| Airway inhalation treatment (94640) |
$110 |
$220 |
0.5× |
| Allergy injection single (95115) |
$34.75 |
$69.50 |
0.7× |
| Ambulatory bp recording (93786) |
$161.50 |
$323 |
1.2× |
| Appl on-body injector for timed subq injection (96377) |
$70.75 |
$141.50 |
1.4× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$125 |
$250 |
— |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$11.50 |
$23 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$137.50 |
$275 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$164.50 |
$329 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$97.75 |
$195.50 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$41.50 |
$83 |
— |
| Assessment of aphasia (96105) |
$376.25 |
$752.50 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$98.50 |
$197 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$315.25 |
$630.50 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$114.50 |
$229 |
— |
| Bipap initial day (94660) |
$454 |
$908 |
2.0× |
| Breathing capacity test (94010) |
$147.50 |
$295 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$296.75 |
$593.50 |
0.8× |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$48 |
$96 |
1.2× |
| Cardioversion elective external (92960) |
$778.50 |
$1,557 |
1.1× |
| Caregiver training 1st 30 min (97550) |
$64 |
$128 |
— |
| Caregiver training ea addl 15 (97551) |
$34.50 |
$69 |
— |
| Chemo anti-neopl sq/im (96401) |
$188 |
$376 |
2.5× |
| Chemo hormon antineopl sq/im (96402) |
$118.25 |
$236.50 |
1.6× |
| Chemo intralesional up to 7 (96405) |
$109.75 |
$219.50 |
1.4× |
| Chemo IV infus each addl seq (96417) |
$100 |
$200 |
1.3× |
| Chemo IV infusion addl hr (96415) |
$148.75 |
$297.50 |
2.0× |
| Chemo IV push addl drug (96411) |
$199.25 |
$398.50 |
2.6× |
| Chemother prolong infuse w/pump (96416) |
$563.75 |
$1,127.50 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$563.75 |
$1,127.50 |
1.6× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$357 |
$714 |
1.0× |
| Chest physiotherapy initial (94667) |
$83.50 |
$167 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$801 |
$1,602 |
3.2× |
| Concurrent chemotherapy (96549) |
$85.50 |
$171 |
1.7× |
| Cont gluc mntr pt prov eqp (95249) |
$94.25 |
$188.50 |
1.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$165.50 |
$331 |
1.2× |
| Cpr (92950) |
$292 |
$584 |
1.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,906.50 |
$3,813 |
2.2× |
| Debridement open wound 20 sq cm< (97597) |
$272.50 |
$545 |
1.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$771.25 |
$1,542.50 |
3.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$926 |
$1,852 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$534 |
$1,068 |
4.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$889.75 |
$1,779.50 |
3.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$741.50 |
$1,483 |
6.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$759.50 |
$1,519 |
6.9× |
| Echo transesophageal (93312) |
$1,519.50 |
$3,039 |
2.6× |
| EKG 12 lead tracing only (93005) |
$139.50 |
$279 |
2.2× |
| EKG rhythm strip (93041) |
$100 |
$200 |
1.6× |
| Emergency department visit high mdm (99285) |
$1,222.25 |
$2,444.50 |
1.9× |
| Emergency department visit low mdm (99283) |
$523.50 |
$1,047 |
1.8× |
| Emergency department visit may not req phys/qhp (99281) |
$195.75 |
$391.50 |
2.2× |
| Emergency department visit moderate mdm (99284) |
$814.25 |
$1,628.50 |
1.8× |
| Emergency department visit straightforward mdm (99282) |
$279.25 |
$558.50 |
1.7× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$98 |
$196 |
0.7× |
| Endoscopy swallow (fees) vid (92612) |
$237.25 |
$474.50 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$317.25 |
$634.50 |
— |
| Evaluate pt use of inhaler (94664) |
$83 |
$166 |
0.4× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$233.25 |
$466.50 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$337 |
$674 |
— |
| Evaluation of speech fluency (92521) |
$331.50 |
$663 |
— |
| Evaluation of speech sound production articulate (92522) |
$330.50 |
$661 |
— |
| External ECG rec>7d<15d recording (93246) |
$151.50 |
$303 |
3.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$323 |
$646 |
2.3× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$273.50 |
$547 |
— |
| Fluidotherapy (97022) |
$74.50 |
$149 |
— |
| Fundus photography with interpretation and report (92250) |
$133.25 |
$266.50 |
0.9× |
| Group caregiver training strategies & technique (97552) |
$34.50 |
$69 |
— |
| Hot/cold pack (97010) |
$13.50 |
$27 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$18.92 |
$37.84 |
0.2× |
| Imm admn sarscov2 vaccine single dose (90480) |
$24.67 |
$49.34 |
0.6× |
| Immunization administration (90471) |
$36 |
$72 |
0.5× |
| Infrared therapy (97026) |
$38 |
$76 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
$74.50 |
$149 |
0.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$111.25 |
$222.50 |
2.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$118.75 |
$237.50 |
0.5× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$69.75 |
$139.50 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$185 |
$370 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$216.25 |
$432.50 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$142 |
