| Airway inhalation treatment (94640) |
$132 |
$264 |
0.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$62 |
$124 |
4.4× |
| Assessment of aphasia (96105) |
$133 |
$266 |
1.4× |
| Behavioral & qualit analysis voice and resonance (92524) |
$117 |
$234 |
1.1× |
| Canalith repositioning (95992) |
$84 |
$168 |
2.1× |
| Cardiac stress test (93017) |
$512 |
$1,024 |
2.3× |
| Carotid duplex scan; bilat (93880) |
$526 |
$1,052 |
2.1× |
| Carotid duplex scan; unil/limit (93882) |
$518.50 |
$1,037 |
4.7× |
| Chemo IV infus each addl seq (96417) |
$113 |
$226 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$96.50 |
$193 |
1.3× |
| Chemother prolong infuse w/pump (96416) |
$298.50 |
$597 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$252 |
$504 |
0.7× |
| Chemother, IV push,ea add drug (96411) |
$126.50 |
$253 |
1.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$173 |
$346 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$533.50 |
$1,067 |
2.1× |
| Color/duplex Doppler, limited (93976) |
$298.50 |
$597 |
2.7× |
| Cpap/bipap daily (94660) |
$437.50 |
$875 |
1.9× |
| Cpr (92950) |
$408 |
$816 |
1.8× |
| Critical care first hour (99291) |
$1,370 |
$2,740 |
1.6× |
| Duplex ext veins; bilat (93970) |
$533.50 |
$1,067 |
2.1× |
| Duplex hemodialysis access (93990) |
$492.50 |
$985 |
4.5× |
| Duplex le art/bpg; bilat (93925) |
$533.50 |
$1,067 |
2.1× |
| Duplex le art/bpg; unil/limit (93926) |
$518.50 |
$1,037 |
4.7× |
| Duplex ue art/bpg; bilat (93930) |
$533.50 |
$1,067 |
2.1× |
| Duplex ue art/bpg; unil/limit (93931) |
$518.50 |
$1,037 |
4.7× |
| Duplex venous ext unilat/lmtd (93971) |
$533.50 |
$1,067 |
4.9× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$591 |
$1,182 |
1.0× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$518.50 |
$1,037 |
0.9× |
| Electrocardiogram (93005) |
$152.50 |
$305 |
2.5× |
| Emergency department visit high mdm (99285) |
$1,125 |
$2,250 |
1.8× |
| Emergency department visit low mdm (99283) |
$750 |
$1,500 |
2.6× |
| Emergency department visit may not req phys/qhp (99281) |
$165 |
$330 |
1.9× |
| Emergency department visit moderate mdm (99284) |
$935 |
$1,870 |
2.1× |
| Emergency department visit straightforward mdm (99282) |
$345 |
$690 |
2.2× |
| Endoscopy swallow (fees) vid (92612) |
$212.50 |
$425 |
1.1× |
| Evaluate pt use of inhaler (94664) |
$211 |
$422 |
0.9× |
| Evaluate speech production (92522) |
$117 |
$234 |
1.0× |
| Evaluation of speech fluency (92521) |
$146.50 |
$293 |
1.1× |
| Gait training 15 min (97116) |
$59.50 |
$119 |
2.0× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$159 |
$318 |
0.7× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$763 |
$1,526 |
1.1× |
| Immunization Admin (90471) |
$80 |
$160 |
1.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$85 |
$170 |
1.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$159 |
$318 |
0.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$126.50 |
$253 |
2.1× |
| IV hydration each add'l hr (96361) |
$63.50 |
$127 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$189.50 |
$379 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$85 |
$170 |
1.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$194.50 |
$389 |
0.9× |
| IV tx, each additional hour (96366) |
$96.50 |
$193 |
2.0× |
| Manual therapy ea 15 min (97140) |
$76 |
$152 |
2.7× |
| Massage therapy ea 15 mins (97124) |
$56.50 |
$113 |
1.9× |
| Mechanical chest wall oscillation lung function (94669) |
$125.50 |
$251 |
0.5× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$117 |
$234 |
1.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$593.50 |
$1,187 |
1.4× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$593.50 |
$1,187 |
1.4× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$345 |
$690 |
