| Airway inhalation treatment (94640) |
$168.60 |
$843 |
0.8× |
| Ambulatory Bp Recording (93786) |
$73.60 |
$368 |
0.6× |
| Analyze Neurostim Complex (95972) |
$262.60 |
$1,313 |
2.9× |
| Anogenital exam, child (99170) |
$157 |
$785 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$97 |
$485 |
2.2× |
| Assessment of aphasia (96105) |
$178 |
$890 |
1.8× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$119.80 |
$599 |
3.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$208.20 |
$1,041 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$371.80 |
$1,859 |
1.0× |
| Canalith Repositioning (95992) |
$93.80 |
$469 |
2.3× |
| Capsule endoscopy (91110) |
$2,316.20 |
$11,581 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$639 |
$3,195 |
3.1× |
| Cardiopulmonary exercise testing (94621) |
$640 |
$3,200 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$576 |
$2,880 |
2.8× |
| Cardioversion (92960) |
$935 |
$4,675 |
1.5× |
| Cardioversion internal (92961) |
$909.60 |
$4,548 |
1.4× |
| Cbt 1st hour (94644) |
$205.40 |
$1,027 |
1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$80.40 |
$402 |
1.2× |
| Chemo inj subarach/intravent (96542) |
$264.20 |
$1,321 |
0.8× |
| Chemo Iv Push Sngl Drug (96409) |
$288.20 |
$1,441 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$353 |
$1,765 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$65.40 |
$327 |
0.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$80.40 |
$402 |
1.2× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$256.20 |
$1,281 |
0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$216.20 |
$1,081 |
3.1× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$639.60 |
$3,198 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$430 |
$2,150 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$405 |
$2,025 |
4.0× |
| Cpap initiation and management (94660) |
$399.40 |
$1,997 |
1.9× |
| Cpt initial (94667) |
$151.20 |
$756 |
1.2× |
| Critical care (99291) |
$1,570.40 |
$7,852 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$181.80 |
$909 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$168.60 |
$843 |
0.8× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$431.80 |
$2,159 |
1.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$398.80 |
$1,994 |
1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$427.20 |
$2,136 |
4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$471.80 |
$2,359 |
2.1× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$297.40 |
$1,487 |
3.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$409.60 |
$2,048 |
1.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$278 |
$1,390 |
2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$473.20 |
$2,366 |
4.7× |
| Duplex hemodialysis access (93990) |
$186.60 |
$933 |
1.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$854.80 |
$4,274 |
3.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$580 |
$2,900 |
5.8× |
| Duplex scan extracranial art compl bi study (93880) |
$471.80 |
$2,359 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$419.20 |
$2,096 |
1.8× |
| Echo r-t 2d w/probe placement only (93313) |
$497.60 |
$2,488 |
0.9× |
| Echo transesophageal (93312) |
$641.70 |
$3,208.50 |
1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$941 |
$4,705 |
1.8× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,653.60 |
$8,268 |
3.1× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$795.60 |
$3,978 |
1.5× |
| EEG awake asleep (95819) |
$784.30 |
$3,921.50 |
3.8× |
| EEG awake drowsy (95816) |
$783 |
$3,915 |
3.8× |
| EEG cerebral death evaluation (95824) |
$430.20 |
$2,151 |
1.2× |
| EEG coma or sleep only (95822) |
$826.60 |
$4,133 |
4.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$315.80 |
$1,579 |
1.5× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$877.40 |
$4,387 |
4.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$325.60 |
$1,628 |
1.6× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,775.80 |
$13,879 |
7.7× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$1,790.40 |
$8,952 |
5.0× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$325.60 |
$1,628 |
1.6× |
| EKG (93005) |
$193.50 |
$967.50 |
3.4× |
| EKG rhythm strip (93041) |
$67.80 |
$339 |
1.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$177.60 |
$888 |
1.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$65.80 |
$329 |
1.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$592.20 |
$2,961 |
2.9× |
| EMG four extremities (95864) |
$404.60 |
$2,023 |
3.3× |
| EMG one extremity (95860) |
$160.20 |
$801 |
1.3× |
| EMG three extremities (95863) |
$288.20 |
$1,441 |
2.3× |
| EMG two extremities (95861) |
$248.20 |
$1,241 |
1.9× |
| Er level 1 (99281) |
$116.20 |
$581 |
1.4× |
| Er level ii (99282) |
$162.80 |
$814 |
1.1× |
| Er level iii (99283) |
$216.40 |
$1,082 |
0.8× |
| Er level IV (99284) |
$361.20 |
$1,806 |
0.9× |
