| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$119.46 |
$199.10 |
0.9× |
| Advance care planning first 30 mins (99497) |
$106.65 |
$177.75 |
1.0× |
| Airway inhalation treatment (94640) |
$167.74 |
$279.57 |
0.8× |
| Analyze Neurostim Complex (95972) |
$103.66 |
$172.77 |
1.1× |
| Analyze neurostim no prog (95970) |
$109.62 |
$182.68 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$87.04 |
$145.07 |
1.9× |
| Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) |
$50.40 |
$84 |
0.9× |
| Basic vestibular evaluation (92540) |
$152.79 |
$254.65 |
0.7× |
| Behav assmt w/score & docd/stand instrument (96127) |
$28.62 |
$47.70 |
0.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$210 |
$350 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$360 |
$600 |
1.0× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$147.78 |
$246.30 |
1.1× |
| Canalith Repositioning (95992) |
$55.80 |
$93 |
1.4× |
| Capsule endoscopy (91110) |
$1,440 |
$2,400 |
1.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$638.18 |
$1,063.62 |
3.0× |
| Cardiopulmonary resuscitation (92950) |
$720 |
$1,200 |
3.3× |
| Cardioversion (92960) |
$960 |
$1,600 |
1.5× |
| Cbt 1st hour (94644) |
$94.54 |
$157.56 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$156 |
$260 |
2.2× |
| Chemo IV push addl drug (96411) |
$184.50 |
$307.50 |
2.6× |
| Chemo Iv Push Sngl Drug (96409) |
$523.73 |
$872.88 |
1.6× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$900.74 |
$1,501.24 |
2.7× |
| Chemother, IV infusion, 1 hr (96413) |
$736.80 |
$1,228 |
2.2× |
| Chemother, IV infusion, ea add hr (96415) |
$163.50 |
$272.50 |
2.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$172.50 |
$287.50 |
2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$279 |
$465 |
3.9× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$64.75 |
$107.91 |
0.6× |
| Color vision examination (92283) |
$94.54 |
$157.56 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$731.01 |
$1,218.35 |
3.1× |
| Color/duplex Doppler, limited (93976) |
$660 |
$1,100 |
6.3× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$138.10 |
$230.16 |
0.8× |
| Comprehensive Hearing Test (92557) |
$123.89 |
$206.48 |
1.0× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$23.35 |
$38.92 |
0.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$50.36 |
$83.94 |
0.9× |
| Continuous Glucose Monitoring (95250) |
$121.70 |
$202.84 |
0.9× |
| Corneal Topography (92025) |
$50.36 |
$83.94 |
0.9× |
| Cpap initiation and management (94660) |
$720 |
$1,200 |
3.3× |
| Cpt initial (94667) |
$153.75 |
$256.25 |
1.2× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$50.36 |
$83.94 |
0.9× |
| Critical care (99291) |
$876.20 |
$1,460.32 |
1.1× |
| Dark adaptation exam w int & rep (92284) |
$297.01 |
$495.02 |
0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$257.70 |
$429.50 |
1.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$172.44 |
$287.40 |
0.8× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$319.98 |
$533.30 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$603.21 |
$1,005.35 |
2.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$570 |
$950 |
5.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$570 |
$950 |
2.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$570 |
$950 |
5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$636.05 |
$1,060.09 |
6.1× |
| Duplex scan extracranial art compl bi study (93880) |
$795 |
$1,325 |
3.3× |
| Ear and throat examination (92502) |
$413.89 |
$689.81 |
0.8× |
| Ear Protector Attenuation Measurements (92596) |
$59.26 |
$98.76 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$530.53 |
$884.22 |
2.2× |
| Echo transesophageal (93312) |
$1,783.20 |
$2,972 |
3.3× |
| Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) |
$94.54 |
$157.56 |
0.7× |
| EEG awake asleep (95819) |
$717.81 |
$1,196.35 |
3.3× |
| EEG awake drowsy (95816) |
$643.60 |
$1,072.66 |
3.0× |
| EEG coma or sleep only (95822) |
$270.20 |
$450.33 |
1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$253.24 |
$422.07 |
