| Airway inhalation treatment (94640) |
$81.60 |
$102 |
0.4× |
| Appl on-body injector for timed subq injection (96377) |
$124.80 |
$156 |
2.6× |
| Application of heat wave therapy (97024) |
$44.42 |
$55.52 |
6.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$244.73 |
$305.91 |
2.2× |
| Biofeedback training any modality (90901) |
$141.40 |
$176.75 |
3.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$233.60 |
$292 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$944.80 |
$1,181 |
4.2× |
| Cardiopulmonary resuscitation (92950) |
$610.76 |
$763.46 |
2.7× |
| Cardioversion (92960) |
$1,020 |
$1,275 |
1.5× |
| Cbt 1st hour (94644) |
$276.04 |
$345.05 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$249.94 |
$312.42 |
3.3× |
| Chemo IV push addl drug (96411) |
$250.40 |
$313 |
3.3× |
| Chemo Iv Push Sngl Drug (96409) |
$377.47 |
$471.84 |
1.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$547.20 |
$684 |
1.6× |
| Chemother, IV infusion, 1 hr (96413) |
$548.80 |
$686 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$184.80 |
$231 |
2.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$248 |
$310 |
3.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$260.80 |
$326 |
3.5× |
| Color/duplex Doppler, complete (93975) |
$823.42 |
$1,029.27 |
3.3× |
| Color/duplex Doppler, limited (93976) |
$592.91 |
$741.14 |
5.5× |
| Cpap initiation and management (94660) |
$820.80 |
$1,026 |
3.6× |
| Cpt initial (94667) |
$138.43 |
$173.04 |
1.0× |
| Critical care (99291) |
$1,098.40 |
$1,373 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$155.20 |
$194 |
0.7× |
| Demo &/or eval,pt use,aerosol device (94664) |
$148.80 |
$186 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$571.16 |
$713.95 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$613.60 |
$767 |
5.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,034.40 |
$1,293 |
4.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$898.40 |
$1,123 |
8.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$700.40 |
$875.50 |
6.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$965.60 |
$1,207 |
8.9× |
| Duplex hemodialysis access (93990) |
$424.36 |
$530.45 |
3.9× |
| Duplex scan extracranial art compl bi study (93880) |
$1,260 |
$1,575 |
5.1× |
| Echo Heart Xthoracic,Limited (93308) |
$765.60 |
$957 |
3.1× |
| Echo transesophageal (93312) |
$1,819.39 |
$2,274.24 |
3.2× |
| EEG awake asleep (95819) |
$770.44 |
$963.05 |
3.4× |
| EEG awake drowsy (95816) |
$724.30 |
$905.37 |
3.2× |
| EKG (93005) |
$228.80 |
$286 |
3.7× |
| EKG rhythm strip (93041) |
$108.77 |
$135.96 |
1.8× |
| Er level 1 (99281) |
$181.60 |
$227 |
2.1× |
| Er level ii (99282) |
$144.80 |
$181 |
0.9× |
| Er level iii (99283) |
$231.20 |
$289 |
0.8× |
| Er level IV (99284) |
$288.80 |
$361 |
0.7× |
| Er level v (99285) |
$371.20 |
$464 |
0.6× |
| Evaluation of speech fluency (92521) |
$228.42 |
$285.52 |
1.7× |
| Evaluation of speech sound production (92522) |
$224.78 |
$280.98 |
2.0× |
| Evaluation of swallowing function (92610) |
$313.60 |
$392 |
3.7× |
| Evaluation with prescription of speech-generating alternative (92607) |
$193.97 |
$242.46 |
1.6× |
| Evoked auditory test,limited (92587) |
$229.32 |
$286.65 |
1.0× |
| External ECG rec>48hr<7d recording (93242) |
$28.02 |
$35.02 |
0.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$977 |
$1,221.25 |
7.1× |
| External ECG rec>7d<15d recording (93246) |
$46.97 |
$58.71 |
1.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$1,498 |
$1,872.50 |
10.8× |
| Group Therapeutic Procedures (97150) |
$59.82 |
$74.78 |
3.3× |
| Holter Monitor Recording (93225) |
$436 |
$545 |
3.2× |
| Immunization Admin (90471) |
$44.80 |
$56 |
0.6× |
| Immunotherapy, 2+ Injections (95117) |
$34.40 |
$43 |
0.7× |
| Inital newborn e/m (99460) |
$124 |
$155 |
0.9× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$59.20 |
$74 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$69.60 |
$87 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$286.40 |
$358 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$160.80 |
$201 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$170.40 |
$213 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$87.20 |
$109 |
1.8× |
| IV push initial (96374) |
$201.60 |
$252 |
0.9× |
| Low frequency non-thermal us (97610) |
$301.26 |
$376.57 |
1.4× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$191.20 |
$239 |
0.6× |
| Manual therapy 15 min (97140) |
$93.60 |
$117 |
3.4× |
| Massage 15 min (97124) |
$45.60 |
$57 |
1.5× |
| Mechanical traction (97012) |
$39.20 |
$49 |
2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$35.43 |
$44.29 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$16 |
$20 |
0.4× |
| Mnt Group Ea 30 Min (97804) |
$28.02 |
$35.02 |
1.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$410.40 |
$513 |
4.5× |
| Neg press wnd tx </=50 sq cm (97607) |
$222.40 |
$278 |
0.5× |
| Neg press wound tx >50 cm (97608) |
$793.84 |
$992.30 |
1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$112 |
$140 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$351.66 |
$439.58 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$464 |
