| Advance care planning first 30 mins (99497) |
$199.50 |
$199.50 |
2.1× |
| Airway inhalation treatment (94640) |
$149.55 |
$149.55 |
0.7× |
| Ambulatory Bp Analysis (93788) |
$51.71 |
$51.71 |
0.4× |
| Ambulatory Bp Recording (93786) |
$92.14 |
$92.14 |
0.8× |
| Analyze Neurostim Complex (95972) |
$128.40 |
$128.40 |
1.5× |
| Behav assmt w/score & docd/stand instrument (96127) |
$10 |
$10 |
0.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$236.25 |
$236.25 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$308.18 |
$308.18 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$571.99 |
$571.99 |
2.9× |
| Cardiopulmonary resuscitation (92950) |
$331.80 |
$331.80 |
1.7× |
| Cardioversion (92960) |
$400.05 |
$400.05 |
0.7× |
| Caregiver training 1st 30 min (97550) |
$58.49 |
$58.49 |
1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$27.10 |
$27.10 |
1.0× |
| Cbt 1st hour (94644) |
$147 |
$147 |
1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$82.95 |
$82.95 |
1.3× |
| Chemo IV push addl drug (96411) |
$82.95 |
$82.95 |
1.3× |
| Chemo Iv Push Sngl Drug (96409) |
$82.95 |
$82.95 |
0.3× |
| Chemother, IV infusion, 1 hr (96413) |
$393.75 |
$393.75 |
1.3× |
| Chemother, IV infusion, ea add hr (96415) |
$69.56 |
$69.56 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$83.65 |
$83.65 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$69.56 |
$69.56 |
1.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$75.60 |
$75.60 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$507.69 |
$507.69 |
2.3× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$157.50 |
$157.50 |
1.0× |
| Cpap initiation and management (94660) |
$441 |
$441 |
2.2× |
| Critical care (99291) |
$693 |
$693 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$50.40 |
$50.40 |
0.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$114.45 |
$114.45 |
0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$510.38 |
$510.38 |
2.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$411.64 |
$411.64 |
4.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$461.27 |
$461.27 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$444.22 |
$444.22 |
4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$434.18 |
$434.18 |
4.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$694.28 |
$694.28 |
3.2× |
| Duplex scan extracranial art compl bi study (93880) |
$618.98 |
$618.98 |
2.8× |
| Echo Heart Xthoracic,Limited (93308) |
$667.81 |
$667.81 |
3.0× |
| EKG (93005) |
$105.52 |
$105.52 |
1.9× |
| EKG rhythm strip (93041) |
$168 |
$168 |
3.1× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$98.06 |
$98.06 |
1.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$73.38 |
$73.38 |
2.1× |
| Er level 1 (99281) |
$139.91 |
$139.91 |
1.8× |
| Er level ii (99282) |
$188.21 |
$188.21 |
1.3× |
| Er level iii (99283) |
$283.50 |
$283.50 |
1.1× |
| Er level IV (99284) |
$423.41 |
$423.41 |
1.1× |
| Er level v (99285) |
$631.31 |
$631.31 |
1.2× |
| Evaluation of speech fluency (92521) |
$236.25 |
$236.25 |
1.8× |
| Evaluation of speech sound production (92522) |
$236.25 |
$236.25 |
2.1× |
| Evaluation of swallowing function (92610) |
$236.25 |
$236.25 |
2.8× |
| Evaluation with prescription of speech-generating alternative (92607) |
$236.25 |
$236.25 |
1.9× |
| External Ecg Scanning Analysis Report (93226) |
$310.66 |
$310.66 |
5.7× |
| Holter Monitor Recording (93225) |
$175.62 |
$175.62 |
1.4× |
| Hypoxia Response Curve (94450) |
$32.55 |
$32.55 |
0.3× |
| Icd Device Interrogate (93289) |
$105 |
$105 |
3.1× |
| Immunization Admin (90471) |
$28 |
$28 |
0.4× |
| Immunotherapy, 2+ Injections (95117) |
$38.85 |
$38.85 |
0.9× |
| Inital newborn e/m (99460) |
$215.25 |
$215.25 |
1.8× |
| Initial normal newborn care, same day discharge (99463) |
$252 |
$252 |
2.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$117.60 |
$117.60 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$155 |
$155 |
3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$267.75 |
$267.75 |
1.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$240.19 |
$240.19 |
3.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$196.35 |
$196.35 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$65.62 |
$65.62 |
1.5× |
| IV push initial (96374) |
$65.10 |
$65.10 |
0.3× |
| Manual therapy 15 min (97140) |
$88.20 |
$88.20 |
3.2× |
| Massage 15 min (97124) |
$69.43 |
$69.43 |
2.3× |
| Measurement of heart blood flow and respiration (93701) |
$45.68 |
$45.68 |
0.4× |
| Mechanical chest wall oscillation (94669) |
$142.80 |
$142.80 |
0.7× |
| Mechanical traction (97012) |
$78.75 |
$78.75 |
5.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$63.13 |
$63.13 |
2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$89.38 |
$89.38 |
2.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$393.75 |
$393.75 |
4.3× |
| Multiple sleep latency test (95805) |
$260.82 |
$260.82 |
0.3× |
| Nasopharyngoscopy (92511) |
$252 |
$252 |
1.4× |
| Neg press wnd tx </=50 sq cm (97607) |
$210.18 |
$210.18 |
0.6× |
| Neg press wound tx >50 cm (97608) |
$365.48 |
$365.48 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$210.52 |
$210.52 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$364.88 |
$364.88 |
1.0× |
| Newborn resuscitation (99465) |
$550.20 |
$550.20 |
0.9× |
| Nitric oxide expired gas determination (95012) |
$30.95 |
$30.95 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$290.85 |
