| Aep threshold estimation mlt frequencies i&r (92652) |
$272.85 |
$321 |
1.2× |
| Aerosol inhalation pentamidine (94642) |
$750.55 |
$883 |
3.2× |
| Airway inhalation treatment (94640) |
$396.10 |
$466 |
1.7× |
| Ambulatory bp recording (93786) |
$191.25 |
$225 |
1.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$90.10 |
$106 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$113.05 |
$133 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$80.75 |
$95 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$163.20 |
$192 |
— |
| Assessment of aphasia (96105) |
$474.30 |
$558 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$127.50 |
$150 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$345.95 |
$407 |
— |
| Bipap initial day (94660) |
$974.10 |
$1,146 |
4.2× |
| Blink reflex test (95933) |
$229.50 |
$270 |
3.7× |
| Breath hydrogen/methane test (91065) |
$245.65 |
$289 |
1.1× |
| Breathing capacity test (94010) |
$169.15 |
$199 |
0.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$272.85 |
$321 |
0.7× |
| Canalith repositioning (95992) |
$177.22 |
$208.50 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$106.25 |
$125 |
2.7× |
| Cardiovascular procedure unlisted (93799) |
$1,037.85 |
$1,221 |
7.6× |
| Cardiovascular stress test (93017) |
$1,118.60 |
$1,316 |
4.9× |
| Cardioversion elective external (92960) |
$1,307.30 |
$1,538 |
1.9× |
| Caregiver training 1st 30 min (97550) |
$132.60 |
$156 |
— |
| Caregiver training ea addl 15 (97551) |
$53.55 |
$63 |
— |
| Chemo anti-neopl sq/im (96401) |
$229.50 |
$270 |
3.0× |
| Chemo hormon antineopl sq/im (96402) |
$304.30 |
$358 |
4.0× |
| Chemo IV infus each addl seq (96417) |
$412.25 |
$485 |
5.4× |
| Chemo IV infusion addl hr (96415) |
$304.30 |
$358 |
4.0× |
| Chemo IV push addl drug (96411) |
$532.10 |
$626 |
7.0× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,060.80 |
$1,248 |
3.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$483.65 |
$569 |
1.4× |
| Chest physiotherapy initial (94667) |
$228.65 |
$269 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$549.52 |
$646.50 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$387.60 |
$456 |
3.5× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$114.75 |
$135 |
— |
| Cpr (92950) |
$1,227.40 |
$1,444 |
5.4× |
| Critical care ill/injured patient init 30-74 min (99291) |
$756.92 |
$890.50 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$258.82 |
$304.50 |
1.2× |
| Dialysis one evaluation (90945) |
$1,983.48 |
$2,333.50 |
4.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$463.25 |
$545 |
1.8× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$427.12 |
$502.50 |
1.7× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$144.50 |
$170 |
0.6× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$491.30 |
$578 |
4.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,070.58 |
$1,259.50 |
4.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$481.95 |
$567 |
4.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$644.30 |
$758 |
2.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$478.98 |
$563.50 |
4.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$638.78 |
$751.50 |
2.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$512.12 |
$602.50 |
4.6× |
| Echo transesophageal (93312) |
$1,432.25 |
$1,685 |
2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,398.25 |
$1,645 |
2.4× |
| EEG 41-60 minutes (95812) |
$1,185.32 |
$1,394.50 |
5.2× |
| EEG awake & asleep (95819) |
$1,704.25 |
$2,005 |
7.5× |
| EEG awake/drowsy (95816) |
$609.02 |
$716.50 |
2.7× |
| EEG coma or sleep only (95822) |
$1,065.90 |
$1,254 |
4.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,470.92 |
$1,730.50 |
6.5× |
| EKG 12 lead tracing only (93005) |
$280.50 |
$330 |
4.5× |
| EKG rhythm strip (93041) |
$386.32 |
$454.50 |
6.2× |
| Emergency department visit high mdm (99285) |
$747.58 |
$879.50 |
1.2× |
| Emergency department visit low mdm (99283) |
$351.05 |
$413 |
1.2× |
| Emergency department visit may not req phys/qhp (99281) |
$157.25 |
$185 |
1.8× |
| Emergency department visit moderate mdm (99284) |
$508.30 |
$598 |
1.2× |
| Emergency department visit straightforward mdm (99282) |
$211.65 |
$249 |
1.3× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$206.55 |
$243 |
1.5× |
| Endoscopy swallow (fees) vid (92612) |
$237.15 |
$279 |
— |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,058.25 |
$1,245 |
2.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$345.95 |
$407 |
— |
| Evaluate pt use of inhaler (94664) |
$239.70 |
$282 |
1.0× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$206.12 |
$242.50 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$368.05 |
$433 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$93.50 |
$110 |
— |
| Evaluation of speech fluency (92521) |
$484.50 |
$570 |
— |
| Evaluation of speech sound production articulate (92522) |
$352.75 |
$415 |
— |
| External ECG rec>48hr<7d recording (93242) |
$724.20 |
$852 |
18.4× |
| External ECG rec>7d<15d recording (93246) |
$724.20 |
$852 |
18.4× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$756.50 |
$890 |
5.4× |
| Fluidotherapy (97022) |
$198.90 |
$234 |
— |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$1,058.25 |
$1,245 |
2.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,058.25 |
$1,245 |
1.2× |
| Group caregiver training strategies & technique (97552) |
$44.20 |
$52 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$3,411.90 |
$4,014 |
4.7× |
| Hot/cold pack (97010) |
$97.75 |
$115 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$45.05 |
$53 |
1.1× |
| Immunization administration (90471) |
$62.05 |
$73 |
0.8× |
| Infrared therapy (97026) |
$70.55 |
$83 |
— |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$209.10 |
$246 |
1.5× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$240.55 |
$283 |
1.7× |
| 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) |
$324.70 |
