| Airway inhalation treatment (94640) |
$224.68 |
$374.47 |
1.0× |
| Ambulatory Bp Analysis (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× |
| Assessment of aphasia (96105) |
$174.75 |
$291.25 |
1.8× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$72.90 |
$121.50 |
1.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$136.09 |
$226.82 |
1.2× |
| Biofeedback training any modality (90901) |
$122.70 |
$204.50 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$360 |
$600 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$696.75 |
$1,161.25 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$598.65 |
$997.75 |
2.6× |
| Cardioversion (92960) |
$888.90 |
$1,481.50 |
1.3× |
| Cbt 1st hour (94644) |
$133.88 |
$223.13 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$163.20 |
$272 |
2.1× |
| Chemo IV push addl drug (96411) |
$295.05 |
$491.75 |
3.9× |
| Chemo Iv Push Sngl Drug (96409) |
$316.28 |
$527.12 |
0.9× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$498.45 |
$830.75 |
1.4× |
| Chemother, IV infusion, 1 hr (96413) |
$430.42 |
$717.38 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$89.25 |
$148.75 |
1.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$162.60 |
$271 |
2.1× |
| Chemotherapy, unspecified procedure (96549) |
$181.05 |
$301.75 |
3.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$95.55 |
$159.25 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$275.21 |
$458.68 |
1.1× |
| Color/duplex Doppler, limited (93976) |
$350.40 |
$584 |
3.2× |
| Cpap initiation and management (94660) |
$395.40 |
$659 |
1.7× |
| Cpt initial (94667) |
$133.88 |
$223.13 |
1.0× |
| Critical care (99291) |
$942.60 |
$1,571 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$214.72 |
$357.87 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$224.68 |
$374.47 |
1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$575.55 |
$959.25 |
2.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$321.90 |
$536.50 |
2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$557.10 |
$928.50 |
5.1× |
| Duplex scan extracranial art compl bi study (93880) |
$809.85 |
$1,349.75 |
3.2× |
| Echo Heart Xthoracic,Limited (93308) |
$288.90 |
$481.50 |
1.1× |
| EEG awake drowsy (95816) |
$637.80 |
$1,063 |
2.8× |
| EKG (93005) |
$115.28 |
$192.12 |
1.9× |
| EKG rhythm strip (93041) |
$66.56 |
$110.94 |
1.1× |
| Er level 1 (99281) |
$168.75 |
$281.25 |
1.9× |
| Er level ii (99282) |
$222.75 |
$371.25 |
1.4× |
| Er level iii (99283) |
$276.97 |
$461.62 |
1.0× |
| Er level IV (99284) |
$492.15 |
$820.25 |
1.1× |
| Er level v (99285) |
$869.10 |
$1,448.50 |
1.4× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$100.35 |
$167.25 |
1.4× |
| Evaluation of speech fluency (92521) |
$166.48 |
$277.46 |
1.2× |
| Evaluation of speech sound production (92522) |
$109.20 |
$182 |
1.0× |
| Evaluation of swallowing function (92610) |
$222.75 |
$371.25 |
2.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$156.19 |
$260.32 |
1.3× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$318.60 |
$531 |
1.6× |
| Holter Monitor Recording (93225) |
$196.65 |
$327.75 |
1.4× |
| Immunization Admin (90471) |
$86.40 |
$144 |
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, therap/proph/diagnost,add infusion,1st hour (96367) |
$82.50 |
$137.50 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$297.75 |
$496.25 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$58.95 |
$98.25 |
1.2× |
| IV push initial (96374) |
$243.37 |
$405.61 |
1.1× |
| Manual therapy 15 min (97140) |
$74.14 |
$123.56 |
2.7× |
| Massage 15 min (97124) |
$72.45 |
$120.75 |
2.4× |
| Mechanical traction (97012) |
$54.75 |
$91.25 |
3.8× |
| Methacholine challenge (94070) |
$524.55 |
$874.25 |
1.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$320.40 |
$534 |
3.5× |
| Multiple sleep latency test (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× |
