| Ablation av node w/wo (93650) |
$7,616.78 |
— |
0.9× |
| Acoustic immittance testing (92570) |
$157.05 |
— |
1.2× |
| Acoustic reflex testing (92568) |
$39.40 |
— |
1.0× |
| Actigraphy testing recording analysis i&r (95803) |
$59.62 |
— |
1.0× |
| Acupunct w/stimul 15 min (97813) |
$24.58 |
— |
0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$24.58 |
— |
0.8× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
$161.28 |
— |
0.9× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
$92.85 |
— |
0.9× |
| Advance care planning first 30 mins (99497) |
$92.85 |
— |
0.9× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$312.58 |
— |
1.4× |
| Aep neurodiagnostic interpretation and report (92653) |
$312.58 |
— |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$312.58 |
— |
1.4× |
| Aerosol inhalation pentamidine (94642) |
$204.16 |
— |
0.9× |
| Airway inhalation treatment (94640) |
$204.16 |
$448 |
0.9× |
| Airway resistance by oscillometry (94728) |
$157.05 |
— |
1.2× |
| Allergy injection single (95115) |
$46.31 |
— |
0.9× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$39.40 |
— |
1.0× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$24.58 |
— |
0.8× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$129.39 |
— |
0.9× |
| Ambulatory bp recording (93786) |
$129.39 |
— |
0.9× |
| Analysis cochlear implt 7 yr/> prgrmg (92603) |
$157.05 |
— |
1.2× |
| Analysis cochlear implt 7 yr/> sbsq reprgrmg (92604) |
$157.05 |
— |
1.2× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$157.05 |
— |
1.2× |
| Analyze neurostim simple (95971) |
$92.14 |
— |
0.9× |
| Analyze pacemaker system (93724) |
$301.04 |
— |
0.9× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed… (99170) |
$201.93 |
— |
1.0× |
| Anterior segment imaging with interpretation and report; with fluorescein angiography UNSCHEDULED (92287) |
$129.39 |
— |
0.9× |
| Appl modality 1+lllt po pain (97037) |
$39.40 |
— |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$46.31 |
— |
0.9× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$17.37 |
$54 |
1.2× |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$9.28 |
— |
1.3× |
| Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Other Outpatient (97036) |
$45.89 |
$55 |
1.3× |
| Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s),… (93050) |
$24.58 |
— |
0.8× |
| Assessment of aphasia (96105) |
$124.17 |
— |
1.3× |
| Assistive tech assess (97755) |
$48.65 |
— |
1.3× |
| Assmt & care pln pt cog imp (99483) |
$92.85 |
— |
0.9× |
| Aud stenger test speech (92577) |
$532.61 |
— |
1.4× |
| Basic vestibular evaluation (92540) |
$157.05 |
— |
0.7× |
| Behav assmt w/score & docd/stand instrument (96127) |
$39.40 |
— |
1.0× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$92.85 |
— |
0.9× |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
$92.85 |
— |
0.9× |
| Behavioral & qualit analysis voice and resonance (92524) |
$140.62 |
— |
1.3× |
| Bfb training 1st 15 min (90912) |
$55.62 |
— |
0.7× |
| Bfb training ea addl 15 min (90913) |
$31.13 |
— |
1.0× |
| Biofeedback training any modality (90901) |
$25.17 |
$156 |
0.6× |
| Bioimpedance cv analysis (93701) |
$129.39 |
— |
0.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$157.05 |
— |
1.2× |
| Blink reflex test (95933) |
$59.62 |
— |
1.0× |
| Breath hydrogen/methane test (91065) |
$157.05 |
— |
0.7× |
| Bundle of his recording (93600) |
$7,616.78 |
— |
0.9× |
| C motor evoked lwr limbs (95929) |
$532.61 |
— |
1.4× |
| C motor evoked uppr limbs (95928) |
$1,021.24 |
— |
1.1× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$157.05 |
— |
1.2× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$157.05 |
— |
0.7× |
| Canalith repositioning (95992) |
$46.75 |
— |
1.1× |
| Car seat/bed testing w/interp & report 60 min (94780) |
$39.40 |
— |
1.0× |
