| Acupunct w/stimul 15 min (97813) |
$69.50 |
$139 |
2.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$83.50 |
$167 |
2.8× |
| Aerosol inhalation pentamidine (94642) |
$303.50 |
$607 |
1.3× |
| Airway inhalation treatment (94640) |
$93 |
$186 |
0.4× |
| Appl on-body injector for timed subq injection (96377) |
$135.50 |
$271 |
2.8× |
| Assessment of aphasia (96105) |
$111.50 |
$223 |
1.1× |
| Behavioral & qualit analysis voice and resonance (92524) |
$320 |
$640 |
2.9× |
| Bfb training 1st 15 min (90912) |
$193.50 |
$387 |
2.4× |
| Bfb training ea addl 15 min (90913) |
$143 |
$286 |
4.4× |
| Biofeedback training any modality (90901) |
$79 |
$158 |
1.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$258 |
$516 |
1.9× |
| Blink reflex test (95933) |
$276.50 |
$553 |
4.5× |
| Caregiver training strategies&tq 1st 30 minutes (97550) |
$180 |
$360 |
3.4× |
| Caregiver training strategies&tq ea addl 15 min (97551) |
$90 |
$180 |
3.5× |
| Carotid duplex scan; bilat (93880) |
$1,129 |
$2,258 |
4.5× |
| Chemo cns (intrathecal) w lp (96450) |
$672 |
$1,344 |
1.9× |
| Chemo hormon antineopl sq/im (96402) |
$49 |
$98 |
0.7× |
| Chemo inj via sq reservoir (96542) |
$494.50 |
$989 |
1.4× |
| Chemo intralesional 1-7 lesions (96405) |
$147.50 |
$295 |
2.0× |
| Chemo intralesional over 7 (96406) |
$230.50 |
$461 |
1.0× |
| Chemo IV infus each addl seq (96417) |
$327.50 |
$655 |
4.4× |
| Chemo IV infusion addl hr (96415) |
$185 |
$370 |
2.5× |
| Chemother prolong infuse w/pump (96416) |
$727.50 |
$1,455 |
2.1× |
| Chemother, IV infusion, 1 hr (96413) |
$883 |
$1,766 |
2.6× |
| Chemother, IV push,ea add drug (96411) |
$429 |
$858 |
5.7× |
| Chemother,non-hormone anti-neopl, sub-q/im (96401) |
$87.50 |
$175 |
1.2× |
| Chemotherapy admin intra-arterial push tq (96420) |
$254 |
$508 |
0.7× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED (96422) |
$927 |
$1,854 |
2.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$767 |
$1,534 |
2.2× |
| Chemotherapy Unspecified (96549) |
$67 |
$134 |
1.4× |
| Chemotx admn pertl cavity implanted port/cath (96446) |
$538 |
$1,076 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$2,576.50 |
$5,153 |
10.3× |
| Color/duplex Doppler, limited (93976) |
$1,516.50 |
$3,033 |
13.9× |
| Continuous inhalation tx, 1st hr (94644) |
$359 |
$718 |
2.6× |
| Cpap/bipap daily (94660) |
$385 |
$770 |
1.7× |
| Cpr (92950) |
$595 |
$1,190 |
2.6× |
| Duplex ext veins; bilat (93970) |
$893 |
$1,786 |
3.6× |
| Duplex le art/bpg; bilat (93925) |
$298 |
$596 |
1.2× |
| Duplex le art/bpg; unil/limit (93926) |
$170.50 |
$341 |
1.6× |
| Duplex ue art/bpg; bilat (93930) |
$249.50 |
$499 |
1.0× |
| Duplex ue art/bpg; unil/limit (93931) |
$170.50 |
$341 |
1.6× |
| Duplex venous ext unilat/lmtd (93971) |
$553 |
$1,106 |
5.1× |
| ECG up to 48 hrs recording (93225) |
$467 |
$934 |
3.4× |
| EEG awake & asleep (95819) |
$584 |
$1,168 |
2.6× |
| EEG awake/drowsy (95816) |
$584 |
$1,168 |
2.6× |
| EEG cerebral death eval (95824) |
$802.50 |
$1,605 |
2.1× |
| EEG coma or sleep only (95822) |
$976.50 |
$1,953 |
4.3× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$462 |
$924 |
2.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,278 |
$2,556 |
5.7× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$1,361.50 |
$2,723 |
3.5× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,687.50 |
$3,375 |
4.3× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$2,506.50 |
$5,013 |
6.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$914 |