| Er level v (99285) |
$559.40 |
$2,797 |
1.0× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$112.40 |
$562 |
1.6× |
| Evaluation of speech fluency (92521) |
$174 |
$870 |
1.3× |
| Evaluation of speech sound production (92522) |
$208.20 |
$1,041 |
1.9× |
| Evaluation of swallowing function (92610) |
$185.20 |
$926 |
2.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$145 |
$725 |
1.2× |
| Exhaled Air Analysis (94690) |
$91.20 |
$456 |
1.6× |
| External ECG rec>48hr<7d recording (93242) |
$116.60 |
$583 |
3.2× |
| External ECG rec>7d<15d recording (93246) |
$116.60 |
$583 |
3.2× |
| External Ecg Scanning Analysis Report (93226) |
$165.20 |
$826 |
2.9× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$60 |
$300 |
0.3× |
| Flow volume loop (94375) |
$248.20 |
$1,241 |
1.2× |
| Fluorescein angiography (92235) |
$201.20 |
$1,006 |
1.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,131.30 |
$5,656.50 |
1.4× |
| Group Therapeutic Procedures (97150) |
$42.20 |
$211 |
2.3× |
| Hemodialysis (90935) |
$648.40 |
$3,242 |
1.0× |
| Holter Monitor Recording (93225) |
$511.20 |
$2,556 |
4.0× |
| Immunization Admin (90471) |
$56.60 |
$283 |
0.8× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$807.60 |
$4,038 |
2.3× |
| Injection intra arterial (96373) |
$275.60 |
$1,378 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$126.40 |
$632 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$104.20 |
$521 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$173 |
$865 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$101.60 |
$508 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$233.60 |
$1,168 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$101.60 |
$508 |
2.3× |
| IV push initial (96374) |
$142.20 |
$711 |
0.7× |
| Manual therapy 15 min (97140) |
$80.40 |
$402 |
2.9× |
| Massage 15 min (97124) |
$68.20 |
$341 |
2.3× |
| Mechanical chest wall oscillation (94669) |
$186.20 |
$931 |
0.9× |
| Mechanical traction (97012) |
$56 |
$280 |
3.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$58 |
$290 |
1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$11.40 |
$57 |
0.3× |
| Methacholine challenge (94070) |
$333.60 |
$1,668 |
0.9× |
| Mnt Group Ea 30 Min (97804) |
$38.80 |
$194 |
2.3× |
| Motility study esophagus (91010) |
$844 |
$4,220 |
2.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$185.20 |
$926 |
2.0× |
| Multiple sleep latency test (95805) |
$1,809.60 |
$9,048 |
2.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$464.80 |
$2,324 |
1.2× |
| Neg press wound tx >50 cm (97608) |
$464.80 |
$2,324 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$141.80 |
$709 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$464.80 |
$2,324 |
1.2× |
| Nerve conduction studies 13/> studies (95913) |
$550.40 |
$2,752 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$284.20 |
$1,421 |
1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$494.60 |
$2,473 |
1.4× |
| Nerve conduction studies; 1-2 studies (95907) |
$212.60 |
$1,063 |
1.0× |
| Nerve conduction studies; 11-12 studies (95912) |
$497.80 |
$2,489 |
1.4× |
| Nerve conduction studies; 5-6 studies (95909) |
$339 |
$1,695 |
1.6× |
| Nerve conduction studies; 7-8 studies (95910) |
$438.80 |
$2,194 |
1.2× |
| Neuromuscular junction test (95937) |
$152.40 |
$762 |
1.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$310.20 |
$1,551 |
2.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$191.40 |
$957 |
0.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$130.80 |
$654 |
1.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$82.40 |
$412 |
1.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$48 |
$240 |
1.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$41.40 |
$207 |
3.0× |
| Ot eval high complex 60 min (97167) |
$138.60 |
$693 |
1.4× |
| Ot eval low complex 30 min (97165) |
$106 |
$530 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$138.60 |
$693 |
1.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$73.80 |
$369 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$69.20 |
$346 |
1.7× |
| Ot re-eval est plan care (97168) |
$94.20 |
$471 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$182.20 |
$911 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$151 |
$755 |
1.2× |
| Paraffin bath (97018) |
$38 |
$190 |
6.3× |
| Peripheral arterial disease rehab per session (93668) |
$163.80 |
$819 |
2.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$120.60 |
$603 |
2.1× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$120.60 |
$603 |
2.1× |
| Plethysmography (94726) |
$353 |
$1,765 |
1.0× |
| Pm/Icd Remote Tech Serv (93296) |
$41.40 |
$207 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,221 |
$11,105 |
2.7× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,064 |
$5,320 |
1.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,064 |
$5,320 |