| Cardiac stress test (93017) |
$312.58 |
$777.50 |
1.4× |
| Cardiopulmonary exercise testing (94621) |
$312.58 |
— |
0.8× |
| Cardiovascular procedure unlisted (93799) |
$157.05 |
— |
1.2× |
| Cardioversion elective external (92960) |
$656.85 |
$1,364 |
1.0× |
| Cardioversion elective internal (92961) |
$656.85 |
— |
1.0× |
| Care mgmt svc bhvl hlth cond (99484) |
$29.90 |
— |
0.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$29.90 |
— |
0.8× |
| Caregiver training strategies&tq 1st 30 minutes (97550) |
$61.33 |
— |
1.2× |
| Caregiver training strategies&tq ea addl 15 min (97551) |
$33.04 |
— |
1.3× |
| Carotid duplex scan; bilat (93880) |
$242.63 |
$582 |
1.0× |
| Carotid duplex scan; unil/limit (93882) |
$106.74 |
$261 |
1.0× |
| Cdp-sot 6 cond w/i&r mct&adt (92549) |
$129.39 |
— |
0.9× |
| Cervical & ocular vemp testing w/i&r (92519) |
$312.58 |
— |
1.4× |
| Cervical vemp testing w/i&r (92517) |
$157.05 |
— |
1.2× |
| Chemo cns (intrathecal) w lp (96450) |
$332.94 |
— |
1.0× |
| Chemo hormon antineopl sq/im (96402) |
$71.44 |
— |
1.0× |
| Chemo inj via sq reservoir (96542) |
$332.94 |
— |
1.0× |
| Chemo intralesional 1-7 lesions (96405) |
$71.44 |
— |
1.0× |
| Chemo intralesional over 7 (96406) |
$211.49 |
— |
1.0× |
| Chemo IV infus each addl seq (96417) |
$71.44 |
— |
1.0× |
| Chemo IV infusion addl hr (96415) |
$71.44 |
— |
1.0× |
| Chemother prolong infuse w/pump (96416) |
$332.94 |
— |
1.0× |
| Chemother, IV infusion, 1 hr (96413) |
$332.94 |
— |
1.0× |
| Chemother, IV push,ea add drug (96411) |
$71.44 |
— |
1.0× |
| Chemother,non-hormone anti-neopl, sub-q/im (96401) |
$71.44 |
— |
1.0× |
| Chemotherapy admin intra-arterial push tq (96420) |
$332.94 |
— |
1.0× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis UNSCHEDULED (96440) |
$332.94 |
— |
1.0× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$46.31 |
— |
0.9× |
| Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) |
$332.94 |
— |
1.0× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED (96422) |
$332.94 |
— |
1.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$332.94 |
— |
1.0× |
| Chemotherapy Unspecified (96549) |
$46.31 |
— |
0.9× |
| Chemotx admn pertl cavity implanted port/cath (96446) |
$332.94 |
— |
1.0× |
| Chiropract manj 1-2 regions (98940) |
$25.40 |
— |
1.1× |
| Chiropract manj 3-4 regions (98941) |
$25.40 |
— |
1.1× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) |
$25.40 |
— |
1.1× |
| Chron care mgmt srvc 20 min (99490) |
$92.85 |
— |
0.9× |
| Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant UNSCHEDULED (94772) |
$532.61 |
— |
1.4× |
| Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal,… (91117) |
$312.58 |
— |
1.4× |
| Color vision examination, extended, eg, anomaloscope or equivalent UNSCHEDULED (92283) |
$59.62 |
— |
1.0× |
| Color/duplex Doppler, complete (93975) |
$242.63 |
$581.96 |
1.0× |
| Color/duplex Doppler, limited (93976) |
$106.74 |
$261 |
1.0× |
| Compl oph xm&eval general anes w/wo mnpj globe (92018) |
$2,341.78 |
— |
0.9× |
| Complex chronic care management services with the following required elements: multiple (two or more) chronic… (99487) |
$161.28 |
— |
0.9× |
| Compre electrophysiologic arrhythmia induction (93620) |
$7,616.78 |
— |
0.9× |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$7,616.78 |
— |
0.9× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; SCHEDULED (96000) |
$532.61 |
— |
1.4× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure… (96001) |
$1,021.24 |
— |
1.1× |
| Comprehensive hearing test (92557) |
$157.05 |
— |
1.2× |
| Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed,… (92548) |
$129.39 |
— |
0.9× |
| Conditioning play audiometry (92582) |
$157.05 |
— |
1.2× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$129.36 |
— |
0.9× |
