| Airway inhalation treatment (94640) |
$80.40 |
$402 |
0.4× |
| Analyze Neurostim Complex (95972) |
$38.60 |
$193 |
0.4× |
| Anogenital exam, child (99170) |
$76 |
$380 |
0.4× |
| Appl on-body injector for timed subq injection (96377) |
$40 |
$200 |
0.9× |
| Assessment of aphasia (96105) |
$94.40 |
$472 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$77.40 |
$387 |
0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$78.40 |
$392 |
0.2× |
| Canalith Repositioning (95992) |
$49.80 |
$249 |
1.2× |
| Capsule endoscopy (91110) |
$1,392.80 |
$6,964 |
1.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$213.80 |
$1,069 |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$149 |
$745 |
0.7× |
| Cardioversion (92960) |
$474.20 |
$2,371 |
0.7× |
| Cardioversion internal (92961) |
$675.20 |
$3,376 |
1.1× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,263.60 |
$16,318 |
1.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,484.80 |
$17,424 |
1.1× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,646.40 |
$18,232 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,323 |
$16,615 |
1.1× |
| Cbt 1st hour (94644) |
$33.60 |
$168 |
0.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$18.40 |
$92 |
0.3× |
| Chemo IV push addl drug (96411) |
$55.60 |
$278 |
0.8× |
| Chemo Iv Push Sngl Drug (96409) |
$75.60 |
$378 |
0.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$94.40 |
$472 |
0.3× |
| Chemother, IV infusion, 1 hr (96413) |
$92.60 |
$463 |
0.3× |
| Chemother, IV infusion, ea add hr (96415) |
$37.60 |
$188 |
0.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$30.60 |
$153 |
0.4× |
| Chemotherapy, unspecified procedure (96549) |
$4 |
$20 |
0.1× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$92.60 |
$463 |
0.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$44.60 |
$223 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$359.20 |
$1,796 |
1.6× |
| Color/duplex Doppler, limited (93976) |
$88.60 |
$443 |
0.9× |
| Coronary artery angio s&i (93454) |
$2,785.20 |
$13,926 |
0.9× |
| Cpap initiation and management (94660) |
$159 |
$795 |
0.8× |
| Cpt initial (94667) |
$50 |
$250 |
0.4× |
| Critical care (99291) |
$640.40 |
$3,202 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$65.80 |
$329 |
0.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$72.20 |
$361 |
0.3× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$229.20 |
$1,146 |
0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$120.40 |
$602 |
0.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$78 |
$390 |
0.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$139.80 |
$699 |
0.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$106.80 |
$534 |
1.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$268.80 |
$1,344 |
2.7× |
| Duplex scan extracranial art compl bi study (93880) |
$193.20 |
$966 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$197.80 |
$989 |
0.9× |
| Echo transesophageal (93312) |
$591.90 |
$2,959.50 |
1.1× |
| EEG awake asleep (95819) |
$224 |
$1,120 |
1.1× |
| EEG awake drowsy (95816) |
$228 |
$1,140 |
1.1× |
| EEG cerebral death evaluation (95824) |
$224.40 |
$1,122 |
0.6× |
| EEG coma or sleep only (95822) |
$198.20 |
$991 |
1.0× |
| EKG (93005) |
$78.40 |
$392 |
1.4× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$32.40 |
$162 |
0.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$11.80 |
$59 |
0.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$189.20 |
$946 |
0.9× |
| Er level 1 (99281) |
$125.20 |
$626 |
1.5× |
| Er level ii (99282) |
$178.20 |
$891 |
1.2× |
| Er level iii (99283) |
$272 |
$1,360 |
1.0× |
| Er level IV (99284) |
$419.40 |
$2,097 |
1.0× |
| Er level v (99285) |
$626 |
$3,130 |
1.1× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$59.60 |
$298 |
0.8× |
| Evaluation of speech fluency (92521) |
$45.60 |
$228 |
0.3× |
| Evaluation of speech sound production (92522) |
$38 |
$190 |
0.3× |
| Evaluation of swallowing function (92610) |
$75 |
$375 |
0.9× |
| Evaluation with prescription of speech-generating alternative (92607) |
$77 |
$385 |
0.6× |
| Exhaled Air Analysis (94690) |