1.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,158.64 |
$1,931.08 |
3.1× |
| EKG (93005) |
$162 |
$270 |
2.7× |
| EKG rhythm strip (93041) |
$81 |
$135 |
1.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$62.94 |
$104.89 |
1.7× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$103.66 |
$172.77 |
1.1× |
| Electro-oculography w/i&r (92270) |
$94.54 |
$157.56 |
0.7× |
| EMG four extremities (95864) |
$175.96 |
$293.27 |
1.4× |
| EMG one extremity (95860) |
$94.54 |
$157.56 |
0.7× |
| EMG three extremities (95863) |
$170.38 |
$283.96 |
1.3× |
| EMG two extremities (95861) |
$156.76 |
$261.26 |
1.2× |
| Er level 1 (99281) |
$95.84 |
$159.74 |
1.1× |
| Er level ii (99282) |
$178.63 |
$297.71 |
1.2× |
| Er level iii (99283) |
$630 |
$1,050 |
2.3× |
| Er level IV (99284) |
$414.48 |
$690.81 |
1.0× |
| Er level v (99285) |
$1,003.74 |
$1,672.91 |
1.7× |
| Evaluation of speech fluency (92521) |
$210 |
$350 |
1.6× |
| Evaluation of speech sound production (92522) |
$189 |
$315 |
1.7× |
| Evaluation of swallowing function (92610) |
$222 |
$370 |
2.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$180 |
$300 |
1.5× |
| Evoked Auditory Test,Comprehsv (92588) |
$262.87 |
$438.12 |
0.7× |
| Evoked auditory test,limited (92587) |
$218.46 |
$364.10 |
1.0× |
| Exam of visual field with extended testing (92083) |
$94.54 |
$157.56 |
0.7× |
| Exam of visual field with intermediate testing (92082) |
$50.36 |
$83.94 |
0.9× |
| Exam of visual field with limited testing (92081) |
$50.36 |
$83.94 |
0.9× |
| External ECG rec>48hr<7d recording (93242) |
$111 |
$185 |
3.0× |
| External ECG rec>7d<15d recording (93246) |
$105 |
$175 |
2.8× |
| External Ecg Scanning Analysis Report (93226) |
$120.46 |
$200.76 |
2.0× |
| External ocular photography (92285) |
$50.36 |
$83.94 |
1.3× |
| Eye exam w anesth; complete (92018) |
$1,744.38 |
$2,907.31 |
0.7× |
| Eye exam w anesth; limited (92019) |
$1,630.22 |
$2,717.03 |
0.7× |
| Eye exam, new patient,comprehesv (92004) |
$229.15 |
$381.91 |
1.7× |
| Filtered Speech Test (92571) |
$59.26 |
$98.76 |
1.6× |
| Flow volume loop (94375) |
$107.83 |
$179.71 |
0.5× |
| Fluorescein angiography (92235) |
$223.95 |
$373.25 |
1.0× |
| Fluorescein angioscopy (92230) |
$399.95 |
$666.59 |
1.1× |
| Fundus photography w/interpretation & report (92250) |
$94.54 |
$157.56 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,990.51 |
$3,317.52 |
2.3× |
| Gonioscopy (92020) |
$94.54 |
$157.56 |
0.7× |
| Group Therapeutic Procedures (97150) |
$40.50 |
$67.50 |
2.2× |
| Hemodialysis (90935) |
$538.23 |
$897.05 |
0.8× |
| Holter Monitor Recording (93225) |
$112.92 |
$188.20 |
0.8× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$24.32 |
$40.53 |
0.6× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$52.38 |
$87.30 |
0.7× |
| Immunization Admin (90471) |
$92.32 |
$153.88 |
1.3× |
| Immunotherapy, 2+ Injections (95117) |
$34.09 |
$56.82 |
0.7× |
| Indocyanine-green angiography (92240) |
$223.95 |
$373.25 |
1.0× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$629.16 |
$1,048.60 |
1.7× |
| Inital newborn e/m (99460) |
$152.42 |
$254.04 |
1.1× |
| Initial normal newborn care, same day discharge (99463) |
$175.36 |
$292.26 |
1.3× |
| Internal eye photography (92286) |
$94.54 |
$157.56 |
0.7× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$120 |
$200 |
4.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$242.88 |
$404.79 |
4.1× |
| IV infusion hydration each additional hour (96361) |
$133.20 |
$222 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$302.89 |
$504.82 |
1.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$145.50 |
$242.50 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$426.30 |
$710.50 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$105 |
$175 |
2.2× |
| IV push initial (96374) |
$261 |
$435 |
1.2× |
| Manual therapy 15 min (97140) |
$81.60 |
$136 |
2.9× |
| Massage 15 min (97124) |
$84.60 |
$141 |
2.8× |
| Mechanical traction (97012) |
$88.54 |
$147.56 |
6.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$64.80 |
$108 |
2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$111.10 |
