| Airway inhalation treatment (94640) |
$224.68 |
$374.47 |
1.0× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$285.30 |
$475.50 |
2.0× |
| Ambulatory bp recording (93786) |
$134.55 |
$224.25 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$97.35 |
$162.25 |
2.0× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$67.12 |
$111.88 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$79.50 |
$132.50 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$58.24 |
$97.08 |
— |
| Assessment of aphasia (96105) |
$174.75 |
$291.25 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$72.90 |
$121.50 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$136.09 |
$226.82 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$122.70 |
$204.50 |
— |
| Bipap initial day (94660) |
$395.40 |
$659 |
1.7× |
| Breathing capacity test (94010) |
$194.40 |
$324 |
0.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$360 |
$600 |
0.9× |
| Cardiovascular stress test (93017) |
$696.75 |
$1,161.25 |
3.1× |
| Cardioversion elective external (92960) |
$888.90 |
$1,481.50 |
1.3× |
| Chemo anti-neopl sq/im (96401) |
$162.60 |
$271 |
2.1× |
| Chemo hormon antineopl sq/im (96402) |
$163.20 |
$272 |
2.1× |
| Chemo IV infus each addl seq (96417) |
$95.55 |
$159.25 |
1.3× |
| Chemo IV infusion addl hr (96415) |
$89.25 |
$148.75 |
1.2× |
| Chemo IV push addl drug (96411) |
$295.05 |
$491.75 |
3.9× |
| Chemother prolong infuse w/pump (96416) |
$498.45 |
$830.75 |
1.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$430.42 |
$717.38 |
1.2× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$316.28 |
$527.12 |
0.9× |
| Chest physiotherapy initial (94667) |
$133.88 |
$223.13 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$275.21 |
$458.68 |
1.1× |
| Color/duplex Doppler, limited (93976) |
$350.40 |
$584 |
3.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$57.75 |
$96.25 |
— |
| Concurrent chemotherapy (96549) |
$181.05 |
$301.75 |
3.7× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$133.88 |
$223.13 |
1.0× |
| Cpr (92950) |
$598.65 |
$997.75 |
2.6× |
| Critical care ill/injured patient init 30-74 min (99291) |
$942.60 |
$1,571 |
1.1× |
| Debridement open wound 20 sq cm< (97597) |
$214.72 |
$357.87 |
1.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$809.85 |
$1,349.75 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$775.95 |
$1,293.25 |
3.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$557.10 |
$928.50 |
5.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$575.55 |
$959.25 |
2.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$321.90 |
$536.50 |
2.9× |
| EEG awake/drowsy (95816) |
$637.80 |
$1,063 |
2.8× |
| EKG 12 lead tracing only (93005) |
$115.28 |
$192.12 |
1.9× |
| EKG rhythm strip (93041) |
$66.56 |
$110.94 |
1.1× |
| Emergency department visit high mdm (99285) |
$869.10 |
$1,448.50 |
1.4× |
| Emergency department visit low mdm (99283) |
$276.97 |
$461.62 |
1.0× |
| Emergency department visit may not req phys/qhp (99281) |
$168.75 |
$281.25 |
1.9× |
| Emergency department visit moderate mdm (99284) |
$492.15 |
$820.25 |
1.1× |
| Emergency department visit straightforward mdm (99282) |
$222.75 |
$371.25 |
1.4× |
| Endoscopy swallow (fees) vid (92612) |
$318.60 |
$531 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$222.75 |
$371.25 |
— |
| Evaluate pt use of inhaler (94664) |
$224.68 |
$374.47 |
1.0× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$70.50 |
$117.50 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$156.19 |
$260.32 |
— |
| Evaluation of speech fluency (92521) |
$166.48 |
$277.46 |
— |
| Evaluation of speech sound production articulate (92522) |
$109.20 |
$182 |
— |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$196.65 |
$327.75 |
1.4× |
| Fluidotherapy (97022) |
$133.65 |
$222.75 |
— |
| Hot/cold pack (97010) |
$39.30 |
$65.50 |
— |
| Immunization administration (90471) |
$86.40 |
$144 |
1.1× |
| Infrared therapy (97026) |
$18.68 |
$31.12 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$131.25 |
$218.75 |
2.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$243.37 |
$405.61 |
1.1× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$136.28 |
$227.12 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$70.80 |
$118 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$268.80 |