| Cont gluc mntr pt prov eqp (95249) |
$59.62 |
— |
1.0× |
| Continuous inhalation tx, 1st hr (94644) |
$129.39 |
$287 |
0.9× |
| Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) |
$59.62 |
— |
1.0× |
| Coronary art/grft angio s&i (93455) |
$3,228.57 |
— |
1.0× |
| Coronary artery angio s&i (93454) |
$3,228.57 |
— |
1.0× |
| Cpap/bipap daily (94660) |
$204.16 |
$449 |
0.9× |
| Cpr (92950) |
$312.58 |
$2,182 |
1.4× |
| Cpt initial (94667) |
$129.39 |
$408 |
0.9× |
| Cpt subsequent (94668) |
$97.20 |
$130 |
0.7× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$312.58 |
— |
1.4× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$59.62 |
— |
1.0× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$59.62 |
— |
1.0× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$59.62 |
— |
1.0× |
| Critical care first hour (99291) |
$600 |
$1,936 |
0.7× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,021.24 |
— |
1.1× |
| Debridement prmlg hyperkeratotic les w/pdt (96574) |
$199.45 |
— |
1.0× |
| Delivery/birthing room resuscitation (99465) |
$656.85 |
$2,645 |
1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$157.05 |
— |
1.2× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming UNSCHEDULED (92602) |
$157.05 |
— |
1.2× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming UNSCHEDULED (92601) |
$157.05 |
— |
1.2× |
| Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and… (92284) |
$400.55 |
— |
0.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$312.58 |
— |
0.8× |
| Duodenal Motility Study (91022) |
$532.61 |
— |
1.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$106.74 |
— |
1.0× |
| Duplex a ivc il/bpg; compl (93978) |
$242.63 |
$582 |
1.0× |
| Duplex a ivc il/bpg; unil/lim (93979) |
$106.74 |
$384 |
1.0× |
| Duplex ext veins; bilat (93970) |
$242.63 |
$1,050 |
1.0× |
| Duplex hemodialysis access (93990) |
$106.74 |
$261 |
1.0× |
| Duplex le art/bpg; bilat (93925) |
$242.63 |
$730 |
1.0× |
| Duplex le art/bpg; unil/limit (93926) |
$106.74 |
$411 |
1.0× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$242.63 |
— |
1.0× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$106.74 |
— |
1.0× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$106.74 |
— |
1.0× |
| Duplex ue art/bpg; bilat (93930) |
$242.63 |
$730 |
1.0× |
| Duplex ue art/bpg; unil/limit (93931) |
$106.74 |
$411 |
1.0× |
| Duplex venous ext unilat/lmtd (93971) |
$106.74 |
$545 |
1.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$157.05 |
— |
1.2× |
| Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles SCHEDULED (96002) |
$312.58 |
— |
1.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$59.62 |
$362 |
1.0× |
| ECG up to 48 hrs recording (93225) |
$119.20 |
$218 |
0.9× |
| Echo transesophageal (93312) |
$550.37 |
— |
1.0× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$550.37 |
— |
1.0× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$550.37 |
— |
1.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$550.37 |
— |
1.0× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$550.37 |
— |
1.0× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$550.37 |
— |
1.0× |
| Ecog implanted brain npgt w/rec i&r <30 days (95836) |
$37.43 |
— |
1.0× |
| EEG awake & asleep (95819) |
$312.58 |
— |
1.4× |
| EEG awake/drowsy (95816) |
$312.58 |
— |
1.4× |
| EEG cerebral death eval (95824) |
$532.61 |
— |
1.4× |
| EEG coma or sleep only (95822) |
$312.58 |
— |
1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$157.05 |
— |
0.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$312.58 |
— |
1.4× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$532.61 |
— |
1.4× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$532.61 |
— |
1.4× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$532.61 |
— |
1.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$312.58 |
