| Airway inhalation treatment (94640) |
$159.60 |
$285 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$50.96 |
$91 |
1.1× |
| Assessment of aphasia (96105) |
$260.40 |
$465 |
2.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$40.32 |
$72 |
0.4× |
| Bfb training 1st 15 min (90912) |
$90.16 |
$161 |
1.1× |
| Bfb training ea addl 15 min (90913) |
$63.84 |
$114 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$511.84 |
$914 |
1.4× |
| C motor evoked uppr limbs (95928) |
$1,322.72 |
$2,362 |
1.6× |
| C motor evoked upr&lwr limbs (95939) |
$2,645.44 |
$4,724 |
3.2× |
| Canalith Repositioning (95992) |
$116.48 |
$208 |
2.9× |
| Car seat/bed test 60 min (94780) |
$228.48 |
$408 |
6.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,916.88 |
$3,423 |
9.3× |
| Cardiopulmonary resuscitation (92950) |
$302.40 |
$540 |
1.5× |
| Cardioversion (92960) |
$770.56 |
$1,376 |
1.2× |
| Caregiver training 1st 30 min (97550) |
$77.84 |
$139 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$39.20 |
$70 |
1.5× |
| Cbt 1st hour (94644) |
$86.24 |
$154 |
0.7× |
| Chemo Admin Peritoneal Cavity (96446) |
$487.20 |
$870 |
1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$58.80 |
$105 |
0.9× |
| Chemo inj subarach/intravent (96542) |
$243.60 |
$435 |
0.8× |
| Chemo IV push addl drug (96411) |
$56 |
$100 |
0.8× |
| Chemo Iv Push Sngl Drug (96409) |
$74.48 |
$133 |
0.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$268.24 |
$479 |
0.8× |
| Chemother, IV infusion, 1 hr (96413) |
$612.08 |
$1,093 |
1.9× |
| Chemother, IV infusion, ea add hr (96415) |
$259.28 |
$463 |
3.8× |
| Chemother,ia infusn tech,<1 hr (96422) |
$87.36 |
$156 |
0.3× |
| Chemother,Ia Push Technique (96420) |
$216.16 |
$386 |
0.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$68.32 |
$122 |
1.0× |
| Chemotherapy admn intraarterial infusion ea hr (96423) |
$78.96 |
$141 |
1.8× |
| Chemotherapy, unspecified procedure (96549) |
$89.04 |
$159 |
2.0× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$623.84 |
$1,114 |
2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$259.28 |
$463 |
3.8× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$556.64 |
$994 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$428.96 |
$766 |
1.9× |
| Contact lens fitting (92311) |
$59.36 |
$106 |
0.1× |
| Cpap initiation and management (94660) |
$320.32 |
$572 |
1.5× |
| Cpt initial (94667) |
$111.44 |
$199 |
0.9× |
| Critical care (99291) |
$3,043.60 |
$5,435 |
3.9× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$1,134 |
$2,025 |
3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$281.68 |
$503 |
1.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$164.08 |
$293 |
0.8× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$334.88 |
$598 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$416.08 |
$743 |
1.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$208.88 |
$373 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$220.08 |
$393 |
1.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$59.36 |
$106 |
0.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$412.72 |
$737 |
4.1× |
| Duplex hemodialysis access (93990) |
$210.56 |
$376 |
2.1× |
| Duplex scan extracranial art compl bi study (93880) |
$188.16 |
$336 |
0.8× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$244.72 |
$437 |
2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$134.96 |
$241 |
1.1× |
| Echo Heart Xthoracic,Limited (93308) |
$207.76 |
$371 |
0.9× |
| Echo transesophageal (93312) |
$665.84 |
$1,189 |
1.3× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$907.20 |
$1,620 |
1.7× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$468.72 |
$837 |
0.9× |
| EEG awake drowsy (95816) |
$477.12 |
$852 |
2.3× |
| EEG cerebral death evaluation (95824) |
$482.72 |
$862 |
1.4× |
| EKG (93005) |
$316.96 |
$566 |
5.6× |
| EMG cranial nerve bilat (95868) |
$3,006.64 |
$5,369 |
14.6× |
| EMG cranial nerve unilat (95867) |
$1,698.48 |
$3,033 |
8.2× |
| EMG four extremities (95864) |
$1,391.04 |
$2,484 |
11.3× |
| EMG one extremity (95860) |
$875.28 |
$1,563 |
6.9× |
| EMG thoracic paraspinal (95869) |
$623.28 |
$1,113 |
3.0× |
| EMG three extremities (95863) |
$1,219.12 |
$2,177 |
9.9× |
| EMG two extremities (95861) |
$1,047.20 |
$1,870 |
8.2× |
