| Advance care planning first 30 mins (99497) |
$140.40 |
$234 |
1.5× |
| Airway inhalation treatment (94640) |
$141 |
$235 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$63 |
$105 |
1.5× |
| Application of heat wave therapy (97024) |
$15.60 |
$26 |
2.1× |
| Assessment of aphasia (96105) |
$144 |
$240 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$144.30 |
$240.50 |
0.4× |
| Canalith Repositioning (95992) |
$110.40 |
$184 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$586.20 |
$977 |
3.0× |
| Cardiopulmonary exercise testing (94621) |
$438.60 |
$731 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$294 |
$490 |
1.5× |
| Cardioversion (92960) |
$532.50 |
$887.50 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$52.20 |
$87 |
0.8× |
| Chemother, IV infusion, 1 hr (96413) |
$539.40 |
$899 |
1.8× |
| Chemother, IV infusion, ea add hr (96415) |
$81 |
$135 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$102.60 |
$171 |
0.5× |
| Color/duplex Doppler, limited (93976) |
$72 |
$120 |
0.8× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$95.40 |
$159 |
0.6× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$63 |
$105 |
1.2× |
| Continuous Glucose Monitoring (95250) |
$162 |
$270 |
1.3× |
| Cpap initiation and management (94660) |
$628.80 |
$1,048 |
3.2× |
| Cpt initial (94667) |
$141 |
$235 |
1.2× |
| Critical care (99291) |
$552 |
$920 |
0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$204 |
$340 |
1.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$336 |
$560 |
1.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$70.80 |
$118 |
0.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$71.40 |
$119 |
0.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$255 |
$425 |
2.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$71.40 |
$119 |
0.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$201.60 |
$336 |
2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$255 |
$425 |
2.7× |
| Duplex scan extracranial art compl bi study (93880) |
$70.80 |
$118 |
0.3× |
| Echo Heart Xthoracic,Limited (93308) |
$202.50 |
$337.50 |
0.9× |
| EKG (93005) |
$48 |
$80 |
0.9× |
| Er level 1 (99281) |
$96 |
$160 |
1.3× |
| Er level ii (99282) |
$184.50 |
$307.50 |
1.3× |
| Er level iii (99283) |
$297 |
$495 |
1.2× |
| Er level IV (99284) |
$294 |
$490 |
0.8× |
| Er level v (99285) |
$816 |
$1,360 |
1.5× |
| Evaluation of speech fluency (92521) |
$261 |
$435 |
2.0× |
| Evaluation of speech sound production (92522) |
$135 |
$225 |
1.2× |
| Evaluation of swallowing function (92610) |
$171 |
$285 |
2.0× |
| Exercise tst brncspsm (94617) |
$252 |
$420 |
2.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$253.20 |
$422 |
1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$150 |
$250 |
0.2× |
| Group Therapeutic Procedures (97150) |
$30 |
$50 |
1.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$102 |
$170 |
1.1× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$75 |
$125 |
2.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$69 |
$115 |
0.4× |
| Hemodialysis (90935) |
$508.50 |
$847.50 |
0.8× |
| Holter Monitor Recording (93225) |
$135 |
$225 |
1.1× |
| Hydrotherapy (97036) |
$54.60 |
$91 |
1.6× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$30 |
$50 |
0.8× |
| Immunization Admin (90471) |
$66 |
$110 |
1.0× |
| Injection intra arterial (96373) |
$254.40 |
$424 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$60.90 |
$101.50 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$99 |
$165 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$181.80 |
$303 |
0.9× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$99 |
$165 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$308.40 |
$514 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$99 |
$165 |
2.3× |
| IV push initial (96374) |
$254.40 |
$424 |
1.3× |
| Manual therapy 15 min (97140) |
$39 |
$65 |
1.4× |
| Massage 15 min (97124) |
$28.80 |
$48 |
1.0× |
| Maximum voluntary ventilation (94200) |
$103.80 |
$173 |
1.9× |
| Mechanical traction (97012) |
$39 |
$65 |
2.7× |
| Motility study esophagus (91010) |
$558 |
$930 |
1.7× |
| Multiple sleep latency test (95805) |
$2,100 |
$3,500 |
2.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$42 |
$70 |
0.1× |
| Neg press wound tx >50 cm (97608) |
$393 |
$655 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$69 |
$115 |
0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$232.50 |
$387.50 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$114 |
$190 |
0.9× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$142.80 |
