| Aerosol inhalation pentamidine (94642) |
$266.85 |
$593 |
1.2× |
| Airway inhalation treatment (94640) |
$96.30 |
$214 |
0.4× |
| Airway resistance by oscillometry (94728) |
$214.20 |
$476 |
1.6× |
| Allergy injection single (95115) |
$61.65 |
$137 |
1.3× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$102.15 |
$227 |
7.3× |
| Assessment of aphasia (96105) |
$219.15 |
$487 |
2.3× |
| Behav assmt w/score & docd/stand instrument (96127) |
$152.55 |
$339 |
3.9× |
| Behavioral & qualit analysis voice and resonance (92524) |
$295.20 |
$656 |
2.7× |
| C motor evoked lwr limbs (95929) |
$1,012.95 |
$2,251 |
2.6× |
| C motor evoked uppr limbs (95928) |
$1,012.95 |
$2,251 |
1.1× |
| Cardiac stress test (93017) |
$1,410.75 |
$3,135 |
6.3× |
| Cardiopulmonary exercise testing (94621) |
$214.20 |
$476 |
0.5× |
| Cardioversion elective external (92960) |
$299.25 |
$665 |
0.4× |
| Carotid duplex scan; bilat (93880) |
$486 |
$1,080 |
2.0× |
| Color/duplex Doppler, complete (93975) |
$839.25 |
$1,865 |
3.4× |
| Continuous inhalation tx, 1st hr (94644) |
$75.60 |
$168 |
0.5× |
| Cpap/bipap daily (94660) |
$149.40 |
$332 |
0.7× |
| Cpr (92950) |
$403.20 |
$896 |
1.8× |
| Cpt initial (94667) |
$103.50 |
$230 |
0.7× |
| Cpt subsequent (94668) |
$64.35 |
$143 |
0.5× |
| Critical care first hour (99291) |
$744.30 |
$1,654 |
0.9× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,012.95 |
$2,251 |
1.1× |
| Delivery/birthing room resuscitation (99465) |
$347.85 |
$773 |
0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$155.25 |
$345 |
1.2× |
| Duplex ext veins; bilat (93970) |
$326.25 |
$725 |
1.3× |
| Duplex le art/bpg; bilat (93925) |
$486.45 |
$1,081 |
2.0× |
| Duplex le art/bpg; unil/limit (93926) |
$401.40 |
$892 |
3.7× |
| Duplex ue art/bpg; bilat (93930) |
$486.45 |
$1,081 |
2.0× |
| Duplex ue art/bpg; unil/limit (93931) |
$401.40 |
$892 |
3.7× |
| Duplex venous ext unilat/lmtd (93971) |
$246.15 |
$547 |
2.3× |
| ECG up to 48 hrs recording (93225) |
$275.40 |
$612 |
2.0× |
| EEG awake & asleep (95819) |
$433.80 |
$964 |
1.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,012.95 |
$2,251 |
4.5× |
| Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) |
$1,012.95 |
$2,251 |
4.5× |
| Electrocardiogram (93005) |
$176.85 |
$393 |
2.9× |
| Emergency department visit high mdm (99285) |
$411.98 |
$915.50 |
0.7× |
| Emergency department visit low mdm (99283) |
$171 |
$380 |
0.6× |
| Emergency department visit may not req phys/qhp (99281) |
$54 |
$120 |
0.6× |
| Emergency department visit moderate mdm (99284) |
$292.72 |
$650.50 |
0.7× |
| Emergency department visit straightforward mdm (99282) |
$100.35 |
$223 |
0.6× |
| EMG three extremities (95863) |
$602.10 |
$1,338 |
4.5× |
| EMG two extremities (95861) |
$602.10 |
$1,338 |
4.3× |
| Evaluate pt use of inhaler (94664) |
$144 |
$320 |
0.6× |
| Evaluate speech production (92522) |
$295.20 |
$656 |
2.6× |
| Evaluation of speech fluency (92521) |
$295.20 |
$656 |
2.2× |
| External ECG rec>48hr<7d recording (93242) |
$165.15 |
$367 |
4.2× |
| External ECG rec>7d<15d recording (93246) |
$165.15 |
$367 |
4.2× |
| Flow volume loop (94375) |
$214.20 |
$476 |
0.9× |
| Gait training 15 min (97116) |
$57.15 |
$127 |
2.0× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$124.65 |
$277 |
0.6× |
| Immunization Admin (90471) |
$69.30 |
$154 |
0.9× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$152.55 |
$339 |
1.1× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$152.55 |
$339 |
1.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$227.70 |
$506 |
4.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$227.70 |
$506 |
1.0× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$46.80 |
$104 |
0.8× |
| IV hydration each add'l hr (96361) |
$166.50 |
$370 |
3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$166.50 |
$370 |
0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$99.45 |
$221 |
1.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$332.10 |
$738 |
1.5× |
| IV tx, each additional hour (96366) |
$166.50 |
$370 |
3.4× |
| Lwr xtr vasc stdy bilat (93924) |
$663.30 |
$1,474 |
2.9× |
| Manual therapy ea 15 min (97140) |
$69.30 |
$154 |
2.5× |
| Massage therapy ea 15 mins (97124) |
$61.65 |
$137 |
2.1× |
| Maximum voluntary ventilation (94200) |
$124.20 |
$276 |
2.0× |
| Mechanical chest wall oscillation lung function (94669) |
$122.85 |
$273 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$19.35 |
$43 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$152.55 |
$339 |
4.2× |
| Methacholine challenge (94070) |
$230.18 |
$511.50 |
0.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$161.10 |
$358 |
1.8× |
| Needle electromyography; larynx (95865) |
$1,012.95 |
$2,251 |
7.3× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$1,012.95 |
$2,251 |
7.3× |
| Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report UNSCHEDULED (92265) |
$1,012.95 |
$2,251 |
