| Airway inhalation treatment (94640) |
$167.20 |
$418 |
0.7× |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$8 |
$20 |
1.1× |
| Assessment of aphasia (96105) |
$105.20 |
$263 |
1.1× |
| Behavioral & qualit analysis voice and resonance (92524) |
$89.60 |
$224 |
0.8× |
| Cardiac stress test (93017) |
$224.80 |
$562 |
1.0× |
| Cardioversion elective external (92960) |
$414.60 |
$1,036.50 |
0.6× |
| Carotid duplex scan; bilat (93880) |
$230.20 |
$575.50 |
0.9× |
| Carotid duplex scan; unil/limit (93882) |
$105.60 |
$264 |
1.0× |
| Chemo IV infusion addl hr (96415) |
$53.60 |
$134 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$274.80 |
$687 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$325.20 |
$813 |
1.3× |
| Color/duplex Doppler, limited (93976) |
$184.80 |
$462 |
1.7× |
| Continuous inhalation tx, 1st hr (94644) |
$94.40 |
$236 |
0.7× |
| Cpap/bipap daily (94660) |
$161 |
$402.50 |
0.7× |
| Cpr (92950) |
$256.40 |
$641 |
1.1× |
| Cpt initial (94667) |
$94.40 |
$236 |
0.7× |
| Cpt subsequent (94668) |
$24.40 |
$61 |
0.2× |
| Critical care first hour (99291) |
$722.40 |
$1,806 |
0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$120.80 |
$302 |
0.9× |
| Duplex a ivc il/bpg; compl (93978) |
$246 |
$615 |
1.0× |
| Duplex a ivc il/bpg; unil/lim (93979) |
$174 |
$435 |
1.6× |
| Duplex ext veins; bilat (93970) |
$264 |
$660 |
1.1× |
| Duplex hemodialysis access (93990) |
$240 |
$600 |
2.2× |
| Duplex le art/bpg; bilat (93925) |
$338 |
$845 |
1.4× |
| Duplex le art/bpg; unil/limit (93926) |
$175.40 |
$438.50 |
1.6× |
| Duplex ue art/bpg; bilat (93930) |
$268 |
$670 |
1.1× |
| Duplex ue art/bpg; unil/limit (93931) |
$161.40 |
$403.50 |
1.5× |
| Duplex venous ext unilat/lmtd (93971) |
$156 |
$390 |
1.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$116.80 |
$292 |
1.9× |
| ECG up to 48 hrs recording (93225) |
$128.40 |
$321 |
0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$147.20 |
$368 |
0.3× |
| EEG awake/drowsy (95816) |
$201.60 |
$504 |
0.9× |
| Electrocardiogram (93005) |
$61.60 |
$154 |
1.0× |
| Electroconvulsive therapy (90870) |
$386.40 |
$966 |
0.4× |
| Emergency department visit high mdm (99285) |
$526.80 |
$1,317 |
0.8× |
| Emergency department visit low mdm (99283) |
$258.80 |
$647 |
0.9× |
| Emergency department visit may not req phys/qhp (99281) |
$64.80 |
$162 |
0.7× |
| Emergency department visit moderate mdm (99284) |
$406 |
$1,015 |
0.9× |
| Emergency department visit straightforward mdm (99282) |
$135.80 |
$339.50 |
0.8× |
| Evaluate pt use of inhaler (94664) |
$163.20 |
$408 |
0.7× |
| Evaluate speech production (92522) |
$92.80 |
$232 |
0.8× |
| Evaluation of speech fluency (92521) |
$114 |
$285 |
0.9× |
| Flow volume loop (94375) |
$74 |
$185 |
0.3× |
| Gait training 15 min (97116) |
$29.60 |
$74 |
1.0× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$122.40 |
$306 |
0.5× |
| Immunization Admin (90471) |
$52.40 |
$131 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$33.60 |
$84 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$171.60 |
$429 |
0.8× |
| Injections intra arterial (96373) |
$74.40 |
$186 |
0.3× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$48.80 |
$122 |
0.8× |
| IV hydration each add'l hr (96361) |
$31.20 |
$78 |
0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$163.20 |
$408 |
0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$53.60 |
$134 |
0.7× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$142.20 |
$355.50 |
0.6× |
| IV tx, each additional hour (96366) |
$34 |
$85 |
0.7× |
| Lwr xtr vasc stdy bilat (93924) |
$208 |
$520 |
0.9× |
| Manual therapy ea 15 min (97140) |
$35.60 |
$89 |
1.3× |
| Massage therapy ea 15 mins (97124) |
