| Acoustic immitance testing (92570) |
$96.75 |
$129 |
0.7× |
| Aerosol inhalation pentamidine (94642) |
$553.50 |
$738 |
2.4× |
| Airway inhalation treatment (94640) |
$222.38 |
$296.50 |
1.0× |
| Allergy injection single (95115) |
$48.38 |
$64.50 |
1.0× |
| Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95018) |
$87.75 |
$117 |
2.2× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$144.75 |
$193 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$62.25 |
$83 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$144.75 |
$193 |
— |
| Assessment of aphasia (96105) |
$312 |
$416 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$12 |
$16 |
0.3× |
| Behavioral & qualit analysis voice and resonance (92524) |
$303.75 |
$405 |
— |
| Bipap initial day (94660) |
$807 |
$1,076 |
3.5× |
| Breathing capacity test (94010) |
$258.75 |
$345 |
1.1× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$328.88 |
$438.50 |
0.8× |
| Canalith repositioning (95992) |
$90 |
$120 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$87 |
$116 |
2.2× |
| Cardiovascular stress test (93017) |
$375.75 |
$501 |
1.6× |
| Cardioversion elective external (92960) |
$1,326 |
$1,768 |
1.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$35.25 |
$47 |
0.9× |
| Chemo anti-neopl sq/im (96401) |
$302.25 |
$403 |
4.0× |
| Chemo hormon antineopl sq/im (96402) |
$165 |
$220 |
2.2× |
| Chemo IV infus each addl seq (96417) |
$173.25 |
$231 |
2.3× |
| Chemo IV infusion addl hr (96415) |
$168.75 |
$225 |
2.2× |
| Chemo IV push addl drug (96411) |
$276.75 |
$369 |
3.6× |
| Chemother prolong infuse w/pump (96416) |
$846 |
$1,128 |
2.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$888 |
$1,184 |
2.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$798 |
$1,064 |
2.3× |
| Chest physiotherapy initial (94667) |
$240 |
$320 |
1.7× |
| Chron care mgmt srvc 20 min (99490) |
$90 |
$120 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$963 |
$1,284 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$732 |
$976 |
6.6× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$89.25 |
$119 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$257.25 |
$343 |
1.4× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$129.75 |
$173 |
0.9× |
| Cpr (92950) |
$922.12 |
$1,229.50 |
4.0× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$64.50 |
$86 |
1.0× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$76.50 |
$102 |
1.2× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$82.50 |
$110 |
1.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,069 |
$4,092 |
3.5× |
| Debridement open wound 20 sq cm< (97597) |
$801.75 |
$1,069 |
3.8× |
| Delivery/birthing room resuscitation (99465) |
$330.75 |
$441 |
0.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$75.75 |
$101 |
0.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,276.50 |
$1,702 |
5.1× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$63.75 |
$85 |
0.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,794 |
$2,392 |
7.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$1,065.75 |
$1,421 |
9.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,276.50 |
$1,702 |
5.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$1,276.50 |
$1,702 |
11.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$897 |
$1,196 |
3.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$473.62 |
$631.50 |
4.3× |
| ECG monit/reprt up to 48 hrs (93226) |
$403.50 |
$538 |
6.5× |
| ECG/monitoring and analysis (93271) |
$299.25 |
$399 |
3.0× |
| Echo transesophageal (93312) |
$2,710.50 |
$3,614 |
4.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,590.75 |
$2,121 |
2.8× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$344.25 |
$459 |
0.6× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,604.25 |
$2,139 |
6.4× |
| EKG 12 lead tracing only (93005) |
$237.38 |
$316.50 |
3.8× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$228 |
$304 |
5.8× |
| Emergency department visit high mdm (99285) |
$2,106 |
$2,808 |
3.4× |
| Emergency department visit low mdm (99283) |
$703.88 |
$938.50 |
2.4× |
| Emergency department visit may not req phys/qhp (99281) |
$291 |
$388 |
3.3× |
| Emergency department visit moderate mdm (99284) |
$1,124.25 |
$1,499 |
2.6× |
| Emergency department visit straightforward mdm (99282) |
$472.50 |
$630 |
2.9× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$372 |