$1,828 |
4.1× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$1,120.50 |
$2,241 |
5.0× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,227.50 |
$2,455 |
5.4× |
| Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) |
$934.50 |
$1,869 |
4.1× |
| EKG rhythm strip (93041) |
$25.50 |
$51 |
0.4× |
| Electrocardiogram (93005) |
$360.50 |
$721 |
5.9× |
| Endoscopy swallow (fees) vid (92612) |
$239.50 |
$479 |
1.2× |
| Evaluate pt use of inhaler (94664) |
$67 |
$134 |
0.3× |
| Evaluate speech production (92522) |
$166 |
$332 |
1.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$185.50 |
$371 |
3.9× |
| Gait training 15 min (97116) |
$15.50 |
$31 |
0.5× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$303 |
$606 |
1.3× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age Under 21 (91113) |
$2,530 |
$5,060 |
2.6× |
| Gi tract capsule endoscopy (91110) |
$2,530 |
$5,060 |
2.7× |
| Immunization Admin (90471) |
$163 |
$326 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$159 |
$318 |
3.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$159 |
$318 |
0.7× |
| Injections intra arterial (96373) |
$150 |
$300 |
0.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$354 |
$708 |
5.7× |
| IV hydration each add'l hr (96361) |
$147 |
$294 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$440.50 |
$881 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$557 |
$1,114 |
7.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$490 |
$980 |
2.2× |
| IV tx, each additional hour (96366) |
$231.50 |
$463 |
4.7× |
| Laryngeal function studies (92520) |
$350.50 |
$701 |
2.5× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) |
$1,219.50 |
$2,439 |
1.4× |
| Manual therapy ea 15 min (97140) |
$122 |
$244 |
4.4× |
| Mechanical chest wall oscillation lung function (94669) |
$100 |
$200 |
0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$58 |
$116 |
1.8× |
| Med nutr tx group ea 30 m (97804) |
$29 |
$58 |
1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$59.50 |
$119 |
1.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$75.50 |
$151 |
0.8× |
| Nasopharyngoscopy (92511) |
$208 |
$416 |
1.0× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$100.50 |
$201 |
0.7× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$1,652 |
$3,304 |
3.9× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$1,652 |
$3,304 |
3.9× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$236.50 |
$473 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$420 |
$840 |
1.0× |
| Nerve conduction studies 1-2 studies (95907) |
$401.50 |
$803 |
1.8× |
| Nerve conduction studies 11-12 studies (95912) |
$1,106 |
$2,212 |
2.8× |
| Nerve conduction studies 13/> studies (95913) |
$1,277 |
$2,554 |
3.3× |
| Nerve conduction studies 3-4 studies (95908) |
$524 |
$1,048 |
2.3× |
| Nerve conduction studies 5-6 studies (95909) |
$622.50 |
$1,245 |
2.8× |
| Nerve conduction studies 7-8 studies (95910) |
$819 |
$1,638 |
2.1× |
| Nerve conduction studies 9-10 studies (95911) |
$983 |
$1,966 |
2.5× |
| Neuromuscular junction test (95937) |
$78 |
$156 |
0.6× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$672 |
$1,344 |
3.0× |
| Oral speech device eval (92597) |
$65.50 |
$131 |
0.9× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$93.50 |
$187 |
2.0× |
| Ot eval high complex 60 min (97167) |
$44.50 |
$89 |
0.4× |
| Ot eval low complex 30 min (97165) |
$27 |
$54 |
0.3× |
| Ot eval mod complex 45 min (97166) |
$37 |
$74 |
