| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$96.75 |
$129 |
0.7× |
| Airway inhalation treatment (94640) |
$222.38 |
$296.50 |
1.0× |
| Assessment of aphasia (96105) |
$312 |
$416 |
3.2× |
| Behav assmt w/score & docd/stand instrument (96127) |
$12 |
$16 |
0.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$303.75 |
$405 |
2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$328.88 |
$438.50 |
0.8× |
| Canalith Repositioning (95992) |
$90 |
$120 |
2.2× |
| Car seat/bed test 60 min (94780) |
$87 |
$116 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$375.75 |
$501 |
1.6× |
| Cardiopulmonary resuscitation (92950) |
$922.12 |
$1,229.50 |
4.0× |
| Cardioversion (92960) |
$1,326 |
$1,768 |
1.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$35.25 |
$47 |
0.9× |
| Cbt 1st hour (94644) |
$129.75 |
$173 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$165 |
$220 |
2.2× |
| Chemo IV push addl drug (96411) |
$276.75 |
$369 |
3.6× |
| Chemo Iv Push Sngl Drug (96409) |
$798 |
$1,064 |
2.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$846 |
$1,128 |
2.4× |
| Chemother, IV infusion, 1 hr (96413) |
$888 |
$1,184 |
2.5× |
| Chemother, IV infusion, ea add hr (96415) |
$168.75 |
$225 |
2.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$302.25 |
$403 |
4.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$173.25 |
$231 |
2.3× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$90 |
$120 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$963 |
$1,284 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$732 |
$976 |
6.6× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$257.25 |
$343 |
1.4× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$64.50 |
$86 |
1.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$76.50 |
$102 |
1.2× |
| Corneal Topography (92025) |
$91.50 |
$122 |
1.5× |
| Cpap initiation and management (94660) |
$807 |
$1,076 |
3.5× |
| Cpt initial (94667) |
$240 |
$320 |
1.7× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$82.50 |
$110 |
1.3× |
| Critical care (99291) |
$3,069 |
$4,092 |
3.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$801.75 |
$1,069 |
3.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$127.12 |
$169.50 |
0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,276.50 |
$1,702 |
5.1× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$1,276.50 |
$1,702 |
11.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$897 |
$1,196 |
3.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$473.62 |
$631.50 |
4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,065.75 |
$1,421 |
9.7× |
| Duplex scan extracranial art compl bi study (93880) |
$1,276.50 |
$1,702 |
5.1× |
| Echo Heart Xthoracic,Limited (93308) |
$1,023 |
$1,364 |
4.1× |
| Echo transesophageal (93312) |
$2,710.50 |
$3,614 |
4.7× |
| EKG (93005) |
$237.38 |
$316.50 |
3.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$228 |
$304 |
5.8× |
| Er level 1 (99281) |
$291 |
$388 |
3.3× |
| Er level ii (99282) |
$472.50 |
$630 |
2.9× |
| Er level iii (99283) |
$703.88 |
$938.50 |
2.4× |
| Er level IV (99284) |
$1,124.25 |
$1,499 |
2.6× |
| Er level v (99285) |
$2,106 |
$2,808 |
3.4× |
| Evaluation of speech fluency (92521) |
$384 |
$512 |
2.9× |
| Evaluation of speech sound production (92522) |
$306 |
$408 |
2.7× |
| Evaluation of swallowing function (92610) |
$372 |
$496 |
4.4× |
| Evaluation with prescription of speech-generating alternative (92607) |
$384.75 |
$513 |
3.1× |
| Evoked Auditory Test,Comprehsv (92588) |
$75.75 |
$101 |
0.2× |
| Evoked auditory test,limited (92587) |
$325.50 |
$434 |
1.4× |
| Exam of visual field with extended testing (92083) |
$213 |
$284 |
1.5× |
| Exam of visual field with intermediate testing (92082) |
$160.50 |
$214 |
2.6× |
| External ECG rec>48hr<7d recording (93242) |
$631.50 |
$842 |
16.0× |
| External ECG rec>7d<15d recording (93246) |
$461.25 |
$615 |
11.7× |
| External Ecg Scanning Analysis Report (93226) |
$403.50 |
$538 |
6.5× |
| External ocular photography (92285) |
$69 |
$92 |
1.8× |
| Eye exam w anesth; limited (92019) |
$95.25 |
$127 |
0.0× |
| Eye exam, new patient,comprehesv (92004) |
$480.75 |
$641 |
3.4× |
| Eye service or procedure (92499) |
$35.25 |
$47 |
1.2× |
| Flow volume loop (94375) |
$60.75 |
$81 |
0.3× |
| Fundus photography w/interpretation & report (92250) |
$228.75 |
$305 |
1.6× |