$580 |
3.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$575.98 |
$719.97 |
2.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$392 |
$490 |
2.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$86.40 |
$108 |
1.9× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$70.70 |
$88.37 |
2.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$63.45 |
$79.31 |
4.5× |
| Ot eval high complex 60 min (97167) |
$165.60 |
$207 |
1.6× |
| Ot eval low complex 30 min (97165) |
$177.60 |
$222 |
1.8× |
| Ot eval mod complex 45 min (97166) |
$197.60 |
$247 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$65.26 |
$81.58 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$78.86 |
$98.57 |
2.0× |
| Ot re-eval est plan care (97168) |
$96.98 |
$121.23 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$224 |
$280 |
1.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$197.60 |
$247 |
1.5× |
| Paraffin bath (97018) |
$69.60 |
$87 |
11.6× |
| Patch/Application Test Specify Number Tests (95044) |
$42.85 |
$53.56 |
0.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$42.85 |
$53.56 |
0.0× |
| Peripheral arterial disease rehab per session (93668) |
$244.34 |
$305.43 |
4.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$138.40 |
$173 |
2.3× |
| Plethysmography (94726) |
$187.20 |
$234 |
0.5× |
| Pm device eval in person (93288) |
$116.18 |
$145.23 |
3.0× |
| Pm device progr eval dual (93280) |
$78.28 |
$97.85 |
2.0× |
| Pm device progr eval sngl (93279) |
$74.16 |
$92.70 |
1.9× |
| Pm/Icd Remote Tech Serv (93296) |
$116.18 |
$145.23 |
3.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,760 |
$4,700 |
4.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$2.40 |
$3 |
0.0× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$97.23 |
$121.54 |
2.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$25.60 |
$32 |
0.5× |
| Programming of dual lead implantable defibrillator system (93283) |
$119.48 |
$149.35 |
3.1× |
| Pt Aquatic Therapy/Exercises (97113) |
$59.20 |
$74 |
1.6× |
| Pt Electric Current Therapy (97033) |
$73.20 |
$91.50 |
3.8× |
| Pt Electrical Stimulation (97032) |
$34.40 |
$43 |
2.3× |
| Pt eval high complex 45 min (97163) |
$190.34 |
$237.93 |
1.9× |
| Pt eval low complex 20 min (97161) |
$167.20 |
$209 |
1.7× |
| Pt Gait Training Therapy (97116) |
$84.80 |
$106 |
2.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$89.60 |
$112 |
2.7× |
| Pt Physical Performance Test (97750) |
$96.08 |
$120.10 |
2.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$177.60 |
$222 |
1.8× |
| Pt re-evaluation (97164) |
$167.20 |
$209 |
2.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$98.40 |
$123 |
3.0× |
| Pt Ultrasound Therapy (97035) |
$48.40 |
$60.50 |
3.4× |
| Pt Whirlpool Therapy (97022) |
$102.40 |
$128 |
6.5× |
| Pulm function test by gas (94727) |
$440 |
$550 |
2.0× |
| Pulmonary stress testing (94618) |
$339.20 |
$424 |
2.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$256.26 |
$320.33 |
6.6× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$278.40 |
$348 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$99.20 |
$124 |
0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$75.81 |
$94.76 |
0.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$58.92 |
$73.65 |
1.2× |
| Short-latency somatosens ep std lwr limbs (95926) |
$401.60 |
$502 |
1.8× |
| Short-latency somatosens ep std upr limbs (95925) |
$405.60 |
$507 |
1.8× |
| Sleep study unattended (95806) |
$486.40 |
$608 |
2.2× |
| Speech sound lang comprehen (92523) |
$264 |
$330 |
1.2× |
| Spirometry (94010) |
$277.60 |
$347 |
1.2× |
| Stress echo (93350) |
$1,199.74 |
$1,499.68 |
2.1× |
| Stress Tte Complete (93351) |
$1,199.74 |
$1,499.68 |
2.1× |
| Test for allergy using allergenic extract injected into skin (95024) |
$42.85 |
$53.56 |
0.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$128.71 |
$160.89 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$40.40 |
$50.50 |
0.5× |
| Therapeutic Activities (97530) |
$88.80 |
$111 |
2.5× |
| Therapeutic phlebotomy (99195) |
$159.86 |
$199.82 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$32.96 |
$41.20 |
0.8× |
| Trans Care Mgmt 14 Day Disch (99495) |
$218.36 |
$272.95 |
1.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,737.60 |
$2,172 |
3.1× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,586.20 |
$1,982.75 |
6.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$259.20 |
$324 |
3.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$246.40 |
$308 |
2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$153.60 |
$192 |
3.2× |
| Unlisted pulmonary service/procedure (94799) |
$147.20 |
$184 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,212 |
$1,515 |
4.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$730.06 |
$912.58 |
6.7× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$824.42 |
$1,030.52 |
3.7× |
| Vasopneumatic device (97016) |
$89.60 |
$112 |
7.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,116.52 |
$1,395.65 |
1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$810.82 |
$1,013.52 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$81.58 |
$101.97 |
2.6× |