| Airway inhalation treatment (94640) |
$138.88 |
$277.75 |
0.7× |
| Assessment of aphasia (96105) |
$112.38 |
$224.75 |
1.2× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$92.75 |
$185.50 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$78.75 |
$157.50 |
0.7× |
| Breath Hydrogen/Methane Test (91065) |
$235.25 |
$470.50 |
1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$244.50 |
$489 |
0.7× |
| Canalith Repositioning (95992) |
$48.38 |
$96.75 |
1.2× |
| Car seat/bed test 60 min (94780) |
$56.25 |
$112.50 |
1.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$504.63 |
$1,009.25 |
2.6× |
| Cardiopulmonary resuscitation (92950) |
$258 |
$516 |
1.3× |
| Cardioversion (92960) |
$483.25 |
$966.50 |
0.8× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$14,795.63 |
$29,591.25 |
0.9× |
| Cbt 1st hour (94644) |
$97.38 |
$194.75 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$109.63 |
$219.25 |
1.7× |
| Chemo IV push addl drug (96411) |
$154.50 |
$309 |
2.4× |
| Chemo Iv Push Sngl Drug (96409) |
$306 |
$612 |
1.0× |
| Chemother, IV infusion, 1 hr (96413) |
$310.25 |
$620.50 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$47.38 |
$94.75 |
0.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$109.63 |
$219.25 |
1.7× |
| Chemotherapy, unspecified procedure (96549) |
$310.25 |
$620.50 |
7.4× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$310.75 |
$621.50 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$90.50 |
$181 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$525.75 |
$1,051.50 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$389.50 |
$779 |
4.1× |
| Comprehensive Hearing Test (92557) |
$121.38 |
$242.75 |
1.0× |
| Cpap initiation and management (94660) |
$361.38 |
$722.75 |
1.8× |
| Cpt initial (94667) |
$147.38 |
$294.75 |
1.2× |
| Critical care (99291) |
$1,067.50 |
$2,135 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$228.25 |
$456.50 |
1.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$138.88 |
$277.75 |
0.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$314 |
$628 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$277.63 |
$555.25 |
1.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$138.88 |
$277.75 |
1.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$195.13 |
$390.25 |
0.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$138.88 |
$277.75 |
1.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$306.25 |
$612.50 |
3.3× |
| Duplex hemodialysis access (93990) |
$138.88 |
$277.75 |
1.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$362.50 |
$725 |
1.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$306.25 |
$612.50 |
3.3× |
| Duplex scan extracranial art compl bi study (93880) |
$503.50 |
$1,007 |
2.3× |
| Echo Heart Xthoracic,Limited (93308) |
$265.38 |
$530.75 |
1.2× |
| EEG awake asleep (95819) |
$422.88 |
$845.75 |
2.2× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,460.50 |
$2,921 |
7.5× |
| EKG (93005) |
$120.75 |
$241.50 |
2.3× |
| Ep Right Ventricular Recording (93603) |
$1,308.50 |
$2,617 |
1.2× |
| Er level 1 (99281) |
$112.38 |
$224.75 |
1.5× |
| Er level ii (99282) |
$168.63 |
$337.25 |
1.2× |
| Er level iii (99283) |
$281 |
$562 |
1.1× |
| Er level IV (99284) |
$449.50 |
$899 |
1.2× |
| Er level v (99285) |
$674.25 |
$1,348.50 |
1.3× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$555.75 |
$1,111.50 |
1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$122.13 |
$244.25 |
1.1× |
| Evaluation of speech fluency (92521) |
$92.75 |
$185.50 |
0.7× |
| Evaluation of speech sound production (92522) |
$76 |
$152 |
0.7× |
| Evaluation of swallowing function (92610) |
$165.25 |
$330.50 |
1.9× |
| Evaluation with prescription of speech-generating alternative (92607) |
$132.13 |
$264.25 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$146.25 |
$292.50 |
2.8× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$179.88 |
$359.75 |
0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$917.50 |
$1,835 |
1.2× |
| Group Therapeutic Procedures (97150) |
$50.63 |
$101.25 |
2.8× |
| Holter Monitor Recording (93225) |
$111.88 |
$223.75 |
0.9× |
| Icd Device Interrogate (93289) |
$112.38 |
$224.75 |
3.3× |
| Ilr Device Eval Progr (93285) |
$84.38 |
$168.75 |
2.5× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$30 |
$60 |
0.8× |
| Immunization Admin (90471) |
$44.69 |
$89.38 |
0.7× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$84.38 |
$168.75 |
3.2× |
| Interrogate subq defib (93261) |
$112.38 |
$224.75 |
3.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$81 |
$162 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$47.38 |
$94.75 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$232.50 |
$465 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$47.38 |
$94.75 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$232.50 |
$465 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$47.38 |
$94.75 |
1.1× |
| IV push initial (96374) |
$172.25 |
$344.50 |
0.9× |
| Manual therapy 15 min (97140) |
$67 |
$134 |
2.4× |
| Massage 15 min (97124) |
$47.38 |
$94.75 |
1.6× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$1,999.75 |
$3,999.50 |
1.6× |
| Mechanical chest wall oscillation (94669) |
$168.63 |