| Gonioscopy (92020) |
$88.50 |
$118 |
0.6× |
| Holter Monitor Recording (93225) |
$837 |
$1,116 |
6.0× |
| Ilr Device Eval Progr (93285) |
$33.75 |
$45 |
0.9× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$42 |
$56 |
1.0× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$42 |
$56 |
0.6× |
| Immunization Admin (90471) |
$84.38 |
$112.50 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
$44.62 |
$59.50 |
0.9× |
| Ingestion challenge test initial 120 minutes (95076) |
$240 |
$320 |
0.6× |
| Inital newborn e/m (99460) |
$137.25 |
$183 |
1.0× |
| Initial normal newborn care, same day discharge (99463) |
$185.25 |
$247 |
1.3× |
| Injection intra arterial (96373) |
$26.25 |
$35 |
0.1× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$125.25 |
$167 |
4.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$229.50 |
$306 |
3.7× |
| IV infusion hydration each additional hour (96361) |
$165.38 |
$220.50 |
3.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$439.88 |
$586.50 |
2.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$122.62 |
$163.50 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$798 |
$1,064 |
3.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$306.75 |
$409 |
6.2× |
| IV push initial (96374) |
$218.62 |
$291.50 |
1.0× |
| Manual therapy 15 min (97140) |
$144.75 |
$193 |
5.2× |
| Massage 15 min (97124) |
$166.50 |
$222 |
5.6× |
| Maximum voluntary ventilation (94200) |
$207 |
$276 |
3.3× |
| Mechanical traction (97012) |
$144.75 |
$193 |
10.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$81 |
$108 |
2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$84.75 |
$113 |
2.3× |
| Methacholine challenge (94070) |
$819.75 |
$1,093 |
2.1× |
| Mnt Group Ea 30 Min (97804) |
$57 |
$76 |
3.3× |
| Multiple sleep latency test (95805) |
$2,174.25 |
$2,899 |
2.4× |
| Nasopharyngoscopy (92511) |
$210.75 |
$281 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$274.12 |
$365.50 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$265.50 |
$354 |
0.6× |
| New patient problem focused exam of visual system (92002) |
$168 |
$224 |
1.2× |
| Newborn resuscitation (99465) |
$330.75 |
$441 |
0.5× |
| Nitric oxide expired gas determination (95012) |
$121.50 |
$162 |
3.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$396.75 |
$529 |
2.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$251.62 |
$335.50 |
1.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$227.25 |
$303 |
1.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$399.75 |
$533 |
2.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$277.50 |
$370 |
2.0× |
| Ophthalmic biometry (92136) |
$296.25 |
$395 |
2.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$128.25 |
$171 |
2.8× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$64.50 |
$86 |
2.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$95.25 |
$127 |
4.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$89.25 |
$119 |
2.8× |
| Ot eval high complex 60 min (97167) |
$414.75 |
$553 |
4.1× |
| Ot eval low complex 30 min (97165) |
$350.25 |
$467 |
3.5× |
| Ot eval mod complex 45 min (97166) |
$350.25 |
$467 |
3.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$144.75 |
$193 |
2.9× |
| Ot re-eval est plan care (97168) |
$339.75 |
$453 |
5.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$276.75 |
$369 |
2.0× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$276 |
$368 |
2.0× |
| Paraffin bath (97018) |
$95.25 |
$127 |
15.8× |
| Patient-initiated spirometric recording (94015) |
$37.50 |
$50 |
0.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$553.50 |
$738 |
2.4× |
| Percutaneous tests w/allergenic extracts (95004) |
$9.75 |
$13 |
0.0× |
| Plethysmography (94726) |
$1,718.25 |
$2,291 |
4.4× |
| Pm device eval in person (93288) |
$118.50 |
$158 |
3.0× |
| Pm device progr eval dual (93280) |
$181.50 |
$242 |
4.6× |
| Pm device progr eval multi (93281) |
$214.50 |
$286 |
5.4× |
| Pm device progr eval sngl (93279) |
$251.25 |
$335 |
6.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,555.25 |
$3,407 |
2.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$17.25 |
$23 |
0.3× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$284.25 |
$379 |
7.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$48.38 |
$64.50 |
1.0× |
| Programming of dual lead implantable defibrillator system (93283) |
$251.25 |
$335 |
6.4× |
