| Acupunct w/o stimul 15 min (97810) |
$76.50 |
$90 |
2.5× |
| Acupunct w/stimul 15 min (97813) |
$65.45 |
$77 |
2.1× |
| Advance care planning first 30 mins (99497) |
$162.35 |
$191 |
1.5× |
| Aerosol inhalation pentamidine (94642) |
$501.50 |
$590 |
2.2× |
| Airway inhalation treatment (94640) |
$396.52 |
$466.50 |
1.7× |
| Allergy injection single (95115) |
$32.30 |
$38 |
0.7× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$359.55 |
$423 |
1.7× |
| Appl on-body injector for timed subq injection (96377) |
$153.85 |
$181 |
3.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$58.65 |
$69 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$108.80 |
$128 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$109.65 |
$129 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$73.10 |
$86 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$96.90 |
$114 |
— |
| Assessment of aphasia (96105) |
$351.05 |
$413 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$12.75 |
$15 |
0.3× |
| Behavioral & qualit analysis voice and resonance (92524) |
$359.55 |
$423 |
— |
| Bipap initial day (94660) |
$955.19 |
$1,123.75 |
4.1× |
| Breathing capacity test (94010) |
$349.35 |
$411 |
1.5× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$593.30 |
$698 |
1.5× |
| Canalith repositioning (95992) |
$151.30 |
$178 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$117.30 |
$138 |
3.0× |
| Cardiovascular stress test (93017) |
$1,077.80 |
$1,268 |
4.7× |
| Cardioversion elective external (92960) |
$1,117.75 |
$1,315 |
1.6× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$91.80 |
$108 |
2.3× |
| Chemo anti-neopl sq/im (96401) |
$380.80 |
$448 |
5.0× |
| Chemo hormon antineopl sq/im (96402) |
$376.55 |
$443 |
5.0× |
| Chemo intralesional over 7 (96406) |
$418.20 |
$492 |
1.9× |
| Chemo intralesional up to 7 (96405) |
$272.85 |
$321 |
3.6× |
| Chemo IV infus each addl seq (96417) |
$385.90 |
$454 |
5.1× |
| Chemo IV infusion addl hr (96415) |
$361.25 |
$425 |
4.8× |
| Chemo IV push addl drug (96411) |
$453.05 |
$533 |
6.0× |
| Chemother prolong infuse w/pump (96416) |
$1,104.15 |
$1,299 |
3.2× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$291.55 |
$343 |
0.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,038.70 |
$1,222 |
3.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$623.90 |
$734 |
1.8× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$612.85 |
$721 |
1.8× |
| Chest physiotherapy initial (94667) |
$196.35 |
$231 |
1.4× |
| Chron care mgmt srvc 20 min (99490) |
$132.60 |
$156 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$665.12 |
$782.50 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$55.25 |
$65 |
0.5× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$101.15 |
$119 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$283.05 |
$333 |
1.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$379.95 |
$447 |
2.7× |
| Cpr (92950) |
$627.72 |
$738.50 |
2.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$782.85 |
$921 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$278.80 |
$328 |
1.3× |
| Delivery/birthing room resuscitation (99465) |
$413.52 |
$486.50 |
0.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$664.28 |
$781.50 |
2.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$376.55 |
$443 |
3.4× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$756.50 |
$890 |
3.0× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$501.08 |
$589.50 |
4.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$217.60 |
$256 |
0.9× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$935 |
$1,100 |
8.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$880.60 |
$1,036 |
3.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$649.40 |
$764 |
5.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$867 |
$1,020 |
3.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$603.50 |
$710 |
5.5× |
| ECG monit/reprt up to 48 hrs (93226) |
$425 |
$500 |
6.8× |
| EEG awake & asleep (95819) |
$1,503.65 |
$1,769 |
6.6× |
| EEG awake/drowsy (95816) |
$607.32 |
$714.50 |
2.7× |
| EEG coma or sleep only (95822) |
$1,022.55 |
$1,203 |
4.5× |
| EKG 12 lead tracing only (93005) |
$294.95 |
$347 |
4.7× |
| EKG rhythm strip (93041) |
$208.25 |
$245 |
3.3× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$109.65 |
$129 |
1.1× |
| Emergency department visit high mdm (99285) |
$720.38 |
$847.50 |
1.1× |
| Emergency department visit low mdm (99283) |
$401.20 |
$472 |
1.4× |
| Emergency department visit may not req phys/qhp (99281) |
$133.45 |
$157 |
1.5× |
| Emergency department visit moderate mdm (99284) |
$559.72 |
$658.50 |
1.3× |
| Emergency department visit straightforward mdm (99282) |
