| Airway inhalation treatment (94640) |
$149.34 |
$262 |
0.7× |
| Allergy injection single (95115) |
$21.66 |
$38 |
0.5× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$53.58 |
$94 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$79.23 |
$139 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$41.61 |
$73 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$41.61 |
$73 |
— |
| Bipap initial day (94660) |
$539.22 |
$946 |
2.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$326.90 |
$573.50 |
0.9× |
| C motor evoked lwr limbs (95929) |
$538.08 |
$944 |
1.4× |
| C motor evoked uppr limbs (95928) |
$538.08 |
$944 |
0.6× |
| Canalith repositioning (95992) |
$34.77 |
$61 |
— |
| Cardiovascular procedure unlisted (93799) |
$503.88 |
$884 |
3.8× |
| Cardiovascular stress test (93017) |
$774.63 |
$1,359 |
3.5× |
| Cardioversion elective external (92960) |
$1,171.06 |
$2,054.50 |
1.7× |
| Chemo IV infusion addl hr (96415) |
$115.71 |
$203 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$372.21 |
$653 |
1.1× |
| Chest physiotherapy initial (94667) |
$121.98 |
$214 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$656.64 |
$1,152 |
2.7× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$295.26 |
$518 |
2.2× |
| Cont gluc mntr pt prov eqp (95249) |
$197.22 |
$346 |
3.3× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$141.93 |
$249 |
1.0× |
| Cpr (92950) |
$1,059.06 |
$1,858 |
4.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,577.19 |
$2,767 |
1.9× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$2,789.58 |
$4,894 |
3.2× |
| Debridement open wound 20 sq cm< (97597) |
$101.74 |
$178.50 |
0.5× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$787.17 |
$1,381 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,012.04 |
$1,775.50 |
4.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$728.74 |
$1,278.50 |
6.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$885.21 |
$1,553 |
3.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$663.48 |
$1,164 |
6.2× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$891.48 |
$1,564 |
3.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$649.80 |
$1,140 |
6.1× |
| ECG monit/reprt up to 48 hrs (93226) |
$434.91 |
$763 |
7.2× |
| EEG 41-60 minutes (95812) |
$567.15 |
$995 |
2.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$636.69 |
$1,117 |
2.9× |
| EKG 12 lead tracing only (93005) |
$187.53 |
$329 |
3.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$33.06 |
$58 |
0.3× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$1,261.03 |
$2,212.33 |
13.0× |
| Emergency department visit high mdm (99285) |
$1,030.28 |
$1,807.50 |
1.7× |
| Emergency department visit low mdm (99283) |
$490.20 |
$860 |
1.8× |
| Emergency department visit may not req phys/qhp (99281) |
$201.21 |
$353 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$706.80 |
$1,240 |
1.7× |
| Emergency department visit straightforward mdm (99282) |
$321.76 |
$564.50 |
2.1× |
| EMG thoracic paraspinal (95869) |
$142.50 |
$250 |
0.6× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$139.94 |
$245.50 |
— |
| Evaluate pt use of inhaler (94664) |
$149.34 |
$262 |
0.7× |
| External ECG rec>48hr<7d recording (93242) |
$49.02 |
$86 |
1.3× |
| External ECG rec>7d<15d recording (93246) |
$49.02 |
$86 |
1.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$361.10 |
$633.50 |
2.7× |
| Fluidotherapy (97022) |
$103.74 |
$182 |
— |
| Hot/cold pack (97010) |
$41.61 |
$73 |
— |
| Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or… (92227) |
$10.83 |
$19 |
0.2× |
| Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care… (92228) |
$20.52 |
$36 |
0.5× |
| Immunization administration (90471) |
$22.80 |
$40 |
0.3× |
| Infrared therapy (97026) |
$29.07 |
$51 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$141.93 |
$249 |
3.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$152.76 |
$268 |
0.7× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$7.41 |
$13 |
0.1× |
| IV infusion hydration each additional hour (96361) |
$121.41 |
$213 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$248.52 |
$436 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$254.22 |
$446 |
3.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$307.80 |
$540 |
1.4× |
| IV tx, each additional hour (96366) |
$130.24 |
$228.50 |
