| Actigraphy testing recording analysis i&r (95803) |
— |
$217.50 |
— |
| Airway inhalation treatment (94640) |
— |
$176 |
— |
| Analyze Neurostim Complex (95972) |
— |
$299.50 |
— |
| Analyze neurostim no prog (95970) |
— |
$299.50 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,103.50 |
— |
| C motor evoked uppr limbs (95928) |
— |
$2,162.25 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$899 |
— |
| Car seat/bed test 60 min (94780) |
— |
$235.25 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,190 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,311.75 |
— |
| Cardioversion (92960) |
— |
$542.50 |
— |
| Cardioversion internal (92961) |
— |
$1,355.75 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
— |
$14,879.75 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
— |
$14,879.75 |
— |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
— |
$34,887.75 |
— |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
— |
$14,879.75 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$14,879.75 |
— |
| Cbt 1st hour (94644) |
— |
$154.75 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$321.75 |
— |
| Chemo IV push addl drug (96411) |
— |
$321.75 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$321.75 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$881.25 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$881.25 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$881.25 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$321.75 |
— |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
— |
$321.75 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$321.75 |
— |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
— |
$321.75 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$584 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$584 |
— |
| Comprehensive Hearing Test (92557) |
— |
$62.98 |
— |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
— |
$24 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$24 |
— |
| Coronary artery angio s&i (93454) |
— |
$14,879.75 |
— |
| Cpap initiation and management (94660) |
— |
$510.50 |
— |
| Cpt initial (94667) |
— |
$452.25 |
— |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
— |
$25 |
— |
| Critical care (99291) |
— |
$1,330.75 |
— |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
— |
$480.25 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$247.50 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$452.25 |
— |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
— |
$1,036.75 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$584 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$391.25 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$769.25 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$658 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$702 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$570.75 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$948 |
— |
| Duplex hemodialysis access (93990) |
— |
$2,293.50 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$1,711 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$804.75 |
— |
| Echo transesophageal (93312) |
— |
$3,649.75 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$1,752.50 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$918.75 |
— |
| EEG awake asleep (95819) |
— |
$1,050.25 |
— |
| EEG awake drowsy (95816) |
— |
$1,050.25 |
— |
| EEG cerebral death evaluation (95824) |
— |
$762.50 |
— |
| EEG coma or sleep only (95822) |
— |
$762.50 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$637 |
— |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
— |
$1,174.25 |
— |
| EKG (93005) |
— |
$258.50 |
— |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$299.50 |
— |
| EMG cranial nerve bilat (95868) |
— |
$282 |
— |
| EMG cranial nerve unilat (95867) |
— |
$282 |
— |
| EMG four extremities (95864) |
— |
$282 |
— |
| EMG one extremity (95860) |
— |
$282 |
— |
| EMG thoracic paraspinal (95869) |
— |
$139.25 |
— |
| EMG three extremities (95863) |
— |
$282 |
— |
| EMG two extremities (95861) |
— |
$282 |
— |
| Er level 1 (99281) |
— |
$119 |
— |
| Er level ii (99282) |
— |
$251.50 |
— |
| Er level iii (99283) |
— |
$324.75 |
— |
| Er level IV (99284) |
— |
$725 |
— |
| Er level v (99285) |
— |
$1,075.75 |
— |
| Exam of visual field with extended testing (92083) |
— |
$100 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$77.75 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$131.60 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,059.75 |
— |
| External ocular photography (92285) |
— |
$58 |
— |
| Eye exam, new patient,comprehesv (92004) |
— |
$187.08 |
— |
| Flow volume loop (94375) |
— |
$621.50 |
— |
| Fundus photography w/interpretation & report (92250) |
— |
$91 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,173.25 |
— |
| Gonioscopy (92020) |
— |
$30.39 |
— |
| Holter Monitor Recording (93225) |
— |
$381.25 |
— |
| Icd Device Interrogate (93289) |
— |
$104.21 |
— |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
— |
$45 |
— |
| Immunization Admin (90471) |
— |
$63.25 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$87.75 |
— |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
— |
$1,173 |
— |
| Ins swan ganz bedside (93503) |
— |