$238 |
0.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$236.40 |
$394 |
2.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$153 |
$255 |
0.5× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$65.40 |
$109 |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$75 |
$125 |
2.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$30.60 |
$51 |
2.2× |
| Ot eval high complex 60 min (97167) |
$135 |
$225 |
1.3× |
| Ot eval low complex 30 min (97165) |
$96 |
$160 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$111 |
$185 |
1.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$42 |
$70 |
0.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$96 |
$160 |
2.4× |
| Ot Range Motion Measure,Each Extrem (95851) |
$19.20 |
$32 |
0.7× |
| Ot re-eval est plan care (97168) |
$72 |
$120 |
1.1× |
| Paraffin bath (97018) |
$27 |
$45 |
4.5× |
| Patient-initiated spirometric phys/qhp r&i only (94016) |
$36 |
$60 |
1.5× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$90 |
$150 |
1.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$90 |
$150 |
1.7× |
| Plethysmography (94726) |
$145.80 |
$243 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,970 |
$4,950 |
3.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,400 |
$4,000 |
3.1× |
| Psych diag eval w/med srvcs (90792) |
$138 |
$230 |
0.9× |
| Psychiatric diagnostic evaluation (90791) |
$138 |
$230 |
0.9× |
| Psychoanalysis (90845) |
$84 |
$140 |
0.5× |
| Psycl tst eval phys/qhp 1st (96130) |
$141 |
$235 |
0.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$39 |
$65 |
0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$54 |
$90 |
0.4× |
| Psytx crisis initial 60 min (90839) |
$138 |
$230 |
0.9× |
| Pt Electric Current Therapy (97033) |
$54 |
$90 |
2.8× |
| Pt Electrical Stimulation (97032) |
$45 |
$75 |
3.1× |
| Pt eval high complex 45 min (97163) |
$135 |
$225 |
1.4× |
| Pt eval low complex 20 min (97161) |
$96 |
$160 |
1.0× |
| Pt Gait Training Therapy (97116) |
$49.20 |
$82 |
1.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$36 |
$60 |
1.1× |
| Pt Physical Performance Test (97750) |
$60 |
$100 |
1.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$111 |
$185 |
1.1× |
| Pt re-evaluation (97164) |
$75 |
$125 |
1.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$59.40 |
$99 |
1.8× |
| Pt Ultrasound Therapy (97035) |
$25.20 |
$42 |
1.8× |
| Pt Whirlpool Therapy (97022) |
$39 |
$65 |
2.5× |
| Pulmonary stress testing (94618) |
$206.10 |
$343.50 |
1.7× |
| Pure Tone Audiometry, Air (92552) |
$39.60 |
$66 |
0.3× |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
$66 |
$110 |
2.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$21 |
$35 |
0.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$135 |
$225 |
4.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$183.60 |
$306 |
1.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$71.40 |
$119 |
0.6× |
| Sensory Integration Ea 15 Min (97533) |
$39 |
$65 |
0.6× |
| Sleep study attended (95807) |
$2,100 |
$3,500 |
6.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$225 |
$375 |
1.2× |
| Smoking cessation > 10 min (99407) |
$59.40 |
$99 |
1.8× |
| Speech group therapy (92508) |
$57 |
$95 |
2.4× |
| Speech sound lang comprehen (92523) |
$105 |
$175 |
0.5× |
| Spirometry (94010) |
$80.10 |
$133.50 |
0.4× |
| Standardized Cognitive Performance Testing (96125) |
$283.20 |
$472 |
2.8× |
| Stress echo (93350) |
$127.20 |
$212 |
0.3× |
| Temp transcutaneous pacing (92953) |
$294 |
$490 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$42 |
$70 |
1.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$39 |
$65 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$105.60 |
$176 |
1.6× |
| Therapeutic Activities (97530) |
$48 |
$80 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28.80 |
$48 |
0.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$112.80 |
$188 |
0.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$108 |
$180 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$117 |
$195 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$105.60 |
$176 |
2.5× |
| Ultraviolet Therapy (97028) |
$15.60 |
$26 |
1.9× |
| Unlisted pulmonary service/procedure (94799) |
$159 |
$265 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$271.20 |
$452 |
1.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$628.80 |
$1,048 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$628.80 |
$1,048 |
1.1× |
| Vital capacity total (94150) |
$103.80 |
$173 |
0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$45 |
$75 |
1.4× |