |
$45.66 |
$70.25 |
3.1× |
| Pt eval high complex 45 min (97163) |
$183.30 |
$282 |
1.9× |
| Pt eval low complex 20 min (97161) |
$152.75 |
$235 |
1.6× |
| Pt Gait Training Therapy (97116) |
$66.30 |
$102 |
2.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$73.45 |
$113 |
2.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$170.95 |
$263 |
1.7× |
| Pt re-evaluation (97164) |
$74.10 |
$114 |
1.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$101.97 |
$156.88 |
3.1× |
| Pt Ultrasound Therapy (97035) |
$46.80 |
$72 |
3.3× |
| Pulmonary stress testing (94618) |
$72.80 |
$112 |
0.6× |
| Refill/maint, portable pump (96521) |
$261.95 |
$403 |
1.3× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$183.30 |
$282 |
5.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$104.98 |
$161.50 |
0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$169.65 |
$261 |
1.4× |
| Sleep study unattended (95806) |
$319.15 |
$491 |
1.6× |
| Speech Audiometry Threshold (92555) |
$106.37 |
$163.64 |
2.0× |
| Speech Audiometry, Complete (92556) |
$106.37 |
$163.64 |
2.0× |
| Speech sound lang comprehen (92523) |
$345.80 |
$532 |
1.5× |
| Spirometry (94010) |
$234.65 |
$361 |
1.2× |
| Surfactant Admin Thru Tube (94610) |
$85.80 |
$132 |
0.4× |
| Test for allergy using combination of methods with drug or biological (95018) |
$565.50 |
$870 |
16.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$74.10 |
$114 |
1.1× |
| Therapeutic Activities (97530) |
$110.18 |
$169.50 |
3.1× |
| Therapeutic phlebotomy (99195) |
$168.35 |
$259 |
1.4× |
| Tinnitus assessment (92625) |
$280.15 |
$431 |
2.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,701.70 |
$2,618 |
3.4× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,168.05 |
$1,797 |
5.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$154.70 |
$238 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$154.05 |
$237 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$222.30 |
$342 |
5.2× |
| Tympanometry (92567) |
$32.50 |
$50 |
0.9× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$280.15 |
$431 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$845.65 |
$1,301 |
3.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$449.80 |
$692 |
4.7× |
| Vasopneumatic device (97016) |
$54.60 |
$84 |
4.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,358.50 |
$2,090 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,155.05 |
$1,777 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$53.30 |
$82 |
1.7× |