| Ablate Heart Dysrhythm Focus (93650) |
— |
$806 |
— |
| Acoustic Reflex Testing (92568) |
— |
$22 |
— |
| Acupunct W/Stimul 15 Min (97813) |
— |
$64 |
— |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$55 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$123 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$120 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$161 |
— |
| Airway Inhalation Treatment (94640) |
— |
$16 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$20 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$10 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$9 |
— |
| Assessment of aphasia per hr (96105) |
— |
$136 |
— |
| Assessment of tinnitus (92625) |
— |
$96 |
— |
| Audiometry Air & Bone (92553) |
— |
$57 |
— |
| Auditory Function, 60 Min (92620) |
— |
$127 |
— |
| Basic vestibular evaluation (92540) |
— |
$154 |
— |
| Behavral qualit analys voice (92524) |
— |
$153 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$55 |
— |
| Caloric vestibular test w/rec bi monothermal (92538) |
— |
$32 |
— |
| Caloric Vstblr Test W/Rec (92537) |
— |
$57 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$49 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$462 |
— |
| Cardioversion elective internal (92961) |
— |
$336 |
— |
| Cbt 1st hour (94644) |
— |
$86 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$106 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$47 |
— |
| Chemo Ia Push (96420) |
— |
$151 |
— |
| Chemo IV push addl drug (96411) |
— |
$80 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$187 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$147 |
— |
| Chest Wall Manipulation (94668) |
— |
$49 |
— |
| Chiropract manj 3-4 regions (98941) |
— |
$55 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$75 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$376 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$204 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$45 |
— |
| Comprehensive Hearing Test (92557) |
— |
$53 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$51 |
— |
| Conditioning Play Audiometry (92582) |
— |
$108 |
— |
| Continuous Pulse Ox (94762) |
— |
$37 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$89 |
— |
| Cpt initial (94667) |
— |
$32 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$143 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$176 |
— |
| Dialysis One Evaluation (90945) |
— |
$118 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$48 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$256 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$166 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$343 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$184 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$266 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$169 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$176 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$128 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$144 |
— |
| Echo Congenital Complete (93303) |
— |
$315 |
— |
| EEG awake and asleep (95819) |
— |
$626 |
— |
| EEG awake drowsy (95816) |
— |
$534 |
— |
| EEG cerebral death evaluation (95824) |
— |
$324 |
— |
| Eeg Sleep Only (95822) |
— |
$582 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$21 |
— |
| Electrocardiogram Tracing (93005) |
— |
$9 |
— |
| Electrocochleography (92584) |
— |
$160 |
— |
| Electroconvulsive Therapy (90870) |
— |
$241 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$59 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$99 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$167 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$1,140 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$1,566 |
— |
| Er level 1 (99281) |
— |
$30 |
— |
| Er level v (99285) |
— |
$243 |
— |
| Ergonovine provocation test (93024) |
— |
$152 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$72 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$123 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$24 |
— |
| Evaluate Speech Production (92522) |
— |
$155 |
— |
| Evaluate Swallowing Function (92610) |
— |
$119 |
— |
| Evaluation of speech fluency (92521) |
— |
$185 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$31 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$20 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$397 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$53 |
— |
| Extracranial Bilat Study (93880) |
— |
$271 |
— |
| Filtered Speech Test (92571) |
— |
$40 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$270 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$676 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$1,097 |
— |
| Group Therapeutic Procedures (97150) |
— |
$25 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$1,985 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$100 |
— |
| Holter monitor recording (93225) |
— |
$27 |
— |
| Hubbard tank 15 min (97036) |
— |
$48 |
— |
| Icd Device Interrogate (93289) |
— |
$104 |
— |
| Icm Device Eval (93290) |
— |
$78 |
— |
| Immunization administration (90471) |
— |
$24 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$121 |
— |
| Interrogate Subq Defib (93261) |
— |
$101 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$12 |
— |
| Iontophoresis 15 min (97033) |
— |
$28 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$38 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$18 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$48 |
— |
| IV push initial (96374) |
— |
$55 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$43 |
— |
| Loudness balance test (92562) |
— |
$64 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$223 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$128 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$121 |
— |
| Muscle Test One Limb (95860) |
— |
$160 |
— |
| Nasopharyngoscopy (92511) |
— |
$166 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$152 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$296 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$59 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$70 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$351 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$406 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$192 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$251 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$302 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$131 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$150 |
