| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$71.38 |
$71.38 |
2.5× |
| Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) |
$81.11 |
$81.11 |
2.8× |
| Advance care planning first 30 mins (99497) |
$162.74 |
$162.74 |
1.6× |
| Airway inhalation treatment (94640) |
$574 |
$574 |
2.7× |
| Ambulatory Bp Analysis (93788) |
$344 |
$344 |
2.6× |
| Ambulatory Bp Recording (93786) |
$344 |
$344 |
2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$28 |
$28 |
1.9× |
| Application on-body injector (96377) |
$123 |
$123 |
2.7× |
| Assessment of aphasia per hr (96105) |
$283 |
$283 |
2.9× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$483.32 |
$483.32 |
4.8× |
| Bedside Swallowing Eval (92610) |
$184 |
$184 |
2.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$299 |
$299 |
2.7× |
| Brief Emotional/Behavioral Assessment (96127) |
$9 |
$9 |
0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$442.50 |
$442.50 |
1.2× |
| Canalith Repositioning Procedure (95992) |
$88 |
$88 |
2.2× |
| Car seat/bed test 60 min (94780) |
$104 |
$104 |
2.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$807 |
$807 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$807 |
$807 |
3.8× |
| Cardioversion (92960) |
$1,713 |
$1,713 |
2.6× |
| Cbt 1st hour (94644) |
$344 |
$344 |
2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$71 |
$71 |
1.0× |
| Chemo IV push addl drug (96411) |
$190 |
$190 |
2.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$973 |
$973 |
3.0× |
| Chemother, IV infusion, 1 hr (96413) |
$973 |
$973 |
3.0× |
| Chemother, IV infusion, ea add hr (96415) |
$190 |
$190 |
2.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$166.50 |
$166.50 |
2.3× |
| Chemotherapy, unspecified procedure (96549) |
$123 |
$123 |
2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$190 |
$190 |
2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$624 |
$624 |
1.9× |
| Chronic care management services 1st 20 min (99490) |
$117 |
$117 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$702 |
$702 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$699 |
$699 |
6.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$233.78 |
$233.78 |
1.3× |
| Cpap/bipap (94660) |
$574 |
$574 |
2.7× |
| Cpt initial (94667) |
$344 |
$344 |
2.6× |
| Critical care (99291) |
$499.73 |
$499.73 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$130.18 |
$130.18 |
0.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$257.70 |
$257.70 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$449 |
$449 |
4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$702 |
$702 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$449 |
$449 |
4.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$449 |
$449 |
4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$702 |
$702 |
3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$449 |
$449 |
4.3× |
| Duplex scan extracranial art compl bi study (93880) |
$702 |
$702 |
3.0× |
| Echo Heart Xthoracic,Limited (93308) |
$779 |
$779 |
3.3× |
| EEG awake and asleep (95819) |
$807 |
$807 |
3.8× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$807 |
$807 |
3.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,489 |
$1,489 |
4.0× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$807 |
$807 |
3.8× |
| EKG rhythm strip (93041) |
$170.83 |
$170.83 |
2.9× |
| Electrocardiogram Tracing (93005) |
$12 |
$12 |
0.2× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$755 |
$755 |
3.5× |
| Er level 1 (99281) |
$51.41 |
$51.41 |
0.6× |
| Er level ii (99282) |
$111.10 |
$111.10 |
0.7× |
| Er level iii (99283) |
$196.43 |
$196.43 |
0.7× |
| Er level IV (99284) |
$311.94 |
$311.94 |
0.8× |
| Er level v (99285) |
$475.44 |
$475.44 |
0.8× |
| Eval speech sound production (92522) |
$247 |
$247 |
2.2× |
| Evaluate Pt Use Of Inhaler (94664) |
$304.50 |
$304.50 |
1.4× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$291 |
$291 |
2.4× |
| Evaluation of speech fluency (92521) |
$262 |
$262 |
2.0× |
| Exhaled Air Analysis (94690) |
$170 |
$170 |
2.9× |
| External ECG rec>48hr<7d recording (93242) |
$170 |
$170 |
4.6× |
| External ECG rec>7d<15d recording (93246) |
$170 |
$170 |
4.6× |
| External Ecg Scanning Analysis Report (93226) |
$344 |
$344 |
5.9× |
| Gastrointestinal Tract Imaging Esophagus W/I&R (91111) |
$2,107 |
$2,107 |
2.4× |
| Gi tract capsule endoscopy (91110) |
$2,467 |
$2,467 |
2.8× |
| Health Behavior Assessment/Re-Assessment (96156) |
$187.82 |
$187.82 |
1.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$127.14 |
$127.14 |
0.7× |
| Holter Monitor (93225) |
$344 |
$344 |
2.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$46 |
$46 |
1.1× |
| Immune Admin Oral/Nasal (90473) |
$34 |
$34 |
0.5× |
| Immunization Admin (90471) |
$190 |
$190 |
2.7× |
| Inital newborn e/m (99460) |
$191 |
$191 |
1.5× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$222 |
$222 |
1.7× |
| Irrig drug delivery device (96523) |
$50 |
$50 |
0.9× |
| IV infusion hydration each additional hour (96361) |
$25 |
$25 |
0.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$65 |
$65 |
0.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$190 |
$190 |
2.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$125 |
$125 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$41 |
$41 |
0.9× |
| IV push ea addl new drug (96375) |
$105.26 |
$105.26 |
2.3× |
| IV push initial (96374) |
$351 |
$351 |
1.7× |
| Manual therapy 15 min (97140) |
$61 |
$61 |
2.2× |
| Massage 15 min (97124) |
$59 |
$59 |
2.0× |
| Maximum voluntary ventilation (94200) |
$170 |
$170 |