$86.60 |
$433 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$293.20 |
$1,466 |
5.2× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$32 |
$160 |
0.2× |
| Group Therapeutic Procedures (97150) |
$22.40 |
$112 |
1.2× |
| Hemodialysis (90935) |
$344.20 |
$1,721 |
0.5× |
| Holter Monitor Recording (93225) |
$285 |
$1,425 |
2.2× |
| Immunization Admin (90471) |
$33 |
$165 |
0.5× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$205.60 |
$1,028 |
0.6× |
| Ins swan ganz bedside (93503) |
$516 |
$2,580 |
0.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$32.20 |
$161 |
0.6× |
| IV infusion hydration each additional hour (96361) |
$65.60 |
$328 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$105.60 |
$528 |
0.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$38.20 |
$191 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$108.20 |
$541 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$31 |
$155 |
0.7× |
| IV push initial (96374) |
$88.60 |
$443 |
0.4× |
| Manual therapy 15 min (97140) |
$52 |
$260 |
1.9× |
| Massage 15 min (97124) |
$47.80 |
$239 |
1.6× |
| Mechanical chest wall oscillation (94669) |
$72.20 |
$361 |
0.3× |
| Mechanical traction (97012) |
$53.60 |
$268 |
3.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44.40 |
$222 |
1.2× |
| Methacholine challenge (94070) |
$81.40 |
$407 |
0.2× |
| Motility study esophagus (91010) |
$183.60 |
$918 |
0.5× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$119 |
$595 |
1.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$44.20 |
$221 |
0.1× |
| Neg press wound tx >50 cm (97608) |
$41.80 |
$209 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$65.80 |
$329 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$120.80 |
$604 |
0.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$51.80 |
$259 |
0.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$70 |
$350 |
0.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$74.40 |
$372 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$52 |
$260 |
1.1× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$25.40 |
$127 |
0.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$22 |
$110 |
1.6× |
| Ot eval high complex 60 min (97167) |
$117 |
$585 |
1.2× |
| Ot eval low complex 30 min (97165) |
$90.20 |
$451 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$103.60 |
$518 |
1.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$40.20 |
$201 |
0.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$35.20 |
$176 |
0.9× |
| Ot re-eval est plan care (97168) |
$55 |
$275 |
0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$69.20 |
$346 |
0.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$63 |
$315 |
0.5× |
| Paraffin bath (97018) |
$32 |
$160 |
5.3× |
| Peripheral arterial disease rehab per session (93668) |
$87 |
$435 |
1.5× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$39.20 |
$196 |
0.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$39.20 |
$196 |
0.7× |
| Plethysmography (94726) |
$78.40 |
$392 |
0.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,734.60 |
$8,673 |
2.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,431.20 |
$7,156 |
1.7× |
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure |
$2,578.60 |
$12,893 |
0.2× |
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure |
$2,578.60 |
$12,893 |
0.2× |
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure |
$3,212.40 |
$16,062 |
0.2× |
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure |
$2,476.40 |
$12,382 |
0.2× |
Prq tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure |
$3,382.80 |
$16,914 |
0.2× |
Prq trl rvs ch occ ant&rtrgr (92945)
unusually low: confirm this is the full procedure |
$4,834.80 |
$24,174 |
0.4× |
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure |
$3,110.60 |
$15,553 |
0.3× |
Prq trluml coronary angioplasty one art/branch (92920)
unusually low: confirm this is the full procedure |
$2,316.80 |
$11,584 |
0.4× |
| Pt Aquatic Therapy/Exercises (97113) |
$42.60 |
$213 |
1.1× |
| Pt Electric Current Therapy (97033) |
$68.20 |
$341 |
3.6× |
