| Acoustic reflex testing (92568) |
$18 |
$36 |
0.5× |
| Advance care planning first 30 mins (99497) |
$80.50 |
$161 |
0.9× |
| Airway inhalation treatment (94640) |
$230 |
$460 |
1.1× |
| Behav assmt w/score & docd/stand instrument (96127) |
$5 |
$10 |
0.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$184 |
$368 |
1.7× |
| Biofeedback training any modality (90901) |
$49.50 |
$99 |
1.2× |
| Blink reflex test (95933) |
$51.75 |
$103.50 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$204.25 |
$408.50 |
0.6× |
| Capsule endoscopy (91110) |
$513.50 |
$1,027 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$568.50 |
$1,137 |
2.8× |
| Cardiopulmonary exercise testing (94621) |
$113.25 |
$226.50 |
0.3× |
| Cardiopulmonary resuscitation (92950) |
$322.50 |
$645 |
1.6× |
| Cardioversion (92960) |
$552 |
$1,104 |
0.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$6.50 |
$13 |
0.2× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$1,965 |
$3,930 |
0.7× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$1,564 |
$3,128 |
0.5× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$2,404.50 |
$4,809 |
0.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$1,871.50 |
$3,743 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$75 |
$150 |
1.1× |
| Chemo IV push addl drug (96411) |
$110.50 |
$221 |
1.7× |
| Chemo Iv Push Sngl Drug (96409) |
$250 |
$500 |
0.8× |
| Chemother, IV infusion, 1 hr (96413) |
$390 |
$780 |
1.3× |
| Chemother, IV infusion, ea add hr (96415) |
$75 |
$150 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$75 |
$150 |
1.1× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$390 |
$780 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$110.50 |
$221 |
1.7× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) |
$26.50 |
$53 |
1.3× |
| Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) |
$38 |
$76 |
1.9× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) |
$50 |
$100 |
2.5× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$57 |
$114 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$329.15 |
$658.30 |
1.5× |
| Color/duplex Doppler, limited (93976) |
$314.25 |
$628.50 |
3.2× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$57 |
$114 |
0.3× |
| Comprehensive Hearing Test (92557) |
$44.50 |
$89 |
0.4× |
| Coronary artery angio s&i (93454) |
$1,281.50 |
$2,563 |
0.4× |
| Cpap initiation and management (94660) |
$230 |
$460 |
1.1× |
| Cpt initial (94667) |
$137.50 |
$275 |
1.1× |
| Critical care (99291) |
$580 |
$1,160 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$220 |
$440 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$230 |
$460 |
1.1× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$262.50 |
$525 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$213.49 |
$426.98 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$143 |
$286 |
1.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$190 |
$380 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$397 |
$794 |
1.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$396.50 |
$793 |
4.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$371.12 |
$742.24 |
1.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$392 |
$784 |
4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$420 |
$840 |
4.3× |
| Duplex hemodialysis access (93990) |
$161.48 |
$322.97 |
1.7× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$280 |
$560 |
1.3× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$132.50 |
$265 |
1.4× |
| Duplex scan extracranial art compl bi study (93880) |
$367.50 |
$735 |
1.7× |
| Echo Heart Xthoracic,Limited (93308) |
$215 |
$430 |
1.0× |
| Echo r-t 2d w/probe placement only (93313) |
$62 |
$124 |
0.1× |
| Echo transesophageal (93312) |
$726.75 |
$1,453.50 |
1.4× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$590 |
$1,180 |
1.2× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$590 |
$1,180 |
1.2× |
| EEG awake drowsy (95816) |
$296.50 |
$593 |
1.5× |
| EEG cerebral death evaluation (95824) |
$595 |
$1,190 |
1.7× |
| EKG (93005) |
$67.50 |
$135 |
1.2× |
| EKG rhythm strip (93041) |
$67.50 |
$135 |
1.2× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$219.25 |
$438.50 |
1.1× |
| EMG one extremity (95860) |
$94 |
$188 |
0.8× |
| EMG two extremities (95861) |
$111.25 |
$222.50 |
0.9× |
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure |
$964 |
$1,928 |
0.1× |
| Er level 1 (99281) |
$50 |
$100 |
0.6× |
| Er level ii (99282) |
$100.25 |
$200.50 |
0.7× |
| Er level iii (99283) |
$171 |
$342 |
0.7× |
| Er level IV (99284) |
$277.25 |
$554.50 |
0.7× |
| Er level v (99285) |
$438.50 |
$877 |
0.8× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$82.50 |
$165 |
1.2× |
| Evaluation of speech fluency (92521) |
$184 |
$368 |
1.4× |
| Evaluation of speech sound production (92522) |
$184 |
$368 |
1.6× |
| Evaluation of swallowing function (92610) |
