| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$71.66 |
— |
| Airway Inhalation Treatment (94640) |
— |
$311.57 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$325.28 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$87.80 |
— |
| Application on-body injector (96377) |
— |
$132.28 |
— |
| Assessment of aphasia per hr (96105) |
— |
$492.58 |
— |
| Behavral qualit analys voice (92524) |
— |
$444.42 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$896.51 |
— |
| Canalith repositioning proc (95992) |
— |
$176.48 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$931.44 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$931.44 |
— |
| Cardioversion (92960) |
— |
$1,844.39 |
— |
| Cbt 1st hour (94644) |
— |
$515.53 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$423.53 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$249.38 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$249.38 |
— |
| Chemo IV push addl drug (96411) |
— |
$493.89 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,127.11 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$365.23 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,635.44 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$715.12 |
— |
| Chest Wall Manipulation (94668) |
— |
$204.89 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,059.96 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$756.68 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$142.89 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$400.85 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$210.50 |
— |
| Continuous Pulse Ox (94762) |
— |
$441.04 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
— |
$934.71–$1,089.77 |
— |
| Cpt initial (94667) |
— |
$214.73 |
— |
| Critical care first hour (99291) |
— |
$3,802.04 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$571.84 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$741.95 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$637.33 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,149.11 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,189.64 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$370.83 |
— |
| Duplex up extrem art bilat (93930) |
— |
$741.98 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$606.44 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,082.43 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$903.24 |
— |
| EEG awake drowsy (95816) |
— |
$844.04 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$903.24 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$90.80 |
— |
| Electrocardiogram Tracing (93005) |
— |
$297 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$583.49 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,069.48 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,750.78 |
— |
| Er level 1 (99281) |
— |
$197.51 |
— |
| Er level v (99285) |
— |
$2,609.25 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$214.73 |
— |
| Evaluate Speech Production (92522) |
— |
$437.08 |
— |
| Evaluate Swallowing Function (92610) |
— |
$407.48 |
— |
| Evaluation of speech fluency (92521) |
— |
$528.62 |
— |
| Exercise test for bronchospasm (94617) |
— |
$465.53 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$344.17 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$207.30 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$378.47 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,216.27 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,654.17 |
— |
| Holter monitor recording (93225) |
— |
$378.47 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$73.50 |
— |
Immunization administration (90471) range across 8 matching MRF lines |
— |
$68.25–$71.66 |
— |
| Iontophoresis 15 min (97033) |
— |
$154.64 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$380.77 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$191.65 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$614.57 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$209.51 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$170.43 |
— |
| IV push initial (96374) |
— |
$614.57 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$609.49 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$50.17 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$54.87 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$72.27 |
— |
| Methacholine challenge (94070) |
— |
$926.78 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$446.12 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,941.92 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,144.75 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$646.58 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$1,189.44 |
— |
| Neuromuscular Reeducation (97112) |
— |
$229.30 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$116.04 |
— |
| Oral Function Therapy (92526) |
— |
$406.85 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$226.97 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$179.90 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$99.34 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$99.34 |
— |
| Ot eval high complexity (97167) |
— |
$401.78 |
— |
| Ot Eval Low Complex (97165) |
— |
$401.78 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$401.78 |
— |
| Ot manual therapy 15 min (97140) |
— |
$204.87 |
— |
| Ot paraffin bath (97018) |
— |
$52.08 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$156.35 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$208.98 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$586.52 |
— |
| Phlebotomy therapeutic (99195) |
— |
$247.75 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$207.43 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$207.43 |
— |
| Plethysmography (94726) |
— |
$631.09 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$6,065.80 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$125.78 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$125.78 |
— |
| Pt Eval High Complex (97163) |
— |
$514.67 |
— |
| Pt eval low complex 20 min (97161) |
— |
$514.67 |
— |
| Pt Eval Mod Complex (97162) |
— |
$514.67 |
— |
| Pt gait training 15 min (97116) |
— |
$134.48 |
— |
| Pt mechanical traction (97012) |
— |
$73.36 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$228.05 |
— |
| Pulm function test by gas (94727) |
— |
$631.09 |
— |
| Pulmonary Stress Testing (94618) |
— |
$465.53 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$715.12 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$325.28 |
— |
| Respiratory flow volume loop (94375) |
— |
$631.09 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$136.61 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$571.84 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$66.82 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$681.33 |
— |
| Self Care Mngment Training (97535) |
— |
$164.76 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$137.85 |
— |
| Sleep study unattended (95806) |
— |
$521.70 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$843.69 |
— |
| Speech sound lang comprehen (92523) |
— |
$892.31 |
— |
| Spirometry (94010) |
— |
$420.72 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$554.76 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$87.50 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$83.55 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$524.50 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$132.07 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$150 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$1,037.60 |
— |
| Therapeutic Activities (97530) |
— |
$239.05 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$58.62 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$109.35 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,091.13 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,922.33 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$543.95 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$277.65 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$441.04 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$522.59 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,604.23 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,604.23 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$144.62 |
— |