$448 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$82.50 |
$137.50 |
1.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$297.75 |
$496.25 |
1.3× |
| IV tx, each additional hour (96366) |
$58.95 |
$98.25 |
1.2× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$133.88 |
$223.13 |
1.0× |
| Mechanical traction therapy (97012) |
$54.75 |
$91.25 |
— |
| Methacholine challenge (94070) |
$524.55 |
$874.25 |
1.3× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$320.40 |
$534 |
— |
| Multiple sleep latency (95805) |
$2,456.70 |
$4,094.50 |
2.7× |
| Nasopharyngoscopy (92511) |
$473.85 |
$789.75 |
2.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$218.35 |
$363.92 |
1.0× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$451.09 |
$751.82 |
1.1× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$224.68 |
$374.47 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$120.52 |
$200.86 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$120.52 |
$200.86 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$120.52 |
$200.86 |
— |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$162 |
$270 |
1.2× |
| Oral function therapy (92526) |
$144.58 |
$240.96 |
— |
| Oral speech device eval (92597) |
$100.35 |
$167.25 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$112.28 |
$187.14 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$117.82 |
$196.38 |
— |
| Ot manual therapy ea 15 min (97140) |
$74.14 |
$123.56 |
— |
| Ot neuromuscular re-education (97112) |
$75 |
$125 |
— |
| Ot paraffin bath (97018) |
$52.12 |
$86.88 |
— |
| Ot re-evaluation (97168) |
$69 |
$115 |
— |
| OT Therapeutic Activities Charges (97530) |
$68.25 |
$113.75 |
— |
| Ot wheelchair management (97542) |
$73.20 |
$122 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$138.80 |
$231.33 |
1.0× |
| Peripheral vascular rehab (93668) |
$115.20 |
$192 |
1.9× |
| Phlebotomy therapeutic (99195) |
$159.60 |
$266 |
1.1× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$115.20 |
$192 |
1.9× |
| Physical therapy evaluation high complex 45 mins (97163) |
$236.40 |
$394 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$181.80 |
$303 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$209.40 |
$349 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,579.40 |
$4,299 |
2.8× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,579.40 |
$4,299 |
2.8× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,339.70 |
$3,899.50 |
2.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$74.25 |
$123.75 |
— |
| Pt gait training 15 min (97116) |
$78.87 |
$131.45 |
— |
| Pt physical performance test (97750) |
$84.45 |
$140.75 |
— |
| Pt re-evaluation (97164) |
$85.36 |
$142.26 |
— |
| Pulm funct tst plethysmograp (94726) |
$401.10 |
$668.50 |
1.0× |
| Pulmonary stress testing (94618) |
$133.88 |
$223.13 |
1.0× |
| Refilling and maintenance of portable pump (96521) |
$362.85 |
$604.75 |
1.6× |
| Remote 30 day ECG rev/report (93270) |
$247.20 |
$412 |
6.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$64.35 |
$107.25 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$79.58 |
$132.62 |
— |
| Sleep study unattended (95806) |
$166.89 |
$278.15 |
0.7× |
| Speech sound lang comprehen (92523) |
$221.56 |
$369.26 |
— |
| Standardized cognitive performance testing (96125) |
$210.15 |
$350.25 |
— |
| Stress tte only (93350) |
$943.35 |
$1,572.25 |
1.6× |
| Temp transcutaneous pacing (92953) |
$809.10 |
$1,348.50 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$132.52 |
$220.88 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$35.55 |
$59.25 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$54.30 |
$90.50 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$72.45 |
$120.75 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$114.30 |
$190.50 |
1.5× |
| Tte f-up or lmtd (93308) |
$288.90 |
$481.50 |
1.1× |
| Tte w/doppler complete (93306) |
$1,557.30 |
$2,595.50 |
2.7× |
| Upr/l xtremity art 2 levels (93922) |
$140.39 |
$233.98 |
1.0× |
| Ventilation ip/obs initial day (94002) |
$1,545.30 |
$2,575.50 |
2.4× |
| Ventilator subsequent day (94003) |
$1,252.65 |
$2,087.75 |
1.9× |
| Vital capacity total (94150) |
$166.89 |
$278.15 |
1.2× |
| Wound(s) care non-selective (97602) |
$214.72 |
$357.87 |
1.0× |