| Airway inhalation treatment (94640) |
$99 |
$110 |
0.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$315 |
$350 |
2.9× |
| Bfb training 1st 15 min (90912) |
$225 |
$250 |
2.7× |
| Bfb training ea addl 15 min (90913) |
$112.50 |
$125 |
3.4× |
| Biofeedback training any modality (90901) |
$85.50 |
$95 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$294.75 |
$327.50 |
0.9× |
| Canalith Repositioning (95992) |
$95.40 |
$106 |
2.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$630 |
$700 |
3.2× |
| Cardiopulmonary resuscitation (92950) |
$796.95 |
$885.50 |
4.0× |
| Cardioversion (92960) |
$702 |
$780 |
1.2× |
| Cbt 1st hour (94644) |
$455.40 |
$506 |
3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$49.50 |
$55 |
0.7× |
| Chemo IV push addl drug (96411) |
$168.30 |
$187 |
2.5× |
| Chemo Iv Push Sngl Drug (96409) |
$158.40 |
$176 |
0.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$227.70 |
$253 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$486 |
$540 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$265.50 |
$295 |
4.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$49.50 |
$55 |
0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$49.50 |
$55 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$1,895.40 |
$2,106 |
8.6× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$176.40 |
$196 |
3.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$176.40 |
$196 |
3.3× |
| Cpap initiation and management (94660) |
$759.15 |
$843.50 |
3.8× |
| Cpt initial (94667) |
$99 |
$110 |
0.8× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$74.25 |
$82.50 |
1.4× |
| Critical care (99291) |
$1,399.95 |
$1,555.50 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$355.50 |
$395 |
1.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$283.50 |
$315 |
1.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,282.50 |
$1,425 |
5.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,863 |
$2,070 |
8.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$936.90 |
$1,041 |
9.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,423.80 |
$1,582 |
6.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$888.30 |
$987 |
9.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$826.20 |
$918 |
8.6× |
| Duplex scan extracranial art compl bi study (93880) |
$1,377 |
$1,530 |
6.3× |
| Ear and throat examination (92502) |
$407.70 |
$453 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$778.50 |
$865 |
3.5× |
| EKG (93005) |
$220.50 |
$245 |
4.1× |
| EMG one extremity (95860) |
$258.30 |
$287 |
2.1× |
| EMG two extremities (95861) |
$321.75 |
$357.50 |
2.6× |
| Er level 1 (99281) |
$148.50 |
$165 |
1.9× |
| Er level ii (99282) |
$246.15 |
$273.50 |
1.7× |
| Er level iii (99283) |
$453.15 |
$503.50 |
1.8× |
| Er level IV (99284) |
$740.25 |
$822.50 |
1.9× |
| Er level v (99285) |
$1,049.85 |
$1,166.50 |
1.9× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$202.50 |
$225 |
2.8× |
| Evaluation of speech fluency (92521) |
$315 |
$350 |
2.4× |
| Evaluation of speech sound production (92522) |
$315 |
$350 |
2.8× |
| Evaluation of swallowing function (92610) |
$346.50 |
$385 |
4.1× |
| Exam of visual field with extended testing (92083) |
$331.20 |
$368 |
2.7× |
| Exam of visual field with limited testing (92081) |
$176.40 |
$196 |
3.3× |
| External ECG rec>48hr<7d recording (93242) |
$333 |
$370 |
9.7× |
| External ECG rec>7d<15d recording (93246) |
$333 |
$370 |
9.7× |
| Eye exam, new patient,comprehesv (92004) |
$391.50 |
$435 |
3.2× |
| Flow volume loop (94375) |
$435.60 |
$484 |
2.2× |
| Group Therapeutic Procedures (97150) |
$40.50 |
$45 |
2.2× |
| Holter Monitor Recording (93225) |
$333 |
$370 |
2.7× |
| Immunization Admin (90471) |
$18 |
$20 |
0.3× |
| Ingestion challenge test initial 120 minutes (95076) |
$297 |
$330 |
0.9× |
| Inital newborn e/m (99460) |
$234 |
$260 |
1.9× |
| Initial normal newborn care, same day discharge (99463) |
$243.90 |
$271 |
2.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$118.80 |
$132 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$180 |
$200 |
4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$310.50 |
$345 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$180 |
$200 |
2.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$310.50 |
$345 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$180 |
$200 |
4.2× |
| IV push initial (96374) |
$310.50 |
$345 |
1.6× |
| Manual therapy 15 min (97140) |
$61.20 |
$68 |
2.2× |
| Massage 15 min (97124) |
$66.60 |
$74 |
2.2× |
| Mechanical traction (97012) |
$33.30 |
$37 |
2.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$481.50 |
$535 |
5.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$373.50 |
$415 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$357.75 |
