| Advance care planning first 30 mins (99497) |
— |
$85 |
— |
| Airway inhalation treatment (94640) |
— |
$187 |
— |
| Anlys gast neur w/o reprog (95981) |
— |
$230 |
— |
| Assessment of aphasia (96105) |
— |
$256 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
— |
$10 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
— |
$195 |
— |
| Biofeedback training any modality (90901) |
— |
$86 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$249 |
— |
| Canalith Repositioning (95992) |
— |
$80 |
— |
| Capsule endoscopy (91110) |
— |
$1,305 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$368 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,126 |
— |
| Cardioversion (92960) |
— |
$746 |
— |
| Caregiver training 1st 30 min (97550) |
— |
$85 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$45 |
— |
| Cbt 1st hour (94644) |
— |
$187 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$143 |
— |
| Chemo IV push addl drug (96411) |
— |
$125 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$138.50 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$358 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$392 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$105.50 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$143 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$392 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$860 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$454 |
— |
| Cpap initiation and management (94660) |
— |
$187 |
— |
| Cpt initial (94667) |
— |
$168 |
— |
| Critical care (99291) |
— |
$1,050 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$281 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$187 |
— |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
— |
$180 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$65 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$396 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$230 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$324 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$212.50 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$393 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$450 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$267.50 |
— |
| Echo transesophageal (93312) |
— |
$210 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$530 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$360 |
— |
| EEG awake asleep (95819) |
— |
$700 |
— |
| EKG (93005) |
— |
$110 |
— |
| EKG rhythm strip (93041) |
— |
$74 |
— |
| Er level 1 (99281) |
— |
$102.50 |
— |
| Er level ii (99282) |
— |
$125 |
— |
| Er level iii (99283) |
— |
$220 |
— |
| Er level IV (99284) |
— |
$356 |
— |
| Er level v (99285) |
— |
$521 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$185 |
— |
| Evaluation of speech fluency (92521) |
— |
$230 |
— |
| Evaluation of speech sound production (92522) |
— |
$190 |
— |
| Evaluation of swallowing function (92610) |
— |
$187 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$279 |
— |
| Exhaled air analysis o2 (94680) |
— |
$153 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$220 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$220 |
— |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
— |
$363 |
— |
| Gastric motility studies (91020) |
— |
$642 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$642 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,192 |
— |
| Group Therapeutic Procedures (97150) |
— |
$46 |
— |
| Hemodialysis (90935) |
— |
$155 |
— |
| Holter Monitor Recording (93225) |
— |
$210 |
— |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
— |
$80 |
— |
| Immunization Admin (90471) |
— |
$59 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$154 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$70 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$300 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$105 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$300 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$66 |
— |
| IV push initial (96374) |
— |
$320 |
— |
| Manual therapy 15 min (97140) |
— |
$58 |
— |
| Massage 15 min (97124) |
— |
$55 |
— |
| Mechanical traction (97012) |
— |
$40 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$43 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$43 |
— |
| Mnt Group Ea 30 Min (97804) |
— |
$19 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$363 |
— |
| Multiple sleep latency test (95805) |
— |
$993 |
— |
| Nasopharyngoscopy (92511) |
— |
$158 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$210 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$448 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$302 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$210 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$342.50 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$77 |
— |
| Osteopathic manipulative tx 1-2 body regions (98925) |
— |
$100 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$56 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$30 |
— |
| Ot eval high complex 60 min (97167) |
— |
$143 |
— |
| Ot eval low complex 30 min (97165) |
— |
$143 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$143 |
— |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
— |
$61.50 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$63.50 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$80 |
— |
| Ot re-eval est plan care (97168) |
— |
$80 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$121 |
— |
| Paraffin bath (97018) |
— |
$35 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$187 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$967 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$29 |
— |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$86 |
— |
| Pt Electric Current Therapy (97033) |
— |
$75 |
— |
| Pt Electrical Stimulation (97032) |
— |
$40 |
— |
| Pt eval high complex 45 min (97163) |
— |
$295 |
— |
| Pt eval low complex 20 min (97161) |
— |
$150 |
— |
| Pt Gait Training Therapy (97116) |
— |
$55 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$65 |
— |
| Pt Physical Performance Test (97750) |
— |
$64 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$220 |
— |
| Pt re-evaluation (97164) |
— |
$75 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$65 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$37 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$58 |
— |
| Pulmonary stress testing (94618) |
— |
$75 |
— |
| Pure Tone Audiometry, Air (92552) |
— |
$150 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$340 |
— |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
— |
$80 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$106 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$91 |
— |
| Sc Ther Infusion Reset Pump (96371) |
— |
$149.50 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$60.50 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$115 |
— |
| Speech sound lang comprehen (92523) |
— |
$390 |
— |
| Spirometry (94010) |
— |
$137 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$170 |
— |
| Stress echo (93350) |
— |
$145 |
— |
| Stress Tte Complete (93351) |
— |
$155 |
— |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
— |
$70 |
— |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
— |
$350 |
— |
| Temp transcutaneous pacing (92953) |
— |
$513 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$46 |
— |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
— |
$40 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$148 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$126 |
— |
| Therapeutic Activities (97530) |
— |
$75 |
— |
| Therapeutic phlebotomy (99195) |
— |
$121 |
— |
| Tilt Table Eval (93660) |
— |
$170 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$25 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$197.50 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$300 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$382.50 |
— |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$900 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$137 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$177 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$100 |
— |
| Ultraviolet Therapy (97028) |
— |
$35 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$137 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$471 |
— |
| Vasc Duplex Scan Extracranial,Limited (93882) |
— |
$45 |
— |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
— |
$50 |
— |
| Vasopneumatic device (97016) |
— |
$40 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$461 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$461 |
— |
| Vital capacity total (94150) |
— |
$137 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$58 |
— |