| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$13 |
$20 |
0.4× |
| Airway inhalation treatment (94640) |
$152.75 |
$235 |
0.7× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$46.15 |
$71 |
1.6× |
| Analyze Neurostim Complex (95972) |
$334.75 |
$515 |
3.5× |
| Assessment of aphasia (96105) |
$188.50 |
$290 |
1.9× |
| Behav assmt w/score & docd/stand instrument (96127) |
$35.75 |
$55 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$123.50 |
$190 |
1.1× |
| Bfb training 1st 15 min (90912) |
$97.50 |
$150 |
1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$357.50 |
$550 |
1.0× |
| Canalith Repositioning (95992) |
$97.50 |
$150 |
2.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$487.50 |
$750 |
2.3× |
| Cardiopulmonary resuscitation (92950) |
$370.50 |
$570 |
1.7× |
| Cardioversion (92960) |
$527.80 |
$812 |
0.8× |
| Cardioversion internal (92961) |
$574.60 |
$884 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$483.18 |
$743.35 |
2.0× |
| Color/duplex Doppler, limited (93976) |
$313.06 |
$481.62 |
3.0× |
| Cpap initiation and management (94660) |
$442 |
$680 |
2.0× |
| Cpt initial (94667) |
$76.70 |
$118 |
0.6× |
| Critical care (99291) |
$1,072.50 |
$1,650 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$334.75 |
$515 |
1.7× |
| Demo &/or eval,pt use,aerosol device (94664) |
$71.50 |
$110 |
0.3× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$195 |
$300 |
1.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$379.55 |
$583.91 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$143 |
$220 |
1.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$292.50 |
$450 |
2.8× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$243.75 |
$375 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$409.23 |
$629.58 |
1.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$346.60 |
$533.23 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$372.17 |
$572.56 |
1.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$330.13 |
$507.89 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$362.05 |
$556.99 |
3.5× |
| Duplex scan extracranial art compl bi study (93880) |
$512.87 |
$789.02 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$216.71 |
$333.40 |
0.9× |
| EKG (93005) |
$143 |
$220 |
2.4× |
| EKG rhythm strip (93041) |
$95.88 |
$147.50 |
1.6× |
| Er level 1 (99281) |
$130 |
$200 |
1.5× |
| Er level ii (99282) |
$195 |
$300 |
1.3× |
| Er level iii (99283) |
$357.50 |
$550 |
1.3× |
| Er level IV (99284) |
$520 |
$800 |
1.2× |
| Er level v (99285) |
$747.50 |
$1,150 |
1.3× |
| Evaluation of speech fluency (92521) |
$149.50 |
$230 |
1.1× |
| Evaluation of speech sound production (92522) |
$147.88 |
$227.50 |
1.3× |
| Evaluation of swallowing function (92610) |
$185.25 |
$285 |
2.2× |
| External Ecg Scanning Analysis Report (93226) |
$430.95 |
$663 |
7.3× |
| Holter Monitor Recording (93225) |
$243.75 |
$375 |
1.8× |
| Immunization Admin (90471) |
$65 |
$100 |
0.9× |
| Immunotherapy, 2+ Injections (95117) |
$56.55 |
$87 |
1.2× |
| Ingestion challenge test initial 120 minutes (95076) |
$676 |
$1,040 |
1.8× |
| Injection intra arterial (96373) |
$214.50 |
$330 |
1.0× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$167.70 |
$258 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$61.75 |
$95 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$116.84 |
$179.75 |
0.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$97.50 |
$150 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$211.25 |
$325 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$84.50 |
$130 |
1.8× |
| IV push initial (96374) |
$208 |
$320 |
1.0× |
| Manual therapy 15 min (97140) |
$65 |
$100 |
2.3× |
| Massage 15 min (97124) |
$43.88 |
$67.50 |
1.5× |
| Mechanical traction (97012) |
$58.50 |
$90 |
4.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$214.50 |
$330 |
2.3× |
| Multiple sleep latency test (95805) |
$1,690 |
$2,600 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$165.10 |
$254 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$513.50 |
$790 |
1.3× |
| Nerve conduction studies 13/> studies (95913) |
$669.50 |
$1,030 |
