| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$76.50 |
$90 |
2.5× |
| Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) |
$65.45 |
$77 |
2.1× |
| Advance care planning first 30 mins (99497) |
$162.35 |
$191 |
1.5× |
| Airway inhalation treatment (94640) |
$396.52 |
$466.50 |
1.7× |
| Analyze Neurostim Complex (95972) |
$109.65 |
$129 |
1.1× |
| Anogenital exam, child (99170) |
$359.55 |
$423 |
1.7× |
| Appl on-body injector for timed subq injection (96377) |
$153.85 |
$181 |
3.1× |
| Assessment of aphasia (96105) |
$351.05 |
$413 |
3.6× |
| Behav assmt w/score & docd/stand instrument (96127) |
$12.75 |
$15 |
0.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$359.55 |
$423 |
3.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$593.30 |
$698 |
1.5× |
| Canalith Repositioning (95992) |
$151.30 |
$178 |
3.7× |
| Car seat/bed test 60 min (94780) |
$117.30 |
$138 |
3.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,077.80 |
$1,268 |
4.7× |
| Cardiopulmonary resuscitation (92950) |
$627.72 |
$738.50 |
2.8× |
| Cardioversion (92960) |
$1,117.75 |
$1,315 |
1.6× |
| Care mgmt svc bhvl hlth cond (99484) |
$91.80 |
$108 |
2.3× |
| Cbt 1st hour (94644) |
$379.95 |
$447 |
2.7× |
| Chemo Admin Peritoneal Cavity (96446) |
$291.55 |
$343 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$376.55 |
$443 |
5.0× |
| Chemo inj subarach/intravent (96542) |
$612.85 |
$721 |
1.8× |
| Chemo IV push addl drug (96411) |
$453.05 |
$533 |
6.0× |
| Chemo Iv Push Sngl Drug (96409) |
$623.90 |
$734 |
1.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$1,104.15 |
$1,299 |
3.2× |
| Chemother, IV infusion, 1 hr (96413) |
$1,038.70 |
$1,222 |
3.0× |
| Chemother, IV infusion, ea add hr (96415) |
$361.25 |
$425 |
4.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$380.80 |
$448 |
5.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$385.90 |
$454 |
5.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (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× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$283.05 |
$333 |
1.5× |
| Cpap initiation and management (94660) |
$955.19 |
$1,123.75 |
4.1× |
| Cpt initial (94667) |
$196.35 |
$231 |
1.4× |
| Critical care (99291) |
$782.85 |
$921 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$278.80 |
$328 |
1.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$415.65 |
$489 |
1.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$664.28 |
$781.50 |
2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$376.55 |
$443 |
3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$880.60 |
$1,036 |
3.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$649.40 |
$764 |
5.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$867 |
$1,020 |
3.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$603.50 |
$710 |
5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$935 |
$1,100 |
8.5× |
| Duplex scan extracranial art compl bi study (93880) |
$756.50 |
$890 |
3.0× |
| Echo Heart Xthoracic,Limited (93308) |
$731 |
$860 |
2.9× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,129.65 |
$1,329 |
2.0× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$1,149.20 |
$1,352 |
2.0× |
| 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 (93005) |
$294.95 |
$347 |
4.7× |
| EKG rhythm strip (93041) |
$208.25 |
$245 |
3.3× |
| Er level 1 (99281) |
$133.45 |
$157 |
1.5× |
| Er level ii (99282) |
$186.15 |
$219 |
1.1× |
| Er level iii (99283) |
$401.20 |
$472 |
1.4× |
| Er level IV (99284) |
$559.72 |
$658.50 |
1.3× |
| Er level v (99285) |
$720.38 |
$847.50 |
1.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$211.65 |
$249 |
1.6× |
| Evaluation of speech fluency (92521) |
$385.05 |
$453 |
2.9× |
| Evaluation of speech sound production (92522) |
$396.95 |
$467 |
3.5× |
| Evaluation of swallowing function (92610) |
$380.80 |
$448 |
4.5× |
| Evaluation with prescription of speech-generating alternative (92607) |
$45.05 |
$53 |
0.4× |
| Evoked auditory test,limited (92587) |
$271.15 |
$319 |
1.2× |
| Exam of visual field with extended testing (92083) |
$69.70 |
$82 |
