| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$40 |
$80 |
1.4× |
| Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) |
$40 |
$80 |
1.4× |
| Advance care planning first 30 mins (99497) |
$162.50 |
$325 |
1.7× |
| Airway inhalation treatment (94640) |
$165.50 |
$331 |
0.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$62 |
$124 |
1.7× |
| Analyze neurostim complex (95972) |
$129.50 |
$259 |
1.4× |
| Analyze neurostim no prog (95970) |
$121 |
$242 |
0.9× |
| Analyze neurostim simple (95971) |
$120.75 |
$241.50 |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$58 |
$116 |
4.0× |
| Application on-body injector (96377) |
$71.50 |
$143 |
1.6× |
| Bedside Swallowing Eval (92610) |
$157.50 |
$315 |
1.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$235.50 |
$471 |
2.1× |
| Brief Emotional/Behavioral Assessment (96127) |
$75 |
$150 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$226 |
$452 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$454.75 |
$909.50 |
2.2× |
| Cardiopulmonary resuscitation (92950) |
$290 |
$580 |
1.4× |
| Cardioversion (92960) |
$684.50 |
$1,369 |
1.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$36 |
$72 |
1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$20.50 |
$41 |
0.8× |
| Cbt 1st hour (94644) |
$246.50 |
$493 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$88.50 |
$177 |
1.3× |
| Chemo IV push addl drug (96411) |
$107.50 |
$215 |
1.6× |
| Chemother, IV infusion, 1 hr (96413) |
$444 |
$888 |
1.4× |
| Chemother, IV infusion, ea add hr (96415) |
$228.50 |
$457 |
3.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$84.50 |
$169 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$84.50 |
$169 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$281 |
$562 |
0.9× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
$27.25 |
$54.50 |
1.3× |
| Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) |
$29 |
$58 |
1.4× |
| Chronic care management services 1st 20 min (99490) |
$95 |
$190 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$544.25 |
$1,088.50 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$479.75 |
$959.50 |
4.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$182 |
$364 |
1.1× |
| Comprehensive Hearing Test (92557) |
$34 |
$68 |
0.3× |
| Conditioning Play Audiometry (92582) |
$204 |
$408 |
1.7× |
| Cpap/bipap (94660) |
$229.50 |
$459 |
1.1× |
| Cpt initial (94667) |
$92.25 |
$184.50 |
0.7× |
| Critical care (99291) |
$3,144.50 |
$6,289 |
4.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$194 |
$388 |
1.0× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$588.75 |
$1,177.50 |
2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$239.50 |
$479 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$528 |
$1,056 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$459.25 |
$918.50 |
4.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$476.75 |
$953.50 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$414.50 |
$829 |
4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$539.25 |
$1,078.50 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$418.50 |
$837 |
4.2× |
| Duplex scan extracranial art compl bi study (93880) |
$671 |
$1,342 |
2.9× |
| Echo Heart Xthoracic,Limited (93308) |
$457.25 |
$914.50 |
2.0× |
| EEG awake and asleep (95819) |
$354 |
$708 |
1.7× |
| EEG greater than 1 hour (95813) |
$354 |
$708 |
1.7× |
| Electrocardiogram Tracing (93005) |
$113.50 |
$227 |
2.0× |
| Er level 1 (99281) |
$145.75 |
$291.50 |
1.8× |
| Er level ii (99282) |
$272 |
$544 |
1.8× |
| Er level iii (99283) |
$585.50 |
$1,171 |
2.2× |
| Er level IV (99284) |
$956.25 |
$1,912.50 |
2.4× |
| Er level v (99285) |
$1,558.75 |
$3,117.50 |
2.7× |
| Eval speech sound production (92522) |
$148 |
$296 |
1.3× |
| Evaluate Pt Use Of Inhaler (94664) |
$109.75 |
$219.50 |
0.5× |
| External ECG rec>48hr<7d recording (93242) |
$57 |
$114 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$71.25 |
$142.50 |
2.0× |
| Gi wireless capsule measure (91112) |
$809.50 |
$1,619 |
0.9× |
| Group Therapeutic Procedures (97150) |
$124 |
$248 |
6.9× |
| Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) |
$29.50 |
$59 |
0.5× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$29.50 |
$59 |
0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$19.50 |
$39 |
0.5× |
| Immune Admin Oral/Nasal (90473) |
$42 |
$84 |
0.6× |
| Immunization Admin (90471) |
$42 |
$84 |
0.6× |
| Interrogate subq defib (93261) |
$35 |
$70 |
1.0× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$93.50 |
$187 |
1.7× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$881 |
$1,762 |
31.7× |
| Iontophoresis 15 min (97033) |
$60 |
$120 |
3.2× |
| Irrig drug delivery device (96523) |
$86.50 |
$173 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$164 |
$328 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$237 |
$474 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$236 |
$472 |
3.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$240.50 |
$481 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$42 |
$84 |
0.9× |
| IV push ea addl new drug (96375) |
$179.75 |
$359.50 |
4.0× |
| IV push initial (96374) |
$157.50 |
$315 |
0.8× |
| Manual therapy 15 min (97140) |
$63 |
$126 |
2.3× |
| Massage 15 min (97124) |
$31 |
$62 |
1.0× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$1,360 |
$2,720 |
1.0× |
| Mechanical traction (97012) |
$73.25 |
$146.50 |