1.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$80.20 |
$401 |
2.2× |
| Pt Electric Current Therapy (97033) |
$50 |
$250 |
2.6× |
| Pt Electrical Stimulation (97032) |
$58.20 |
$291 |
4.0× |
| Pt eval high complex 45 min (97163) |
$78.80 |
$394 |
0.8× |
| Pt eval low complex 20 min (97161) |
$78.80 |
$394 |
0.8× |
| Pt Gait Training Therapy (97116) |
$60.40 |
$302 |
2.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$94.40 |
$472 |
2.9× |
| Pt Physical Performance Test (97750) |
$66.40 |
$332 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$78.80 |
$394 |
0.8× |
| Pt re-evaluation (97164) |
$44 |
$220 |
0.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$80.40 |
$402 |
2.5× |
| Pt Ultrasound Therapy (97035) |
$50 |
$250 |
3.5× |
| Pt Whirlpool Therapy (97022) |
$21.60 |
$108 |
1.4× |
| Pulm function test by gas (94727) |
$371.80 |
$1,859 |
1.8× |
| Pulmonary stress testing (94618) |
$123 |
$615 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$210.20 |
$1,051 |
1.0× |
| Refill/maint, portable pump (96521) |
$209.80 |
$1,049 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$108.40 |
$542 |
3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$110 |
$550 |
0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$96.40 |
$482 |
0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$50.20 |
$251 |
1.1× |
| Sc Ther Infusion Reset Pump (96371) |
$193 |
$965 |
2.8× |
| Sensory Integration Ea 15 Min (97533) |
$121.40 |
$607 |
2.0× |
| Short-latency somatosens ep std lwr limbs (95926) |
$475.40 |
$2,377 |
2.3× |
| Short-latency somatosens ep std upr limbs (95925) |
$486 |
$2,430 |
2.3× |
| Sleep study attended (95807) |
$849.40 |
$4,247 |
2.4× |
| Sleep study unattended (95806) |
$199.80 |
$999 |
1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$566.60 |
$2,833 |
2.7× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$94.20 |
$471 |
1.7× |
| Smoking cessation > 10 min (99407) |
$109.60 |
$548 |
3.0× |
| Speech group therapy (92508) |
$45.40 |
$227 |
1.9× |
| Speech sound lang comprehen (92523) |
$238 |
$1,190 |
1.1× |
| Spirometry (94010) |
$174.60 |
$873 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$180.80 |
$904 |
1.8× |
| Stress echo (93350) |
$514 |
$2,570 |
1.0× |
| Stress Tte Complete (93351) |
$1,198.20 |
$5,991 |
2.3× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$54.60 |
$273 |
1.2× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$233.40 |
$1,167 |
1.1× |
| Surfactant Admin Thru Tube (94610) |
$232.80 |
$1,164 |
1.1× |
| Temp transcutaneous pacing (92953) |
$279.40 |
$1,397 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$43.60 |
$218 |
1.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$43.60 |
$218 |
2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$160.60 |
$803 |
1.6× |
| Ther/prop/diag inj/inf proc (96379) |
$39.60 |
$198 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77 |
$385 |
1.1× |
| Therapeutic Activities (97530) |
$73 |
$365 |
2.1× |
| Therapeutic phlebotomy (99195) |
$142.20 |
$711 |
1.1× |
| Tilt Table Eval (93660) |
$2,634.60 |
$13,173 |
7.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$29 |
$145 |
0.8× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$391.40 |
$1,957 |
1.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$663.40 |
$3,317 |
1.3× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$2,188.50 |
$10,942.50 |
9.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$100.20 |
$501 |
1.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$100.60 |
$503 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$129 |
$645 |
2.9× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$2,306.60 |
$11,533 |
4.4× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$193.80 |
$969 |
7.0× |
| Unlisted pulmonary service/procedure (94799) |
$488.20 |
$2,441 |
3.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$481.90 |
$2,409.50 |
2.1× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$409.60 |
$2,048 |
4.1× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$189.20 |
$946 |
0.9× |
| Vasopneumatic device (97016) |
$108.80 |
$544 |
9.1× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$325.60 |
$1,628 |
1.6× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$2,775.80 |
$13,879 |
7.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$315.80 |
$1,579 |
0.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,775.80 |
$13,879 |
7.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,775.80 |
$13,879 |
7.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,104.40 |
$5,522 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,104.40 |
$5,522 |
1.9× |
| Visual Evoked Potential Test (95930) |
$423.20 |
$2,116 |
2.0× |
| Vital capacity total (94150) |
$242.80 |
$1,214 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$51.20 |
$256 |
1.6× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$180.20 |
$901 |
2.0× |