$284 |
1.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$213.50 |
$427 |
1.0× |
| IV tx, each additional hour (96366) |
$115.50 |
$231 |
2.3× |
| Low frequency non-thermal us (97610) |
$115.50 |
$231 |
0.5× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$69.75 |
$139.50 |
0.5× |
| Mechanical traction therapy (97012) |
$41.50 |
$83 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$87 |
$174 |
— |
| Medical nutrition group (97804) |
$22.50 |
$45 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$53.50 |
$107 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$377.50 |
$755 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$260.25 |
$520.50 |
0.6× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$398.75 |
$797.50 |
0.9× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$260.50 |
$521 |
1.2× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$231.75 |
$463.50 |
0.5× |
| Nitric oxide expired gas determination (95012) |
$18.50 |
$37 |
0.5× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$186 |
$372 |
1.4× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) |
$20 |
$40 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
$37.50 |
$75 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$49.75 |
$99.50 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$194.25 |
$388.50 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$194.25 |
$388.50 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$194.25 |
$388.50 |
— |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$208.50 |
$417 |
1.5× |
| Oral function therapy (92526) |
$165.50 |
$331 |
— |
| Oral speech device eval (92597) |
$239 |
$478 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$208.75 |
$417.50 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$157 |
$314 |
— |
| Ot manual therapy ea 15 min (97140) |
$181 |
$362 |
— |
| Ot neuromuscular re-education (97112) |
$224 |
$448 |
— |
| Ot paraffin bath (97018) |
$25 |
$50 |
— |
| Ot re-evaluation (97168) |
$119 |
$238 |
— |
| OT Therapeutic Activities Charges (97530) |
$237 |
$474 |
— |
| Ot wheelchair management (97542) |
$367 |
$734 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$156.75 |
$313.50 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$119 |
$238 |
0.9× |
| Percutaneous tests w/allergenic extracts (95004) |
$7 |
$14 |
0.0× |
| Peripheral vascular rehab (93668) |
$119 |
$238 |
1.9× |
| Phlebotomy therapeutic (99195) |
$139 |
$278 |
1.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$119 |
$238 |
1.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$106.50 |
$213 |
1.7× |
| Physical therapy evaluation high complex 45 mins (97163) |
$181.50 |
$363 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$181.50 |
$363 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$181.50 |
$363 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,777.75 |
$5,555.50 |
3.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$60 |
$120 |
1.2× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$244.50 |
$489 |
— |
| Pt gait training 15 min (97116) |
$132.25 |
$264.50 |
— |
| Pt physical performance test (97750) |
$195.50 |
$391 |
— |
| Pt re-evaluation (97164) |
$103.50 |
$207 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$292.50 |
$585 |
— |
| Pulm funct tst plethysmograp (94726) |
$290 |
$580 |
0.7× |
| Pulmonary stress testing (94618) |
$175.25 |
$350.50 |
1.2× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$59 |
$118 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$43.50 |
$87 |
— |
| Remote 30 day ECG rev/report (93270) |
$209.50 |
$419 |
5.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$233 |
$466 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$227.50 |
$455 |
— |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$375.75 |
$751.50 |
1.6× |
| Speech sound lang comprehen (92523) |
$315.25 |
$630.50 |
— |
| Standardized cognitive performance testing (96125) |
$601 |
$1,202 |
— |
| Surfactant administration (94610) |
$336 |
$672 |
1.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$75 |
$150 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$188.25 |
$376.50 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$56 |
$112 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$210.50 |
$421 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$162.75 |
$325.50 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$140.75 |
$281.50 |
1.9× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$150.50 |
$301 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$166 |
$332 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$45.50 |
$91 |
1.2× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$28.50 |
$57 |
0.7× |
| Tte f-up or lmtd (93308) |
$474.50 |
$949 |
1.9× |
| Tte w/doppler complete (93306) |
$1,246 |
$2,492 |
2.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$170.25 |
$340.50 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$74.75 |
$149.50 |
— |
| Ventilation ip/obs initial day (94002) |
$945.50 |
$1,891 |
1.5× |
| Ventilator subsequent day (94003) |
$756.50 |
$1,513 |
1.2× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$185.25 |
$370.50 |
— |
| Wound(s) care non-selective (97602) |
$113.50 |
$227 |
0.5× |