| Advance care planning first 30 mins (99497) |
$202.72 |
$270.30 |
2.0× |
| Airway inhalation treatment (94640) |
$103.08 |
$137.45 |
0.5× |
| Allergy injection single (95115) |
$21.60 |
$28.80 |
0.5× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$22.50 |
$30 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$57.75 |
$77 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$45.75 |
$61 |
— |
| Assessment of aphasia (96105) |
$126 |
$168 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$105 |
$140 |
— |
| Bipap initial day (94660) |
$633.98 |
$845.30 |
2.8× |
| Breathing capacity test (94010) |
$283.50 |
$378 |
1.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$526.50 |
$702 |
1.4× |
| Cardioversion elective external (92960) |
$1,154.92 |
$1,539.90 |
1.7× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$118.42 |
$157.90 |
3.1× |
| Chron care mgmt srvc 20 min (99490) |
$134.92 |
$179.90 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$672.75 |
$897 |
2.8× |
| Color/duplex Doppler, limited (93976) |
$432.15 |
$576.20 |
4.0× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$35.25 |
$47 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$197.70 |
$263.60 |
1.1× |
| Cpr (92950) |
$571.02 |
$761.35 |
2.6× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,737.08 |
$2,316.10 |
2.1× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$815.92 |
$1,087.90 |
3.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,036.72 |
$1,382.30 |
4.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,355.02 |
$1,806.70 |
5.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$552.90 |
$737.20 |
5.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$922.88 |
$1,230.50 |
3.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$584.78 |
$779.70 |
5.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$922.88 |
$1,230.50 |
3.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$584.78 |
$779.70 |
5.5× |
| ECG monit/reprt up to 48 hrs (93226) |
$499.42 |
$665.90 |
8.3× |
| EKG 12 lead tracing only (93005) |
$207 |
$276 |
3.4× |
| Emergency department visit high mdm (99285) |
$1,286.85 |
$1,715.80 |
2.1× |
| Emergency department visit low mdm (99283) |
$558.90 |
$745.20 |
2.0× |
| Emergency department visit may not req phys/qhp (99281) |
$219.08 |
$292.10 |
2.5× |
| Emergency department visit moderate mdm (99284) |
$893.55 |
$1,191.40 |
2.1× |
| Emergency department visit straightforward mdm (99282) |
$322.14 |
$429.52 |
2.1× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$85.50 |
$114 |
— |
| Evaluation of speech fluency (92521) |
$129.75 |
$173 |
— |
| Evaluation of speech sound production articulate (92522) |
$108 |
$144 |
— |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$394.20 |
$525.60 |
2.9× |
| Fluidotherapy (97022) |
$27 |
$36 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$18.75 |
$25 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$18.75 |
$25 |
0.5× |
| Immunization administration (90471) |
$19.88 |
$26.50 |
0.3× |
| Infrared therapy (97026) |
$32.25 |
$43 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$104.40 |
$139.20 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$227.70 |
$303.60 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$133.72 |
$178.30 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$78.52 |
$104.70 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$263.92 |
$351.90 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$104.40 |
$139.20 |
1.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$427.80 |
$570.40 |
2.0× |
| IV tx, each additional hour (96366) |
$118.20 |
$157.60 |
2.5× |
| Mechanical traction therapy (97012) |
$18.75 |
$25 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$51.75 |
$69 |
— |
| Medical nutrition group (97804) |
$29.32 |
$39.10 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$44.02 |
$58.70 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$651.22 |
$868.30 |
1.6× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$651.22 |
$868.30 |
1.6× |
| Occupational therapy eval high complex 60 mins (97167) |
$258.75 |
$345 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$130.50 |
$174 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$195 |
$260 |
— |
| Oral function therapy (92526) |
$100.50 |
$134 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$44.25 |
$59 |
— |
| Ot manual therapy ea 15 min (97140) |
$57.75 |
$77 |
— |
| Ot neuromuscular re-education (97112) |
$60 |
$80 |
— |
| Ot paraffin bath (97018) |
$12.75 |
$17 |
— |
| OT Therapeutic Activities Charges (97530) |
$40.50 |
$54 |
— |
| Ot wheelchair management (97542) |
$79.50 |
$106 |
— |
| Phlebotomy therapeutic (99195) |
$87.15 |
$116.20 |
0.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$120.75 |
$161 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$95.25 |
$127 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$168 |
$224 |
— |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$133.50 |
$178 |
1.3× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$28.50 |
$38 |
0.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$38.25 |
$51 |
— |
| Pt gait training 15 min (97116) |
$69.75 |
$93 |
— |
| Pt physical performance test (97750) |
$38.25 |
$51 |
— |
| Pt re-evaluation (97164) |
$48.75 |
$65 |
— |
| Pulmonary stress testing (94618) |
$228.21 |
$304.28 |
1.7× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$9 |
$12 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$101.92 |
$135.90 |
2.7× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$109.12 |
$145.50 |
— |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$86.18 |
$114.90 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$43.05 |
$57.40 |
0.3× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$101.92 |
$135.90 |
2.7× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98976) |
$101.92 |
$135.90 |
2.7× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$41.25 |
$55 |
— |
| Speech sound lang comprehen (92523) |
$227.25 |
$303 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$21 |
$28 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$30.75 |
$41 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$40.58 |
$54.10 |
0.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$28.50 |
$38 |
0.7× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$24.15 |
$32.20 |
0.6× |
| Trans care mgmt 14 day disch (99495) |
$144.08 |
$192.10 |
1.1× |
| Tte f-up or lmtd (93308) |
$911.70 |
$1,215.60 |
3.7× |
| Tte w/doppler complete (93306) |
$2,042.40 |
$2,723.20 |
3.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$164.25 |
$219 |
— |
| Upr/l xtremity art 2 levels (93922) |
$298.42 |
$397.90 |
2.2× |
| Ventilation ip/obs initial day (94002) |
$1,105.72 |
$1,474.30 |
1.8× |
| Ventilator subsequent day (94003) |
$1,105.72 |
$1,474.30 |
1.8× |
| Wound(s) care non-selective (97602) |
$155.25 |
$207 |
0.8× |