0.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$38 |
$76 |
0.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$51 |
$102 |
1.3× |
| Ot re-eval est plan care (97168) |
$27 |
$54 |
0.4× |
| Ot Sensory Integrative Techniques Each 15 Minutes (97533) |
$52 |
$104 |
0.9× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED (94690) |
$173.50 |
$347 |
2.8× |
| Phlebotomy therapeutic (99195) |
$433.50 |
$867 |
3.1× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$401.50 |
$803 |
1.9× |
| Pt Electric Current Therapy (97033) |
$130.50 |
$261 |
6.9× |
| Pt Electrical Stimulation (97032) |
$92.50 |
$185 |
6.3× |
| Pt eval high complex 45 min (97163) |
$44.50 |
$89 |
0.5× |
| Pt eval low complex 20 min (97161) |
$27 |
$54 |
0.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$117.50 |
$235 |
3.6× |
| Pt Physical Performance Test (97750) |
$59.50 |
$119 |
1.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$37 |
$74 |
0.4× |
| Pt re-eval est plan care (97164) |
$27 |
$54 |
0.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$15 |
$30 |
0.5× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$15.50 |
$31 |
0.4× |
| Pulm funct tst plethysmograp (94726) |
$414 |
$828 |
1.1× |
| Pulmonary service/procedure (94799) |
$105 |
$210 |
0.8× |
| Pulmonary stress testing (94618) |
$208 |
$416 |
1.5× |
| Pulse oximetry continuous (94762) |
$159.50 |
$319 |
1.2× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$59.50 |
$119 |
2.3× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$60 |
$120 |
2.8× |
| Rapid desensitization procedure each hour (95180) |
$209 |
$418 |
0.4× |
| Refill/maint pump/resvr syst (96522) |
$477 |
$954 |
2.1× |
| Refill/maint, portable pump (96521) |
$582 |
$1,164 |
2.6× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$681.50 |
$1,363 |
2.1× |
| Slp evaloral pharyngeal swallow function (92610) |
$76.50 |
$153 |
0.9× |
| Speech sound lang comprehen (92523) |
$255 |
$510 |
1.1× |
| Spirometry (94010) |
$341.50 |
$683 |
1.5× |
| Spirometry with bronchodilator (94060) |
$615.50 |
$1,231 |
1.6× |
| St eval speech comm device 1st hr (92607) |
$382.50 |
$765 |
3.1× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$80 |
$160 |
1.6× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$159 |
$318 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$30.50 |
$61 |
1.4× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$29.50 |
$59 |
1.4× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$159 |
$318 |
2.1× |
| Treat swallowing dysfunction (92526) |
$51.50 |
$103 |
0.6× |
| Tte f-up or lmtd (93308) |
$1,247.50 |
$2,495 |
5.0× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$2,765.50 |
$5,531 |
4.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$229 |
$458 |
3.0× |
| Ultrasound therapy ea 15 mins (97035) |
$116.50 |
$233 |
8.1× |
| Upr/l xtremity art 2 levels (93922) |
$417.50 |
$835 |
3.0× |
| Vasopneumatic device therapy (97016) |
$51.50 |
$103 |
4.3× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,770 |
$3,540 |
7.8× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$886.50 |
$1,773 |
2.3× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$2,923.50 |
$5,847 |
7.5× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,659 |
$3,318 |
1.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$4,292 |
$8,584 |
11.0× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$2,406 |
$4,812 |
6.2× |
| Ventilator initial day (94002) |
$880.50 |
$1,761 |
1.4× |
| Ventilator subsequent day (94003) |
$629 |
$1,258 |
1.0× |