| Acoustic immitance testing (92570) |
$253 |
$253 |
1.9× |
| Aerosol inhalation pentamidine (94642) |
$389 |
$389 |
1.7× |
| Airway inhalation treatment (94640) |
$196 |
$196 |
0.9× |
| Analyze pacemaker system (93724) |
$1,164 |
$1,164 |
3.7× |
| Appl on-body injector for timed subq injection (96377) |
$159 |
$159 |
3.3× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$65 |
$65 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$98 |
$98 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$95 |
$95 |
— |
| Application of ultraviolet light to skin (96900) |
$94 |
$94 |
2.5× |
| Assessment of aphasia (96105) |
$323 |
$323 |
— |
| Basic vestibular evaluation (92540) |
$516 |
$516 |
2.3× |
| Behavioral & qualit analysis voice and resonance (92524) |
$156 |
$156 |
— |
| Bipap initial day (94660) |
$487.50 |
$487.50 |
2.2× |
| Breathing capacity test (94010) |
$169 |
$169 |
0.8× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$442 |
$442 |
1.2× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$429 |
$429 |
3.3× |
| Cardiovascular stress test (93017) |
$814 |
$814 |
3.7× |
| Cardioversion elective external (92960) |
$1,572 |
$1,572 |
2.3× |
| Chemo anti-neopl sq/im (96401) |
$307 |
$307 |
4.2× |
| Chemo hormon antineopl sq/im (96402) |
$299 |
$299 |
4.1× |
| Chemo IV infus each addl seq (96417) |
$240 |
$240 |
3.3× |
| Chemo IV infusion addl hr (96415) |
$204 |
$204 |
2.8× |
| Chemo IV push addl drug (96411) |
$348 |
$348 |
4.7× |
| Chemother prolong infuse w/pump (96416) |
$735 |
$735 |
2.2× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$568 |
$568 |
1.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$485 |
$485 |
1.4× |
| Chest physiotherapy initial (94667) |
$121 |
$121 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$1,262 |
$1,262 |
5.2× |
| Color/duplex Doppler, limited (93976) |
$670 |
$670 |
6.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$128 |
$128 |
— |
| Comprehensive hearing test (92557) |
$138 |
$138 |
1.0× |
| Conditioning play audiometry (92582) |
$303 |
$303 |
2.3× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$452 |
$452 |
3.3× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$347 |
$347 |
2.6× |
| Cpr (92950) |
$875 |
$875 |
4.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,602 |
$2,602 |
3.1× |
| Debridement open wound 20 sq cm< (97597) |
$283 |
$283 |
1.4× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,003 |
$1,003 |
4.1× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$303 |
$303 |
2.8× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$1,200 |
$1,200 |
4.9× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$876 |
$876 |
8.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$561 |
$561 |
2.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,145 |
$1,145 |
4.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$749 |
$749 |
7.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$982 |
$982 |
4.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$565 |
$565 |
5.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,163 |
$1,163 |
4.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$500 |
$500 |
4.7× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$373 |
$373 |
2.8× |
| ECG monit/reprt up to 48 hrs (93226) |
$589 |
$589 |
9.8× |
| Echo transesophageal (93312) |
$1,881 |
$1,881 |
3.4× |
| EEG 41-60 minutes (95812) |
$1,430 |
$1,430 |
6.5× |
| EEG awake & asleep (95819) |
$1,130 |
$1,130 |
5.1× |
| EKG 12 lead tracing only (93005) |
$329 |
$329 |
5.5× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$353 |
$353 |
3.6× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$245 |
$245 |
1.8× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$122 |
$122 |
3.2× |
| Emergency department visit high mdm (99285) |
$1,305 |
$1,305 |
2.1× |
| Emergency department visit low mdm (99283) |
$630 |
$630 |
2.3× |
| Emergency department visit may not req phys/qhp (99281) |
$177 |
$177 |
2.1× |
| Emergency department visit moderate mdm (99284) |
$1,027 |
$1,027 |
2.4× |
| Emergency department visit straightforward mdm (99282) |
$356 |
$356 |
2.3× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$177 |
$177 |
— |
| Evaluate pt use of inhaler (94664) |
$233 |
$233 |
1.0× |
| Evaluation of speech fluency (92521) |
$182 |
$182 |
— |
| Evaluation of speech sound production articulate (92522) |
$149 |
$149 |
— |
| Evoked auditory test limited (92587) |
$110 |
$110 |
0.5× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$647 |
$647 |
4.8× |
| Fluidotherapy (97022) |
$166 |
$166 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$465 |
$465 |
0.7× |
| Hot/cold pack (97010) |
$41 |
$41 |
— |
| Immunization administration (90471) |
$110 |
$110 |
1.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$97 |
$97 |
2.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$99 |