$397.50 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$96.30 |
$107 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$288 |
$320 |
0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$289.80 |
$322 |
1.5× |
| Nerve conduction studies; 1-2 studies (95907) |
$183.15 |
$203.50 |
0.9× |
| Nerve conduction studies; 5-6 studies (95909) |
$443.70 |
$493 |
2.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$593.10 |
$659 |
1.7× |
| New patient problem focused exam of visual system (92002) |
$216 |
$240 |
1.8× |
| Newborn resuscitation (99465) |
$322.20 |
$358 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$648 |
$720 |
5.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$430.20 |
$478 |
3.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$324 |
$360 |
2.6× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$229.50 |
$255 |
1.9× |
| Ophthalmic biometry (92136) |
$279 |
$310 |
2.3× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$101.70 |
$113 |
2.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$33.30 |
$37 |
2.4× |
| Ot eval high complex 60 min (97167) |
$225 |
$250 |
2.2× |
| Ot eval low complex 30 min (97165) |
$198 |
$220 |
2.0× |
| Ot eval mod complex 45 min (97166) |
$211.50 |
$235 |
2.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$88.20 |
$98 |
2.2× |
| Ot Range Motion Measure,Each Extrem (95851) |
$43.20 |
$48 |
1.7× |
| Ot re-eval est plan care (97168) |
$134.10 |
$149 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$175.50 |
$195 |
1.5× |
| Paraffin bath (97018) |
$18.90 |
$21 |
3.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$118.80 |
$132 |
0.6× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$801 |
$890 |
14.8× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$562.50 |
$625 |
10.4× |
| Plethysmography (94726) |
$299.25 |
$332.50 |
0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,366 |
$3,740 |
4.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$85.50 |
$95 |
2.3× |
| Pt Electric Current Therapy (97033) |
$45.90 |
$51 |
2.4× |
| Pt Electrical Stimulation (97032) |
$34.20 |
$38 |
2.3× |
| Pt eval high complex 45 min (97163) |
$211.50 |
$235 |
2.2× |
| Pt eval low complex 20 min (97161) |
$183.60 |
$204 |
1.9× |
| Pt Gait Training Therapy (97116) |
$66.60 |
$74 |
2.3× |
| Pt Infrared Therapy (97026) |
$13.50 |
$15 |
2.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$76.50 |
$85 |
2.3× |
| Pt Physical Performance Test (97750) |
$81.90 |
$91 |
2.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$198 |
$220 |
2.0× |
| Pt re-evaluation (97164) |
$124.20 |
$138 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$75.60 |
$84 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$29.70 |
$33 |
2.1× |
| Pt Whirlpool Therapy (97022) |
$41.40 |
$46 |
2.6× |
| Pulmonary stress testing (94618) |
$216 |
$240 |
1.8× |
| Refill/maint, portable pump (96521) |
$237.60 |
$264 |
1.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$119.70 |
$133 |
3.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$390.15 |
$433.50 |
2.1× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$39.60 |
$44 |
1.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$89.10 |
$99 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$74.70 |
$83 |
1.2× |
| Sleep study unattended (95806) |
$495 |
$550 |
2.5× |
| Smoking cessation > 10 min (99407) |
$59.40 |
$66 |
1.7× |
| Speech sound lang comprehen (92523) |
$432.90 |
$481 |
1.9× |
| Spirometry (94010) |
$405 |
$450 |
2.0× |
| Standardized Cognitive Performance Testing (96125) |
$265.50 |
$295 |
2.6× |
| Stress echo (93350) |
$783 |
$870 |
1.6× |
| Temp transcutaneous pacing (92953) |
$1,153.80 |
$1,282 |
1.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$135.45 |
$150.50 |
6.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$135.45 |
$150.50 |
6.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$94.50 |
$105 |
1.4× |
| Therapeutic Activities (97530) |
$88.20 |
$98 |
2.5× |
| Therapeutic phlebotomy (99195) |
$79.20 |
$88 |
0.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,298.25 |
$1,442.50 |
2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$211.50 |
$235 |
2.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$188.10 |
$209 |
2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$58.50 |
$65 |
1.4× |
| Unlisted pulmonary service/procedure (94799) |
$59.40 |
$66 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,365.30 |
$1,517 |
6.2× |
| Vasopneumatic device (97016) |
$35.10 |
$39 |
2.9× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,451.70 |
$1,613 |
2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,451.70 |
$1,613 |
2.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$73.80 |
$82 |
2.4× |