$290.85 |
2.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$226.90 |
$226.90 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$77.18 |
$77.18 |
1.7× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$56.18 |
$56.18 |
2.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$81.50 |
$81.50 |
4.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$104.95 |
$104.95 |
5.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$125.94 |
$125.94 |
6.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$150.40 |
$150.40 |
7.6× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$73.50 |
$73.50 |
2.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$63 |
$63 |
4.5× |
| Ot eval high complex 60 min (97167) |
$262.50 |
$262.50 |
2.6× |
| Ot eval low complex 30 min (97165) |
$210 |
$210 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$236.25 |
$236.25 |
2.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$63 |
$63 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$61.69 |
$61.69 |
1.5× |
| Ot re-eval est plan care (97168) |
$236.25 |
$236.25 |
3.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$195.30 |
$195.30 |
1.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$195.30 |
$195.30 |
1.6× |
| Paraffin bath (97018) |
$53.02 |
$53.02 |
8.8× |
| Peripheral arterial disease rehab per session (93668) |
$97.65 |
$97.65 |
1.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$241.50 |
$241.50 |
4.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$241.50 |
$241.50 |
4.5× |
| Pm device eval in person (93288) |
$105 |
$105 |
3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$268.95 |
$268.95 |
0.3× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$179.49 |
$179.49 |
0.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$189.30 |
$189.30 |
0.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$141.81 |
$141.81 |
0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$26.25 |
$26.25 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$283.50 |
$283.50 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$280.35 |
$280.35 |
1.7× |
| Pt Aquatic Therapy/Exercises (97113) |
$61.69 |
$61.69 |
1.7× |
| Pt Electric Current Therapy (97033) |
$90.82 |
$90.82 |
4.8× |
| Pt Electrical Stimulation (97032) |
$80.06 |
$80.06 |
5.4× |
| Pt eval high complex 45 min (97163) |
$210 |
$210 |
2.1× |
| Pt eval low complex 20 min (97161) |
$157.50 |
$157.50 |
1.6× |
| Pt Gait Training Therapy (97116) |
$70.35 |
$70.35 |
2.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$78.75 |
$78.75 |
2.4× |
| Pt Physical Performance Test (97750) |
$79.80 |
$79.80 |
2.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$183.75 |
$183.75 |
1.9× |
| Pt re-evaluation (97164) |
$183.75 |
$183.75 |
2.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$74.55 |
$74.55 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$68.90 |
$68.90 |
4.8× |
| Pulm Funct Test Oscillometry (94728) |
$27.06 |
$27.06 |
0.2× |
| Pulm function test by gas (94727) |
$185.46 |
$185.46 |
0.9× |
| Pulmonary stress testing (94618) |
$306.60 |
$306.60 |
2.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$429.71 |
$429.71 |
12.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$21.17 |
$21.17 |
0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$366.45 |
$366.45 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$73.50 |
$73.50 |
1.2× |
| Sleep study unattended (95806) |
$172.34 |
$172.34 |
0.9× |
| Smoking cessation > 10 min (99407) |
$59.85 |
$59.85 |
1.7× |
| Speech sound lang comprehen (92523) |
$236.25 |
$236.25 |
1.0× |
| Spirometry (94010) |
$136.38 |
$136.38 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$270.38 |
$270.38 |
2.6× |
| Temp transcutaneous pacing (92953) |
$296.89 |
$296.89 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$86.19 |
$86.19 |
3.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$74.12 |
$74.12 |
3.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$210 |
$210 |
2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$52.80 |
$52.80 |
0.8× |
| Therapeutic Activities (97530) |
$79.80 |
$79.80 |
2.3× |
| Therapeutic phlebotomy (99195) |
$73.76 |
$73.76 |
0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$30.45 |
$30.45 |
0.9× |
| Trans Care Mgmt 14 Day Disch (99495) |
$379.05 |
$379.05 |
3.1× |
| Trans Care Mgmt 7 Day Disch (99496) |
$513.45 |
$513.45 |
4.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$103.16 |
$103.16 |
3.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,777.32 |
$1,777.32 |
3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$86.96 |
$86.96 |
1.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$210 |
$210 |
2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$74.68 |
$74.68 |
1.7× |
| Tympanometry (92567) |
$69.30 |
$69.30 |
2.0× |
| Unlisted pulmonary service/procedure (94799) |
$195.30 |
$195.30 |
1.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$607.63 |
$607.63 |
2.8× |
| Vasopneumatic device (97016) |
$68.51 |
$68.51 |
5.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,220.10 |
$1,220.10 |
2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$997.76 |
$997.76 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$70.48 |
$70.48 |
2.3× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$279.30 |
$279.30 |
0.8× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$149.40 |
$149.40 |
1.7× |