| Pt Electrical Stimulation (97032) |
$30.80 |
$154 |
2.1× |
| Pt eval high complex 45 min (97163) |
$117 |
$585 |
1.2× |
| Pt eval low complex 20 min (97161) |
$90.20 |
$451 |
0.9× |
| Pt Gait Training Therapy (97116) |
$47 |
$235 |
1.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$54 |
$270 |
1.6× |
| Pt Physical Performance Test (97750) |
$38.80 |
$194 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$103.60 |
$518 |
1.1× |
| Pt re-evaluation (97164) |
$55 |
$275 |
0.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$41.40 |
$207 |
1.3× |
| Pt Ultrasound Therapy (97035) |
$36.60 |
$183 |
2.5× |
| Pt Whirlpool Therapy (97022) |
$66.20 |
$331 |
4.2× |
| Pulm function test by gas (94727) |
$45 |
$225 |
0.2× |
| Pulmonary stress testing (94618) |
$47.80 |
$239 |
0.4× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$2,823.80 |
$14,119 |
0.9× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$3,688.40 |
$18,442 |
1.2× |
| R hrt art/grft angio (93457) |
$3,799.80 |
$18,999 |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$3,543.40 |
$17,717 |
1.1× |
| Refill/Maint Pump/Resvr Syst (96522) |
$69.40 |
$347 |
0.3× |
| Refill/maint, portable pump (96521) |
$62 |
$310 |
0.3× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$69.40 |
$347 |
1.9× |
| Right heart cath (93451) |
$2,788.40 |
$13,942 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$65.80 |
$329 |
0.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$40.60 |
$203 |
0.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$26.80 |
$134 |
0.6× |
| Sensory Integration Ea 15 Min (97533) |
$64.40 |
$322 |
1.1× |
| Sleep study unattended (95806) |
$179.60 |
$898 |
0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$261.80 |
$1,309 |
1.3× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$46.80 |
$234 |
0.8× |
| Smoking cessation > 10 min (99407) |
$41.40 |
$207 |
1.1× |
| Speech sound lang comprehen (92523) |
$92.40 |
$462 |
0.4× |
| Spirometry (94010) |
$43.20 |
$216 |
0.2× |
| Standardized Cognitive Performance Testing (96125) |
$58.40 |
$292 |
0.6× |
| Stress echo (93350) |
$250.80 |
$1,254 |
0.5× |
| Stress Tte Complete (93351) |
$346.20 |
$1,731 |
0.7× |
| Surfactant Admin Thru Tube (94610) |
$120.80 |
$604 |
0.6× |
| Temp transcutaneous pacing (92953) |
$199.40 |
$997 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$37.80 |
$189 |
1.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$37.80 |
$189 |
1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$41.80 |
$209 |
0.4× |
| Ther/prop/diag inj/inf proc (96379) |
$18.80 |
$94 |
0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$71.80 |
$359 |
1.0× |
| Therapeutic Activities (97530) |
$36.80 |
$184 |
1.0× |
| Therapeutic phlebotomy (99195) |
$52.40 |
$262 |
0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41.40 |
$207 |
1.1× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$237.40 |
$1,187 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$309.20 |
$1,546 |
0.6× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,396.90 |
$6,984.50 |
6.1× |
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure |
$8,970.40 |
$44,852 |
0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$91.80 |
$459 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$63.60 |
$318 |
0.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$65.20 |
$326 |
1.4× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$49 |
$245 |
1.8× |
| Unlisted pulmonary service/procedure (94799) |
$283.20 |
$1,416 |
2.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$545.40 |
$2,727 |
2.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$114.80 |
$574 |
1.1× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$121.40 |
$607 |
0.6× |
| Vasopneumatic device (97016) |
$57.80 |
$289 |
4.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$305.10 |
$1,525.50 |
0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$482.40 |
$2,412 |
0.8× |
| Vital capacity total (94150) |
$43.20 |
$216 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$20.40 |
$102 |
0.7× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$105 |
$525 |
1.1× |