| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$442 |
$680 |
3.6× |
| Acoustic Reflex Testing (92568) |
$161.20 |
$248 |
4.6× |
| Airway Inhalation Treatment (94640) |
$142.35 |
$219 |
0.7× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$308.10 |
$474 |
1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$96.85 |
$149 |
6.7× |
| Application on-body injector (96377) |
$143 |
$220 |
3.2× |
| Assessment of aphasia per hr (96105) |
$185.90 |
$286 |
1.9× |
| Assessment of tinnitus (92625) |
$135.20 |
$208 |
1.1× |
| Audiometry Air & Bone (92553) |
$264.55 |
$407 |
2.2× |
| Behavral qualit analys voice (92524) |
$185.25 |
$285 |
1.7× |
| Brief Emotional/Behav Assmt (96127) |
$92.30 |
$142 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$407.55 |
$627 |
1.2× |
| Canalith repositioning proc (95992) |
$213.20 |
$328 |
5.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$952.25 |
$1,465 |
4.7× |
| Cardiopulmonary resuscitation (92950) |
$791.05 |
$1,217 |
3.9× |
| Cardioversion (92960) |
$858 |
$1,320 |
1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$53.30 |
$82 |
2.0× |
| Cbt 1st hour (94644) |
$295.10 |
$454 |
2.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$181.35 |
$279 |
2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$181.35 |
$279 |
2.7× |
| Chemo IV infusion addl hr (96415) |
$323.05 |
$497 |
4.7× |
| Chemo IV push addl drug (96411) |
$126.10 |
$194 |
1.9× |
| Chemother Prolong Infuse W/Pump (96416) |
$672.75 |
$1,035 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$319.15 |
$491 |
4.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$356.85 |
$549 |
1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$271.05 |
$417 |
0.9× |
| Chest Wall Manipulation (94668) |
$107.25 |
$165 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$889.85 |
$1,369 |
3.9× |
| Color/duplex Doppler, limited (93976) |
$585 |
$900 |
5.9× |
| Comprehensive Hearing Test (92557) |
$465.40 |
$716 |
3.8× |
| Conditioning Play Audiometry (92582) |
$321.75 |
$495 |
2.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$300.95 |
$463 |
2.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$144.95 |
$223 |
2.6× |
| Continuous Pulse Ox (94762) |
$688.35 |
$1,059 |
5.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$778.05 |
$1,197 |
3.8× |
| Cpt initial (94667) |
$232.70 |
$358 |
1.8× |
| Critical care first hour (99291) |
$3,648.45 |
$5,613 |
4.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$471.90 |
$726 |
2.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$409.50 |
$630 |
3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,113.45 |
$1,713 |
4.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$585 |
$900 |
5.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$956.80 |
$1,472 |
4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$996.45 |
$1,533 |
10.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,383.85 |
$2,129 |
6.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,066 |
$1,640 |
10.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,119.95 |
$1,723 |
5.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$724.75 |
$1,115 |
7.3× |
| Duplex Scan Hemodialysis Access (93990) |
$454.35 |
$699 |
4.6× |
| Duplex up extrem art bilat (93930) |
$956.80 |
$1,472 |
4.2× |
| Duplex up extrem art unilat/ltd (93931) |
$708.50 |
$1,090 |
7.2× |
| Echo Heart Xthoracic,Limited (93308) |
$657.80 |
$1,012 |
2.9× |
| EEG awake and asleep (95819) |
$915.20 |
$1,408 |
4.5× |
| EEG awake drowsy (95816) |
$915.20 |
$1,408 |
4.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$915.20 |
$1,408 |
4.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$103.35 |
$159 |
7.0× |
| Electrocardiogram Tracing (93005) |
$217.75 |
$335 |
3.9× |
| Emergency Dept Visit Level 2 (99282) |
$462.15 |
$711 |
3.2× |
| Emergency Dept Visit Level 3 (99283) |
$817.70 |
$1,258 |
3.2× |
| Emergency Dept Visit Level 4 (99284) |
$1,433.25 |
$2,205 |
3.6× |
| Er level 1 (99281) |
$325.65 |
$501 |
4.1× |
| Er level v (99285) |
$1,718.60 |
$2,644 |
3.1× |
| Evaluate pt use of inhaler (94664) |
$232.70 |
$358 |
1.1× |
| Evaluate Speech Production (92522) |
$177.45 |
$273 |
1.6× |
| Evaluate Swallowing Function (92610) |
$195.65 |
$301 |
2.3× |
| Evaluation of speech fluency (92521) |
$219.05 |
$337 |
1.6× |
| Evoked Auditory Test,Limited (92587) |
$345.80 |
$532 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$488.80 |
$752 |
13.8× |
| External ECG rec>7d<15d recording (93246) |
$795.60 |
$1,224 |
22.5× |
| Extracranial Bilat Study (93880) |
$850.85 |
$1,309 |
3.8× |
| Extracranial Uni/Ltd Study (93882) |
$850.85 |
$1,309 |
8.6× |
| Group Therapeutic Procedures (97150) |
$89.70 |
$138 |
5.0× |
| Holter monitor recording (93225) |
$488.80 |
$752 |
3.9× |
| Immunization administration (90471) |
$40.30 |
$62 |
0.6× |
| Iontophoresis 15 min (97033) |
$154.70 |
$238 |
8.1× |
| Irrig Drug Delivery Device (96523) |
$196.30 |
$302 |
3.5× |
| IV infusion hydration each additional hour (96361) |
$210.60 |
$324 |
4.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$330.85 |
$509 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$119.60 |
$184 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$228.80 |
$352 |
5.2× |
| IV push initial (96374) |
$171.60 |
$264 |
0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,634.10 |
$2,514 |
8.0× |
| Mechanical chest wall oscillation per session (94669) |
$117 |
$180 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$41.60 |