| Programming of single lead implantable defibrillator system (93282) |
$198 |
$264 |
5.0× |
| Psychiatric diagnostic evaluation (90791) |
$402 |
$536 |
2.1× |
| Psytx crisis initial 60 min (90839) |
$329.25 |
$439 |
1.8× |
| Pt Electric Current Therapy (97033) |
$62.25 |
$83 |
3.3× |
| Pt Electrical Stimulation (97032) |
$144.75 |
$193 |
9.8× |
| Pt eval high complex 45 min (97163) |
$350.25 |
$467 |
3.6× |
| Pt eval low complex 20 min (97161) |
$350.25 |
$467 |
3.6× |
| Pt Gait Training Therapy (97116) |
$144.75 |
$193 |
5.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$144.75 |
$193 |
4.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$350.25 |
$467 |
3.6× |
| Pt re-evaluation (97164) |
$163.50 |
$218 |
2.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$160.50 |
$214 |
5.0× |
| Pt Ultrasound Therapy (97035) |
$144.75 |
$193 |
10.1× |
| Pt-focused hlth risk assmt (96160) |
$35.25 |
$47 |
0.9× |
| Pulm Funct Test Oscillometry (94728) |
$360.75 |
$481 |
2.7× |
| Pulmonary stress testing (94618) |
$244.50 |
$326 |
1.7× |
| Pure Tone Audiometry, Air (92552) |
$51 |
$68 |
0.4× |
| Refill/maint, portable pump (96521) |
$502.50 |
$670 |
2.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$837.75 |
$1,117 |
21.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$224.62 |
$299.50 |
1.1× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$149.25 |
$199 |
7.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$127.50 |
$170 |
0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$154.50 |
$206 |
3.2× |
| Sc Ther Infusion Reset Pump (96371) |
$100.50 |
$134 |
1.3× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$213 |
$284 |
3.4× |
| Sleep study unattended (95806) |
$103.50 |
$138 |
0.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$92.25 |
$123 |
0.4× |
| Smoking cessation > 10 min (99407) |
$64.12 |
$85.50 |
1.6× |
| Speech sound lang comprehen (92523) |
$556.50 |
$742 |
2.5× |
| Spirometry (94010) |
$258.75 |
$345 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$242.25 |
$323 |
2.4× |
| Stress echo (93350) |
$804.75 |
$1,073 |
1.4× |
| Stress Tte Complete (93351) |
$1,590.75 |
$2,121 |
2.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$22.50 |
$30 |
0.5× |
| Temp transcutaneous pacing (92953) |
$45 |
$60 |
0.1× |
| Test for allergy using allergenic extract injected into skin (95024) |
$9.75 |
$13 |
0.2× |
| Test for allergy using combination of methods with drug or biological (95018) |
$87.75 |
$117 |
2.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$111 |
$148 |
5.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$111.75 |
$149 |
5.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$322.50 |
$430 |
3.1× |
| Ther/prop/diag inj/inf proc (96379) |
$35.25 |
$47 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$101.25 |
$135 |
1.3× |
| Therapeutic Activities (97530) |
$144.75 |
$193 |
4.1× |
| Therapeutic phlebotomy (99195) |
$251.25 |
$335 |
1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50.62 |
$67.50 |
1.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$513.75 |
$685 |
3.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$721.50 |
$962 |
5.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,146.50 |
$2,862 |
3.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,604.25 |
$2,139 |
6.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$213.75 |
$285 |
2.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$274.50 |
$366 |
3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$99.38 |
$132.50 |
2.0× |
| Tympanometry (92567) |
$63.75 |
$85 |
1.6× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$110.25 |
$147 |
0.5× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$344.25 |
$459 |
0.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,794 |
$2,392 |
7.1× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$63.75 |
$85 |
0.6× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$77.25 |
$103 |
0.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,353.75 |
$1,805 |
2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$965.25 |
$1,287 |
1.5× |
| Visual reinforcement audiometry (vra) (92579) |
$90.75 |
$121 |
0.4× |
| Vital capacity total (94150) |
$189.38 |
$252.50 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$171 |
$228 |
5.5× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$299.25 |
$399 |
3.0× |