| Advance care planning first 30 mins (99497) |
$194 |
$194 |
1.9× |
| Airway inhalation treatment (94640) |
$251 |
$251 |
1.1× |
| Allergy injection single (95115) |
$26 |
$26 |
0.5× |
| Appl on-body injector for timed subq injection (96377) |
$228 |
$228 |
4.8× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$114 |
$114 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$117 |
$117 |
— |
| Application of ultraviolet light to skin (96900) |
$196 |
$196 |
5.1× |
| Assessment of aphasia (96105) |
$283 |
$283 |
— |
| Bipap initial day (94660) |
$1,012 |
$1,012 |
4.5× |
| Breathing capacity test (94010) |
$371.50 |
$371.50 |
1.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$431 |
$431 |
1.1× |
| Cardiovascular stress test (93017) |
$1,379 |
$1,379 |
6.3× |
| Cardioversion elective external (92960) |
$455 |
$455 |
0.7× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$106 |
$106 |
2.8× |
| Chemo anti-neopl sq/im (96401) |
$435 |
$435 |
5.9× |
| Chemo IV infus each addl seq (96417) |
$432 |
$432 |
5.9× |
| Chemo IV infusion addl hr (96415) |
$328 |
$328 |
4.5× |
| Chemo IV push addl drug (96411) |
$404 |
$404 |
5.5× |
| Chemother prolong infuse w/pump (96416) |
$973 |
$973 |
2.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$920 |
$920 |
2.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$584 |
$584 |
1.7× |
| Chest physiotherapy initial (94667) |
$225 |
$225 |
1.7× |
| Chron care mgmt srvc 20 min (99490) |
$88 |
$88 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$971.50 |
$971.50 |
4.0× |
| Color/duplex Doppler, limited (93976) |
$510 |
$510 |
4.8× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$487 |
$487 |
3.6× |
| Cpr (92950) |
$775 |
$775 |
3.5× |
| Critical care ill/injured patient init 30-74 min (99291) |
$877.50 |
$877.50 |
1.0× |
| Debridement open wound 20 sq cm< (97597) |
$185.50 |
$185.50 |
0.9× |
| Delivery/birthing room resuscitation (99465) |
$909 |
$909 |
1.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$629.50 |
$629.50 |
2.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$451.50 |
$451.50 |
4.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$675 |
$675 |
2.8× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$410 |
$410 |
3.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,092 |
$1,092 |
4.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$108 |
$108 |
1.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$851 |
$851 |
3.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$488.50 |
$488.50 |
4.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,007.50 |
$1,007.50 |
4.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$529.50 |
$529.50 |
5.0× |
| ECG monit/reprt up to 48 hrs (93226) |
$1,031 |
$1,031 |
17.1× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$234 |
$234 |
1.0× |
| EKG 12 lead tracing only (93005) |
$333.50 |
$333.50 |
5.5× |
| Emergency department visit high mdm (99285) |
$710 |
$710 |
1.2× |
| Emergency department visit low mdm (99283) |
$617 |
$617 |
2.2× |
| Emergency department visit may not req phys/qhp (99281) |
$253.50 |
$253.50 |
2.9× |
| Emergency department visit moderate mdm (99284) |
$944 |
$944 |
2.2× |
| Emergency department visit straightforward mdm (99282) |
$508 |
$508 |
3.2× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$244 |
$244 |
1.9× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$265 |
$265 |
— |
| Evaluate pt use of inhaler (94664) |
$261 |
$261 |
1.2× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$655 |
$655 |
— |
| Evaluation of speech fluency (92521) |
$366 |
$366 |
— |
| Evaluation of speech sound production articulate (92522) |
$358 |
$358 |
— |
| External ECG rec>48hr<7d recording (93242) |
$519 |
$519 |
13.6× |
| External ECG rec>7d<15d recording (93246) |
$580.50 |
$580.50 |
15.2× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$755.50 |
$755.50 |
5.6× |
| Fluidotherapy (97022) |
$122 |
$122 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$22.86 |
$22.86 |
0.3× |
| Immunization administration (90471) |
$22.86 |
$22.86 |
0.3× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$221 |
$221 |
1.6× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$300 |
$300 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$246 |
$246 |
5.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$336 |
$336 |
1.5× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$254 |