1.6× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$593.50 |
$1,187 |
1.4× |
| Neurobehavioral Status Exam by Psych/Phys (96116) |
$451.50 |
$903 |
2.0× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$62 |
$124 |
1.3× |
| Ot eval high complex 60 min (97167) |
$223 |
$446 |
2.2× |
| Ot eval low complex 30 min (97165) |
$151 |
$302 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$167.50 |
$335 |
1.7× |
| Ot group therapy procedures (97150) |
$50.50 |
$101 |
2.8× |
| Ot mechanical traction (97012) |
$67 |
$134 |
4.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$53.50 |
$107 |
1.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$64.50 |
$129 |
1.6× |
| Ot re-eval est plan care (97168) |
$112 |
$224 |
1.6× |
| Ot Sensory Integrative Techniques Each 15 Minutes (97533) |
$45.50 |
$91 |
0.7× |
| Ot wheelchair management (97542) |
$45 |
$90 |
1.4× |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$194.50 |
$389 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$130 |
$260 |
1.0× |
| Paraffin bath therapy (97018) |
$59.50 |
$119 |
9.9× |
| Phlebotomy therapeutic (99195) |
$61 |
$122 |
0.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$96.50 |
$193 |
1.6× |
| Psych diag eval w/med srvcs (90792) |
$178 |
$356 |
1.0× |
| Psychiatric Diagnostic Evaluation (90791) |
$178 |
$356 |
1.0× |
| Pt Community/Work Reintegration Trainj Ea 15 Min (97537) |
$62 |
$124 |
1.9× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$345 |
$690 |
1.6× |
| Pt Electrical Stimulation (97032) |
$76 |
$152 |
5.2× |
| Pt eval high complex 45 min (97163) |
$223 |
$446 |
2.3× |
| Pt eval low complex 20 min (97161) |
$151 |
$302 |
1.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$59.50 |
$119 |
1.8× |
| Pt Physical Performance Test (97750) |
$73.50 |
$147 |
2.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$167.50 |
$335 |
1.7× |
| Pt re-eval est plan care (97164) |
$112 |
$224 |
1.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$56.50 |
$113 |
1.7× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$59.50 |
$119 |
1.7× |
| Pulmonary stress testing (94618) |
$159 |
$318 |
1.1× |
| Pulse oximetry continuous (94762) |
$189.50 |
$379 |
1.4× |
| Refill/maint, portable pump (96521) |
$173 |
$346 |
0.8× |
| Slp evaloral pharyngeal swallow function (92610) |
$159.50 |
$319 |
1.9× |
| Speech sound lang comprehen (92523) |
$175.50 |
$351 |
0.8× |
| Spirometry (94010) |
$185 |
$370 |
0.8× |
| Spirometry with bronchodilator (94060) |
$437.50 |
$875 |
1.1× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$96.50 |
$193 |
2.0× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$227.50 |
$455 |
1.0× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$96.50 |
$193 |
1.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$64 |
$128 |
2.9× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$64 |
$128 |
3.0× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$80 |
$160 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$30 |
$60 |
0.8× |
| Transcranial doppler stdy intracranial art compl (93886) |
$518.50 |
$1,037 |
2.1× |
| Treat swallowing dysfunction (92526) |
$117 |
$234 |
1.4× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$321.75 |
$643.50 |
0.6× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$133 |
$266 |
1.7× |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$45.50 |
$91 |
1.9× |
| Ultrasound therapy ea 15 mins (97035) |
$59.50 |
$119 |
4.1× |
| Upr/l xtremity art 2 levels (93922) |
$433.25 |
$866.50 |
3.1× |
| Us transcranial doppler lmtd (93888) |
$518.50 |
$1,037 |
4.7× |
| Vasopneumatic device therapy (97016) |
$45 |
$90 |
3.7× |
| Ventilator initial day (94002) |
$624 |
$1,248 |
1.0× |
| Ventilator subsequent day (94003) |
$437.50 |
$875 |
0.7× |
| Wound care non-selective (97602) |
$345 |
$690 |
1.6× |