0.5× |
| Exhaled air analysis o2 (94680) |
$138.55 |
$163 |
1.0× |
| 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 Ecg Scanning Analysis Report (93226) |
$425 |
$500 |
6.8× |
| Eye exam, new patient,comprehesv (92004) |
$355.30 |
$418 |
2.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$537.20 |
$632 |
2.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$374 |
$440 |
1.6× |
| Fundus photography w/interpretation & report (92250) |
$53.55 |
$63 |
0.4× |
| Group Therapeutic Procedures (97150) |
$115.60 |
$136 |
6.4× |
| Holter Monitor Recording (93225) |
$535.50 |
$630 |
3.8× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$75.65 |
$89 |
1.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$49.30 |
$58 |
0.6× |
| Immunization Admin (90471) |
$79.90 |
$94 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
$37.40 |
$44 |
0.8× |
| Inital newborn e/m (99460) |
$191.25 |
$225 |
1.4× |
| Initial normal newborn care, same day discharge (99463) |
$230.35 |
$271 |
1.6× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$418.20 |
$492 |
1.9× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$272.85 |
$321 |
3.6× |
| 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, therap/proph/diagnost,add infusion,1st hour (96367) |
$261.80 |
$308 |
3.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$592.45 |
$697 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$189.55 |
$223 |
3.8× |
| IV push initial (96374) |
$357 |
$420 |
1.6× |
| Laryngeal Function Studies (92520) |
$170.85 |
$201 |
1.2× |
| Laryngoscopic Sensory Test (92614) |
$374 |
$440 |
2.5× |
| Liver elastography w/o imag w/i&r (91200) |
$181.05 |
$213 |
1.3× |
| Manual therapy 15 min (97140) |
$106.25 |
$125 |
3.8× |
| Massage 15 min (97124) |
$53.55 |
$63 |
1.8× |
| Mechanical chest wall oscillation (94669) |
$544.85 |
$641 |
2.4× |
| Mechanical traction (97012) |
$83.30 |
$98 |
5.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$83.30 |
$98 |
2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$90.95 |
$107 |
2.5× |
| Methacholine challenge (94070) |
$760.75 |
$895 |
1.9× |
| Motility study esophagus (91010) |
$89.25 |
$105 |
0.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$413.10 |
$486 |
4.5× |
| Multiple sleep latency test (95805) |
$1,876.38 |
$2,207.50 |
2.1× |
| Neg press wnd tx </=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× |
| New patient problem focused exam of visual system (92002) |
$287.30 |
$338 |
2.0× |
| Newborn resuscitation (99465) |
$413.52 |
$486.50 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$285.60 |
$336 |
2.0× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$400.78 |
$471.50 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$368.90 |
$434 |
2.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$60.35 |
$71 |
2.4× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$296.65 |
$349 |
2.1× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$207.40 |
$244 |
1.5× |
| Ophthalmic biometry (92136) |
$79.05 |
$93 |
0.6× |
| 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× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$163.20 |
$192 |
3.5× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$39.95 |
$47 |
1.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$57.80 |
$68 |
2.5× |
| 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× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$181.90 |
$214 |
8.0× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$101.15 |
$119 |
3.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$58.65 |
$69 |
4.2× |
| Ot eval high complex 60 min (97167) |
$293.25 |
$345 |
2.9× |
| Ot eval low complex 30 min (97165) |
$252.45 |
$297 |
2.5× |
| Ot eval mod complex 45 min (97166) |
$266.05 |
$313 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$135.15 |
$159 |
2.7× |
| Ot re-eval est plan care (97168) |
$187 |
$220 |
2.7× |
| 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× |
| Paraffin bath (97018) |
$112.20 |
$132 |
18.7× |
| Patch/Application Test Specify Number Tests (95044) |
$22.95 |
$27 |