— |
1.4× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$312.58 |
— |
1.4× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$312.58 |
— |
1.4× |
| Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) |
$312.58 |
— |
1.4× |
| EKG rhythm strip (93041) |
$59.62 |
$130 |
1.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$92.14 |
— |
0.9× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$92.14 |
— |
0.9× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$92.14 |
— |
0.9× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$129.39 |
— |
0.9× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$37.43 |
— |
1.0× |
| Electro-oculography with interpretation and report UNSCHEDULED (92270) |
$129.39 |
— |
0.9× |
| Electrocardiogram (93005) |
$59.62 |
$213 |
1.0× |
| Electrocochleography (92584) |
$157.05 |
— |
1.2× |
| Electroconvulsive therapy (90870) |
$532.61 |
— |
0.6× |
| Electrode stimulation brain (95961) |
$1,021.24 |
— |
1.1× |
| Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) |
$312.58 |
— |
1.4× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing UNSCHEDULED (91133) |
$129.39 |
— |
0.9× |
| Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) |
$7,616.78 |
— |
0.9× |
| Emergency department visit high mdm (99285) |
$600 |
$1,390 |
1.0× |
| Emergency department visit low mdm (99283) |
$508 |
$508 |
1.8× |
| Emergency department visit may not req phys/qhp (99281) |
$170 |
$170 |
1.9× |
| Emergency department visit moderate mdm (99284) |
$524 |
$896 |
1.2× |
| Emergency department visit straightforward mdm (99282) |
$308 |
$308 |
1.9× |
| EMG four extremities (95864) |
$157.05 |
— |
1.2× |
| EMG one extremity (95860) |
$129.39 |
— |
0.9× |
| EMG thoracic paraspinal (95869) |
$312.58 |
— |
1.4× |
| EMG three extremities (95863) |
$157.05 |
— |
1.2× |
| EMG two extremities (95861) |
$129.39 |
— |
0.9× |
| Endomyocardial biopsy (93505) |
$3,159.40 |
— |
1.0× |
| Endoscopy swallow (fees) vid (92612) |
$85.66 |
— |
0.4× |
| Ep & ablate supravent arrhyt (93653) |
$24,625.03 |
— |
0.9× |
| Ep & ablate ventric tachy (93654) |
$24,625.03 |
— |
0.9× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$1,218.58 |
— |
1.0× |
| Ephys eval pacg cvdfb prgrmg/reprgrmg parameters (93642) |
$1,218.58 |
— |
1.0× |
| Ergonovine provocation test (93024) |
$392.28 |
$768 |
0.8× |
| Esoph balloon distension tst (91040) |
$532.61 |
— |
1.4× |
| Esoph imped function test (91037) |
$312.58 |
$757 |
1.4× |
| Esophageal Capsule Endoscopy (91111) |
$941.10 |
— |
1.0× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$532.61 |
— |
1.4× |
| Esophageal Motility Study (91010) |
$532.61 |
— |
1.4× |
| Esophageal recording (93615) |
$1,218.58 |
— |
1.0× |
| Esophagus, acid perfusion (Bernstein) test for esophagitis UNSCHEDULED (91030) |
$532.61 |
— |
1.4× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$157.05 |
— |
1.2× |
| Evaluate pt use of inhaler (94664) |
$168.33 |
$265 |
0.7× |
| Evaluate speech production (92522) |
$142.56 |
— |
1.3× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$60.57 |
— |
1.3× |
| Evaluation of central auditory function, with report; initial 60 minutes UNSCHEDULED (92620) |
$157.05 |
— |
1.2× |
| Evaluation of speech fluency (92521) |
$170.83 |
— |
1.3× |
| Evoked auditory test limited (92587) |
$312.58 |
— |
1.4× |
| Exam of retinal blood vessels using an endoscope after injection of a dye (92230) |
$532.61 |
— |
1.4× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
$199.45 |
— |
1.0× |
| Excimer laser tx psoriasis >500 sq cm (96922) |
$401.04 |
— |
0.9× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
$199.45 |
— |
1.0× |
| Exercise tst brncspsm (94617) |
$129.39 |
— |
0.9× |
| Ext ECG>48hr<7d scan a/r (93243) |
$129.39 |
— |
0.9× |
| Ext ECG>7d<15d scan a/r (93247) |