$185.18 |
3.0× |
| Methacholine challenge (94070) |
$317.70 |
$529.50 |
0.9× |
| Mnt Group Ea 30 Min (97804) |
$22.20 |
$37 |
1.3× |
| Motility study esophagus (91010) |
$864.96 |
$1,441.60 |
2.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$336 |
$560 |
3.7× |
| Multiple sleep latency test (95805) |
$1,236 |
$2,060 |
1.4× |
| Nasopharyngoscopy (92511) |
$165.62 |
$276.04 |
0.8× |
| Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) |
$73.39 |
$122.31 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$194.68 |
$324.46 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$331.12 |
$551.86 |
0.8× |
| Nerve conduction studies 13/> studies (95913) |
$1,140 |
$1,900 |
3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$360 |
$600 |
1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$810 |
$1,350 |
2.2× |
| Nerve conduction studies; 1-2 studies (95907) |
$181.50 |
$302.50 |
0.8× |
| Nerve conduction studies; 11-12 studies (95912) |
$870 |
$1,450 |
2.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$535.80 |
$893 |
2.5× |
| Nerve conduction studies; 7-8 studies (95910) |
$720 |
$1,200 |
1.9× |
| Neurobehavioral Status Exam (96116) |
$223.95 |
$373.25 |
1.0× |
| Neuromuscular junction test (95937) |
$150.02 |
$250.04 |
1.2× |
| New patient problem focused exam of visual system (92002) |
$126.36 |
$210.60 |
0.9× |
| Newborn resuscitation (99465) |
$461.39 |
$768.99 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$331.52 |
$552.52 |
2.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$334.82 |
$558.04 |
1.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$171.78 |
$286.30 |
1.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$191.21 |
$318.69 |
1.4× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$132.77 |
$221.28 |
1.0× |
| Ophthalmic biometry (92136) |
$94.54 |
$157.56 |
0.7× |
| Ophthalmoscopy/dynamometry (92260) |
$29.31 |
$48.85 |
0.8× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$81.60 |
$136 |
1.8× |
| Oscillating Tracking Test (92545) |
$133.28 |
$222.12 |
0.6× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$48.62 |
$81.04 |
2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$70.29 |
$117.15 |
3.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$92.48 |
$154.14 |
4.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$112.63 |
$187.71 |
5.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$134.80 |
$224.67 |
6.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$45 |
$75 |
1.4× |
| Ot eval high complex 60 min (97167) |
$195 |
$325 |
1.9× |
| Ot eval low complex 30 min (97165) |
$187.35 |
$312.25 |
1.9× |
| Ot eval mod complex 45 min (97166) |
$177 |
$295 |
1.8× |
| Ot re-eval est plan care (97168) |
$102 |
$170 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$143.87 |
$239.78 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$107.56 |
$179.26 |
0.8× |
| Paraffin bath (97018) |
$60 |
$100 |
10.0× |
| Patch/Application Test Specify Number Tests (95044) |
$298.28 |
$497.14 |
0.3× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$198 |
$330 |
1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$213.84 |
$356.40 |
1.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$827.98 |
$1,379.96 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$102.29 |
$170.49 |
1.7× |
| Photochemotx psoralens&ultraviolet puva (96912) |
$93.60 |
$156 |
1.6× |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
$93.60 |
$156 |
1.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$173.04 |
$288.40 |
2.9× |
| Plethysmography (94726) |
$381.47 |
$635.78 |
1.0× |
| Pm device eval in person (93288) |
$51.22 |
$85.38 |
1.4× |
| Pm device progr eval dual (93280) |
$61.15 |
$101.92 |
1.6× |
| Pm/Icd Remote Tech Serv (93296) |
$36.26 |
$60.43 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,052.20 |
$5,087 |
3.5× |
| Positional Nystagmus Test (92542) |
$94.54 |
$157.56 |
0.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$37.18 |
$61.98 |
0.8× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) |
$99.68 |
$166.14 |