5.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$58.50 |
$117 |
1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$62 |
$124 |
1.7× |
| Methacholine challenge (94070) |
$590.50 |
$1,181 |
1.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$220 |
$440 |
2.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$751 |
$1,502 |
1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$206 |
$412 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$306.50 |
$613 |
0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$559 |
$1,118 |
2.7× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$559 |
$1,118 |
2.7× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$559 |
$1,118 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,030.50 |
$2,061 |
2.9× |
| Nerve conduction studies; 1-2 studies (95907) |
$228.50 |
$457 |
1.1× |
| Nitric oxide expired gas determination (95012) |
$74.50 |
$149 |
2.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$248.75 |
$497.50 |
1.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$469 |
$938 |
3.8× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) |
$208.50 |
$417 |
1.7× |
| Oscillating Tracking Test (92545) |
$419 |
$838 |
2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$55.50 |
$111 |
2.7× |
| Ot eval high complex 60 min (97167) |
$150 |
$300 |
1.5× |
| Ot eval low complex 30 min (97165) |
$153.75 |
$307.50 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$153.75 |
$307.50 |
1.5× |
| Ot re-evaluation (97168) |
$80.50 |
$161 |
1.2× |
| Ot therapeutic activity 15 min (97530) |
$62 |
$124 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$176.50 |
$353 |
1.4× |
| Paraffin bath pt (97018) |
$28 |
$56 |
4.7× |
| Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) |
$190.50 |
$381 |
7.7× |
| Pdt dstr prmlg les phys/qhp (96573) |
$179 |
$358 |
0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$33.50 |
$67 |
0.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$1,092 |
$1,120 |
1.3× |
| Phlebotomy therapeutic (99195) |
$120 |
$240 |
0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$120 |
$240 |
2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$110.50 |
$221 |
2.0× |
| Plethysmography (94726) |
$354.50 |
$709 |
1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$100 |
$200 |
2.2× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$45 |
$90 |
1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$27.50 |
$55 |
0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$31.50 |
$63 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$204.50 |
$409 |
1.2× |
| Pt Aquatic Therapy/Exercises (97113) |
$198 |
$396 |
5.3× |
| Pt Electrical Stimulation (97032) |
$78.75 |
$157.50 |
5.4× |
| Pt eval high complex 45 min (97163) |
$150 |
$300 |
1.5× |
| Pt eval low complex 20 min (97161) |
$150 |
$300 |
1.5× |
| Pt eval mod complex 30 min (97162) |
$150 |
$300 |
1.5× |
| Pt gait training 15 min (97116) |
$63 |
$126 |
2.2× |
| Pt group caregiver training (97552) |
$20.50 |
$41 |
0.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$73 |
$146 |
2.2× |
| Pt re-evaluation (97164) |
$78.50 |
$157 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$60 |
$120 |
1.9× |
| Pulm function test by gas (94727) |
$181 |
$362 |
0.9× |
| Pulmonary stress test simple (94618) |
$188.75 |
$377.50 |
1.5× |
| Pure Tone Audiometry Air Only (92552) |
$127.50 |
$255 |
1.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$320.50 |
$641 |
1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$171.50 |
$343 |
1.3× |
| Rem mntr physiol param dev (99454) |
$35.50 |
$71 |
1.0× |
| Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) |
$57 |
$114 |
1.6× |
| Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) |
$35.50 |
$71 |
1.0× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$280.50 |
$561 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$179.25 |
$358.50 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$90 |
$180 |
0.7× |
| Sleep study unattended (95806) |
$193.50 |
$387 |
0.9× |
| Slp caregiver training 1st 30 min (97550) |
$41.50 |
$83 |
0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$193.50 |
$387 |
0.9× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$55.50 |
$111 |
1.0× |
| Smoking cessation > 10 min (99407) |
$46 |
$92 |
1.3× |
| Speech Audiometry Complete (92556) |
$82 |
$164 |
1.4× |
| Speech sound lang comprehen (92523) |
$265 |
$530 |
1.2× |
| Spirometry (94010) |
$174.25 |
$348.50 |
0.8× |
| Temp transcutaneous pacing (92953) |
$3,434.50 |
$6,869 |
5.4× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$76 |
$152 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41.75 |
$83.50 |
1.2× |
| Trans Care Mgmt 14 Day Disch (99495) |
$269 |
$538 |
2.1× |
| Trans Care Mgmt 7 Day Disch (99496) |
$250.50 |
$501 |
2.0× |
| Tte w/doppler, complete (93306) |
$1,162 |
$2,324 |
2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$127 |
$254 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$130.25 |
$260.50 |
1.5× |
| Tympanometry (92567) |
$11.50 |
$23 |
0.3× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$244.50 |
$489 |
1.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$440 |
$880 |
4.4× |
| Vasopneumatic device (97016) |
$37.50 |
$75 |
3.1× |
| Vent mgmt inpat init day (94002) |
$621.50 |
$1,243 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$819 |
$1,638 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$33 |
$66 |
1.1× |