| Airway inhalation treatment (94640) |
$312.55 |
$367.71 |
1.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$110.31 |
$129.78 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$136.58 |
$160.68 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$85.67 |
$100.79 |
— |
| Assessment of aphasia (96105) |
$162.72 |
$191.43 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$267.51 |
$314.72 |
— |
| Bipap initial day (94660) |
$603.04 |
$709.46 |
2.6× |
| Breathing capacity test (94010) |
$279.70 |
$329.06 |
1.2× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$267.84 |
$315.11 |
0.7× |
| Canalith repositioning (95992) |
$83.88 |
$98.68 |
— |
| Cardiovascular stress test (93017) |
$127.50 |
$150 |
0.6× |
| Cardioversion elective external (92960) |
$2,467.34 |
$2,902.75 |
3.5× |
| Chemo anti-neopl sq/im (96401) |
$172.56 |
$203.02 |
2.3× |
| Chemo hormon antineopl sq/im (96402) |
$122.26 |
$143.84 |
1.6× |
| Chemo IV infus each addl seq (96417) |
$358.52 |
$421.79 |
4.7× |
| Chemo IV infusion addl hr (96415) |
$316 |
$371.77 |
4.2× |
| Chemo IV push addl drug (96411) |
$330.98 |
$389.39 |
4.4× |
| Chemother prolong infuse w/pump (96416) |
$342.43 |
$402.86 |
1.0× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$843.44 |
$992.28 |
2.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$649.24 |
$763.81 |
1.9× |
| Chest physiotherapy initial (94667) |
$204 |
$240 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$969.83 |
$1,140.98 |
3.9× |
| Color/duplex Doppler, limited (93976) |
$561.88 |
$661.04 |
5.1× |
| Concurrent chemotherapy (96549) |
$87.06 |
$102.42 |
1.8× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$470.67 |
$553.73 |
3.4× |
| Cpr (92950) |
$1,654.70 |
$1,946.70 |
7.3× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$55.25 |
$65 |
0.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,529.25 |
$1,799.12 |
1.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,136.18 |
$1,336.68 |
4.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,200.80 |
$1,412.71 |
4.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$830.80 |
$977.41 |
7.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,028.67 |
$1,210.20 |
4.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$669.23 |
$787.33 |
6.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$856.77 |
$1,007.96 |
3.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$669.23 |
$787.33 |
6.1× |
| ECG monit/reprt up to 48 hrs (93226) |
$238.65 |
$280.76 |
3.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,518.14 |
$1,786.05 |
6.0× |
| EKG 12 lead tracing only (93005) |
$173.74 |
$204.40 |
2.8× |
| EKG rhythm strip (93041) |
$68.94 |
$81.11 |
1.1× |
| Emergency department visit high mdm (99285) |
$1,190.56 |
$1,400.65 |
1.9× |
| Emergency department visit low mdm (99283) |
$445.08 |
$523.62 |
1.5× |
| Emergency department visit may not req phys/qhp (99281) |
$140.08 |
$164.80 |
1.6× |
| Emergency department visit moderate mdm (99284) |
$680.49 |
$800.58 |
1.5× |
| Emergency department visit straightforward mdm (99282) |
$247.05 |
$290.64 |
1.5× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$382.52 |
$450.02 |
— |
| Evaluate pt use of inhaler (94664) |
$349.32 |
$410.97 |
1.5× |
| Evaluation of speech fluency (92521) |
$267.51 |
$314.72 |
— |
| Evaluation of speech sound production articulate (92522) |
$254.13 |
$298.98 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$315.52 |
$371.20 |
2.2× |
| Ext ECG>48hr<7d scan a/r (93243) |
$121.69 |
$143.17 |
0.9× |
| External ECG rec>48hr<7d recording (93242) |
$74.42 |
$87.55 |
1.9× |
| External ECG rec>7d<15d recording (93246) |
$121.69 |
$143.17 |
3.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$245.14 |
$288.40 |
1.7× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$238.65 |
$280.76 |
1.7× |
| Hot/cold pack (97010) |
$23.90 |
$28.12 |
— |
| Immunization administration (90471) |
$121.81 |
$143.30 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$169.47 |
$199.38 |
3.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$201.73 |
$237.33 |
0.9× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$199.75 |
$235 |
5.1× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$187.54 |
$220.63 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$130.89 |
$153.98 |
2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$410 |
$482.35 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$243.61 |
$286.60 |
3.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$384.26 |
$452.07 |
1.7× |