$64.70 |
$0.01 |
0.5× |
| External ECG rec>48hr<7d recording (93242) |
$39.40 |
— |
1.0× |
| External ECG rec>7d<15d recording (93246) |
$39.40 |
— |
1.0× |
| External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) |
$39.40 |
— |
1.0× |
| Eye allergy tests (95060) |
$129.39 |
— |
0.9× |
| Facial nerve function studies (92516) |
$312.58 |
— |
1.4× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
$29.90 |
— |
0.8× |
| Filtered speech hearing test (92571) |
$39.40 |
— |
1.0× |
| Fitting of monofocal spectacles where natural lens is absent (92352) |
$59.62 |
— |
1.0× |
| Fitting of multifocal spectacles where natural lens is absent (92353) |
$59.62 |
— |
1.0× |
| Fitting of spectacle mounted low vision aid; single element system (92354) |
$39.40 |
— |
1.0× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system (92355) |
$39.40 |
— |
1.0× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$24.58 |
— |
0.8× |
| Flexible endoscopic eval laryn sensory c/v rec (92614) |
$84.45 |
— |
0.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$127.75 |
— |
0.6× |
| Flow volume loop (94375) |
$312.58 |
— |
1.4× |
| Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral… (92235) |
$312.58 |
— |
1.4× |
| Fluorescein icg angrph w/multiframe i&r uni/bi (92242) |
$312.58 |
— |
1.4× |
| Full field electroretinography w/i&r (92273) |
$312.58 |
— |
1.4× |
| Fundus photography (92250) |
$129.39 |
— |
0.9× |
| Gait training 15 min (97116) |
$37.06 |
$59 |
1.3× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$157.05 |
$400 |
0.7× |
| Gastric motility (manometric) studies UNSCHEDULED (91020) |
$532.61 |
— |
1.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$532.61 |
$1,366 |
0.6× |
| Gastroesophageal Reflux Test (91034) |
$532.61 |
$1,366 |
1.4× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age Under 21 (91113) |
$915.16 |
— |
0.9× |
| Gi tract capsule endoscopy (91110) |
$941.10 |
$2,285 |
1.0× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$941.10 |
— |
1.0× |
| Gonioscopy (92020) |
$129.39 |
— |
0.9× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
$29.90 |
— |
0.8× |
| Group caregiver training strategies & technique (97552) |
$14.15 |
— |
0.6× |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
$29.90 |
— |
0.8× |
| Hast w/oxygen titrate (94453) |
$129.39 |
— |
0.9× |
| Hast w/report (94452) |
$129.39 |
— |
0.9× |
| Health behavior assessment/re-assessment (96156) |
$92.85 |
— |
0.9× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$29.90 |
— |
0.8× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$29.90 |
— |
0.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$161.28 |
— |
0.9× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$702.36 |
— |
1.0× |
| Hypnotherapy UNSCHEDULED (90880) |
$92.85 |
— |
0.9× |
| Hypoxia response curve (94450) |
$157.05 |
— |
1.2× |
| Icd Ck W Reprog Mult (93284) |
$37.43 |
— |
1.0× |
| Icd device prog eval, 1 single (93282) |
$37.43 |
— |
1.0× |
| Icd device progr eval, dual (93283) |
$37.43 |
— |
1.0× |
| Im adm intransl/oral 1 vaccine (90473) |
$71.44 |
— |
1.0× |
| Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or… (92227) |
$59.62 |
— |
1.0× |
| Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care… (92228) |
$39.40 |
— |
1.0× |
| Img rta detc/mntr ds poc aly (92229) |
$59.62 |
— |
1.0× |
| Imm admn sarscov2 vaccine single dose (90480) |
$41.68 |
— |
1.0× |
| Immunization Admin (90471) |
$69.22 |
$108 |
0.9× |
| Implant Subq Defib Interrogate (93261) |
$37.43 |
— |
1.0× |
| Implant Subq Defib Sys Dev Eval (93260) |
$37.43 |
— |
1.0× |
| Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral… (92240) |
$312.58 |
— |
1.4× |
| Induction arrhythmia electrical pacing (93618) |
$1,218.58 |
— |
1.0× |
| Ingestion challenge test initial 120 minutes (95076) |