2.9× |
| Mechanical traction (97012) |
$32 |
$32 |
2.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$63 |
$63 |
2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$72 |
$72 |
2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$34 |
$34 |
2.0× |
| Methacholine challenge (94070) |
$128 |
$128 |
0.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$329 |
$329 |
3.6× |
| Multiple Sleep Latency Test (95805) |
$863 |
$863 |
1.0× |
| Nasopharyngoscopy (92511) |
$158.96 |
$158.96 |
0.8× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$344 |
$344 |
2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$49,814 |
$49,814 |
124.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$52.89 |
$52.89 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$56.70 |
$56.70 |
0.1× |
| Neurobehavioral Status Exam (96116) |
$167.99 |
$167.99 |
0.8× |
| Newborn resuscitation (99465) |
$293 |
$293 |
0.4× |
| Nitric oxide expired gas determination (95012) |
$37 |
$37 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$344 |
$344 |
2.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$238 |
$238 |
1.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$223.19 |
$223.19 |
0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$96 |
$96 |
2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$56.91 |
$56.91 |
2.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$83 |
$83 |
3.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$109.57 |
$109.57 |
5.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$135.64 |
$135.64 |
6.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$160.66 |
$160.66 |
7.5× |
| Ot eval high complex 60 min (97167) |
$199 |
$199 |
2.0× |
| Ot eval low complex 30 min (97165) |
$199 |
$199 |
2.0× |
| Ot eval mod complex 45 min (97166) |
$199 |
$199 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$108 |
$108 |
2.2× |
| Ot re-evaluation (97168) |
$137 |
$137 |
2.0× |
| Ot therapeutic activity 15 min (97530) |
$74 |
$74 |
2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$354 |
$354 |
2.8× |
| Paraffin bath pt (97018) |
$16 |
$16 |
2.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$574 |
$574 |
2.7× |
| Peripheral arterial disease rehab per session (93668) |
$170 |
$170 |
2.9× |
| Phlebotomy therapeutic (99195) |
$266.50 |
$266.50 |
2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$170 |
$170 |
2.9× |
| Plethysmography (94726) |
$112 |
$112 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,308 |
$1,308 |
1.5× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$115.80 |
$115.80 |
1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$20 |
$20 |
0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$24 |
$24 |
0.5× |
| Psych diag eval w/med srvcs (90792) |
$361.55 |
$361.55 |
2.1× |
| Psychiatric diagnostic evaluation (90791) |
$342.68 |
$342.68 |
2.0× |
| Psycl tst eval phys/qhp 1st (96130) |
$229.48 |
$229.48 |
1.1× |
| Psycl/nrpsyc tst phy/qhp 1st (96136) |
$48.74 |
$48.74 |
0.4× |
| Psytx crisis initial 60 min (90839) |
$277.77 |
$277.77 |
1.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$73 |
$73 |
2.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$75 |
$75 |
2.0× |
| Pt Electrical Stimulation (97032) |
$36 |
$36 |
2.4× |
| Pt eval high complex 45 min (97163) |
$198 |
$198 |
2.0× |
| Pt eval low complex 20 min (97161) |
$198 |
$198 |
2.0× |
| Pt eval mod complex 30 min (97162) |
$198 |
$198 |
2.0× |
| Pt gait training 15 min (97116) |
$58 |
$58 |
2.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$68 |
$68 |
2.1× |
| Pt Physical Performance Test (97750) |
$66 |
$66 |
2.0× |
| Pt re-evaluation (97164) |
$136 |
$136 |
2.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$66 |
$66 |
2.0× |
| Pt Whirlpool Therapy (97022) |
$36 |
$36 |
2.3× |
| Pt-focused hlth risk assmt (96160) |
$6 |
$6 |
0.2× |
| Pulmonary stress test simple (94618) |
$70 |
$70 |
0.5× |
| Pure Tone Audiometry Air Only (92552) |
$75 |
$75 |
0.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$114 |
$114 |
3.1× |
| Respiratory flow volume loop (94375) |
$48.39 |
$48.39 |
0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$548 |
$548 |
2.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$344 |
$344 |
2.6× |
| Sleep study unattended (95806) |
$192 |
$192 |
0.9× |
| Smoking cessation > 10 min (99407) |
$53.40 |
$53.40 |
1.4× |
| Speech sound lang comprehen (92523) |
$446 |
$446 |
2.0× |
| Spirometry (94010) |
$426 |
$426 |
2.0× |
| Standardized Cognitive Performance Testing (96125) |
$206 |
$206 |
2.0× |
| Stress echo (93350) |
$1,474 |
$1,474 |
2.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$54 |
$54 |
2.4× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$44 |
$44 |
2.1× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$32 |
$32 |
0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24.10 |
$24.10 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$359.92 |
$359.92 |
2.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$488.12 |
$488.12 |
3.7× |
| Tte w/doppler, complete (93306) |
$2,083.35 |
$2,083.35 |
3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$153 |
$153 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$283 |
$283 |
3.4× |
| Tympanometry (92567) |
$22.63 |
$22.63 |
0.6× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$426 |
$426 |
2.0× |
| Vent mgmt inpat init day (94002) |
$1,486 |
$1,486 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,486 |
$1,486 |
2.4× |
| Vital capacity, total (94150) |
$426 |
$426 |
3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65 |
$65 |
2.1× |