| Airway inhalation treatment (94640) |
$87.12 |
$102.50 |
0.4× |
| Assessment of aphasia (96105) |
$106.25 |
$125 |
1.1× |
| Basic vestibular evaluation (92540) |
$127.50 |
$150 |
0.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$106.25 |
$125 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$238 |
$280 |
0.7× |
| Canalith Repositioning (95992) |
$42.50 |
$50 |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$209.10 |
$246 |
1.1× |
| Cardioversion (92960) |
$238 |
$280 |
0.4× |
| Cbt 1st hour (94644) |
$102 |
$120 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$100.30 |
$118 |
1.5× |
| Chemother, IV infusion, 1 hr (96413) |
$284.75 |
$335 |
0.9× |
| Chemother, IV infusion, ea add hr (96415) |
$106.25 |
$125 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$535.50 |
$630 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$535.50 |
$630 |
5.6× |
| Cpap initiation and management (94660) |
$583.20 |
$686.12 |
2.9× |
| Cpt initial (94667) |
$102 |
$120 |
0.8× |
| Critical care (99291) |
$276.25 |
$325 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$123.68 |
$145.50 |
0.7× |
| Demo &/or eval,pt use,aerosol device (94664) |
$170 |
$200 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$535.50 |
$630 |
2.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$535.50 |
$630 |
5.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$535.50 |
$630 |
2.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$535.50 |
$630 |
5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$535.50 |
$630 |
5.6× |
| Duplex scan extracranial art compl bi study (93880) |
$535.50 |
$630 |
2.4× |
| EKG (93005) |
$97.75 |
$115 |
1.8× |
| EKG rhythm strip (93041) |
$38.51 |
$45.30 |
0.7× |
| Er level 1 (99281) |
$85 |
$100 |
1.1× |
| Er level ii (99282) |
$114.75 |
$135 |
0.8× |
| Er level iii (99283) |
$178.50 |
$210 |
0.7× |
| Er level IV (99284) |
$229.50 |
$270 |
0.6× |
| Er level v (99285) |
$340 |
$400 |
0.6× |
| Evaluation of speech fluency (92521) |
$106.25 |
$125 |
0.8× |
| Evaluation of speech sound production (92522) |
$106.25 |
$125 |
0.9× |
| Evaluation of swallowing function (92610) |
$148.75 |
$175 |
1.8× |
| External Ecg Scanning Analysis Report (93226) |
$195.50 |
$230 |
3.6× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$437.75 |
$515 |
2.2× |
| Flow volume loop (94375) |
$102 |
$120 |
0.5× |
| Group Therapeutic Procedures (97150) |
$34.77 |
$40.90 |
1.9× |
| Holter Monitor Recording (93225) |
$212.50 |
$250 |
1.7× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$29.75 |
$35 |
0.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$12.75 |
$15 |
0.2× |
| Immunization Admin (90471) |
$21.25 |
$25 |
0.3× |
| Immunotherapy, 2+ Injections (95117) |
$63.75 |
$75 |
1.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$76.50 |
$90 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$25.50 |
$30 |
0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$85 |
$100 |
0.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$116.88 |
$137.50 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$119 |
$140 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$70.12 |
$82.50 |
1.6× |
| IV push initial (96374) |
$42.50 |
$50 |
0.2× |
| Manual therapy 15 min (97140) |
$61.62 |
$72.50 |
2.2× |
| Massage 15 min (97124) |
$42.58 |
$50.10 |
1.4× |
| Maximum voluntary ventilation (94200) |
$51 |
$60 |
0.9× |
| Mechanical chest wall oscillation (94669) |
$170 |
$200 |
0.8× |
| Mechanical traction (97012) |
$37.40 |
$44 |
2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$21.25 |
$25 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$60.35 |
$71 |
1.6× |
| Mnt Group Ea 30 Min (97804) |
$85 |
$100 |
5.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$204 |
$240 |
2.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$34 |
$40 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$150.88 |
$177.50 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$227.38 |
$267.50 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$535.50 |
$630 |
4.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$127.50 |
$150 |
1.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$46.75 |
$55 |
1.0× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$42.50 |
$50 |
2.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$102 |
$120 |
5.1× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$43.56 |
$51.25 |
1.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$28.48 |
$33.50 |
2.0× |
| Ot eval high complex 60 min (97167) |
$187 |
$220 |
1.9× |
| Ot eval low complex 30 min (97165) |
$140.25 |
$165 |
1.4× |
| Ot eval mod complex 45 min (97166) |
$161.50 |
$190 |
1.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$34 |
$40 |
0.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$59.50 |
$70 |
1.5× |
| Ot re-eval est plan care (97168) |
$80.75 |
$95 |
1.2× |
| Paraffin bath (97018) |
$27.62 |
$32.50 |
4.6× |
| Plethysmography (94726) |
$335.75 |
$395 |
1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$38.25 |
$45 |
0.9× |
| Pt Electric Current Therapy (97033) |
$42.50 |
$50 |
2.2× |
| Pt Electrical Stimulation (97032) |
$40.46 |
$47.60 |
2.8× |
| Pt eval high complex 45 min (97163) |
$182.75 |
$215 |
1.9× |
| Pt eval low complex 20 min (97161) |
$140.25 |
$165 |
1.4× |
| Pt Gait Training Therapy (97116) |
$59.50 |
$70 |
2.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$63.75 |
$75 |
1.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$157.25 |
$185 |
1.6× |
| Pt re-evaluation (97164) |
$97.75 |
$115 |
1.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$46.75 |
$55 |
1.4× |
| Pt Ultrasound Therapy (97035) |
$40.38 |
$47.50 |
2.8× |
| Pt Whirlpool Therapy (97022) |
$31.79 |
$37.40 |
2.0× |
| Pulm function test by gas (94727) |
$119 |
$140 |
0.6× |
| Pulmonary stress testing (94618) |
$102 |
$120 |
0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$212.50 |
$250 |
1.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$42.50 |
$50 |
0.3× |
| Sensory Integration Ea 15 Min (97533) |
$46.75 |
$55 |
0.8× |
| Sleep study unattended (95806) |
$127.50 |
$150 |
0.6× |
| Speech sound lang comprehen (92523) |
$106.25 |
$125 |
0.5× |
| Spirometry (94010) |
$127.50 |
$150 |
0.6× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$25.50 |
$30 |
0.6× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$102 |
$120 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$59.50 |
$70 |
2.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$59.50 |
$70 |
2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$35.28 |
$41.50 |
0.5× |
| Therapeutic Activities (97530) |
$63.75 |
$75 |
1.8× |
| Therapeutic phlebotomy (99195) |
$56.18 |
$66.09 |
0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$12.75 |
$15 |
0.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,687.25 |
$1,985 |
3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$106.25 |
$125 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$119 |
$140 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$42.50 |
$50 |
1.0× |
| Tympanometry (92567) |
$38.25 |
$45 |
1.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$816 |
$960 |
6.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$535.50 |
$630 |
2.4× |
| Vasopneumatic device (97016) |
$42.50 |
$50 |
3.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$476 |
$560 |
0.8× |
| Vital capacity total (94150) |
$82.88 |
$97.50 |
0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$47.35 |
$55.70 |
1.5× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$744.60 |
$876 |
2.2× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$255 |
$300 |
2.9× |