$496 |
— |
| Evaluate pt use of inhaler (94664) |
$127.12 |
$169.50 |
0.6× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$154.50 |
$206 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$384.75 |
$513 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$281.25 |
$375 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$97.50 |
$130 |
— |
| Evaluation of speech fluency (92521) |
$384 |
$512 |
— |
| Evaluation of speech sound production articulate (92522) |
$306 |
$408 |
— |
| Evoked auditory test limited (92587) |
$325.50 |
$434 |
1.4× |
| 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 electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$837 |
$1,116 |
6.0× |
| External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) |
$69 |
$92 |
1.8× |
| Fundus photography with interpretation and report (92250) |
$228.75 |
$305 |
1.6× |
| Gonioscopy (92020) |
$88.50 |
$118 |
0.6× |
| Im adm intransl/oral 1 vaccine (90473) |
$42 |
$56 |
0.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$42 |
$56 |
1.0× |
| Immunization administration (90471) |
$84.38 |
$112.50 |
1.1× |
| Ingestion challenge test initial 120 minutes (95076) |
$240 |
$320 |
0.6× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$137.25 |
$183 |
1.0× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$185.25 |
$247 |
1.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$99.38 |
$132.50 |
2.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$218.62 |
$291.50 |
1.0× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$118.50 |
$158 |
3.0× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$125.25 |
$167 |
4.1× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$9.75 |
$13 |
0.2× |
| 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 ther proph addl sequential to 1 hr (96367) |
$122.62 |
$163.50 |
1.6× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$798 |
$1,064 |
3.6× |
| IV tx, each additional hour (96366) |
$306.75 |
$409 |
6.2× |
| Lwr xtr vasc stdy bilat (93924) |
$77.25 |
$103 |
0.3× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$127.50 |
$170 |
0.9× |
| Maximum voluntary ventilation (94200) |
$207 |
$276 |
3.3× |
| Mechanical traction therapy (97012) |
$144.75 |
$193 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$84.75 |
$113 |
— |
| Medical nutrition group (97804) |
$57 |
$76 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$81 |
$108 |
— |
| Methacholine challenge (94070) |
$819.75 |
$1,093 |
2.1× |
| Multiple sleep latency (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× |
| Nitric oxide expired gas determination (95012) |
$121.50 |
$162 |
3.1× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$251.62 |
$335.50 |
1.1× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$227.25 |
$303 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$414.75 |
$553 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$350.25 |
$467 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$350.25 |
$467 |
— |
| Ophthalmic biometry (92136) |
$296.25 |
$395 |
2.1× |
| Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) |
$95.25 |
$127 |
0.0× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$480.75 |
$641 |
3.4× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$168 |
$224 |
1.2× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$399.75 |
$533 |
2.8× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$277.50 |
$370 |
2.0× |
| Oral function therapy (92526) |
$274.50 |
$366 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$144.75 |
$193 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$128.25 |
$171 |
— |
| Osteopath manj 1-2 regions (98925) |
$64.50 |
$86 |
2.8× |
| Osteopath manj 3-4 regions (98926) |
$95.25 |
$127 |
4.2× |
| Ot manual therapy ea 15 min (97140) |
$144.75 |
$193 |
— |
| Ot neuromuscular re-education (97112) |
$144.75 |
$193 |
— |
| Ot paraffin bath (97018) |
$95.25 |
$127 |
— |
| Ot re-evaluation (97168) |
$339.75 |
$453 |
— |
| OT Therapeutic Activities Charges (97530) |
$144.75 |
$193 |
— |
| Ot wheelchair management (97542) |
$171 |
$228 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$361.50 |
$482 |
— |
| 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× |
| Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education,… (94015) |
$37.50 |
$50 |
0.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$9.75 |
