| Airway inhalation treatment (94640) |
— |
$422.07 |
— |
| Application of heat wave therapy (97024) |
— |
$89.56 |
— |
| Assessment of aphasia (96105) |
— |
$331.85 |
— |
| Bfb training 1st 15 min (90912) |
— |
$381.41 |
— |
| Biofeedback training any modality (90901) |
— |
$196.22 |
— |
| Blink reflex test (95933) |
— |
$137.31 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$608.68 |
— |
| Canalith Repositioning (95992) |
— |
$134.69 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$640.50 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$595.40 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$552.98 |
— |
| Cardioversion (92960) |
— |
$1,385.50 |
— |
| Cardioversion internal (92961) |
— |
$1,385.50 |
— |
| Cbt 1st hour (94644) |
— |
$237.45 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$747.44 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$141.73 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$141.73 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$597.02 |
— |
| Cpap initiation and management (94660) |
— |
$256.79 |
— |
| Cpt initial (94667) |
— |
$267.22 |
— |
| Critical care (99291) |
— |
$1,521.78 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$510.63 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$422.07 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$406.04 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$784.25 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$579.93 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$1,001.04 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$535.87 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$966.36 |
— |
| Duplex hemodialysis access (93990) |
— |
$631.24 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$314.71 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$649.19 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$1,203.62 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$1,203.62 |
— |
| EEG awake asleep (95819) |
— |
$613.84 |
— |
| EKG (93005) |
— |
$249.22 |
— |
| EKG rhythm strip (93041) |
— |
$235.32 |
— |
| EMG cranial nerve bilat (95868) |
— |
$358.21 |
— |
| EMG cranial nerve unilat (95867) |
— |
$339.39 |
— |
| EMG four extremities (95864) |
— |
$682.23 |
— |
| EMG one extremity (95860) |
— |
$324.03 |
— |
| EMG thoracic paraspinal (95869) |
— |
$339.39 |
— |
| EMG three extremities (95863) |
— |
$562.83 |
— |
| EMG two extremities (95861) |
— |
$443.43 |
— |
| Er level 1 (99281) |
— |
$171.78 |
— |
| Er level ii (99282) |
— |
$474.12 |
— |
| Er level iii (99283) |
— |
$670.81 |
— |
| Er level IV (99284) |
— |
$1,016.90 |
— |
| Er level v (99285) |
— |
$1,278.44 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$435.90 |
— |
| Evaluation of swallowing function (92610) |
— |
$592.10 |
— |
| Evoked auditory test,limited (92587) |
— |
$621.97 |
— |
| Exercise tst brncspsm (94617) |
— |
$252.11 |
— |
| Flow volume loop (94375) |
— |
$595.40 |
— |
| Group Therapeutic Procedures (97150) |
— |
$76.22 |
— |
| Immunization Admin (90471) |
— |
$151.38 |
— |
| Injection intra arterial (96373) |
— |
$501.97 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$145.78 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$135.50 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$501.97 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$147.40 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$501.97 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$76.84 |
— |
| IV push initial (96374) |
— |
$490.63 |
— |
| Manual therapy 15 min (97140) |
— |
$127.52 |
— |
| Massage 15 min (97124) |
— |
$87.25 |
— |
| Maximum voluntary ventilation (94200) |
— |
$124.93 |
— |
| Mechanical chest wall oscillation (94669) |
— |
$422.07 |
— |
| Mechanical traction (97012) |
— |
$47.82 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$500.51 |
— |
| Multiple sleep latency test (95805) |
— |
$3,922.69 |
— |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
— |
$175.06 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$1,151.54 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$1,151.54 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$577.83 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$1,112.33 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$302.28 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,112.33 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$339.39 |
— |
| Nerve conduction studies; 11-12 studies (95912) |
— |
$1,112.33 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$621.97 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$621.97 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$278.52 |
— |
| Neuromuscular junction test (95937) |
— |
$346.63 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$384.16 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$525.39 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$326.70 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$127.52 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$119.11 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$62.02 |
— |
| Ot eval high complex 60 min (97167) |
— |
$248.37 |
— |
| Ot eval low complex 30 min (97165) |
— |
$248.37 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$248.37 |
— |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
— |
$141.73 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$114.47 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$87.25 |
— |
| Ot re-eval est plan care (97168) |
— |
$200.26 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$295.03 |
— |
| Paraffin bath (97018) |
— |
$33.04 |
— |
| Plethysmography (94726) |
— |
$595.40 |
— |
| Pm device eval in person (93288) |
— |
$74.85 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,479.25 |
— |
| Pt Electric Current Therapy (97033) |
— |
$91.88 |
— |
| Pt Electrical Stimulation (97032) |
— |
$74.48 |
— |
| Pt eval high complex 45 min (97163) |
— |
$248.37 |
— |
| Pt eval low complex 20 min (97161) |
— |
$356.39 |
— |
| Pt Gait Training Therapy (97116) |
— |
$73.43 |
— |
| Pt Infrared Therapy (97026) |
— |
$19.71 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$125.51 |
— |
| Pt Physical Performance Test (97750) |
— |
$125.51 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$189.75 |
— |
| Pt re-evaluation (97164) |
— |
$200.26 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$130.71 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$53.62 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$71.01 |
— |
| Pulm Funct Test Oscillometry (94728) |
— |
$595.40 |
— |
| Pulm function test by gas (94727) |
— |
$314.02 |
— |
| Pulmonary stress testing (94618) |
— |
$252.11 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$346.73 |
— |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
— |
$87.25 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$152.99 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$112.46 |
— |
| Sleep study unattended (95806) |
— |
$2,425.79 |
— |
| Smoking cessation > 10 min (99407) |
— |
$8.82 |
— |
| Speech group therapy (92508) |
— |
$127.81 |
— |
| Speech sound lang comprehen (92523) |
— |
$603.13 |
— |
| Spirometry (94010) |
— |
$339.39 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,336.30 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$106.36 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$138.62 |
— |
| Therapeutic Activities (97530) |
— |
$127.52 |
— |
| Therapeutic phlebotomy (99195) |
— |
$176.50 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$8.82 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$807.53 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$326.04 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$370.96 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$366.06 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$314.02 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$743.22 |
— |
| Vasopneumatic device (97016) |
— |
$58.26 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$663.29 |
— |
| Vital capacity total (94150) |
— |
$281.39 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$108.96 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
— |
$125.27 |
— |