| Airway Inhalation Treatment (94640) |
$200 |
$250 |
0.9× |
| Analyze neurostim complex (95972) |
$184.80 |
$231 |
2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$80.80 |
$101 |
5.6× |
| Application Modality 1/> Areas Infrared (97026) |
$36.80 |
$46 |
5.5× |
| Assessment of aphasia per hr (96105) |
$204 |
$255 |
2.1× |
| Behavral qualit analys voice (92524) |
$155.20 |
$194 |
1.4× |
| Biofeedback training any modality (90901) |
$96 |
$120 |
2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$157.60 |
$197 |
0.4× |
| Car seat/bed test 60 min (94780) |
$188 |
$235 |
5.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$979.20 |
$1,224 |
4.6× |
| Cardiopulmonary resuscitation (92950) |
$235.20 |
$294 |
1.1× |
| Cardioversion (92960) |
$1,224 |
$1,530 |
1.9× |
| Cbt 1st hour (94644) |
$213.60 |
$267 |
1.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$80.80 |
$101 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$80.80 |
$101 |
1.1× |
| Chemo IV infusion addl hr (96415) |
$151.20 |
$189 |
2.1× |
| Chemo IV push addl drug (96411) |
$142.40 |
$178 |
2.0× |
| Chemother Prolong Infuse W/Pump (96416) |
$306.40 |
$383 |
0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$142.40 |
$178 |
2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$306.40 |
$383 |
0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$210.40 |
$263 |
0.6× |
| Chest Wall Manipulation (94668) |
$29.60 |
$37 |
0.2× |
| Color/duplex Doppler, complete (93975) |
$848.80 |
$1,061 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$552.80 |
$691 |
5.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$37.60 |
$47 |
1.2× |
| Continuous Pulse Ox (94762) |
$120 |
$150 |
0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$326.40 |
$408 |
1.5× |
| Cpt initial (94667) |
$32.80 |
$41 |
0.2× |
| Critical care first hour (99291) |
$3,120 |
$3,900 |
3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$112.80 |
$141 |
0.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$169.60 |
$212 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$808.80 |
$1,011 |
3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$552.80 |
$691 |
5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$999.20 |
$1,249 |
4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$755.20 |
$944 |
7.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,601.60 |
$2,002 |
6.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,120 |
$1,400 |
10.8× |
| Duplex Scan Hemodialysis Access (93990) |
$322.40 |
$403 |
3.1× |
| Duplex up extrem art bilat (93930) |
$848.80 |
$1,061 |
3.6× |
| Duplex up extrem art unilat/ltd (93931) |
$604.80 |
$756 |
5.8× |
| Echo Congenital Complete (93303) |
$416 |
$520 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$944.80 |
$1,181 |
4.0× |
| Echo transesophageal (93312) |
$2,014.40 |
$2,518 |
3.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$77.60 |
$97 |
5.3× |
| Electrocardiogram Tracing (93005) |
$240 |
$300 |
4.1× |
| Emergency Dept Visit Level 2 (99282) |
$960 |
$1,200 |
6.3× |
| Emergency Dept Visit Level 3 (99283) |
$1,160 |
$1,450 |
4.3× |
| Emergency Dept Visit Level 4 (99284) |
$1,600 |
$2,000 |
3.9× |
| Er level 1 (99281) |
$520 |
$650 |
6.2× |
| Er level v (99285) |
$2,400 |
$3,000 |
4.0× |
| Evaluate pt use of inhaler (94664) |
$32 |
$40 |
0.1× |
| Evaluate Speech Production (92522) |
$155.20 |
$194 |
1.4× |
| Evaluate Swallowing Function (92610) |
$320 |
$400 |
3.8× |
| Evaluation of speech fluency (92521) |
$148.80 |
$186 |
1.1× |
| Extracranial Bilat Study (93880) |
$999.20 |
$1,249 |
4.2× |
| Extracranial Uni/Ltd Study (93882) |
$552.80 |
$691 |
5.3× |
| Eye exam w anesth; limited (92019) |
$5,106.49 |
$6,383.11 |
2.2× |
| Group Therapeutic Procedures (97150) |
$35.20 |
$44 |
2.0× |
| Holter monitor recording (93225) |
$158.40 |
$198 |
1.2× |
| Immunization administration (90471) |
$120 |
$150 |
1.7× |
| Iontophoresis 15 min (97033) |
$44.80 |
$56 |
2.4× |
| Irrig Drug Delivery Device (96523) |
$84.80 |
$106 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$196 |
$245 |
4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$571.20 |
$714 |