$532.61 |
— |
1.4× |
| Inhlj brncl challenge tstg w/histam/methachol (95070) |
$532.61 |
— |
1.4× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$129.36 |
— |
0.9× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$600 |
$1,936 |
4.3× |
| Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) |
$92.85 |
— |
0.9× |
| Initial set-up and programming by a physician or other qualified health care professional of wearable… (93745) |
$301.04 |
— |
0.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$46.31 |
$248 |
0.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$167.74 |
$248 |
0.8× |
| Injections intra arterial (96373) |
$167.74 |
$248 |
0.8× |
| Insertion flow directed catheter for monitoring (93503) |
$779.66 |
$0.01 |
0.5× |
| Internal eye photography (92286) |
$129.39 |
— |
0.9× |
| Interrog device eval heart (93289) |
$37.43 |
— |
1.0× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$92.14 |
— |
0.9× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$301.04 |
— |
0.9× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$37.43 |
— |
1.0× |
| Interrogation vad in prson w/phys/qhp analysis (93750) |
$92.14 |
— |
0.9× |
| Interrogation without programming ipnss (93153) |
$92.14 |
— |
0.9× |
| Intra-atrial pacing (93610) |
$7,616.78 |
— |
0.9× |
| Intra-atrial recording (93602) |
$7,616.78 |
— |
0.9× |
| Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number… (95028) |
$39.40 |
— |
1.0× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$59.62 |
— |
1.0× |
| Intracutaneous tests w/allergenic xtrcs airborne (95027) |
$24.58 |
— |
0.8× |
| Intrapulmonary surfactant administj phys/qhp (94610) |
$103 |
$103 |
0.5× |
| Intraventricular pacing (93612) |
$7,616.78 |
— |
0.9× |
| Io anal gast n-stim subsq (95981) |
$59.62 |
— |
1.0× |
| Io ga n-stim subsq w/reprog (95982) |
$37.43 |
— |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$59.62 |
— |
1.0× |
| Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) UNSCHEDULED (95875) |
$157.05 |
— |
1.2× |
| IV hydration each add'l hr (96361) |
$46.31 |
$130 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$211.49 |
$454 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$71.44 |
$146 |
1.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$211.49 |
$454 |
1.0× |
| IV tx, each additional hour (96366) |
$46.31 |
$130 |
0.9× |
| L Hrt Art/Grft Angio (93459) |
$3,228.57 |
— |
1.0× |
| L Hrt Artery/Ventricle Angio (93458) |
$3,228.57 |
— |
1.0× |
| Laryngeal function studies (92520) |
$129.39 |
— |
0.9× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$3,228.57 |
— |
1.0× |
| Liver elastography (91200) |
$157.05 |
— |
1.2× |
| Loop Recorder Ck W Prog (93285) |
$37.43 |
— |
1.0× |
| Loop Recorder Ck Wo Prog (93291) |
$24.58 |
— |
0.8× |
| Loudness balance test, alternate binaural or monaural UNSCHEDULED (92562) |
$312.58 |
— |
1.4× |
| Low frequency non-thermal us (97610) |
$199.45 |
— |
1.0× |
| Lwr xtr vasc stdy bilat (93924) |
$157.05 |
— |
0.7× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) |
$1,021.24 |
— |
1.1× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) |
$1,021.24 |
— |
1.1× |
| Manual therapy ea 15 min (97140) |
$35.04 |
$47 |
1.3× |
| Massage therapy ea 15 mins (97124) |
$38.63 |
$73 |
1.3× |
| Maximum voluntary ventilation (94200) |
$59.62 |
$400 |
1.0× |
| Measurement of adequacy of hearing protection device (92596) |
$39.40 |
— |
1.0× |
| Measurement of eye artery pressure (92260) |
$39.40 |
— |
1.0× |
| Measurement of heart blood vessel function at various temperatures (93740) |
$157.05 |
— |
1.2× |
| Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory… (94013) |
$532.61 |
— |
1.4× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age UNSCHEDULED (94011) |
$157.05 |
— |
1.2× |
| Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2… (94012) |