$382 |
1.4× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$1,000.45 |
$1,177 |
0.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$124.95 |
$147 |
2.0× |
| IV infusion hydration each additional hour (96361) |
$194.65 |
$229 |
3.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$305.15 |
$359 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$319.60 |
$376 |
4.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$697.85 |
$821 |
3.1× |
| IV tx, each additional hour (96366) |
$227.80 |
$268 |
4.6× |
| Low frequency non-thermal us (97610) |
$407.15 |
$479 |
1.9× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$147.05 |
$173 |
1.0× |
| Maximum voluntary ventilation (94200) |
$81.60 |
$96 |
1.3× |
| Mechanical traction therapy (97012) |
$105.40 |
$124 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$100.30 |
$118 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$53.98 |
$63.50 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$481.10 |
$566 |
— |
| Multiple sleep latency (95805) |
$2,433.12 |
$2,862.50 |
2.7× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$503.20 |
$592 |
2.4× |
| Nerve conduction studies 1-2 studies (95907) |
$344.25 |
$405 |
1.5× |
| Nerve conduction studies 11-12 studies (95912) |
$679.58 |
$799.50 |
1.7× |
| Nerve conduction studies 13/> studies (95913) |
$1,003.85 |
$1,181 |
2.6× |
| Nerve conduction studies 3-4 studies (95908) |
$425.85 |
$501 |
1.9× |
| Nerve conduction studies 5-6 studies (95909) |
$488.75 |
$575 |
2.1× |
| Nerve conduction studies 7-8 studies (95910) |
$556.75 |
$655 |
1.4× |
| Nerve conduction studies 9-10 studies (95911) |
$618.38 |
$727.50 |
1.6× |
| Neuromuscular junction test (95937) |
$436.90 |
$514 |
3.2× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$859.35 |
$1,011 |
3.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$570.35 |
$671 |
4.2× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
$119 |
$140 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$381.65 |
$449 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$342.55 |
$403 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$342.55 |
$403 |
— |
| Oral function therapy (92526) |
$248.20 |
$292 |
— |
| Oral speech device eval (92597) |
$377.40 |
$444 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$236.30 |
$278 |
— |
| Ot manual therapy ea 15 min (97140) |
$125.80 |
$148 |
— |
| Ot neuromuscular re-education (97112) |
$136.85 |
$161 |
— |
| Ot paraffin bath (97018) |
$109.65 |
$129 |
— |
| Ot re-evaluation (97168) |
$249.90 |
$294 |
— |
| OT Therapeutic Activities Charges (97530) |
$152.15 |
$179 |
— |
| Ot wheelchair management (97542) |
$146.20 |
$172 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$358.70 |
$422 |
2.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$368.05 |
$433 |
2.7× |
| Peripheral vascular rehab (93668) |
$495.55 |
$583 |
8.0× |
| Phlebotomy therapeutic (99195) |
$286.45 |
$337 |
2.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$531.25 |
$625 |
8.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$686.80 |
$808 |
11.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$368.05 |
$433 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$342.55 |
$403 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$342.55 |
$403 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$374 |
$440 |
0.4× |
| Pr cholinesterase inhibitor challenge test for myasthenia gravis (95857) |
$272.85 |
$321 |
1.2× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$147.90 |
$174 |
— |
| Psych diag eval w/med srvcs (90792) |
$338.30 |
$398 |
1.8× |
| Psychiatric diagnostic evaluation (90791) |
$338.30 |
$398 |
1.8× |
| Pt gait training 15 min (97116) |
$124.95 |
$147 |
— |
| Pt physical performance test (97750) |
$196.78 |
$231.50 |
— |
| Pt re-evaluation (97164) |
$224.40 |
$264 |
— |
| Pulm funct tst plethysmograp (94726) |
$161.50 |
$190 |
0.4× |
| Pulmonary stress testing (94618) |
$527 |
$620 |
3.8× |
| Remote 30 day ECG rev/report (93270) |
$765.85 |
$901 |
19.5× |
| Respiratory flow volume loop (94375) |
$340 |
$400 |
1.5× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$133.45 |
$157 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$95.20 |
$112 |
— |
| Sleep study attended (95807) |
$737.80 |
$868 |
1.9× |
| Sleep study unattended (95806) |
$395.68 |
$465.50 |
1.7× |
| Speech sound lang comprehen (92523) |
$522.75 |
$615 |
— |
| Standardized cognitive performance testing (96125) |
$374 |
$440 |
— |
| Temp transcutaneous pacing (92953) |
$289.85 |
$341 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$176.80 |
$208 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$116.45 |
$137 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$56.95 |
$67 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$144.50 |
$170 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$121.55 |
$143 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$167.45 |
$197 |
2.2× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$107.95 |
$127 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$357.85 |
$421 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$92.65 |
$109 |
2.3× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$69.70 |
$82 |
1.8× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$684.25 |
$805 |
1.2× |
| Tte congenital complete (93303) |
$1,023.40 |
$1,204 |
1.8× |
| Tte f-up or lmtd (93308) |
$513.40 |
$604 |
2.0× |
| Tte w/doppler complete (93306) |
$257.55 |
$303 |
0.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$254.15 |
$299 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$56.10 |
$66 |
— |
| Upr/l xtremity art 2 levels (93922) |
$274.55 |
$323 |
2.0× |
| Ventilation ip/obs initial day (94002) |
$1,715.30 |
$2,018 |
2.6× |
| Ventilator subsequent day (94003) |
$2,313.70 |
$2,722 |
3.6× |
| Vital capacity total (94150) |
$169.15 |
$199 |
1.2× |
| Wound(s) care non-selective (97602) |
$202.30 |
$238 |
1.0× |