$91.50 |
$183 |
1.1× |
| Exhaled air analysis o2 (94680) |
$170 |
$340 |
1.4× |
| External ECG rec>48hr<7d recording (93242) |
$67.50 |
$135 |
2.0× |
| External ECG rec>7d<15d recording (93246) |
$67.50 |
$135 |
2.0× |
| Facial nerve function studies (92516) |
$64 |
$128 |
0.3× |
| Group Therapeutic Procedures (97150) |
$72 |
$144 |
4.0× |
| Hemodialysis (90935) |
$70 |
$140 |
0.1× |
| Holter Monitor Recording (93225) |
$137.50 |
$275 |
1.1× |
| Icd Device Interrogate (93289) |
$58.75 |
$117.50 |
1.7× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$16.50 |
$33 |
0.2× |
| Immunization Admin (90471) |
$48.50 |
$97 |
0.7× |
| Immunotherapy, 2+ Injections (95117) |
$16.50 |
$33 |
0.4× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$58 |
$116 |
0.2× |
| Inital newborn e/m (99460) |
$89.50 |
$179 |
0.7× |
| Initial normal newborn care, same day discharge (99463) |
$105 |
$210 |
0.9× |
| Ins swan ganz bedside (93503) |
$971 |
$1,942 |
0.7× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$28.75 |
$57.50 |
0.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$71.85 |
$143.70 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$50 |
$100 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$250 |
$500 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$75 |
$150 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$250 |
$500 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$50 |
$100 |
1.2× |
| IV push initial (96374) |
$250 |
$500 |
1.3× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$157.50 |
$315 |
0.5× |
| Manual therapy 15 min (97140) |
$52 |
$104 |
1.9× |
| Massage 15 min (97124) |
$48 |
$96 |
1.6× |
| Mechanical traction (97012) |
$22 |
$44 |
1.5× |
| Methacholine challenge (94070) |
$77.50 |
$155 |
0.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$156 |
$312 |
1.7× |
| Multiple Family Group Psychotherapy (90849) |
$33.50 |
$67 |
0.2× |
| Multiple sleep latency test (95805) |
$56 |
$112 |
0.1× |
| Nasopharyngoscopy (92511) |
$138 |
$276 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$220 |
$440 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$422.50 |
$845 |
1.1× |
| Nerve conduction studies 13/> studies (95913) |
$595 |
$1,190 |
1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$322.50 |
$645 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$595 |
$1,190 |
1.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$113 |
$226 |
0.6× |
| Nerve conduction studies; 11-12 studies (95912) |
$595 |
$1,190 |
1.7× |
| Nerve conduction studies; 5-6 studies (95909) |
$146.50 |
$293 |
0.7× |
| Nerve conduction studies; 7-8 studies (95910) |
$217.50 |
$435 |
0.6× |
| Neuromuscular junction test (95937) |
$63 |
$126 |
0.5× |
| Newborn resuscitation (99465) |
$149 |
$298 |
0.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$193.50 |
$387 |
1.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$193.50 |
$387 |
1.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$52 |
$104 |
1.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$34 |
$68 |
1.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$45 |
$90 |
1.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$45 |
$90 |
3.2× |
| Ot eval high complex 60 min (97167) |
$242 |
$484 |
2.4× |
| Ot eval low complex 30 min (97165) |
$122.50 |
$245 |
1.2× |
| Ot eval mod complex 45 min (97166) |
$182 |
$364 |
1.8× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$45 |
$90 |
0.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$45 |
$90 |
1.1× |
| Ot re-eval est plan care (97168) |
$122.50 |
$245 |
1.8× |
| Paraffin bath (97018) |
$36.50 |
$73 |
6.1× |
| Percutaneous tests w/allergenic extracts (95004) |
$6 |
$12 |
0.0× |
| Plethysmography (94726) |
$322.50 |
$335 |
0.9× |
| Pm device eval in person (93288) |
$35.50 |
$71 |
1.0× |
| Pm device progr eval dual (93280) |
$58.75 |
$117.50 |
1.7× |
| Pm device progr eval sngl (93279) |
$48.75 |
$97.50 |
1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$124.50 |
$249 |
0.2× |
| Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) |
$242.50 |
$485 |
7.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$8.50 |
$17 |
0.2× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$77 |
$154 |
2.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$12.50 |
$25 |
0.3× |
| Programming of dual lead implantable defibrillator system (93283) |
$78.25 |
$156.50 |
2.3× |
| Programming of single lead implantable defibrillator system (93282) |
$63.25 |
$126.50 |
1.8× |
| Prq card revasc chronic 1vsl (92943) |
$6,445.50 |
$12,891 |
0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$12,247.50 |
$24,495 |
1.1× |
| Prq revasc byp graft 1 vsl (92937) |
$12,247.50 |
$12,814 |
1.1× |
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure |
$617 |
$1,234 |
0.1× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$3,283.25 |