— |
| Neuromuscular Reeducation (97112) |
— |
$48 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$181 |
— |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
— |
$69 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$207 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$175 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$124 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$119 |
— |
| Optokinetic Nystagmus Test (92544) |
— |
$25 |
— |
| Oral Function Therapy (92526) |
— |
$119 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$68 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$21 |
— |
| Ot eval high complexity (97167) |
— |
$141 |
— |
| Ot Eval Low Complex (97165) |
— |
$141 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$141 |
— |
| Ot manual therapy 15 min (97140) |
— |
$38 |
— |
| Ot paraffin bath (97018) |
— |
$8 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$58 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$97 |
— |
| Ot rom hand (95852) |
— |
$24 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$36 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$7 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$17 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$6 |
— |
| Phlebotomy therapeutic (99195) |
— |
$142 |
— |
| Physical Performance Test (97750) |
— |
$47 |
— |
| Pm device eval in person (93288) |
— |
$82 |
— |
| Pm device progr eval dual (93280) |
— |
$115 |
— |
| Pm device progr eval multi (93281) |
— |
$121 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$97 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$33 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$882 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$932 |
— |
| Positional nystagmus test (92542) |
— |
$41 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$22 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$116 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$14 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$902 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$210 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$166 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$3 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$48 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$62 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$53 |
— |
| Pt Eval High Complex (97163) |
— |
$140 |
— |
| Pt eval low complex 20 min (97161) |
— |
$140 |
— |
| Pt Eval Mod Complex (97162) |
— |
$140 |
— |
Pt gait training 15 min (97116)
range across 2 matching MRF lines |
— |
$30–$41 |
— |
| Pt mechanical traction (97012) |
— |
$20 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$96 |
— |
| Pt ultraviolet (97028) |
— |
$12 |
— |
| Pulmonary Stress Testing (94618) |
— |
$47 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$47 |
— |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
— |
$29 |
— |
| R hrt coronary artery angio (93456) |
— |
$1,633 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$37 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$37 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$8 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$29 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$173 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$69 |
— |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
— |
$566 |
— |
| Select picture audiometry (92583) |
— |
$71 |
— |
| Self Care Mngment Training (97535) |
— |
$46 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$90 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$258 |
— |
| Sleep study attended (95807) |
— |
$527 |
— |
| Sleep study unattended (95806) |
— |
$127 |
— |
| Speech Audiometry Complete (92556) |
— |
$56 |
— |
| Speech audiometry threshold (92555) |
— |
$36 |
— |
| Speech sound lang comprehen (92523) |
— |
$315 |
— |
| Spirometry (94010) |
— |
$38 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$36 |
— |
| Staggered Spondaic Word Test (92572) |
— |
$57 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$144 |
— |
| Stenger Test Speech (92577) |
— |
$26 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$27 |
— |
| Stress Tte Only (93350) |
— |
$265 |
— |
| Synthetic Sentence Identification Test (92576) |
— |
$53 |
— |
| Test to assess hearing loss using different tone pitches (92575) |
— |
$98 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$52 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$42 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$145 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$20 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$94 |
— |
| Therapeutic Activities (97530) |
— |
$52 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$22 |
— |
| Tone Decay Test (92563) |
— |
$45 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$284 |
— |
| Tte w/doppler, complete (93306) |
— |
$279 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$196 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$1,529 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$107 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$33 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$23 |
— |
| Tympanometry (92567) |
— |
$24 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$32 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$116 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$181 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$1,808 |
— |
| Vasopneumatic device (97016) |
— |
$17 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$127 |
— |
| Visual Evoked Potential Test (95930) |
— |
$92 |
— |
| Visual Field Exam Extended (92083) |
— |
$87 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$64 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$46 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$64 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$877 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$45 |
— |
| Whirlpool Therapy (97022) |
— |
$24 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$32 |
— |