$254 |
4.2× |
| IV infusion hydration each additional hour (96361) |
$151 |
$151 |
3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$351 |
$351 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$362 |
$362 |
4.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$345.50 |
$345.50 |
1.6× |
| IV tx, each additional hour (96366) |
$190 |
$190 |
4.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$176 |
$176 |
1.3× |
| Maximum voluntary ventilation (94200) |
$265 |
$265 |
4.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$78 |
$78 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$75 |
$75 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$478 |
$478 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$471 |
$471 |
2.3× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$791.50 |
$791.50 |
1.9× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$656 |
$656 |
5.0× |
| Occupational therapy eval high complex 60 mins (97167) |
$512 |
$512 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$406 |
$406 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$458 |
$458 |
— |
| Oral function therapy (92526) |
$400 |
$400 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$204 |
$204 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$188 |
$188 |
— |
| Osteopath manj 1-2 regions (98925) |
$103 |
$103 |
4.7× |
| Osteopath manj 3-4 regions (98926) |
$131 |
$131 |
5.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$152 |
$152 |
6.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$168 |
$168 |
7.6× |
| Ot manual therapy ea 15 min (97140) |
$135 |
$135 |
— |
| Ot neuromuscular re-education (97112) |
$140 |
$140 |
— |
| Ot re-evaluation (97168) |
$394 |
$394 |
— |
| OT Therapeutic Activities Charges (97530) |
$135 |
$135 |
— |
| Ot wheelchair management (97542) |
$121 |
$121 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$288 |
$288 |
2.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$245 |
$245 |
1.9× |
| Phlebotomy therapeutic (99195) |
$300 |
$300 |
2.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$486 |
$486 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$396 |
$396 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$433 |
$433 |
— |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$30 |
$30 |
0.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$136.50 |
$136.50 |
— |
| Psychiatric diagnostic evaluation (90791) |
$415 |
$415 |
2.3× |
| Psytx crisis initial 60 min (90839) |
$468 |
$468 |
2.6× |
| Pt gait training 15 min (97116) |
$131 |
$131 |
— |
| Pt physical performance test (97750) |
$157 |
$157 |
— |
| Pt re-evaluation (97164) |
$368 |
$368 |
— |
| Pulm funct tst plethysmograp (94726) |
$385 |
$385 |
1.0× |
| Pulmonary stress testing (94618) |
$417 |
$417 |
3.1× |
| Refill/maint pump/resvr syst (96522) |
$110 |
$110 |
0.5× |
| Remote 30 day ECG rev/report (93270) |
$557 |
$557 |
14.6× |
| Respiratory flow volume loop (94375) |
$399 |
$399 |
1.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$134 |
$134 |
— |
| Sleep study unattended (95806) |
$370 |
$370 |
1.7× |
| Speech sound lang comprehen (92523) |
$635 |
$635 |
— |
| Standardized cognitive performance testing (96125) |
$488 |
$488 |
— |
| Stress tte only (93350) |
$962 |
$962 |
1.7× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$176 |
$176 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$109 |
$109 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$121 |
$121 |
1.6× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$94 |
$94 |
2.5× |
| Trans care mgmt 14 day disch (99495) |
$229 |
$229 |
1.7× |
| Trans care mgmt 7 day disch (99496) |
$310 |
$310 |
2.3× |
| Transcranial doppler stdy intracranial art compl (93886) |
$639 |
$639 |
2.6× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$115 |
$115 |
0.2× |
| Tte congenital complete (93303) |
$115 |
$115 |
0.2× |
| Tte f-up or lmtd (93308) |
$617.50 |
$617.50 |
2.5× |
| Tte w/doppler complete (93306) |
$3,112 |
$3,112 |
5.6× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$287 |
$287 |
— |
| Upr/l xtremity art 2 levels (93922) |
$133 |
$133 |
1.0× |
| Ventilation ip/obs initial day (94002) |
$2,836 |
$2,836 |
4.5× |
| Ventilator subsequent day (94003) |
$1,561 |
$1,561 |
2.5× |
| Vital capacity total (94150) |
$266 |
$266 |
2.0× |
| Wound(s) care non-selective (97602) |
$415 |
$415 |
2.0× |