| Acupunct w/o stimul 15 min (97810) |
$53.90 |
$77 |
1.8× |
| Acupunct w/stimul 15 min (97813) |
$63.70 |
$91 |
2.1× |
| Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other… (97153) |
$47.60 |
$68 |
0.4× |
| Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care… (97155) |
$29.40 |
$42 |
0.2× |
| Airway inhalation treatment (94640) |
$70.35 |
$100.50 |
0.3× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$42.70 |
$61 |
— |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$43.40 |
$62 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$109.20 |
$156 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$60.90 |
$87 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$30.80 |
$44 |
— |
| Assessment of aphasia (96105) |
$345.45 |
$493.50 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$92.40 |
$132 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$7 |
$10 |
0.2× |
| Behavior identification assessment, administered by a physician or other qualified health care professional, each 15… (97151) |
$430.50 |
$615 |
4.0× |
| Behavior identification-supporting assessment, administered by one technician under the direction of a physician or… (97152) |
$59.50 |
$85 |
0.6× |
| Behavioral & qualit analysis voice and resonance (92524) |
$241.50 |
$345 |
— |
| Bipap initial day (94660) |
$210.70 |
$301 |
0.9× |
| Breathing capacity test (94010) |
$222.60 |
$318 |
1.0× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$208.60 |
$298 |
0.5× |
| Canalith repositioning (95992) |
$78.05 |
$111.50 |
— |
| Cardioversion elective external (92960) |
$430.15 |
$614.50 |
0.6× |
| Caregiver training 1st 30 min (97550) |
$263.20 |
$376 |
— |
| Caregiver training ea addl 15 (97551) |
$141.40 |
$202 |
— |
| Chemo IV infusion addl hr (96415) |
$215.60 |
$308 |
2.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$280 |
$400 |
0.8× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$605.50 |
$865 |
1.7× |
| Chest physiotherapy initial (94667) |
$150.50 |
$215 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$638.75 |
$912.50 |
2.5× |
| Color/duplex Doppler, limited (93976) |
$990.50 |
$1,415 |
9.0× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$67.90 |
$97 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$311.50 |
$445 |
2.2× |
| Cpr (92950) |
$1,207.85 |
$1,725.50 |
5.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,630.60 |
$3,758 |
3.0× |
| Debridement open wound 20 sq cm< (97597) |
$165.90 |
$237 |
0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$2,373 |
$3,390 |
17.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$693.35 |
$990.50 |
2.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$856.80 |
$1,224 |
3.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$32.20 |
$46 |
0.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$695.80 |
$994 |
2.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$534.45 |
$763.50 |
4.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$698.95 |
$998.50 |
2.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$464.80 |
$664 |
4.2× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$284.20 |
$406 |
1.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$537.60 |
$768 |
4.9× |
| EEG awake & asleep (95819) |
$655.20 |
$936 |
2.9× |
| EEG awake/drowsy (95816) |
$763.35 |
$1,090.50 |
3.4× |
| EEG coma or sleep only (95822) |
$77.70 |
$111 |
0.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$117.60 |
$168 |
0.5× |
| EKG 12 lead tracing only (93005) |
$255.50 |
$365 |
4.1× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$79.80 |
$114 |
0.8× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$25.90 |
$37 |
0.2× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$133.70 |
$191 |
1.3× |
| Emergency department visit high mdm (99285) |
$2,405.90 |
$3,437 |
3.8× |
| Emergency department visit low mdm (99283) |
$1,040.90 |
$1,487 |
3.6× |
| Emergency department visit may not req phys/qhp (99281) |
$385.70 |
$551 |
4.3× |
| Emergency department visit moderate mdm (99284) |
$1,632.40 |
$2,332 |
3.7× |
| Emergency department visit straightforward mdm (99282) |
$541.80 |
$774 |
3.3× |
| Endoscopy swallow (fees) vid (92612) |
$287.70 |
$411 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$287.70 |
$411 |
— |
| Evaluate pt use of inhaler (94664) |
$151.90 |
$217 |
0.7× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$156.80 |
$224 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$321.30 |
$459 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$187.60 |
$268 |
— |
| Evaluation of speech fluency (92521) |
$241.50 |
$345 |
— |
| Evaluation of speech sound production articulate (92522) |
$200.90 |
$287 |
— |
| External ECG rec>48hr<7d recording (93242) |
$90.30 |
$129 |
2.3× |
| External ECG rec>7d<15d recording (93246) |
$90.30 |
$129 |
2.3× |
| External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data… (93229) |
$178.50 |
$255 |
0.5× |
| Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional… (97156) |
$24.50 |
$35 |
0.6× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$277.20 |
$396 |
1.2× |
| Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other… (97154) |
$7 |
$10 |
0.2× |
| Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care… (97158) |
$7.70 |
$11 |
0.2× |
| Group caregiver training strategies & technique (97552) |
$60.90 |
$87 |
— |
| Hot/cold pack (97010) |
$18.20 |
$26 |
— |
| Immunization administration (90471) |
$36.40 |
$52 |
0.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$112.70 |
$161 |
2.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$198.80 |
$284 |