| Er level 1 (99281) |
$335.60 |
$599.30 |
4.2× |
| Er level ii (99282) |
$756 |
$1,350 |
5.2× |
| Er level iii (99283) |
$1,227.52 |
$2,192 |
4.7× |
| Er level IV (99284) |
$1,865.64 |
$3,331.50 |
4.7× |
| Er level v (99285) |
$2,159.92 |
$3,857 |
3.8× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$226.80 |
$405 |
3.2× |
| Evaluation of speech fluency (92521) |
$130.48 |
$233 |
1.0× |
| Evaluation of speech sound production (92522) |
$326.48 |
$583 |
2.9× |
| Evaluation of swallowing function (92610) |
$253.12 |
$452 |
3.0× |
| Evoked auditory test,limited (92587) |
$509.60 |
$910 |
2.5× |
| Exhaled Air Analysis (94690) |
$166.32 |
$297 |
2.9× |
| External Ecg Scanning Analysis Report (93226) |
$297.36 |
$531 |
5.3× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$472.08 |
$843 |
2.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,158.64 |
$2,069 |
1.4× |
| Group Therapeutic Procedures (97150) |
$183.68 |
$328 |
10.2× |
| Hemodialysis (90935) |
$499.52 |
$892 |
0.8× |
| Holter Monitor Recording (93225) |
$473.20 |
$845 |
3.7× |
| Immunization Admin (90471) |
$92.40 |
$165 |
1.3× |
| Injection intra arterial (96373) |
$298.48 |
$533 |
1.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$62.72 |
$112 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$683.20 |
$1,220 |
15.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$1,154.72 |
$2,062 |
5.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$47.60 |
$85 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$181.44 |
$324 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$110.88 |
$198 |
2.5× |
| IV push initial (96374) |
$551.04 |
$984 |
2.7× |
| Liver elastography w/o imag w/i&r (91200) |
$152.32 |
$272 |
1.2× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$738.08 |
$1,318 |
2.3× |
| Manual therapy 15 min (97140) |
$128.24 |
$229 |
4.6× |
| Massage 15 min (97124) |
$156.80 |
$280 |
5.3× |
| Mechanical traction (97012) |
$165.20 |
$295 |
11.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$57.12 |
$102 |
1.6× |
| Motility study esophagus (91010) |
$1,034.88 |
$1,848 |
2.9× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$510.72 |
$912 |
5.6× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$703.36 |
$1,256 |
5.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$164.64 |
$294 |
0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$303.52 |
$542 |
0.8× |
| Nerve conduction studies 13/> studies (95913) |
$1,088.08 |
$1,943 |
3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$721.84 |
$1,289 |
3.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$973.84 |
$1,739 |
2.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$299.04 |
$534 |
1.4× |
| Nerve conduction studies; 11-12 studies (95912) |
$1,030.96 |
$1,841 |
2.9× |
| Nerve conduction studies; 5-6 studies (95909) |
$745.92 |
$1,332 |
3.6× |
| Nerve conduction studies; 7-8 studies (95910) |
$801.92 |
$1,432 |
2.2× |
| Neuromuscular junction test (95937) |
$683.20 |
$1,220 |
5.6× |
| Newborn resuscitation (99465) |
$478.80 |
$855 |
0.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$38.08 |
$68 |
1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$56.56 |
$101 |
1.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$24.08 |
$43 |
1.8× |
| Ophthalmoscopy/dynamometry (92260) |
$603.68 |
$1,078 |
16.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$162.96 |
$291 |
3.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$98.56 |
$176 |
3.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
$84.56 |
$151 |
6.0× |
| Ot eval high complex 60 min (97167) |
$377.44 |
$674 |
3.8× |
| Ot eval low complex 30 min (97165) |
$243.04 |
$434 |
2.4× |
| Ot eval mod complex 45 min (97166) |
$306.88 |
$548 |
3.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$193.20 |
$345 |
3.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$69.44 |
$124 |
1.7× |
| Ot Range Motion Measure,Each Extrem (95851) |
$47.04 |
$84 |
1.8× |
| Ot re-eval est plan care (97168) |
$226.80 |
$405 |
3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$305.20 |
$545 |
2.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$41.44 |
$74 |
0.3× |
| Peripheral arterial disease rehab per session (93668) |
$93.52 |
$167 |
1.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$53.76 |
