| Aep hearing status deter broadband stimuli i&r (92651) |
$112.84 |
$188.07 |
0.5× |
| Aerosol inhalation pentamidine (94642) |
$242.10 |
$403.50 |
1.1× |
| Airway inhalation treatment (94640) |
$210.09 |
$350.15 |
0.9× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$53.58 |
$89.31 |
— |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$44.92 |
$74.86 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$53.58 |
$89.31 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$53.58 |
$89.31 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$53.58 |
$89.31 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$47 |
$78.33 |
— |
| Assessment of aphasia (96105) |
$210.55 |
$350.92 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$62.88 |
$104.80 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$215.45 |
$359.08 |
— |
| Bipap initial day (94660) |
$643.59 |
$1,072.65 |
2.9× |
| Breathing capacity test (94010) |
$185.40 |
$309 |
0.8× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$221.18 |
$368.64 |
0.6× |
| Canalith repositioning (95992) |
$162.66 |
$271.10 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$270.12 |
$450.20 |
7.1× |
| Cardiovascular stress test (93017) |
$765.05 |
$1,275.09 |
3.5× |
| Cardioversion elective external (92960) |
$1,576.15 |
$2,626.91 |
2.3× |
| Chemo IV infusion addl hr (96415) |
$1,391.12 |
$2,318.54 |
18.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$2,434.48 |
$4,057.46 |
7.2× |
| Chest physiotherapy initial (94667) |
$91.01 |
$151.68 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$525.55 |
$875.92 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$372.21 |
$620.35 |
3.5× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$63.78 |
$106.30 |
— |
| Cpr (92950) |
$1,024.49 |
$1,707.49 |
4.6× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,654.96 |
$4,424.94 |
3.1× |
| Debridement open wound 20 sq cm< (97597) |
$379.24 |
$632.06 |
1.9× |
| Delivery/birthing room resuscitation (99465) |
$632 |
$1,053.33 |
0.9× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$525.55 |
$875.92 |
2.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$372.21 |
$620.35 |
3.5× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$824.70 |
$1,374.50 |
3.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$254.66 |
$424.44 |
2.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,044.15 |
$1,740.25 |
4.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$698.42 |
$1,164.03 |
6.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$637.93 |
$1,063.22 |
2.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$465.53 |
$775.89 |
4.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$637.93 |
$1,063.22 |
2.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$465.53 |
$775.89 |
4.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$517.28 |
$862.13 |
8.6× |
| ECG/monitoring and analysis (93271) |
$312.02 |
$520.04 |
3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,121.80 |
$3,536.34 |
3.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$611.31 |
$1,018.85 |
2.5× |
| EKG 12 lead tracing only (93005) |
$192 |
$320 |
3.2× |
| Emergency department visit high mdm (99285) |
$1,891.05 |
$3,151.75 |
3.1× |
| Emergency department visit low mdm (99283) |
$694.82 |
$1,158.03 |
2.5× |
| Emergency department visit may not req phys/qhp (99281) |
$192.93 |
$321.55 |
2.2× |
| Emergency department visit moderate mdm (99284) |
$1,223.57 |
$2,039.28 |
2.9× |
| Emergency department visit straightforward mdm (99282) |
$445.10 |
$741.84 |
2.8× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$816.35 |
$1,360.58 |
2.1× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$204.19 |
$340.32 |
— |
| Evaluate pt use of inhaler (94664) |
$75.74 |
$126.24 |
0.3× |
| Evaluation of speech fluency (92521) |
$215.45 |
$359.08 |
— |
| Evaluation of speech sound production articulate (92522) |
$215.45 |
$359.08 |
— |
| External ECG rec>48hr<7d recording (93242) |
$502.19 |
$836.98 |
13.2× |
| External ECG rec>7d<15d recording (93246) |
$502.19 |
$836.98 |
13.2× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$517.28 |
$862.13 |
3.8× |
| Fluidotherapy (97022) |
$47 |
$78.33 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$88.99 |
$148.32 |
0.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,016.90 |
$1,694.84 |
1.2× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$1,156.42 |
$1,927.36 |
1.2× |
| Hot/cold pack (97010) |
$42.34 |
$70.56 |
— |
| Immunization administration (90471) |
$83.60 |
$139.33 |
1.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$195.59 |
$325.98 |
4.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$284.29 |
$473.82 |
1.3× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,223.79 |
$3,706.32 |
1.4× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$186.41 |
$310.68 |
3.1× |
| IV infusion hydration each additional hour (96361) |