$186.15 |
$219 |
1.1× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$487.48 |
$573.50 |
3.6× |
| Endoscopy swallow (fees) vid (92612) |
$537.20 |
$632 |
— |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$89.25 |
$105 |
0.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$211.65 |
$249 |
1.6× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$380.80 |
$448 |
— |
| Evaluate pt use of inhaler (94664) |
$415.65 |
$489 |
1.8× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$77.35 |
$91 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$45.05 |
$53 |
— |
| Evaluation of speech fluency (92521) |
$385.05 |
$453 |
— |
| Evaluation of speech sound production articulate (92522) |
$396.95 |
$467 |
— |
| Evoked auditory test limited (92587) |
$271.15 |
$319 |
1.2× |
| External ECG rec>48hr<7d recording (93242) |
$226.95 |
$267 |
5.8× |
| External ECG rec>7d<15d recording (93246) |
$155.12 |
$182.50 |
3.9× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$535.50 |
$630 |
3.8× |
| Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Other Outpatient (92614) |
$374 |
$440 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$374 |
$440 |
— |
| Fundus photography with interpretation and report (92250) |
$53.55 |
$63 |
0.4× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$415.65 |
$489 |
1.8× |
| Hot/cold pack (97010) |
$121.55 |
$143 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$49.30 |
$58 |
0.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$75.65 |
$89 |
1.8× |
| Immunization administration (90471) |
$79.90 |
$94 |
1.1× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$191.25 |
$225 |
1.4× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$230.35 |
$271 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$201.45 |
$237 |
4.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$357 |
$420 |
1.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$416.50 |
$490 |
6.7× |
| IV infusion hydration each additional hour (96361) |
$169.15 |
$199 |
3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$519.35 |
$611 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$261.80 |
$308 |
3.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$592.45 |
$697 |
2.6× |
| IV tx, each additional hour (96366) |
$189.55 |
$223 |
3.8× |
| Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) |
$170.85 |
$201 |
1.2× |
| Liver elastography (91200) |
$181.05 |
$213 |
1.3× |
| Lwr xtr vasc stdy bilat (93924) |
$486.20 |
$572 |
2.1× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$150.45 |
$177 |
1.1× |
| Mechanical chest wall oscillation lung function (94669) |
$544.85 |
$641 |
2.4× |
| Mechanical traction therapy (97012) |
$83.30 |
$98 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$90.95 |
$107 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$83.30 |
$98 |
— |
| Methacholine challenge (94070) |
$760.75 |
$895 |
1.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$413.10 |
$486 |
— |
| Multiple sleep latency (95805) |
$1,876.38 |
$2,207.50 |
2.1× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$729.30 |
$858 |
1.7× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$83.30 |
$98 |
0.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$123.25 |
$145 |
0.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$400.78 |
$471.50 |
1.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$368.90 |
$434 |
2.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$293.25 |
$345 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$252.45 |
$297 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$266.05 |
$313 |
— |
| Ophthalmic biometry (92136) |
$79.05 |
$93 |
0.6× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$355.30 |
$418 |
2.5× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$287.30 |
$338 |
2.0× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$296.65 |
$349 |
2.1× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$207.40 |
$244 |
1.5× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$39.10 |
$46 |
0.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$59.50 |
$70 |
1.0× |
| Oral function therapy (92526) |
$295.80 |
$348 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$135.15 |
$159 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$163.20 |
$192 |
— |
| Osteopath manj 1-2 regions (98925) |
$39.95 |
$47 |
1.8× |
| Osteopath manj 3-4 regions (98926) |
$57.80 |
$68 |
2.5× |
| Osteopath manj 9-10 regions (98929) |
$181.90 |
$214 |
8.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$79.05 |
$93 |
3.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$152.15 |
$179 |
6.7× |
| Ot manual therapy ea 15 min (97140) |
$106.25 |
$125 |
— |