$312.58 |
— |
1.4× |
| Mechanical chest wall oscillation lung function (94669) |
$204.16 |
— |
0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$34.61 |
— |
1.1× |
| Med nutr tx group ea 30 m (97804) |
$19.31 |
— |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$40.94 |
— |
1.1× |
| Methacholine challenge (94070) |
$312.58 |
— |
0.8× |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias UNSCHEDULED (93025) |
$157.05 |
— |
1.2× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED (92325) |
$129.39 |
— |
0.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$113.53 |
— |
1.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$400.55 |
— |
0.9× |
| Multifocal electroretinography w/i&r (92274) |
$157.05 |
— |
1.2× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
$29.90 |
— |
0.8× |
| Multiple family group psychotherapy (90849) |
$161.28 |
— |
0.9× |
| Multiple sleep latency test (95805) |
$532.61 |
— |
0.6× |
| Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with… (96202) |
$28.05 |
— |
1.4× |
| Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with… (96203) |
$7.92 |
— |
1.5× |
| Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview)… (90865) |
$161.28 |
— |
0.9× |
| Nasal function studies (92512) |
$312.58 |
— |
1.4× |
| Nasopharyngoscopy (92511) |
$194.87 |
— |
0.9× |
| Needle electromyography cranial nrv muscle uni (95867) |
$312.58 |
— |
1.4× |
| Needle electromyography hemidiaphragm (95866) |
$157.05 |
— |
1.2× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$157.05 |
— |
0.7× |
| Needle electromyography; larynx (95865) |
$129.39 |
— |
0.9× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$129.39 |
— |
0.9× |
| Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report UNSCHEDULED (92265) |
$59.62 |
— |
1.0× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$401.04 |
— |
0.9× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$401.04 |
— |
0.9× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$163.72 |
$256 |
0.8× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$401.04 |
$889 |
0.9× |
| Nerve conduction studies 1-2 studies (95907) |
$157.05 |
— |
0.7× |
| Nerve conduction studies 11-12 studies (95912) |
$532.61 |
— |
1.4× |
| Nerve conduction studies 13/> studies (95913) |
$532.61 |
— |
1.4× |
| Nerve conduction studies 3-4 studies (95908) |
$312.58 |
— |
1.4× |
| Nerve conduction studies 5-6 studies (95909) |
$312.58 |
— |
1.4× |
| Nerve conduction studies 7-8 studies (95910) |
$312.58 |
— |
0.8× |
| Nerve conduction studies 9-10 studies (95911) |
$532.61 |
— |
1.4× |
| Neurobehavioral Status Exam by Psych/Phys (96116) |
$312.58 |
— |
1.4× |
| Neuromuscular junction test (95937) |
$157.05 |
— |
1.2× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$532.61 |
— |
1.4× |
| Nitric oxide expired gas determination (95012) |
$39.40 |
— |
1.0× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$157.05 |
$824 |
0.7× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) |
$15.47 |
— |
1.3× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
$28.57 |
— |
1.2× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$43.49 |
— |
1.3× |
| Ocular vemp testing w/i&r (92518) |
$157.05 |
— |
1.2× |
| Ophthalmic biometry (92136) |
$129.39 |
— |
0.9× |
| Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) |
$2,341.78 |
— |
0.9× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$129.36 |
— |
0.9× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$129.36 |
— |
0.9× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$129.36 |
— |
0.9× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$129.36 |
— |
0.9× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$59.62 |
— |
1.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$59.62 |
— |
1.0× |
| Optokinetic nystagmus test (92544) |
