| Airway inhalation treatment (94640) |
$127.20 |
$212 |
0.6× |
| Assessment of aphasia (96105) |
$201.60 |
$336 |
2.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$174 |
$290 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$311.10 |
$518.50 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$332.40 |
$554 |
1.7× |
| Cardiopulmonary resuscitation (92950) |
$313.80 |
$523 |
1.6× |
| Cardioversion (92960) |
$910.80 |
$1,518 |
1.5× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,369 |
$5,615 |
1.1× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,900 |
$6,500 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$10,575 |
$17,625 |
3.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,826.80 |
$16,378 |
3.3× |
| Cbt 1st hour (94644) |
$159 |
$265 |
1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$97.20 |
$162 |
1.5× |
| Chemo IV push addl drug (96411) |
$97.20 |
$162 |
1.5× |
| Chemo Iv Push Sngl Drug (96409) |
$133.80 |
$223 |
0.4× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$366 |
$610 |
1.2× |
| Chemother, IV infusion, 1 hr (96413) |
$342.60 |
$571 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$133.80 |
$223 |
2.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$97.20 |
$162 |
1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$133.80 |
$223 |
2.1× |
| Color/duplex Doppler, complete (93975) |
$1,129.20 |
$1,882 |
5.2× |
| Color/duplex Doppler, limited (93976) |
$948.60 |
$1,581 |
10.0× |
| Coronary artery angio s&i (93454) |
$3,369 |
$5,615 |
1.1× |
| Cpap initiation and management (94660) |
$201.60 |
$336 |
1.0× |
| Cpt initial (94667) |
$181.20 |
$302 |
1.5× |
| Critical care (99291) |
$1,854 |
$3,090 |
2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$186.60 |
$311 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$34.20 |
$57 |
0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$201.60 |
$336 |
1.7× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$1,741.20 |
$2,902 |
4.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$925.80 |
$1,543 |
4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,028.40 |
$1,714 |
4.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$592.80 |
$988 |
6.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,028.40 |
$1,714 |
4.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$606.60 |
$1,011 |
6.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$654.60 |
$1,091 |
6.9× |
| Duplex hemodialysis access (93990) |
$915 |
$1,525 |
9.7× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$915 |
$1,525 |
4.2× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$915 |
$1,525 |
9.7× |
| Duplex scan extracranial art compl bi study (93880) |
$915 |
$1,525 |
4.2× |
| Echo Heart Xthoracic,Limited (93308) |
$964.80 |
$1,608 |
4.5× |
| Echo transesophageal (93312) |
$1,456.80 |
$2,428 |
2.9× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,067.40 |
$1,779 |
2.2× |
| EEG awake asleep (95819) |
$296.40 |
$494 |
1.5× |
| EEG awake drowsy (95816) |
$51 |
$85 |
0.3× |
| EEG cerebral death evaluation (95824) |
$379.50 |
$632.50 |
1.1× |
| EEG coma or sleep only (95822) |
$50.40 |
$84 |
0.3× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$593.40 |
$989 |
3.0× |
| EKG (93005) |
$59.40 |
$99 |
1.1× |
| EKG rhythm strip (93041) |
$86.40 |
$144 |
1.6× |
| Er level 1 (99281) |
$275.40 |
$459 |
3.6× |
| Er level ii (99282) |
$412.80 |
$688 |
3.0× |
| Er level iii (99283) |
$670.20 |
$1,117 |
2.7× |
| Er level IV (99284) |
$854.40 |
$1,424 |
2.3× |
| Er level v (99285) |
$1,449 |
$2,415 |
2.7× |
| Evaluation of speech fluency (92521) |
$171 |
$285 |
1.3× |
| Evaluation of speech sound production (92522) |
$166.80 |
$278 |
1.5× |
| Evaluation of swallowing function (92610) |
$189.60 |
$316 |
2.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$201.60 |
$336 |
1.6× |
| Evoked Auditory Test,Comprehsv (92588) |
$131.40 |
$219 |
0.4× |
| External Ecg Scanning Analysis Report (93226) |
$210 |
$350 |
3.9× |
| Group Therapeutic Procedures (97150) |
$26.40 |
$44 |
1.5× |
| Hemodialysis (90935) |
$845.40 |
$1,409 |
1.4× |
| Holter Monitor Recording (93225) |
$60 |
$100 |
0.5× |
| Icd Device Interrogate (93289) |
$120.60 |
$201 |
3.6× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$15 |
$25 |
0.2× |
| Immunization Admin (90471) |
$12.60 |
$21 |
0.2× |
| Ins swan ganz bedside (93503) |
$1,089 |
$1,815 |
0.8× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$120.60 |
$201 |
3.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$300 |
$500 |
5.6× |
| IV infusion hydration each additional hour (96361) |
$133.80 |
$223 |
3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$342.60 |
$571 |
1.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$133.80 |
$223 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$342.60 |
$571 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$133.80 |
$223 |
3.2× |
| IV push initial (96374) |
$276 |
$460 |
1.4× |
| Manual therapy 15 min (97140) |
$45.90 |
$76.50 |
1.7× |
| Massage 15 min (97124) |
$46.20 |
$77 |
1.6× |
| Measurement of heart blood flow and respiration (93701) |
$122.40 |
$204 |
1.0× |
| Mechanical traction (97012) |
$57.60 |
$96 |
4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$27 |
$45 |