| IV tx, each additional hour (96366) |
$171.90 |
$202.24 |
3.5× |
| Low frequency non-thermal us (97610) |
$349.32 |
$410.97 |
1.7× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$272 |
$320 |
1.9× |
| Maximum voluntary ventilation (94200) |
$206.84 |
$243.34 |
3.3× |
| Mechanical chest wall oscillation lung function (94669) |
$440.33 |
$518.04 |
1.9× |
| Mechanical traction therapy (97012) |
$70.79 |
$83.28 |
— |
| Methacholine challenge (94070) |
$219.98 |
$258.80 |
0.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$297.85 |
$350.41 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$671.08 |
$789.50 |
1.6× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$740.02 |
$870.61 |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$471.75 |
$555 |
2.1× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$682.10 |
$802.47 |
3.0× |
| Occupational therapy eval high complex 60 mins (97167) |
$191.21 |
$224.95 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$239.93 |
$282.27 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$191.21 |
$224.95 |
— |
| Ophthalmic biometry (92136) |
$71.30 |
$83.88 |
0.5× |
| Oral function therapy (92526) |
$122.04 |
$143.58 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$92.85 |
$109.23 |
— |
| Ot manual therapy ea 15 min (97140) |
$112.94 |
$132.87 |
— |
| Ot neuromuscular re-education (97112) |
$98.83 |
$116.27 |
— |
| Ot paraffin bath (97018) |
$88.25 |
$103.82 |
— |
| Ot re-evaluation (97168) |
$89.17 |
$104.91 |
— |
| OT Therapeutic Activities Charges (97530) |
$82.74 |
$97.34 |
— |
| Ot wheelchair management (97542) |
$112.15 |
$131.94 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$226.95 |
$267 |
1.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$129.20 |
$152 |
1.0× |
| Phlebotomy therapeutic (99195) |
$348.50 |
$410 |
2.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$270.27 |
$317.96 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$199.49 |
$234.69 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$245.45 |
$288.76 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,361.61 |
$2,778.37 |
2.6× |
| Pr unlisted therapeutic procedure specify (97139) |
$79.98 |
$94.09 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$38.61 |
$45.42 |
— |
| Psychiatric diagnostic evaluation (90791) |
$287.51 |
$338.25 |
1.5× |
| Pt gait training 15 min (97116) |
$82.26 |
$96.78 |
— |
| Pt physical performance test (97750) |
$82.74 |
$97.34 |
— |
| Pt re-evaluation (97164) |
$110.16 |
$129.60 |
— |
| Pulm funct tst plethysmograp (94726) |
$182.81 |
$215.07 |
0.5× |
| Pulmonary stress testing (94618) |
$244.72 |
$287.90 |
1.7× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$38.61 |
$45.42 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$47.80 |
$56.24 |
— |
| Refilling and maintenance of portable pump (96521) |
$430.18 |
$506.09 |
1.9× |
| Remote 30 day ECG rev/report (93270) |
$85.41 |
$100.48 |
2.2× |
| Respiratory flow volume loop (94375) |
$344.25 |
$405 |
1.5× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$97.67 |
$114.91 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$67.11 |
$78.95 |
— |
| Speech sound lang comprehen (92523) |
$334.39 |
$393.40 |
— |
| Stress tte only (93350) |
$533.18 |
$627.27 |
0.9× |
| Temp transcutaneous pacing (92953) |
$1,080.15 |
$1,270.76 |
1.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$56.67 |
$66.67 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$54.18 |
$63.74 |
— |
| Ther/proph/diag inj ia (96373) |
$195.48 |
$229.98 |
0.9× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$88.30 |
$103.88 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$122.74 |
$144.40 |
1.6× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$134.22 |
$157.90 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$76.71 |
$90.25 |
1.9× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$76.71 |
$90.25 |
1.9× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$422.87 |
$497.49 |
0.7× |
| Tte w/doppler complete (93306) |
$1,676.76 |
$1,972.66 |
2.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$203.16 |
$239.01 |
— |
| Upr/l xtremity art 2 levels (93922) |
$647.17 |
$761.38 |
4.6× |
| Ventilation ip/obs initial day (94002) |
$1,172.01 |
$1,378.84 |
1.8× |
| Ventilator subsequent day (94003) |
$1,172.01 |
$1,378.84 |
1.8× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$131.75 |
$155 |
0.9× |
| Visual reinforcement audiometry (vra) (92579) |
$183.86 |
$216.30 |
0.8× |
| Vital capacity total (94150) |
$312.44 |
$367.58 |
2.3× |