| New patient problem focused exam of visual system (92002) |
$162 |
$270 |
1.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$140.39 |
$233.98 |
1.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$224.68 |
$374.47 |
1.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$117.82 |
$196.38 |
2.6× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$57.75 |
$96.25 |
1.8× |
| Ot eval high complex 60 min (97167) |
$120.52 |
$200.86 |
1.2× |
| Ot eval low complex 30 min (97165) |
$120.52 |
$200.86 |
1.2× |
| Ot eval mod complex 45 min (97166) |
$120.52 |
$200.86 |
1.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$112.28 |
$187.14 |
2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$74.25 |
$123.75 |
1.8× |
| Ot re-eval est plan care (97168) |
$69 |
$115 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$138.80 |
$231.33 |
1.0× |
| Paraffin bath (97018) |
$52.12 |
$86.88 |
8.7× |
| Peripheral arterial disease rehab per session (93668) |
$115.20 |
$192 |
1.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$115.20 |
$192 |
1.9× |
| Plethysmography (94726) |
$401.10 |
$668.50 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,579.40 |
$4,299 |
2.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,339.70 |
$3,899.50 |
2.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,579.40 |
$4,299 |
2.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$54.30 |
$90.50 |
1.5× |
| Pt Electric Current Therapy (97033) |
$79.50 |
$132.50 |
4.2× |
| Pt Electrical Stimulation (97032) |
$67.12 |
$111.88 |
4.6× |
| Pt eval high complex 45 min (97163) |
$236.40 |
$394 |
2.4× |
| Pt eval low complex 20 min (97161) |
$181.80 |
$303 |
1.9× |
| Pt Gait Training Therapy (97116) |
$78.87 |
$131.45 |
2.7× |
| Pt Infrared Therapy (97026) |
$18.68 |
$31.12 |
2.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$75 |
$125 |
2.3× |
| Pt Physical Performance Test (97750) |
$84.45 |
$140.75 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$209.40 |
$349 |
2.1× |
| Pt re-evaluation (97164) |
$85.36 |
$142.26 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$64.35 |
$107.25 |
2.0× |
| Pt Ultrasound Therapy (97035) |
$58.24 |
$97.08 |
4.1× |
| Pt Whirlpool Therapy (97022) |
$133.65 |
$222.75 |
8.5× |
| Pulmonary stress testing (94618) |
$133.88 |
$223.13 |
1.0× |
| Refill/maint, portable pump (96521) |
$362.85 |
$604.75 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$247.20 |
$412 |
6.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$214.72 |
$357.87 |
1.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$133.88 |
$223.13 |
1.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$70.50 |
$117.50 |
1.5× |
| Sensory Integration Ea 15 Min (97533) |
$79.58 |
$132.62 |
1.3× |
| Sleep study unattended (95806) |
$166.89 |
$278.15 |
0.7× |
| Speech sound lang comprehen (92523) |
$221.56 |
$369.26 |
1.0× |
| Spirometry (94010) |
$194.40 |
$324 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$210.15 |
$350.25 |
2.0× |
| Stress echo (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 |
5.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$35.55 |
$59.25 |
1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$114.30 |
$190.50 |
1.5× |
| Therapeutic Activities (97530) |
$68.25 |
$113.75 |
1.9× |
| Therapeutic phlebotomy (99195) |
$159.60 |
$266 |
1.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,557.30 |
$2,595.50 |
2.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$144.58 |
$240.96 |
1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$131.25 |
$218.75 |
2.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$775.95 |
$1,293.25 |
3.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,545.30 |
$2,575.50 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,252.65 |
$2,087.75 |
1.9× |
| Vital capacity total (94150) |
$166.89 |
$278.15 |
1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$73.20 |
$122 |
2.4× |