$2,987.50 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$143.75 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$95.50 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$490.50 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$95.50 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$461.75 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$95.50 |
— |
| IV push initial (96374) |
— |
$201.50 |
— |
| Measurement of heart blood flow and respiration (93701) |
— |
$267 |
— |
| Mechanical chest wall oscillation (94669) |
— |
$452.25 |
— |
| Methacholine challenge (94070) |
— |
$680 |
— |
| Mnt Group Ea 30 Min (97804) |
— |
$52.50 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$635.50 |
— |
| Multiple sleep latency test (95805) |
— |
$4,284 |
— |
| Needle electromyography hemidiaphragm (95866) |
— |
$282 |
— |
| Needle electromyography larynx (95865) |
— |
$282 |
— |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
— |
$145 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$800.25 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$800.25 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$264 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$401.25 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$78 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$140 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$94 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$479.50 |
— |
| Neuromuscular junction test (95937) |
— |
$253 |
— |
| New patient problem focused exam of visual system (92002) |
— |
$95.13 |
— |
| Newborn resuscitation (99465) |
— |
$651.75 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$519 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$540.75 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$144.25 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$140.63 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$98.85 |
— |
| Ophthalmic biometry (92136) |
— |
$135.38 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$253.50 |
— |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
— |
$253.50 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$192.50 |
— |
| Phy/qhp op pulm rhb w/mntr (94626) |
— |
$154.75 |
— |
| Phy/qhp op pulm rhb w/o mntr (94625) |
— |
$154.75 |
— |
| Plethysmography (94726) |
— |
$1,010.75 |
— |
| Pm device eval in person (93288) |
— |
$40 |
— |
| Pm device progr eval dual (93280) |
— |
$102.17 |
— |
| Pm device progr eval sngl (93279) |
— |
$87.06 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$77 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,284 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$2,062.50 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$2,062.50 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$23 |
— |
| Programming of dual lead implantable defibrillator system (93283) |
— |
$58 |
— |
| Prq card revasc chronic 1vsl (92943) |
— |
$19,256 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$19,256 |
— |
| Prq revasc byp graft 1 vsl (92937) |
— |
$19,256 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
— |
$12,678 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$274.06 |
— |
| Pulm Funct Test Oscillometry (94728) |
— |
$619 |
— |
| Pulm function test by gas (94727) |
— |
$770.25 |
— |
| Pulmonary stress testing (94618) |
— |
$274.75 |
— |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
— |
$14,879.75 |
— |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
— |
$14,879.75 |
— |
| R hrt art/grft angio (93457) |
— |
$14,879.75 |
— |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
— |
$14,879.75 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$351.75 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
— |
$545.75 |
— |
| Right heart cath (93451) |
— |
$14,879.75 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$107 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$114 |
— |
| Short-latency somatosens ep std lwr limbs (95926) |
— |
$677.75 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$605.50 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$677.75 |
— |
| Sleep study attended (95807) |
— |
$4,284 |
— |
| Sleep study unattended (95806) |
— |
$414.25 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$450 |
— |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
— |
$450 |
— |
| Somatosensory testing (95938) |
— |
$677.75 |
— |
| Spirometry (94010) |
— |
$218.38 |
— |
| Stress echo (93350) |
— |
$1,245 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,700.50 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$62 |
— |
| Therapeutic phlebotomy (99195) |
— |
$165 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$81 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$3,173.50 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$196.25 |
— |
| Tympanometry (92567) |
— |
$27.33 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
— |
$175 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$380 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$1,894.75 |
— |
| Vasc Duplex Scan Extracranial,Limited (93882) |
— |
$554.50 |
— |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
— |
$987.50 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,407 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,407 |
— |
| Vital capacity total (94150) |
— |
$443 |
— |