$64 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$52.65 |
$81 |
1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$48.75 |
$75 |
2.9× |
| Motion Fluoroscopy/Swallow (92611) |
$338.65 |
$521 |
3.7× |
| Multiple Sleep Latency Test (95805) |
$3,872.05 |
$5,957 |
4.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$813.15 |
$1,251 |
2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$807.95 |
$1,243 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$384.15 |
$591 |
2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$563.55 |
$867 |
1.5× |
| Neuromuscular Reeducation (97112) |
$154.70 |
$238 |
4.7× |
| Oral Function Therapy (92526) |
$304.85 |
$469 |
3.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$104.65 |
$161 |
2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$110.50 |
$170 |
2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$39 |
$60 |
1.9× |
| Ot eval high complexity (97167) |
$268.45 |
$413 |
2.7× |
| Ot Eval Low Complex (97165) |
$187.85 |
$289 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$228.15 |
$351 |
2.3× |
| Ot manual therapy 15 min (97140) |
$137.15 |
$211 |
4.9× |
| Ot paraffin bath (97018) |
$81.90 |
$126 |
13.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$105.95 |
$163 |
2.6× |
| Ot Re-Eval Est Plan Care (97168) |
$111.80 |
$172 |
1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$152.10 |
$234 |
1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$135.20 |
$208 |
1.1× |
| Phlebotomy therapeutic (99195) |
$189.80 |
$292 |
1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$122.85 |
$189 |
2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$122.85 |
$189 |
2.2× |
| Physical Performance Test (97750) |
$123.50 |
$190 |
3.7× |
| Plethysmography (94726) |
$412.75 |
$635 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,676.45 |
$8,733 |
7.0× |
| Psychiatric diagnostic evaluation (90791) |
$381.55 |
$587 |
2.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$55.90 |
$86 |
0.4× |
| Pt Eval High Complex (97163) |
$268.45 |
$413 |
2.7× |
| Pt eval low complex 20 min (97161) |
$187.85 |
$289 |
1.9× |
| Pt Eval Mod Complex (97162) |
$228.15 |
$351 |
2.3× |
| Pt gait training 15 min (97116) |
$129.35 |
$199 |
4.5× |
| Pt mechanical traction (97012) |
$97.50 |
$150 |
6.8× |
| Pt Re-Eval Est Plan Care (97164) |
$111.80 |
$172 |
1.7× |
| Pulm function test by gas (94727) |
$304.20 |
$468 |
1.5× |
| Pulmonary service/procedure (94799) |
$198.25 |
$305 |
1.6× |
| Pulmonary Stress Testing (94618) |
$156.65 |
$241 |
1.2× |
| Pure Tone Audiometry Air (92552) |
$239.85 |
$369 |
1.9× |
| Refill/Maint Portable Pump (96521) |
$706.55 |
$1,087 |
3.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$61.10 |
$94 |
1.7× |
| Rem ther mntr dev sply resp (98976) |
$61.10 |
$94 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$131.30 |
$202 |
3.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$192.40 |
$296 |
1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$48.10 |
$74 |
1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$48.10 |
$74 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$341.25 |
$525 |
1.8× |
| Self Care Mngment Training (97535) |
$107.25 |
$165 |
3.3× |
| Sensory Integration Ea 15 Min (97533) |
$105.95 |
$163 |
1.7× |
| Sleep study attended (95807) |
$1,153.75 |
$1,775 |
3.3× |
| Sleep study unattended (95806) |
$588.25 |
$905 |
2.9× |
| Slp caregiver training 1st 30 min (97550) |
$107.25 |
$165 |
2.0× |
| Speech Audiometry Complete (92556) |
$239.85 |
$369 |
4.3× |
| Speech audiometry threshold (92555) |
$161.20 |
$248 |
2.9× |
| Speech sound lang comprehen (92523) |
$369.85 |
$569 |
1.6× |
| Spirometry (94010) |
$198.25 |
$305 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$154.70 |
$238 |
1.5× |
| Temp transcutaneous pacing (92953) |
$419.25 |
$645 |
0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$154.70 |
$238 |
6.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$154.70 |
$238 |
7.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$129.35 |
$199 |
3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$91 |
$140 |
3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$143 |
$220 |
2.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$337.35 |
$519 |
1.7× |
| Therapeutic Activities (97530) |
$110.50 |
$170 |
3.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$70.85 |
$109 |
2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$65.65 |
$101 |
1.9× |
| Tte w/doppler, complete (93306) |
$2,327 |
$3,580 |
4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$338.65 |
$521 |
4.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$146.25 |
$225 |
6.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$136.50 |
$210 |
3.1× |
| Tympanometry (92567) |
$161.20 |
$248 |
4.6× |
| Tympanometry and reflex threshold measurements (92550) |
$322.40 |
$496 |
1.6× |
| Upr/L Xtremity Art 2 Levels (93922) |
$549.90 |
$846 |
4.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$593.45 |
$913 |
2.9× |
| Vasopneumatic device (97016) |
$154.70 |
$238 |
12.9× |
| Vent Mgmt Inpat Init Day (94002) |
$1,357.20 |
$2,088 |
2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,114.75 |
$1,715 |
1.9× |
| Visual reinforcement audiometry (vra) (92579) |
$295.10 |
$454 |
1.4× |
| Vital capacity, total (94150) |
$198.25 |
$305 |
1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$99.45 |
$153 |
3.2× |
| Whirlpool Therapy (97022) |
$91 |
$140 |
5.8× |