16.4× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$589.05 |
$1,309 |
2.8× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$589.05 |
$1,309 |
1.4× |
| Neurobehavioral Status Exam by Psych/Phys (96116) |
$144.45 |
$321 |
0.6× |
| Neuromuscular junction test (95937) |
$1,012.95 |
$2,251 |
7.5× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$530.55 |
$1,179 |
2.4× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$74.70 |
$166 |
0.5× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$53.10 |
$118 |
0.4× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$65.70 |
$146 |
1.4× |
| Ot eval high complex 60 min (97167) |
$272.25 |
$605 |
2.7× |
| Ot eval low complex 30 min (97165) |
$148.50 |
$330 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$210.60 |
$468 |
2.1× |
| Ot group therapy procedures (97150) |
$49.50 |
$110 |
2.7× |
| Ot mechanical traction (97012) |
$59.40 |
$132 |
4.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$65.70 |
$146 |
1.6× |
| Ot re-eval est plan care (97168) |
$61.65 |
$137 |
0.9× |
| Ot Sensory Integrative Techniques Each 15 Minutes (97533) |
$52.20 |
$116 |
0.9× |
| Ot wheelchair management (97542) |
$60.30 |
$134 |
1.9× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted UNSCHEDULED (94681) |
$126.45 |
$281 |
0.3× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED (94690) |
$57.60 |
$128 |
0.9× |
| Paraffin bath therapy (97018) |
$36.45 |
$81 |
6.1× |
| Phlebotomy therapeutic (99195) |
$188.10 |
$418 |
1.4× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$61.65 |
$137 |
1.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$49.28 |
$109.50 |
1.3× |
| Pt Community/Work Reintegration Trainj Ea 15 Min (97537) |
$54.90 |
$122 |
1.7× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$36.90 |
$82 |
0.2× |
| Pt Electric Current Therapy (97033) |
$73.80 |
$164 |
3.9× |
| Pt Electrical Stimulation (97032) |
$82.80 |
$184 |
5.6× |
| Pt eval high complex 45 min (97163) |
$295.65 |
$657 |
3.0× |
| Pt eval low complex 20 min (97161) |
$171.45 |
$381 |
1.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$62.10 |
$138 |
1.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$234 |
$520 |
2.4× |
| Pt re-eval est plan care (97164) |
$103.05 |
$229 |
1.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$66.15 |
$147 |
2.0× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$59.40 |
$132 |
1.7× |
| Pt Whirlpool Therapy (97022) |
$89.10 |
$198 |
5.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$83.70 |
$186 |
2.1× |
| Pulm funct tst plethysmograp (94726) |
$126.45 |
$281 |
0.3× |
| Pulmonary service/procedure (94799) |
$68.40 |
$152 |
0.5× |
| Pulmonary stress testing (94618) |
$155.25 |
$345 |
1.1× |
| Pulse oximetry continuous (94762) |
$124.65 |
$277 |
0.9× |
| Pure tone audiometry, air only (92552) |
$152.55 |
$339 |
1.1× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$41.85 |
$93 |
2.0× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$119.70 |
$266 |
3.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$81.45 |
$181 |
0.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$110.25 |
$245 |
2.8× |
| Short-latency somatosens ep std upr & low limbs (95938) |
$1,012.95 |
$2,251 |
1.1× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$1,012.95 |
$2,251 |
4.5× |
| Slp evaloral pharyngeal swallow function (92610) |
$263.25 |
$585 |
3.1× |
| Speech sound lang comprehen (92523) |
$295.20 |
$656 |
1.3× |
| Spirometry (94010) |
$131.85 |
$293 |
0.6× |
| Spirometry with bronchodilator (94060) |
$214.20 |
$476 |
0.5× |
| Ssep upper limbs (95925) |
$1,012.95 |
$2,251 |
4.5× |
| Temp transcutaneous pacing (92953) |
$454.05 |
$1,009 |
0.7× |
| Test to measure exhaled air for evaluation of lung function during rest and exercise (94680) |
$68.40 |
$152 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$59.85 |
$133 |
2.7× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$53.10 |
$118 |
2.5× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$73.80 |
$164 |
1.0× |
| Tobacco use cessation intensive >10 minutes (99407) |
$31.50 |
$70 |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$31.50 |
$70 |
0.8× |
| Trans care mgmt 14 day disch (99495) |
$154.35 |
$343 |
1.1× |
| Trans care mgmt 7 day disch (99496) |
$197.55 |
$439 |
1.4× |
| Treat swallowing dysfunction (92526) |
$59.85 |
$133 |
0.7× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$449.32 |
$998.50 |
0.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$59.85 |
$133 |
0.8× |
| Ultrasound therapy ea 15 mins (97035) |
$52.20 |
$116 |
3.6× |
| Upr/l xtremity art 2 levels (93922) |
$397.80 |
$884 |
2.9× |
| Vasopneumatic device therapy (97016) |
$81.45 |
$181 |
6.8× |
| Ventilator initial day (94002) |
$530.55 |
$1,179 |
0.8× |
| Ventilator subsequent day (94003) |
$397.80 |
$884 |
0.6× |
| Vital capacity total (94150) |
$117 |
$260 |
0.9× |
| Wound care non-selective (97602) |
$388.58 |
$863.50 |
1.9× |