0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$501.50 |
$590 |
2.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$287.30 |
$338 |
4.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,384.25 |
$2,805 |
2.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,453.95 |
$2,887 |
2.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,453.95 |
$2,887 |
2.7× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$437.75 |
$515 |
0.5× |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
$98.60 |
$116 |
0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$32.30 |
$38 |
0.7× |
| 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 Aquatic Therapy/Exercises (97113) |
$130.05 |
$153 |
3.5× |
| Pt Electric Current Therapy (97033) |
$109.65 |
$129 |
5.8× |
| Pt Electrical Stimulation (97032) |
$108.80 |
$128 |
7.4× |
| Pt eval high complex 45 min (97163) |
$287.30 |
$338 |
2.9× |
| Pt eval low complex 20 min (97161) |
$252.45 |
$297 |
2.6× |
| Pt Gait Training Therapy (97116) |
$104.55 |
$123 |
3.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$116.45 |
$137 |
3.6× |
| Pt Physical Performance Test (97750) |
$141.95 |
$167 |
4.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$257.55 |
$303 |
2.6× |
| Pt re-evaluation (97164) |
$206.55 |
$243 |
3.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$130.05 |
$153 |
4.0× |
| Pt Ultrasound Therapy (97035) |
$73.10 |
$86 |
5.1× |
| Pt-focused hlth risk assmt (96160) |
$9.35 |
$11 |
0.2× |
| Pulm function test by gas (94727) |
$415.65 |
$489 |
1.8× |
| Pulmonary stress testing (94618) |
$346.80 |
$408 |
2.5× |
| Refill/Maint Pump/Resvr Syst (96522) |
$634.10 |
$746 |
2.8× |
| Refill/maint, portable pump (96521) |
$540.60 |
$636 |
2.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$523.60 |
$616 |
13.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$159.80 |
$188 |
0.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$150.45 |
$177 |
1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$77.35 |
$91 |
1.6× |
| Sensory Integration Ea 15 Min (97533) |
$82.45 |
$97 |
1.4× |
| Sleep study attended (95807) |
$163.20 |
$192 |
0.4× |
| Sleep study unattended (95806) |
$115.60 |
$136 |
0.5× |
| Smoking cessation > 10 min (99407) |
$89.25 |
$105 |
2.3× |
| Speech group therapy (92508) |
$60.35 |
$71 |
2.5× |
| Speech sound lang comprehen (92523) |
$496.40 |
$584 |
2.2× |
| Spirometry (94010) |
$349.35 |
$411 |
1.5× |
| Standardized Cognitive Performance Testing (96125) |
$387.60 |
$456 |
3.8× |
| Stress echo (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× |
| Temp transcutaneous pacing (92953) |
$1,066.75 |
$1,255 |
1.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$147.90 |
$174 |
6.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$130.90 |
$154 |
6.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$308.55 |
$363 |
3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$132.60 |
$156 |
1.7× |
| Therapeutic Activities (97530) |
$117.30 |
$138 |
3.3× |
| Therapeutic phlebotomy (99195) |
$284.75 |
$335 |
2.0× |
| 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× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,533.42 |
$2,980.50 |
4.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$312.80 |
$368 |
4.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$295.80 |
$348 |
3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$201.45 |
$237 |
4.1× |
| Unlisted pulmonary service/procedure (94799) |
$487.48 |
$573.50 |
3.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$217.60 |
$256 |
0.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$501.08 |
$589.50 |
4.5× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$486.20 |
$572 |
2.1× |
| Vasopneumatic device (97016) |
$96.90 |
$114 |
8.1× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$4,174.35 |
$4,911 |
4.6× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,829.20 |
$2,152 |
2.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,829.20 |
$2,152 |
2.8× |
| Vital capacity total (94150) |
$243.10 |
$286 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$126.65 |
$149 |
4.1× |