| Ot neuromuscular re-education (97112) |
$116.45 |
$137 |
— |
| Ot paraffin bath (97018) |
$112.20 |
$132 |
— |
| Ot re-evaluation (97168) |
$187 |
$220 |
— |
| OT Therapeutic Activities Charges (97530) |
$117.30 |
$138 |
— |
| Ot wheelchair management (97542) |
$126.65 |
$149 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$290.70 |
$342 |
2.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$245.65 |
$289 |
1.8× |
| Patch or application test(s) (specify number of tests) (95044) |
$22.95 |
$27 |
0.0× |
| Phlebotomy therapeutic (99195) |
$284.75 |
$335 |
2.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$287.30 |
$338 |
4.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$287.30 |
$338 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$252.45 |
$297 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$257.55 |
$303 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,384.25 |
$2,805 |
2.6× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,453.95 |
$2,887 |
2.7× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$437.75 |
$515 |
0.5× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,453.95 |
$2,887 |
2.7× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$98.60 |
$116 |
0.9× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$37.40 |
$44 |
0.8× |
| Psych diag eval w/med srvcs (90792) |
$205.70 |
$242 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$137.70 |
$162 |
0.7× |
| Psytx crisis initial 60 min (90839) |
$164.90 |
$194 |
0.9× |
| Pt gait training 15 min (97116) |
$104.55 |
$123 |
— |
| Pt physical performance test (97750) |
$141.95 |
$167 |
— |
| Pt re-evaluation (97164) |
$206.55 |
$243 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$174.25 |
$205 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$9.35 |
$11 |
0.2× |
| Pulmonary stress testing (94618) |
$346.80 |
$408 |
2.5× |
| Refill/maint pump/resvr syst (96522) |
$634.10 |
$746 |
2.8× |
| Refilling and maintenance of portable pump (96521) |
$540.60 |
$636 |
2.4× |
| Remote 30 day ECG rev/report (93270) |
$523.60 |
$616 |
13.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$130.05 |
$153 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$82.45 |
$97 |
— |
| Sleep study attended (95807) |
$163.20 |
$192 |
0.4× |
| Sleep study unattended (95806) |
$115.60 |
$136 |
0.5× |
| Speech sound lang comprehen (92523) |
$496.40 |
$584 |
— |
| Standardized cognitive performance testing (96125) |
$387.60 |
$456 |
— |
| Stress tte only (93350) |
$1,320.48 |
$1,553.50 |
2.3× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$120.70 |
$142 |
2.4× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$532.95 |
$627 |
2.4× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$60.35 |
$71 |
— |
| Temp transcutaneous pacing (92953) |
$1,066.75 |
$1,255 |
1.5× |
| Test to measure exhaled air for evaluation of lung function during rest and exercise (94680) |
$138.55 |
$163 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$147.90 |
$174 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$130.90 |
$154 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$115.60 |
$136 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$130.05 |
$153 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$53.55 |
$63 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$132.60 |
$156 |
1.7× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$308.55 |
$363 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$89.25 |
$105 |
2.3× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$47.18 |
$55.50 |
1.2× |
| Trans care mgmt 14 day disch (99495) |
$244.80 |
$288 |
1.7× |
| Trans care mgmt 7 day disch (99496) |
$244.80 |
$288 |
1.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$1,149.20 |
$1,352 |
2.0× |
| Tte congenital complete (93303) |
$1,129.65 |
$1,329 |
2.0× |
| Tte f-up or lmtd (93308) |
$731 |
$860 |
2.9× |
| Tte w/doppler complete (93306) |
$2,533.42 |
$2,980.50 |
4.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$312.80 |
$368 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$60.35 |
$71 |
— |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$80.75 |
$95 |
— |
| Upr/l xtremity art 2 levels (93922) |
$285.60 |
$336 |
2.0× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$4,174.35 |
$4,911 |
4.6× |
| Ventilation ip/obs initial day (94002) |
$1,829.20 |
$2,152 |
2.8× |
| Ventilator subsequent day (94003) |
$1,829.20 |
$2,152 |
2.8× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$69.70 |
$82 |
0.5× |
| Vital capacity total (94150) |
$243.10 |
$286 |
1.8× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$140.25 |
$165 |
— |
| Wound(s) care non-selective (97602) |
$159.80 |
$188 |
0.8× |