2.7× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$129.68 |
$227.50 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$64.98 |
$114 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$41.04 |
$72 |
— |
| Multiple sleep latency (95805) |
$2,191.08 |
$3,844 |
2.5× |
| Muscle test 3 limbs (95863) |
$265.62 |
$466 |
2.0× |
| Muscle test larynx (95865) |
$242.82 |
$426 |
1.8× |
| Nasopharyngoscopy (92511) |
$37.05 |
$65 |
0.2× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$1,181.04 |
$2,072 |
9.0× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$240.54 |
$422 |
1.8× |
| Needle electromyography cranial nrv muscle uni (95867) |
$189.81 |
$333 |
0.9× |
| Needle electromyography hemidiaphragm (95866) |
$195.51 |
$343 |
1.5× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$166.44 |
$292 |
1.2× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$163.59 |
$287 |
1.2× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$274.17 |
$481 |
1.2× |
| Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report (92265) |
$107.73 |
$189 |
1.8× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$579.69 |
$1,017 |
1.4× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$27.93 |
$49 |
0.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$408.69 |
$717 |
1.0× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$84.36 |
$148 |
0.4× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$41.04 |
$72 |
0.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$189.81 |
$333 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$122.26 |
$214.50 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$153.04 |
$268.50 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$59 |
$103.50 |
— |
| Osteopath manj 1-2 regions (98925) |
$21.94 |
$38.50 |
1.0× |
| Osteopath manj 3-4 regions (98926) |
$33.06 |
$58 |
1.5× |
| Osteopath manj 9-10 regions (98929) |
$67.83 |
$119 |
3.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$43.32 |
$76 |
2.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$54.44 |
$95.50 |
2.5× |
| Ot manual therapy ea 15 min (97140) |
$51.30 |
$90 |
— |
| Ot neuromuscular re-education (97112) |
$56.72 |
$99.50 |
— |
| Ot re-evaluation (97168) |
$145.35 |
$255 |
— |
| OT Therapeutic Activities Charges (97530) |
$58.71 |
$103 |
— |
| Ot wheelchair management (97542) |
$59.85 |
$105 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$164.73 |
$289 |
1.3× |
| Percutaneous tests w/allergenic extracts (95004) |
$6.27 |
$11 |
0.0× |
| Phlebotomy therapeutic (99195) |
$121.98 |
$214 |
0.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$156.18 |
$274 |
2.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$170.72 |
$299.50 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$119.42 |
$209.50 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$149.91 |
$263 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,047.79 |
$5,347 |
3.5× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$30.21 |
$53 |
0.6× |
| Pt gait training 15 min (97116) |
$58.71 |
$103 |
— |
| Pt physical performance test (97750) |
$144.78 |
$254 |
— |
| Pt re-evaluation (97164) |
$123.69 |
$217 |
— |
| Pulmonary stress testing (94618) |
$26.79 |
$47 |
0.2× |
| Respiratory flow volume loop (94375) |
$210.62 |
$369.50 |
1.0× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$198.36 |
$348 |
0.6× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$60.42 |
$106 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,182.18 |
$2,074 |
1.3× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$372.78 |
$654 |
1.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$372.78 |
$654 |
1.7× |
| Sleep study unattended (95806) |
$419.52 |
$736 |
1.9× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$75.24 |
$132 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$53.58 |
$94 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$86.64 |
$152 |
1.2× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$25.65 |
$45 |
0.7× |
| Tte f-up or lmtd (93308) |
$491.91 |
$863 |
2.0× |
| Tte w/doppler complete (93306) |
$1,757.02 |
$3,082.50 |
3.1× |
| Tympanometry (92567) |
$53.01 |
$93 |
1.4× |
| Upr/l xtremity art 2 levels (93922) |
$419.52 |
$736 |
3.1× |
| Ventilation ip/obs initial day (94002) |
$972.99 |
$1,707 |
1.5× |
| Ventilator subsequent day (94003) |
$941.07 |
$1,651 |
1.5× |
| Vital capacity total (94150) |
$63.84 |
$112 |
0.5× |