$337.25 |
0.9× |
| Mechanical traction (97012) |
$35.13 |
$70.25 |
2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$112.38 |
$224.75 |
3.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$168.63 |
$337.25 |
4.6× |
| Mnt Group Ea 30 Min (97804) |
$84.38 |
$168.75 |
5.0× |
| Motility study esophagus (91010) |
$400.38 |
$800.75 |
1.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$165.25 |
$330.50 |
1.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$252.88 |
$505.75 |
2.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$136.13 |
$272.25 |
1.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$47.38 |
$94.75 |
1.0× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$42.63 |
$85.25 |
1.3× |
| Ot eval high complex 60 min (97167) |
$127.88 |
$255.75 |
1.3× |
| Ot eval low complex 30 min (97165) |
$127.88 |
$255.75 |
1.3× |
| Ot eval mod complex 45 min (97166) |
$127.88 |
$255.75 |
1.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$47.38 |
$94.75 |
0.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$47.38 |
$94.75 |
1.2× |
| Ot re-eval est plan care (97168) |
$67.50 |
$135 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$95.63 |
$191.25 |
0.8× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$95.63 |
$191.25 |
0.8× |
| Paraffin bath (97018) |
$43.38 |
$86.75 |
7.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$70.25 |
$140.50 |
1.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$70.25 |
$140.50 |
1.3× |
| Pm device progr eval sngl (93279) |
$112.38 |
$224.75 |
3.3× |
| Prq balloon valvuloplasty aortic valve (92986) |
$4,650.13 |
$9,300.25 |
0.9× |
| Prq card revasc chronic 1vsl (92943) |
$15,248.50 |
$30,497 |
1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$11,853.50 |
$23,707 |
1.1× |
| Prq Card Stent/Ath/Angio (92933) |
$15,254.13 |
$30,508.25 |
0.9× |
| Prq revasc byp graft 1 vsl (92937) |
$9,887.75 |
$19,775.50 |
1.0× |
| Prq tcat plmt ntrac st 2+les (92930) |
$18,500 |
$37,000 |
1.1× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$7,974.25 |
$15,948.50 |
0.8× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$4,182.13 |
$8,364.25 |
0.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$53.75 |
$107.50 |
1.4× |
| Pt Electric Current Therapy (97033) |
$67.50 |
$135 |
3.5× |
| Pt Electrical Stimulation (97032) |
$43.38 |
$86.75 |
3.0× |
| Pt eval high complex 45 min (97163) |
$127.88 |
$255.75 |
1.3× |
| Pt eval low complex 20 min (97161) |
$127.88 |
$255.75 |
1.3× |
| Pt Gait Training Therapy (97116) |
$47.38 |
$94.75 |
1.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$47.38 |
$94.75 |
1.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$127.88 |
$255.75 |
1.3× |
| Pt re-evaluation (97164) |
$51.88 |
$103.75 |
0.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$42.63 |
$85.25 |
1.3× |
| Pt Ultrasound Therapy (97035) |
$43.38 |
$86.75 |
3.0× |
| Pulmonary stress testing (94618) |
$103.50 |
$207 |
0.9× |
| Refill/maint, portable pump (96521) |
$178.75 |
$357.50 |
0.9× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$67.25 |
$134.50 |
2.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$83.25 |
$166.50 |
0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$51.88 |
$103.75 |
1.1× |
| Sensory Integration Ea 15 Min (97533) |
$54.63 |
$109.25 |
0.9× |
| Smoking cessation > 10 min (99407) |
$33.88 |
$67.75 |
1.0× |
| Speech sound lang comprehen (92523) |
$157.50 |
$315 |
0.7× |
| Spirometry (94010) |
$165.88 |
$331.75 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$112.38 |
$224.75 |
1.1× |
| Surfactant Admin Thru Tube (94610) |
$138.88 |
$277.75 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$54.63 |
$109.25 |
2.4× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$54.63 |
$109.25 |
2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$47.38 |
$94.75 |
0.7× |
| Therapeutic Activities (97530) |
$50.63 |
$101.25 |
1.4× |
| Therapeutic phlebotomy (99195) |
$79.50 |
$159 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28.13 |
$56.25 |
0.8× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$494.50 |
$989 |
2.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$512.13 |
$1,024.25 |
1.0× |
| Tx atrial fib pulm vein isol (93656) |
$14,157.38 |
$28,314.75 |
0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$125.38 |
$250.75 |
1.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$125.13 |
$250.25 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$47.38 |
$94.75 |
1.1× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$121.38 |
$242.75 |
0.6× |
| Unlisted pulmonary service/procedure (94799) |
$101.88 |
$203.75 |
0.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$508.63 |
$1,017.25 |
2.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$227.38 |
$454.75 |
2.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$266.88 |
$533.75 |
1.4× |
| Vasopneumatic device (97016) |
$32.13 |
$64.25 |
2.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$732.13 |
$1,464.25 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$463 |
$926 |
0.8× |
| Vital capacity total (94150) |
$90 |
$180 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$50.63 |
$101.25 |
1.6× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$321 |
$642 |
3.8× |