0.9× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$27.30 |
$39 |
0.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$152.60 |
$218 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$126 |
$180 |
2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$237.30 |
$339 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$210.70 |
$301 |
2.8× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$406 |
$580 |
1.8× |
| IV tx, each additional hour (96366) |
$146.30 |
$209 |
3.0× |
| Lwr xtr vasc stdy bilat (93924) |
$229.60 |
$328 |
1.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$121.80 |
$174 |
0.9× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$53.20 |
$76 |
0.1× |
| Mechanical chest wall oscillation lung function (94669) |
$130.20 |
$186 |
0.6× |
| Mechanical traction therapy (97012) |
$35.70 |
$51 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$287.70 |
$411 |
— |
| Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care… (97157) |
$14.70 |
$21 |
0.4× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$226.80 |
$324 |
1.6× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$160.30 |
$229 |
1.1× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$630 |
$900 |
1.5× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$281.40 |
$402 |
1.3× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$181.30 |
$259 |
0.4× |
| Nerve conduction studies 1-2 studies (95907) |
$128.10 |
$183 |
0.6× |
| Nerve conduction studies 11-12 studies (95912) |
$349.30 |
$499 |
0.9× |
| Nerve conduction studies 13/> studies (95913) |
$403.20 |
$576 |
1.0× |
| Nerve conduction studies 3-4 studies (95908) |
$158.20 |
$226 |
0.7× |
| Nerve conduction studies 5-6 studies (95909) |
$190.40 |
$272 |
0.8× |
| Nerve conduction studies 7-8 studies (95910) |
$248.50 |
$355 |
0.6× |
| Nerve conduction studies 9-10 studies (95911) |
$299.60 |
$428 |
0.8× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$186.90 |
$267 |
0.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$296.10 |
$423 |
2.2× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$42.70 |
$61 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$245 |
$350 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$160.30 |
$229 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$192.50 |
$275 |
— |
| Oral function therapy (92526) |
$137.20 |
$196 |
— |
| Oral speech device eval (92597) |
$163.80 |
$234 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$134.40 |
$192 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$87.50 |
$125 |
— |
| Osteopath manj 1-2 regions (98925) |
$44.10 |
$63 |
1.9× |
| Osteopath manj 3-4 regions (98926) |
$63 |
$90 |
2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$82.60 |
$118 |
3.6× |
| Ot manual therapy ea 15 min (97140) |
$75.60 |
$108 |
— |
| Ot neuromuscular re-education (97112) |
$84 |
$120 |
— |
| Ot re-evaluation (97168) |
$126 |
$180 |
— |
| OT Therapeutic Activities Charges (97530) |
$86.80 |
$124 |
— |
| Ot wheelchair management (97542) |
$75.60 |
$108 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$140 |
$200 |
— |
| Phlebotomy therapeutic (99195) |
$231 |
$330 |
1.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$245 |
$350 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$160.30 |
$229 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$192.50 |
$275 |
— |
| Psychiatric diagnostic evaluation (90791) |
$240.80 |
$344 |
1.3× |
| Psytx crisis initial 60 min (90839) |
$576.10 |
$823 |
3.1× |
| Pt gait training 15 min (97116) |
$75.60 |
$108 |
— |
| Pt physical performance test (97750) |
$300.30 |
$429 |
— |
| Pt re-evaluation (97164) |
$126 |
$180 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$105 |
$150 |
2.7× |
| Pulm funct tst plethysmograp (94726) |
$350 |
$500 |
0.9× |
| Pulmonary stress testing (94618) |
$198.10 |
$283 |
1.4× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$43.40 |
$62 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$37.10 |
$53 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$86.80 |
$124 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$67.90 |
$97 |
— |
| Sleep study unattended (95806) |
$565.60 |
$808 |
2.5× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$406.70 |
$581 |
1.8× |
| Speech sound lang comprehen (92523) |
$493.50 |
$705 |
— |
| Standardized cognitive performance testing (96125) |
$200.90 |
$287 |
— |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$33.60 |
$48 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$46.20 |
$66 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$18.20 |
$26 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$133.70 |
$191 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$133.70 |
$191 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$38.50 |
$55 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$112 |
$160 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$65.10 |
$93 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$128.80 |
$184 |
1.7× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$316.40 |
$452 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$144.90 |
$207 |
3.7× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$69.30 |
$99 |
1.8× |
| Tte f-up or lmtd (93308) |
$141.40 |
$202 |
0.6× |
| Tte w/doppler complete (93306) |
$1,374.80 |
$1,964 |
2.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$306.60 |
$438 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$169.40 |
$242 |
— |
| Upr/l xtremity art 2 levels (93922) |
$630.70 |
$901 |
4.5× |
| Ventilation ip/obs initial day (94002) |
$296.10 |
$423 |
0.5× |
| Ventilator subsequent day (94003) |
$175 |
$250 |
0.3× |