| Aep threshold estimation mlt frequencies i&r (92652) |
$262.50 |
$350 |
1.2× |
| Airway inhalation treatment (94640) |
$215.62 |
$287.50 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$105 |
$140 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$346.88 |
$462.50 |
0.9× |
| Canalith Repositioning (95992) |
$75 |
$100 |
1.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$600 |
$800 |
2.8× |
| Cardiopulmonary resuscitation (92950) |
$460.50 |
$614 |
2.1× |
| Cardioversion (92960) |
$256.50 |
$342 |
0.4× |
| Cbt 1st hour (94644) |
$252 |
$336 |
1.9× |
| Chemother, IV infusion, 1 hr (96413) |
$533.25 |
$711 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$137.25 |
$183 |
1.9× |
| Color/duplex Doppler, complete (93975) |
$675 |
$900 |
2.8× |
| Cpap initiation and management (94660) |
$414 |
$552 |
1.9× |
| Cpt initial (94667) |
$236.25 |
$315 |
1.8× |
| Critical care (99291) |
$1,423.88 |
$1,898.50 |
1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$220.12 |
$293.50 |
1.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$393.75 |
$525 |
1.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$547.50 |
$730 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$675 |
$900 |
2.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$468.75 |
$625 |
4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$660 |
$880 |
2.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$386.25 |
$515 |
3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$487.50 |
$650 |
4.6× |
| Duplex scan extracranial art compl bi study (93880) |
$675 |
$900 |
2.8× |
| Ear and throat examination (92502) |
$486.75 |
$649 |
0.9× |
| EKG (93005) |
$131.25 |
$175 |
2.2× |
| Er level 1 (99281) |
$166.12 |
$221.50 |
2.0× |
| Er level ii (99282) |
$263.25 |
$351 |
1.7× |
| Er level iii (99283) |
$148.12 |
$197.50 |
0.5× |
| Er level IV (99284) |
$1,146 |
$1,528 |
2.7× |
| Er level v (99285) |
$379.50 |
$506 |
0.6× |
| Evaluation of speech fluency (92521) |
$123.75 |
$165 |
0.9× |
| Evaluation of speech sound production (92522) |
$101.25 |
$135 |
0.9× |
| Evaluation of swallowing function (92610) |
$150 |
$200 |
1.8× |
| Eye exam w anesth; complete (92018) |
$2,756.25 |
$3,675 |
1.2× |
| Eye exam w anesth; limited (92019) |
$1,968.75 |
$2,625 |
0.8× |
| Flow volume loop (94375) |
$330 |
$440 |
1.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,340.25 |
$1,787 |
1.6× |
| Immunization Admin (90471) |
$59.62 |
$79.50 |
0.8× |
| Inital newborn e/m (99460) |
$105 |
$140 |
0.8× |
| Initial normal newborn care, same day discharge (99463) |
$112.50 |
$150 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$60 |
$80 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$195.75 |
$261 |
0.9× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$100.12 |
$133.50 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$185.25 |
$247 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$60 |
$80 |
1.3× |
| IV push initial (96374) |
$187.50 |
$250 |
0.9× |
| Manual therapy 15 min (97140) |
$45 |
$60 |
1.6× |
| Massage 15 min (97124) |
$26.25 |
$35 |
0.9× |
| Maximum voluntary ventilation (94200) |
$138 |
$184 |
2.3× |
| Mechanical traction (97012) |
$33.75 |
$45 |
2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$51.75 |
$69 |
1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$51.75 |
$69 |
1.4× |
| Mnt Group Ea 30 Min (97804) |
$36 |
$48 |
2.1× |
| Motility study esophagus (91010) |
$861.75 |
$1,149 |
2.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$150 |
$200 |
1.6× |
| Neg press wnd tx </=50 sq cm (97607) |
$101.25 |
$135 |
0.2× |
| Neg press wound tx >50 cm (97608) |
$101.25 |
$135 |
0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$101.25 |
$135 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$63.75 |
$85 |
0.2× |
| Newborn resuscitation (99465) |
$363 |
$484 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$300 |
$400 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$33.75 |
$45 |
0.7× |
| Ot eval high complex 60 min (97167) |
$93.75 |
$125 |
0.9× |
| Ot eval low complex 30 min (97165) |
$93.75 |
$125 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$93.75 |
$125 |
0.9× |
| Ot re-eval est plan care (97168) |
$45 |
$60 |
0.7× |
| Paraffin bath (97018) |
$18.75 |
$25 |
3.1× |
| Plethysmography (94726) |
$412.50 |
$550 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,278 |
$1,704 |
1.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$52.50 |
$70 |
1.4× |
| Pt Electrical Stimulation (97032) |
$33.75 |
$45 |
2.3× |
| Pt eval high complex 45 min (97163) |
$187.50 |
$250 |
1.9× |
| Pt eval low complex 20 min (97161) |
$103.12 |
$137.50 |
1.1× |
| Pt Gait Training Therapy (97116) |
$45 |
$60 |
1.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$45 |
$60 |
1.4× |
| Pt Physical Performance Test (97750) |
$41.25 |
$55 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$187.50 |
$250 |
1.9× |
| Pt re-evaluation (97164) |
$131.25 |
$175 |
1.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$37.50 |
$50 |
1.2× |
| Pt Ultrasound Therapy (97035) |
$27.38 |
$36.50 |
1.9× |
| Pulmonary stress testing (94618) |
$236.25 |
$315 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$172.50 |
$230 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$236.25 |
$315 |
1.8× |
| Sleep study unattended (95806) |
$236.25 |
$315 |
1.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$236.25 |
$315 |
1.1× |
| Smoking cessation > 10 min (99407) |
$59.25 |
$79 |
1.6× |
| Speech sound lang comprehen (92523) |
$210 |
$280 |
0.9× |
| Spirometry (94010) |
$300 |
$400 |
1.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$30 |
$40 |
1.3× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$30 |
$40 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$101.25 |
$135 |
1.4× |
| Therapeutic Activities (97530) |
$73.12 |
$97.50 |
2.1× |
| Therapeutic phlebotomy (99195) |
$225 |
$300 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$44.25 |
$59 |
1.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,125 |
$1,500 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$90 |
$120 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$97.50 |
$130 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$71.25 |
$95 |
1.5× |
| Ultraviolet Light Therapy (96900) |
$59.25 |
$79 |
1.6× |
| Unlisted pulmonary service/procedure (94799) |
$89.25 |
$119 |
0.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$900 |
$1,200 |
3.8× |
| Vasopneumatic device (97016) |
$33 |
$44 |
2.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$94.50 |
$126 |
0.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$839.25 |
$1,119 |
1.4× |
| Vital capacity total (94150) |
$315 |
$420 |
2.4× |