$24.20 |
$60.50 |
0.8× |
| Maximum voluntary ventilation (94200) |
$46.40 |
$116 |
0.8× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$118 |
$295 |
1.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$335.20 |
$838 |
0.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$335.20 |
$838 |
0.8× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$160 |
$400 |
0.7× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$29.60 |
$74 |
0.6× |
| Ot eval high complex 60 min (97167) |
$87.60 |
$219 |
0.9× |
| Ot eval low complex 30 min (97165) |
$87.60 |
$219 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$87.60 |
$219 |
0.9× |
| Ot mechanical traction (97012) |
$18 |
$45 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$29.60 |
$74 |
0.7× |
| Ot re-eval est plan care (97168) |
$47.20 |
$118 |
0.7× |
| Ot Sensory Integrative Techniques Each 15 Minutes (97533) |
$34 |
$85 |
0.6× |
| Ot wheelchair management (97542) |
$29.60 |
$74 |
1.0× |
| Paraffin bath therapy (97018) |
$15.20 |
$38 |
2.5× |
| Phlebotomy therapeutic (99195) |
$56.80 |
$142 |
0.4× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,168.80 |
$2,922 |
1.3× |
| Pt Community/Work Reintegration Trainj Ea 15 Min (97537) |
$34 |
$85 |
1.1× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$137.60 |
$344 |
0.7× |
| Pt Electric Current Therapy (97033) |
$22.40 |
$56 |
1.2× |
| Pt Electrical Stimulation (97032) |
$19.20 |
$48 |
1.3× |
| Pt eval high complex 45 min (97163) |
$87.60 |
$219 |
0.9× |
| Pt eval low complex 20 min (97161) |
$87.60 |
$219 |
0.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$34 |
$85 |
1.0× |
| Pt Physical Performance Test (97750) |
$34 |
$85 |
1.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$87.60 |
$219 |
0.9× |
| Pt re-eval est plan care (97164) |
$47.20 |
$118 |
0.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$35.60 |
$89 |
1.1× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$34.20 |
$85.50 |
1.0× |
| Pt Whirlpool Therapy (97022) |
$18 |
$45 |
1.1× |
| Pulmonary service/procedure (94799) |
$33.20 |
$83 |
0.2× |
| Pulmonary stress testing (94618) |
$94.40 |
$236 |
0.7× |
| Pulse oximetry continuous (94762) |
$155.80 |
$389.50 |
1.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$58.80 |
$147 |
1.5× |
| Sleep study unattended (95806) |
$200.40 |
$501 |
0.9× |
| Slp evaloral pharyngeal swallow function (92610) |
$78 |
$195 |
0.9× |
| Spirometry (94010) |
$60 |
$150 |
0.3× |
| Spirometry with bronchodilator (94060) |
$116.20 |
$290.50 |
0.3× |
| Standardized cognitive performance testing (96125) |
$111.20 |
$278 |
1.1× |
| Stress echocardiogram (93350) |
$240.80 |
$602 |
0.4× |
| Temp transcutaneous pacing (92953) |
$195.60 |
$489 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$34 |
$85 |
1.5× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$29.60 |
$74 |
0.4× |
| Tobacco use cessation intensive >10 minutes (99407) |
$29.60 |
$74 |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$29.60 |
$74 |
0.8× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$535.60 |
$1,339 |
0.9× |
| Tte w/o doppler complete (93307) |
$156.80 |
$392 |
0.6× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$79.60 |
$199 |
1.0× |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$23.60 |
$59 |
1.0× |
| Ultrasound therapy ea 15 mins (97035) |
$14.80 |
$37 |
1.0× |
| Unlisted Ther Proph Dx Inj (96379) |
$32 |
$80 |
0.7× |
| Upr/l xtremity art 2 levels (93922) |
$108 |
$270 |
0.8× |
| Ventilator initial day (94002) |
$191 |
$477.50 |
0.3× |
| Ventilator subsequent day (94003) |
$178.40 |
$446 |
0.3× |
| Vital capacity total (94150) |
$122.40 |
$306 |
0.9× |
| Wound care non-selective (97602) |
$73.60 |
$184 |
0.4× |