$99 |
0.5× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$138 |
$138 |
3.6× |
| Intra-atrial recording (93602) |
$8,048 |
$8,048 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$131 |
$131 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$147 |
$147 |
3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$490 |
$490 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$153 |
$153 |
2.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$485 |
$485 |
2.2× |
| IV tx, each additional hour (96366) |
$144 |
$144 |
3.0× |
| Lwr xtr vasc stdy bilat (93924) |
$1,069 |
$1,069 |
4.8× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$110 |
$110 |
0.8× |
| Mechanical chest wall oscillation lung function (94669) |
$191 |
$191 |
0.9× |
| Mechanical traction therapy (97012) |
$81 |
$81 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$67 |
$67 |
— |
| Medical nutrition group (97804) |
$57 |
$57 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$72 |
$72 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$288 |
$288 |
— |
| Nasopharyngoscopy (92511) |
$360 |
$360 |
1.8× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$257 |
$257 |
1.3× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$317 |
$317 |
0.8× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$439 |
$439 |
2.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$193 |
$193 |
1.5× |
| Occupational therapy eval high complex 60 mins (97167) |
$437 |
$437 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$263 |
$263 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$351 |
$351 |
— |
| Oral function therapy (92526) |
$191 |
$191 |
— |
| Oral speech device eval (92597) |
$489 |
$489 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$73 |
$73 |
— |
| Ot manual therapy ea 15 min (97140) |
$108 |
$108 |
— |
| Ot neuromuscular re-education (97112) |
$74 |
$74 |
— |
| Ot paraffin bath (97018) |
$77 |
$77 |
— |
| Ot re-evaluation (97168) |
$210 |
$210 |
— |
| OT Therapeutic Activities Charges (97530) |
$74 |
$74 |
— |
| Ot wheelchair management (97542) |
$69 |
$69 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$213 |
$213 |
1.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$190 |
$190 |
1.4× |
| Phlebotomy therapeutic (99195) |
$258 |
$258 |
1.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$86 |
$86 |
1.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$86 |
$86 |
1.4× |
| Physical therapy evaluation high complex 45 mins (97163) |
$427 |
$427 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$256 |
$256 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$343 |
$343 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$5,093 |
$5,093 |
5.8× |
| Positional nystagmus test, minimum of 4 positions, with recording (92542) |
$279 |
$279 |
2.1× |
| Pr tympanometry and reflex threshold measurements (92550) |
$158 |
$158 |
0.7× |
| Pt gait training 15 min (97116) |
$75 |
$75 |
— |
| Pt physical performance test (97750) |
$132 |
$132 |
— |
| Pt re-evaluation (97164) |
$202 |
$202 |
— |
| Pulm funct tst plethysmograp (94726) |
$209 |
$209 |
0.5× |
| Pulmonary stress testing (94618) |
$148 |
$148 |
1.1× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$74 |
$74 |
— |
| Sleep study unattended (95806) |
$713 |
$713 |
3.2× |
| Speech audiometry threshold (92555) |
$38 |
$38 |
0.6× |
| Speech sound lang comprehen (92523) |
$276 |
$276 |
— |
| Standardized cognitive performance testing (96125) |
$311 |
$311 |
— |
| Stress tte only (93350) |
$1,249 |
$1,249 |
2.2× |
| Surfactant administration (94610) |
$995 |
$995 |
4.4× |
| Test for ability to detect and repeat spoken words with speech recognition (92556) |
$54 |
$54 |
0.9× |
| Test for hearing various pitches using earphone (92552) |
$71 |
$71 |
0.5× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$138 |
$138 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$135 |
$135 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$110 |
$110 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$54 |
$54 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$121 |
$121 |
1.6× |
| Tilt table evaluation (93660) |
$2,024 |
$2,024 |
5.3× |
| Tte congenital complete (93303) |
$1,914 |
$1,914 |
3.4× |
| Tte f-up or lmtd (93308) |
$625 |
$625 |
2.6× |
| Tte w/doppler complete (93306) |
$1,958 |
$1,958 |
3.5× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$197 |
$197 |
— |
| Tympanometry (92567) |
$121 |
$121 |
3.2× |
| Upr/l xtremity art 2 levels (93922) |
$374 |
$374 |
2.8× |
| Ventilation ip/obs initial day (94002) |
$1,377 |
$1,377 |
2.2× |
| Ventilator subsequent day (94003) |
$1,092 |
$1,092 |
1.7× |
| Visual reinforcement audiometry (vra) (92579) |
$39 |
$39 |
0.2× |
| Vital capacity total (94150) |
$186 |
$186 |
1.4× |
| Wound(s) care non-selective (97602) |
$172 |
$172 |
0.8× |