2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$196 |
$245 |
2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$172 |
$215 |
3.7× |
| IV push initial (96374) |
$340 |
$425 |
1.6× |
| Lung Function Test (Mbc/Mvv) (94200) |
$31.20 |
$39 |
0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$560 |
$700 |
2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$44 |
$55 |
1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44 |
$55 |
1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$18.40 |
$23 |
1.1× |
| Motion Fluoroscopy/Swallow (92611) |
$232.80 |
$291 |
2.5× |
| Multiple Sleep Latency Test (95805) |
$1,820 |
$2,275 |
2.1× |
| Muscle Test 2 Limbs (95861) |
$384.80 |
$481 |
2.9× |
| Nasopharyngoscopy (92511) |
$89.60 |
$112 |
0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$3,998.10 |
$4,997.62 |
20.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$11,213.28 |
$14,016.60 |
27.7× |
| Neuromuscular Reeducation (97112) |
$120 |
$150 |
3.7× |
| Newborn resuscitation (99465) |
$504.80 |
$631 |
0.8× |
| Oral Function Therapy (92526) |
$224 |
$280 |
2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$35.20 |
$44 |
0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$38.40 |
$48 |
0.8× |
| Ot eval high complexity (97167) |
$360 |
$450 |
3.6× |
| Ot Eval Low Complex (97165) |
$313.60 |
$392 |
3.1× |
| Ot Eval Moderate Complexity (97166) |
$357.60 |
$447 |
3.6× |
| Ot manual therapy 15 min (97140) |
$120 |
$150 |
4.3× |
| Ot paraffin bath (97018) |
$54.40 |
$68 |
9.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$44.80 |
$56 |
1.1× |
| Ot Re-Eval Est Plan Care (97168) |
$111.20 |
$139 |
1.6× |
| Ot rom hand (95852) |
$35.20 |
$44 |
1.6× |
| Phlebotomy therapeutic (99195) |
$65.60 |
$82 |
0.5× |
| Physical Performance Test (97750) |
$44.80 |
$56 |
1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,988.80 |
$2,486 |
2.3× |
| Psychiatric diagnostic evaluation (90791) |
$176 |
$220 |
1.0× |
| Psytx Crisis Initial 60 Min (90839) |
$184 |
$230 |
1.0× |
| Pt Eval High Complex (97163) |
$402.40 |
$503 |
4.1× |
| Pt eval low complex 20 min (97161) |
$313.60 |
$392 |
3.2× |
| Pt Eval Mod Complex (97162) |
$357.60 |
$447 |
3.7× |
| Pt gait training 15 min (97116) |
$180 |
$225 |
6.2× |
| Pt mechanical traction (97012) |
$77.60 |
$97 |
5.4× |
| Pt Re-Eval Est Plan Care (97164) |
$280 |
$350 |
4.1× |
| Pulmonary service/procedure (94799) |
$285.60 |
$357 |
2.2× |
| Refill/Maint Portable Pump (96521) |
$306.40 |
$383 |
1.4× |
| Refill/Maint Pump/Resvr Syst (96522) |
$210.40 |
$263 |
1.0× |
| Respiratory flow volume loop (94375) |
$48.80 |
$61 |
0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$112 |
$140 |
0.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$37.60 |
$47 |
1.4× |
| Self Care Mngment Training (97535) |
$40.80 |
$51 |
1.3× |
| Sensory Integration Ea 15 Min (97533) |
$77.60 |
$97 |
1.3× |
| Speech sound lang comprehen (92523) |
$163.20 |
$204 |
0.7× |
| Spirometry (94010) |
$72.80 |
$91 |
0.3× |
| Stress Tte Only (93350) |
$1,122.40 |
$1,403 |
2.1× |
| Temp transcutaneous pacing (92953) |
$358.40 |
$448 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$73.60 |
$92 |
3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$48 |
$60 |
1.6× |
| Ther/Proph/Diag Inj Ia (96373) |
$131.20 |
$164 |
0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$280 |
$350 |
3.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$720 |
$900 |
3.4× |
| Therapeutic Activities (97530) |
$180 |
$225 |
5.1× |
| Tte w/doppler, complete (93306) |
$2,160 |
$2,700 |
4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$300 |
$375 |
3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$340 |
$425 |
7.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$685.60 |
$857 |
5.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$760 |
$950 |
3.5× |
| Vent Mgmt Inpat Init Day (94002) |
$1,373.60 |
$1,717 |
2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,373.60 |
$1,717 |
2.2× |
| Vital capacity, total (94150) |
$30.40 |
$38 |
0.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$35.20 |
$44 |
1.1× |
| Whirlpool Therapy (97022) |
$58.40 |
$73 |
3.7× |