| Airway Inhalation Treatment (94640) |
$106.80 |
$356 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$37.50 |
$125 |
2.6× |
| Application Modality 1/> Areas Infrared (97026) |
$7.20 |
$24 |
1.1× |
| Biofeedback training any modality (90901) |
$117 |
$390 |
2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$246.90 |
$823 |
0.7× |
| Canalith repositioning proc (95992) |
$38.40 |
$128 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$411.30 |
$1,371 |
2.0× |
| Cardiopulmonary resuscitation (92950) |
$747.30 |
$2,491 |
3.6× |
| Cardioversion (92960) |
$595.50 |
$1,985 |
0.9× |
| Chest Wall Manipulation (94668) |
$98.70 |
$329 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$590.70 |
$1,969 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$552.90 |
$1,843 |
5.5× |
| Continuous Pulse Ox (94762) |
$189.90 |
$633 |
1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$288.60 |
$962 |
1.4× |
| Cpt initial (94667) |
$131.10 |
$437 |
1.0× |
| Critical care first hour (99291) |
$1,046.70 |
$3,489 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$254.10 |
$847 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$297.30 |
$991 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$124.50 |
$415 |
1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$671.70 |
$2,239 |
2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$476.40 |
$1,588 |
4.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$753.60 |
$2,512 |
3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$499.80 |
$1,666 |
5.0× |
| Duplex up extrem art bilat (93930) |
$518.40 |
$1,728 |
2.3× |
| Duplex up extrem art unilat/ltd (93931) |
$472.80 |
$1,576 |
4.7× |
| Echo Congenital Complete (93303) |
$525.60 |
$1,752 |
1.0× |
| Echo Heart Xthoracic,Limited (93308) |
$262.50 |
$875 |
1.1× |
| Echo transesophag montr cardiac pump functj (93318) |
$735.30 |
$2,451 |
1.4× |
| Echo transesophageal (93312) |
$511.80 |
$1,706 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$40.20 |
$134 |
2.7× |
| Electrocardiogram Tracing (93005) |
$153.30 |
$511 |
2.7× |
| Emergency Dept Visit Level 2 (99282) |
$288 |
$960 |
2.0× |
| Emergency Dept Visit Level 3 (99283) |
$423.30 |
$1,411 |
1.6× |
| Emergency Dept Visit Level 4 (99284) |
$607.80 |
$2,026 |
1.5× |
| Er level 1 (99281) |
$144 |
$480 |
1.8× |
| Er level v (99285) |
$811.80 |
$2,706 |
1.4× |
| Evaluate pt use of inhaler (94664) |
$243 |
$810 |
1.2× |
| Evaluate Speech Production (92522) |
$123.90 |
$413 |
1.1× |
| Evaluate Swallowing Function (92610) |
$141 |
$470 |
1.7× |
| Evoked Auditory Test,Limited (92587) |
$160.20 |
$534 |
0.8× |
| Extracranial Bilat Study (93880) |
$355.50 |
$1,185 |
1.5× |
| Group Therapeutic Procedures (97150) |
$39.60 |
$132 |
2.2× |
| Immunization administration (90471) |
$48.60 |
$162 |
0.7× |
| Iontophoresis 15 min (97033) |
$51.60 |
$172 |
2.7× |
| Irrig Drug Delivery Device (96523) |
$42.90 |
$143 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$144 |
$480 |
3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$320.10 |
$1,067 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$206.70 |
$689 |
3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$284.40 |
$948 |
6.3× |
| IV push initial (96374) |
$303.30 |
$1,011 |
1.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$267.90 |
$893 |
1.3× |
| Multiple Sleep Latency Test (95805) |
$2,127 |
$7,090 |
2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$374.40 |
$1,248 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$411.60 |
$1,372 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$194.70 |
$649 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$374.40 |
$1,248 |
1.0× |
| Neuromuscular Reeducation (97112) |
$66.60 |
$222 |
2.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$162 |
$540 |
0.5× |
| Oral Function Therapy (92526) |
$97.20 |
$324 |
1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$58.20 |
$194 |
1.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$37.50 |
$125 |
2.7× |
| Ot eval high complexity (97167) |
$123.60 |
$412 |
1.2× |
| Ot Eval Low Complex (97165) |
$102.30 |
$341 |
1.0× |
| Ot Eval Moderate Complexity (97166) |
$112.20 |
$374 |
1.1× |
| Ot manual therapy 15 min (97140) |
$62.40 |
$208 |
2.3× |
| Ot paraffin bath (97018) |
$26.10 |
$87 |
4.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$57.90 |
$193 |
1.4× |
| Ot Re-Eval Est Plan Care (97168) |
$60.90 |
$203 |
0.9× |
| Oxygen Uptake Rest Indirect (94690) |
$100.20 |
$334 |
1.8× |
| Phlebotomy therapeutic (99195) |
$117 |
$390 |
0.9× |
| Physical Performance Test (97750) |
$64.50 |
$215 |
1.9× |
| Plethysmography (94726) |
$270.90 |
$903 |
0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,297.40 |
$7,658 |
2.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,127 |
$7,090 |
2.6× |
| Pt Eval High Complex (97163) |
$136.50 |
$455 |
1.4× |
| Pt eval low complex 20 min (97161) |
$113.10 |
$377 |
1.2× |
| Pt Eval Mod Complex (97162) |
$124.50 |
$415 |
1.3× |
| Pt gait training 15 min (97116) |
$47.10 |
$157 |
1.6× |
| Pt group caregiver training (97552) |
$9.90 |
$33 |
0.4× |
| Pt mechanical traction (97012) |
$38.10 |
$127 |
2.7× |
| Pt Re-Eval Est Plan Care (97164) |
$52.50 |
$175 |
0.8× |
| Pulm function test by gas (94727) |
$189.90 |
$633 |
0.9× |
| Pulmonary service/procedure (94799) |
$447.60 |
$1,492 |
3.6× |
| Pulmonary Stress Testing (94618) |
$123.30 |
$411 |
1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$68.10 |
$227 |
1.2× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
$131.10–$196.65 |
$437–$655.50 |
varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$57.30 |
$191 |
1.2× |
| Self Care Mngment Training (97535) |
$68.40 |
$228 |
2.1× |
| Sensory Integration Ea 15 Min (97533) |
$35.70 |
$119 |
0.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$150 |
$500 |
0.7× |
| Speech sound lang comprehen (92523) |
$167.70 |
$559 |
0.7× |
| Spirometry (94010) |
$185.40 |
$618 |
0.9× |
| Stress Tte Only (93350) |
$488.70 |
$1,629 |
0.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$369.90 |
$1,233 |
1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$178.80 |
$596 |
2.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$60.60 |
$202 |
2.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$60.60 |
$202 |
2.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$35.40 |
$118 |
1.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$171.90 |
$573 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$92.40 |
$308 |
1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$345 |
$1,150 |
1.7× |
| Therapeutic Activities (97530) |
$99 |
$330 |
2.8× |
| Tte w/doppler, complete (93306) |
$680.70 |
$2,269 |
1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$96 |
$320 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$273 |
$910 |
6.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$357.90 |
$1,193 |
2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$481.80 |
$1,606 |
2.3× |
| Vent Mgmt Inpat Init Day (94002) |
$1,237.80 |
$4,126 |
2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$292.80 |
$976 |
0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$43.80 |
$146 |
1.4× |