0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$51.60 |
$86 |
1.4× |
| Mnt Group Ea 30 Min (97804) |
$43.80 |
$73 |
2.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$201.60 |
$336 |
2.2× |
| Multiple sleep latency test (95805) |
$1,215 |
$2,025 |
1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$109.80 |
$183 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$186.60 |
$311 |
0.5× |
| Neurobehavioral Status Exam (96116) |
$201.60 |
$336 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$102 |
$170 |
0.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$189.60 |
$316 |
1.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$46.20 |
$77 |
1.0× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$48 |
$80 |
1.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$46.20 |
$77 |
3.3× |
| Ot eval high complex 60 min (97167) |
$154.20 |
$257 |
1.5× |
| Ot eval low complex 30 min (97165) |
$154.20 |
$257 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$154.20 |
$257 |
1.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$46.20 |
$77 |
0.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$46.20 |
$77 |
1.1× |
| Ot re-eval est plan care (97168) |
$154.20 |
$257 |
2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$141.60 |
$236 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$153 |
$255 |
1.3× |
| Paraffin bath (97018) |
$34.50 |
$57.50 |
5.7× |
| Peripheral arterial disease rehab per session (93668) |
$72.60 |
$121 |
1.4× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$147.60 |
$246 |
2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,215 |
$2,025 |
1.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,215 |
$2,025 |
1.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,215 |
$2,025 |
1.6× |
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure |
$3,267 |
$5,445 |
0.3× |
| Prq Card Stent/Ath/Angio (92933) |
$15,473.40 |
$25,789 |
0.9× |
Prq revasc byp graft 1 vsl (92937)
unusually low: confirm this is the full procedure |
$3,267 |
$5,445 |
0.3× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$12,465 |
$20,775 |
1.2× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$2,722.80 |
$4,538 |
0.5× |
| Psychiatric diagnostic evaluation (90791) |
$105 |
$175 |
0.7× |
| Pt Electric Current Therapy (97033) |
$38.40 |
$64 |
2.0× |
| Pt Electrical Stimulation (97032) |
$39 |
$65 |
2.7× |
| Pt eval high complex 45 min (97163) |
$160.20 |
$267 |
1.6× |
| Pt eval low complex 20 min (97161) |
$160.20 |
$267 |
1.6× |
| Pt Gait Training Therapy (97116) |
$48 |
$80 |
1.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$48 |
$80 |
1.5× |
| Pt Physical Performance Test (97750) |
$87.60 |
$146 |
2.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$160.20 |
$267 |
1.6× |
| Pt re-evaluation (97164) |
$160.20 |
$267 |
2.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$46.20 |
$77 |
1.4× |
| Pt Ultrasound Therapy (97035) |
$34.50 |
$57.50 |
2.4× |
| Pt Whirlpool Therapy (97022) |
$87 |
$145 |
5.5× |
| Pulm function test by gas (94727) |
$211.80 |
$353 |
1.1× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$12,197.40 |
$20,329 |
4.2× |
| R hrt art/grft angio (93457) |
$3,660 |
$6,100 |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$12,945.60 |
$21,576 |
4.4× |
| Right heart cath (93451) |
$3,267 |
$5,445 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$109.80 |
$183 |
0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$121.20 |
$202 |
1.0× |
| Sensory Integration Ea 15 Min (97533) |
$46.20 |
$77 |
0.8× |
| Sleep study attended (95807) |
$1,215 |
$2,025 |
3.6× |
| Sleep study unattended (95806) |
$291.60 |
$486 |
1.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$340.80 |
$568 |
1.7× |
| Speech group therapy (92508) |
$163.80 |
$273 |
6.8× |
| Speech sound lang comprehen (92523) |
$288 |
$480 |
1.3× |
| Spirometry (94010) |
$225 |
$375 |
1.2× |
| Stress echo (93350) |
$1,067.40 |
$1,779 |
2.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$50.70 |
$84.50 |
2.3× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$55.20 |
$92 |
2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$155.40 |
$259 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$11.40 |
$19 |
0.2× |
| Therapeutic Activities (97530) |
$46.20 |
$77 |
1.3× |
| Therapeutic phlebotomy (99195) |
$75 |
$125 |
0.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,400.40 |
$2,334 |
2.8× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,067.40 |
$1,779 |
4.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$131.40 |
$219 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$155.40 |
$259 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$97.20 |
$162 |
2.3× |
| Unlisted pulmonary service/procedure (94799) |
$59.40 |
$99 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$988.20 |
$1,647 |
4.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$457.20 |
$762 |
4.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$270 |
$450 |
1.4× |
| Vasopneumatic device (97016) |
$76.80 |
$128 |
6.4× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,486.20 |
$2,477 |
2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,304.60 |
$3,841 |
4.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$46.20 |
$77 |
1.5× |