$96 |
1.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$45.36 |
$81 |
0.8× |
| Plethysmography (94726) |
$240.24 |
$429 |
0.7× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$59.36 |
$106 |
1.7× |
| Psych diag eval w/med srvcs (90792) |
$107.52 |
$192 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$195.44 |
$349 |
1.2× |
| Psytx crisis initial 60 min (90839) |
$105.84 |
$189 |
0.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$112 |
$200 |
3.0× |
| Pt Electric Current Therapy (97033) |
$329.84 |
$589 |
17.3× |
| Pt Electrical Stimulation (97032) |
$129.36 |
$231 |
8.8× |
| Pt eval high complex 45 min (97163) |
$358.40 |
$640 |
3.7× |
| Pt eval low complex 20 min (97161) |
$318.08 |
$568 |
3.3× |
| Pt Gait Training Therapy (97116) |
$106.40 |
$190 |
3.7× |
| Pt group caregiver training (97552) |
$33.04 |
$59 |
1.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$113.68 |
$203 |
3.5× |
| Pt Physical Performance Test (97750) |
$122.64 |
$219 |
3.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$341.60 |
$610 |
3.5× |
| Pt re-evaluation (97164) |
$221.20 |
$395 |
3.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$114.80 |
$205 |
3.5× |
| Pt Ultrasound Therapy (97035) |
$118.72 |
$212 |
8.3× |
| Pt Whirlpool Therapy (97022) |
$125.44 |
$224 |
8.0× |
| Pulm function test by gas (94727) |
$229.04 |
$409 |
1.1× |
| Pulmonary stress testing (94618) |
$167.44 |
$299 |
1.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$188.16 |
$336 |
0.9× |
| Refill/maint, portable pump (96521) |
$190.96 |
$341 |
0.9× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$367.36 |
$656 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$321.44 |
$574 |
1.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$99.68 |
$178 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$121.52 |
$217 |
2.0× |
| Short-latency somatosens ep std lwr limbs (95926) |
$2,049.60 |
$3,660 |
9.9× |
| Short-latency somatosens ep std upr limbs (95925) |
$2,049.60 |
$3,660 |
9.9× |
| Smoking cessation > 10 min (99407) |
$48.72 |
$87 |
1.4× |
| Somatosensory testing (95938) |
$5,722.08 |
$10,218 |
7.0× |
| Speech group therapy (92508) |
$323.12 |
$577 |
13.4× |
| Speech sound lang comprehen (92523) |
$319.20 |
$570 |
1.4× |
| Spirometry (94010) |
$296.80 |
$530 |
1.4× |
| Standardized Cognitive Performance Testing (96125) |
$75.04 |
$134 |
0.7× |
| Stress echo (93350) |
$822.08 |
$1,468 |
1.6× |
| Stress Tte Complete (93351) |
$1,261.12 |
$2,252 |
2.4× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$24.08 |
$43 |
0.5× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$160.72 |
$287 |
0.8× |
| Surfactant Admin Thru Tube (94610) |
$200.48 |
$358 |
1.0× |
| Temp transcutaneous pacing (92953) |
$628.32 |
$1,122 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$84 |
$150 |
3.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$34.16 |
$61 |
1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$97.44 |
$174 |
1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$147.28 |
$263 |
2.1× |
| Therapeutic Activities (97530) |
$118.72 |
$212 |
3.4× |
| Therapeutic phlebotomy (99195) |
$146.72 |
$262 |
1.2× |
| Tilt Table Eval (93660) |
$819.28 |
$1,463 |
2.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$26.88 |
$48 |
0.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$633.36 |
$1,131 |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$680.40 |
$1,215 |
3.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$347.20 |
$620 |
4.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$139.44 |
$249 |
1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$656.88 |
$1,173 |
14.7× |
| Ultraviolet Therapy (97028) |
$126 |
$225 |
15.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$246.40 |
$440 |
2.0× |
| Unlisted pulmonary service/procedure (94799) |
$154 |
$275 |
1.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$865.76 |
$1,546 |
3.8× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$175.28 |
$313 |
1.8× |
| Vasopneumatic device (97016) |
$81.76 |
$146 |
6.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,037.68 |
$1,853 |
1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$442.96 |
$791 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$48.16 |
$86 |
1.6× |