$182.81 |
$304.68 |
3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$296.15 |
$493.58 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$183.50 |
$305.84 |
2.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$443.72 |
$739.53 |
2.0× |
| IV tx, each additional hour (96366) |
$237.26 |
$395.44 |
5.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$76.36 |
$127.27 |
0.6× |
| Maximum voluntary ventilation (94200) |
$55.79 |
$92.99 |
0.9× |
| Mechanical traction therapy (97012) |
$47 |
$78.33 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$89.40 |
$149 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$57.31 |
$95.52 |
— |
| Methacholine challenge (94070) |
$132.87 |
$221.45 |
0.3× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$247.64 |
$412.73 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$134.71 |
$224.52 |
0.7× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$196.84 |
$328.07 |
0.5× |
| Nerve conduction studies 1-2 studies (95907) |
$480 |
$800 |
2.2× |
| Nerve conduction studies 11-12 studies (95912) |
$480 |
$800 |
1.3× |
| Nerve conduction studies 13/> studies (95913) |
$480 |
$800 |
1.3× |
| Nerve conduction studies 3-4 studies (95908) |
$480 |
$800 |
2.2× |
| Nerve conduction studies 5-6 studies (95909) |
$480 |
$800 |
2.2× |
| Nerve conduction studies 7-8 studies (95910) |
$480 |
$800 |
1.3× |
| Nerve conduction studies 9-10 studies (95911) |
$480 |
$800 |
1.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$293.72 |
$489.53 |
1.3× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$342.14 |
$570.23 |
2.6× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) |
$10.43 |
$17.39 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
$20.86 |
$34.77 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$31.30 |
$52.17 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$98.35 |
$163.92 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$210.55 |
$350.92 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$210.55 |
$350.92 |
— |
| Oral function therapy (92526) |
$106.78 |
$177.97 |
— |
| Ot manual therapy ea 15 min (97140) |
$118.62 |
$197.71 |
— |
| Ot neuromuscular re-education (97112) |
$71.75 |
$119.59 |
— |
| Ot paraffin bath (97018) |
$47 |
$78.33 |
— |
| Ot re-evaluation (97168) |
$98.35 |
$163.92 |
— |
| OT Therapeutic Activities Charges (97530) |
$56.96 |
$94.94 |
— |
| Ot wheelchair management (97542) |
$68.31 |
$113.85 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$148.69 |
$247.82 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$148.69 |
$247.82 |
1.1× |
| Phlebotomy therapeutic (99195) |
$92.91 |
$154.85 |
0.7× |
| Physical therapy evaluation high complex 45 mins (97163) |
$210.55 |
$350.92 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$210.55 |
$350.92 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$210.55 |
$350.92 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,531.40 |
$5,885.67 |
4.0× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$1,809.98 |
$3,016.63 |
2.1× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$3,531.40 |
$5,885.67 |
4.0× |
| Pr gastric motility manometric studies (91020) |
$870.60 |
$1,451 |
2.3× |
| Pt gait training 15 min (97116) |
$63.50 |
$105.83 |
— |
| Pt physical performance test (97750) |
$62.88 |
$104.80 |
— |
| Pt re-evaluation (97164) |
$98.35 |
$163.92 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$154.95 |
$258.25 |
— |
| Pulmonary stress testing (94618) |
$64.89 |
$108.15 |
0.5× |
| Remote 30 day ECG rev/report (93270) |
$117.77 |
$196.28 |
3.1× |
| Respiratory flow volume loop (94375) |
$139.96 |
$233.26 |
0.6× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$61.66 |
$102.76 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$70.12 |
$116.86 |
— |
| Sleep study unattended (95806) |
$529.64 |
$882.73 |
2.4× |
| Speech sound lang comprehen (92523) |
$215.45 |
$359.08 |
— |
| Temp transcutaneous pacing (92953) |
$582.36 |
$970.60 |
0.9× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$112.14 |
$186.89 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$113.29 |
$188.81 |
1.5× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$37.08 |
$61.80 |
1.0× |
| Tte f-up or lmtd (93308) |
$354.95 |
$591.58 |
1.5× |
| Tte w/doppler complete (93306) |
$1,712.53 |
$2,854.21 |
3.1× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$209.92 |
$349.87 |
— |
| Unlisted diagnostic gastroenterology procedure (91299) |
$593.69 |
$989.49 |
4.5× |
| Upr/l xtremity art 2 levels (93922) |
$177.59 |
$295.98 |
1.3× |
| Ventilation ip/obs initial day (94002) |
$412.10 |
$686.83 |
0.7× |
| Ventilator subsequent day (94003) |
$343.42 |
$572.37 |
0.5× |
| Vital capacity total (94150) |
$55.79 |
$92.99 |
0.4× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$77.48 |
$129.14 |
— |
| Wound(s) care non-selective (97602) |
$104.78 |
$174.63 |
0.5× |