0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$23.23 |
$38.72 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$190.20 |
$317 |
5.1× |
| Pt Electric Current Therapy (97033) |
$109.50 |
$182.50 |
5.8× |
| Pt Electrical Stimulation (97032) |
$99 |
$165 |
6.7× |
| Pt eval high complex 45 min (97163) |
$254.62 |
$424.36 |
2.6× |
| Pt eval low complex 20 min (97161) |
$191.42 |
$319.04 |
2.0× |
| Pt Gait Training Therapy (97116) |
$95.10 |
$158.50 |
3.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$95.10 |
$158.50 |
2.9× |
| Pt Physical Performance Test (97750) |
$450 |
$750 |
13.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$214.96 |
$358.26 |
2.2× |
| Pt re-evaluation (97164) |
$105 |
$175 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$95.10 |
$158.50 |
2.9× |
| Pt Ultrasound Therapy (97035) |
$81.59 |
$135.99 |
5.7× |
| Pt Whirlpool Therapy (97022) |
$116.14 |
$193.57 |
7.4× |
| Pulm function test by gas (94727) |
$213.76 |
$356.27 |
1.0× |
| Pulmonary stress testing (94618) |
$180 |
$300 |
1.4× |
| Pure Tone Audiometry Air & Bone (92553) |
$199.32 |
$332.20 |
1.5× |
| Pure Tone Audiometry, Air (92552) |
$94.89 |
$158.15 |
0.7× |
| Refill/maint, portable pump (96521) |
$358.05 |
$596.75 |
1.7× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$33.97 |
$56.61 |
0.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$142.88 |
$238.14 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$182.05 |
$303.42 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$87 |
$145 |
0.7× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$59.86 |
$99.76 |
1.0× |
| Sensory Integration Ea 15 Min (97533) |
$80.40 |
$134 |
1.3× |
| Sinusoidal Rotational Test (92546) |
$134.69 |
$224.48 |
1.0× |
| Sleep study unattended (95806) |
$635.24 |
$1,058.73 |
2.9× |
| Smoking cessation > 10 min (99407) |
$35.55 |
$59.25 |
0.9× |
| Speech Audiometry Threshold (92555) |
$44.88 |
$74.80 |
0.8× |
| Speech Audiometry, Complete (92556) |
$66.84 |
$111.40 |
1.1× |
| Speech sound lang comprehen (92523) |
$294 |
$490 |
1.3× |
| Spirometry (94010) |
$110.54 |
$184.24 |
0.5× |
| Spontaneous Nystagmus Test (92541) |
$94.54 |
$157.56 |
0.7× |
| Stenger Test, Pure Tone (92565) |
$90 |
$150 |
1.5× |
| Stenger Test, Speech (92577) |
$240 |
$400 |
0.6× |
| Tensilon test (95857) |
$223.95 |
$373.25 |
1.0× |
| Test for abnormal eye movement using a moving target with recording (92544) |
$122.69 |
$204.48 |
1.0× |
| Test for allergy using allergenic extract injected into skin (95024) |
$50.36 |
$83.94 |
0.9× |
| Test photosensitivity (95056) |
$93.60 |
$156 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$33 |
$55 |
1.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$36 |
$60 |
1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$150 |
$250 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$111 |
$185 |
1.5× |
| Therapeutic Activities (97530) |
$96.53 |
$160.88 |
2.8× |
| Therapeutic phlebotomy (99195) |
$176.40 |
$294 |
1.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$201.01 |
$335.02 |
1.5× |
| Trans Care Mgmt 7 Day Disch (99496) |
$285.04 |
$324.42 |
2.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,602.20 |
$2,670.34 |
2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$180 |
$300 |
2.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$195 |
$325 |
2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$276 |
$460 |
5.9× |
| Tympanometry (92567) |
$28.62 |
$47.70 |
0.8× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$120.51 |
$200.85 |
0.6× |
| Unlisted pulmonary service/procedure (94799) |
$203.17 |
$338.62 |
1.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$795 |
$1,325 |
3.3× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$270 |
$450 |
2.6× |
| Vasopneumatic device (97016) |
$48 |
$80 |
4.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$720 |
$1,200 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$592.85 |
$988.08 |
1.0× |
| Visual Evoked Potential Test (95930) |
$137.70 |
$229.49 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$88.40 |
$147.34 |
2.8× |