$6,566.50 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$135.50 |
$271 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$127 |
$254 |
0.8× |
| Psychoanalysis (90845) |
$87.50 |
$175 |
0.5× |
| Psytx crisis initial 60 min (90839) |
$128.50 |
$257 |
0.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$54 |
$108 |
1.5× |
| Pt Electric Current Therapy (97033) |
$52 |
$104 |
2.7× |
| Pt Electrical Stimulation (97032) |
$50.50 |
$101 |
3.4× |
| Pt eval high complex 45 min (97163) |
$242 |
$484 |
2.5× |
| Pt eval low complex 20 min (97161) |
$122.50 |
$245 |
1.3× |
| Pt Gait Training Therapy (97116) |
$52 |
$104 |
1.8× |
| Pt Infrared Therapy (97026) |
$9.50 |
$19 |
1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$52 |
$104 |
1.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$182 |
$364 |
1.9× |
| Pt re-evaluation (97164) |
$122.50 |
$245 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$51.50 |
$103 |
1.6× |
| Pt Ultrasound Therapy (97035) |
$52 |
$104 |
3.6× |
| Pt Whirlpool Therapy (97022) |
$59.25 |
$118.50 |
3.8× |
| Pt-focused hlth risk assmt (96160) |
$6.50 |
$13 |
0.2× |
| Pulm function test by gas (94727) |
$12.50 |
$25 |
0.1× |
| Pulmonary stress testing (94618) |
$49 |
$98 |
0.4× |
| Pure Tone Audiometry Air & Bone (92553) |
$31.50 |
$63 |
0.3× |
| Pure Tone Audiometry, Air (92552) |
$26 |
$52 |
0.2× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$1,585.50 |
$3,171 |
0.5× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$2,118.50 |
$4,237 |
0.7× |
| R hrt art/grft angio (93457) |
$3,535 |
$7,070 |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$2,553.50 |
$5,107 |
0.9× |
| Refill/maint, portable pump (96521) |
$150 |
$300 |
0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$28 |
$56 |
0.8× |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
$53.50 |
$107 |
1.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$16 |
$32 |
0.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$59.75 |
$119.50 |
1.7× |
| Right heart cath (93451) |
$1,079.50 |
$2,159 |
0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$136 |
$272 |
0.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$137.50 |
$275 |
1.1× |
| Select picture audiometry (92583) |
$40.50 |
$81 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$52 |
$104 |
0.9× |
| Sleep study attended (95807) |
$58.50 |
$117 |
0.2× |
| Sleep study unattended (95806) |
$73 |
$146 |
0.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$47.50 |
$95 |
0.2× |
| Smoking cessation > 10 min (99407) |
$39 |
$78 |
1.1× |
| Speech Audiometry, Complete (92556) |
$29.50 |
$59 |
0.5× |
| Speech sound lang comprehen (92523) |
$260 |
$520 |
1.1× |
| Spirometry (94010) |
$32 |
$64 |
0.2× |
| Standardized Cognitive Performance Testing (96125) |
$116.10 |
$232.20 |
1.1× |
| Stress echo (93350) |
$725 |
$1,450 |
1.4× |
| Stress Tte Complete (93351) |
$143 |
$286 |
0.3× |
| Surfactant Admin Thru Tube (94610) |
$65 |
$130 |
0.3× |
| Temp transcutaneous pacing (92953) |
$15 |
$30 |
0.0× |
| Test for allergy using allergenic extract injected into skin (95024) |
$5.50 |
$11 |
0.1× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$46.50 |
$93 |
2.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$24.89 |
$49.77 |
1.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$140.50 |
$281 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$75 |
$150 |
1.1× |
| Therapeutic Activities (97530) |
$52 |
$104 |
1.5× |
| Therapeutic phlebotomy (99195) |
$137.50 |
$275 |
1.1× |
| Tilt Table Eval (93660) |
$373 |
$746 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$19 |
$38 |
0.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$39 |
$78 |
1.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$590 |
$1,180 |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$238.50 |
$477 |
1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$106 |
$212 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$123.50 |
$247 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$66.50 |
$133 |
1.5× |
| Tympanometry (92567) |
$18 |
$36 |
0.5× |
| Ultraviolet Light Therapy (96900) |
$157.50 |
$315 |
4.6× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$854 |
$1,708 |
7.2× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$132.50 |
$265 |
4.9× |
| Unlisted otorhinolaryngological service (92700) |
$30 |
$60 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$576 |
$1,152 |
2.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$369.50 |
$739 |
3.8× |
| Vasopneumatic device (97016) |
$36.50 |
$73 |
3.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$343 |
$686 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$330.25 |
$660.50 |
0.6× |
| Vital capacity total (94150) |
$14 |
$28 |
0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$45 |
$90 |
1.4× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$137.50 |
$275 |
1.6× |