1.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$354.25 |
$545 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$669.50 |
$1,030 |
1.8× |
| Nerve conduction studies; 1-2 studies (95907) |
$334.75 |
$515 |
1.5× |
| Nerve conduction studies; 11-12 studies (95912) |
$669.50 |
$1,030 |
1.8× |
| Nerve conduction studies; 5-6 studies (95909) |
$399.75 |
$615 |
1.8× |
| Nerve conduction studies; 7-8 studies (95910) |
$357.50 |
$550 |
1.0× |
| Nitric oxide expired gas determination (95012) |
$39 |
$60 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$72.07 |
$110.87 |
0.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$217.75 |
$335 |
1.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$61.75 |
$95 |
1.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$34.12 |
$52.50 |
2.4× |
| Ot eval high complex 60 min (97167) |
$172.25 |
$265 |
1.7× |
| Ot eval low complex 30 min (97165) |
$133.25 |
$205 |
1.3× |
| Ot eval mod complex 45 min (97166) |
$159.25 |
$245 |
1.6× |
| Ot re-eval est plan care (97168) |
$97.50 |
$150 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$156 |
$240 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$23 |
$35.38 |
0.2× |
| Paraffin bath (97018) |
$52 |
$80 |
8.7× |
| Percutaneous tests w/allergenic extracts (95004) |
$17.55 |
$27 |
0.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$136.50 |
$210 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$133.25 |
$205 |
2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,671.50 |
$4,110 |
3.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$56.55 |
$87 |
1.2× |
| Psych diag eval w/med srvcs (90792) |
$256.75 |
$395 |
1.4× |
| Psychiatric diagnostic evaluation (90791) |
$256.75 |
$395 |
1.4× |
| Pt Electric Current Therapy (97033) |
$47.12 |
$72.50 |
2.5× |
| Pt Electrical Stimulation (97032) |
$56.88 |
$87.50 |
3.9× |
| Pt eval high complex 45 min (97163) |
$175.50 |
$270 |
1.8× |
| Pt eval low complex 20 min (97161) |
$130 |
$200 |
1.3× |
| Pt Gait Training Therapy (97116) |
$68.25 |
$105 |
2.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$65 |
$100 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$152.75 |
$235 |
1.6× |
| Pt re-evaluation (97164) |
$97.50 |
$150 |
1.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$58.50 |
$90 |
1.8× |
| Pt Ultrasound Therapy (97035) |
$61.75 |
$95 |
4.3× |
| Pt Whirlpool Therapy (97022) |
$26 |
$40 |
1.7× |
| Pulm function test by gas (94727) |
$247 |
$380 |
1.1× |
| Pulmonary stress testing (94618) |
$162.50 |
$250 |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$167.70 |
$258 |
0.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$91 |
$140 |
0.7× |
| Sleep study unattended (95806) |
$399.75 |
$615 |
1.8× |
| Speech sound lang comprehen (92523) |
$224.25 |
$345 |
1.0× |
| Spirometry (94010) |
$195 |
$300 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$208 |
$320 |
2.0× |
| Stress echo (93350) |
$646.88 |
$995.19 |
1.2× |
| Temp transcutaneous pacing (92953) |
$449.80 |
$692 |
0.7× |
| Test for allergy using allergenic extract injected into skin (95024) |
$88.40 |
$136 |
1.5× |
| Test for allergy using combination of methods with drug or biological (95018) |
$46.15 |
$71 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$39 |
$60 |
1.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$26 |
$40 |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$71.50 |
$110 |
1.0× |
| Therapeutic Activities (97530) |
$60.12 |
$92.50 |
1.7× |
| Therapeutic phlebotomy (99195) |
$70.85 |
$109 |
0.5× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$796.84 |
$1,225.90 |
1.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$467.74 |
$719.60 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$138.12 |
$212.50 |
1.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$149.50 |
$230 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$65 |
$100 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$521.10 |
$801.69 |
2.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$241.94 |
$372.21 |
2.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$611 |
$940 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$292.50 |
$450 |
0.5× |