$13 |
0.0× |
| Phlebotomy therapeutic (99195) |
$251.25 |
$335 |
1.8× |
| Physical therapy evaluation high complex 45 mins (97163) |
$350.25 |
$467 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$350.25 |
$467 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$350.25 |
$467 |
— |
| Pm device progr eval multi (93281) |
$214.50 |
$286 |
5.4× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,555.25 |
$3,407 |
2.8× |
| Pr corneal topography (92025) |
$91.50 |
$122 |
1.5× |
| Pr tympanometry and reflex threshold measurements (92550) |
$110.25 |
$147 |
0.5× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$17.25 |
$23 |
0.3× |
| Prgrmg dev eval pm/ldls pm (93279) |
$251.25 |
$335 |
6.4× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$44.62 |
$59.50 |
0.9× |
| Program eval implantable in persn dual ld pacer (93280) |
$181.50 |
$242 |
4.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$198 |
$264 |
5.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$33.75 |
$45 |
0.9× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$284.25 |
$379 |
7.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$251.25 |
$335 |
6.4× |
| Psychiatric diagnostic evaluation (90791) |
$402 |
$536 |
2.1× |
| Psytx crisis initial 60 min (90839) |
$329.25 |
$439 |
1.8× |
| Pt gait training 15 min (97116) |
$144.75 |
$193 |
— |
| Pt re-evaluation (97164) |
$163.50 |
$218 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$451.50 |
$602 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$35.25 |
$47 |
0.9× |
| Pulm funct tst plethysmograp (94726) |
$1,718.25 |
$2,291 |
4.4× |
| Pulmonary stress testing (94618) |
$244.50 |
$326 |
1.7× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$149.25 |
$199 |
— |
| Refilling and maintenance of portable pump (96521) |
$502.50 |
$670 |
2.2× |
| Remote 30 day ECG rev/report (93270) |
$837.75 |
$1,117 |
21.3× |
| Respiratory flow volume loop (94375) |
$60.75 |
$81 |
0.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$160.50 |
$214 |
— |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$213 |
$284 |
3.4× |
| Sleep study unattended (95806) |
$103.50 |
$138 |
0.5× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$92.25 |
$123 |
0.4× |
| Speech sound lang comprehen (92523) |
$556.50 |
$742 |
— |
| Standardized cognitive performance testing (96125) |
$242.25 |
$323 |
— |
| Stress tte only (93350) |
$804.75 |
$1,073 |
1.4× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$22.50 |
$30 |
0.5× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$100.50 |
$134 |
1.3× |
| Temp transcutaneous pacing (92953) |
$45 |
$60 |
0.1× |
| Test for hearing various pitches using earphone (92552) |
$51 |
$68 |
0.4× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$360.75 |
$481 |
2.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$111 |
$148 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$111.75 |
$149 |
— |
| Ther/proph/diag inj ia (96373) |
$26.25 |
$35 |
0.1× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$166.50 |
$222 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$101.25 |
$135 |
1.3× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$250.50 |
$334 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$322.50 |
$430 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$64.12 |
$85.50 |
1.6× |
| 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 f-up or lmtd (93308) |
$1,023 |
$1,364 |
4.1× |
| Tte w/doppler complete (93306) |
$2,146.50 |
$2,862 |
3.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$213.75 |
$285 |
— |
| Tympanometry (92567) |
$63.75 |
$85 |
1.6× |
| Unlisted ophthalmological service or procedure (92499) |
$35.25 |
$47 |
1.2× |
| Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) |
$35.25 |
$47 |
0.7× |
| Upr/l xtremity art 2 levels (93922) |
$396.75 |
$529 |
2.8× |
| Ventilation ip/obs initial day (94002) |
$1,353.75 |
$1,805 |
2.1× |
| Ventilator subsequent day (94003) |
$965.25 |
$1,287 |
1.5× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$213 |
$284 |
1.5× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$160.50 |
$214 |
2.6× |
| Visual reinforcement audiometry (vra) (92579) |
$90.75 |
$121 |
0.4× |
| Vital capacity total (94150) |
$189.38 |
$252.50 |
1.4× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$226.50 |
$302 |
— |
| Wound(s) care non-selective (97602) |
$224.62 |
$299.50 |
1.1× |