$157.05 |
— |
1.2× |
| Oral speech device eval (92597) |
$93.37 |
— |
1.3× |
| Orthoptic training under supervision of phys/qhp (92066) |
$59.62 |
— |
1.0× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$60.21 |
$250 |
1.3× |
| Oscillating tracking test (92545) |
$312.58 |
— |
1.4× |
| Osteopathic manip,3-4 body regn (98926) |
$25.40 |
— |
1.1× |
| Osteopathic manip,9-10 body regn (98929) |
$25.40 |
— |
1.1× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$78 |
$78 |
3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$25.40 |
— |
1.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$25.40 |
— |
1.1× |
| Ot eval high complex 60 min (97167) |
$128.99 |
— |
1.3× |
| Ot eval low complex 30 min (97165) |
$128.99 |
— |
1.3× |
| Ot eval mod complex 45 min (97166) |
$128.99 |
— |
1.3× |
| Ot group therapy procedures (97150) |
$22.65 |
$54 |
1.3× |
| Ot mechanical traction (97012) |
$18.62 |
$49 |
1.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$66.46 |
$250 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$52.32 |
$66 |
1.3× |
| Ot re-eval est plan care (97168) |
$88.55 |
— |
1.3× |
| Ot Sensory Integrative Techniques Each 15 Minutes (97533) |
$81.32 |
$78 |
1.3× |
| Ot wheelchair management (97542) |
$31.54 |
$47 |
1.0× |
| Otolaryngologic exam under general anesthesia (92502) |
$511.18 |
— |
0.9× |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$126.39 |
— |
0.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$126.39 |
— |
0.9× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted UNSCHEDULED (94681) |
$312.58 |
— |
0.8× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED (94690) |
$59.62 |
$327 |
1.0× |
| Paraffin bath therapy (97018) |
$7.89 |
$48 |
1.3× |
| Patch or application test(s) (specify number of tests) UNSCHEDULED (95044) |
$1,021.24 |
— |
1.1× |
| Patency capsule (91299) |
$157.05 |
— |
1.2× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
$400.55 |
— |
0.9× |
| Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education,… (94015) |
$312.58 |
— |
1.4× |
| Pb valvuloplasty; aortoc valve (92986) |
$5,723.07 |
— |
1.0× |
| Pdt dstr prmlg les skn illum/activj by phys/qhp (96573) |
$199.45 |
— |
1.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$199.45 |
— |
1.0× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94776) |
$157.05 |
— |
1.2× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
$157.05 |
— |
1.2× |
| Perc valvuloplasty mitral valve (92987) |
$11,383.44 |
— |
0.9× |
| Percutaneous tests w/allergenic extracts (95004) |
$1,021.24 |
— |
1.1× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant PTCA/Angioplasty/ EP Studies (93581) |
$18,024.60 |
— |
0.9× |
| Peripheral vascular rehab (93668) |
$59.62 |
— |
1.0× |
| Peritoneal Dialysis-Outpatient (90945) |
$427.43 |
$2,469 |
1.0× |
| Perq transcath closure pda (93582) |
$18,024.60 |
— |
0.9× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$18,024.60 |
— |
0.9× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$18,024.60 |
— |
0.9× |
| Pharmacological or physical activation requiring physician or other qualified health care professional attendance… (95954) |
$532.61 |
— |
1.4× |
| Phlebotomy therapeutic (99195) |
$129.39 |
— |
0.9× |
| Photo patch test(s) (specify number of tests) UNSCHEDULED (95052) |
$59.62 |
— |
1.0× |
| Photochemotherapy puva (96912) |
$59.62 |
— |
1.0× |
| Photochemotherapy uv-a or b (96913) |
$401.04 |
— |
0.9× |
| Photochemotherapy with uv-b (96910) |
$59.62 |
— |
1.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$59.62 |
— |
1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$59.62 |
— |
1.0× |
| Pm device eval in person (93288) |
$37.43 |
— |
1.0× |
| Pm device progr eval multi (93281) |
$37.43 |
— |
1.0× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,021.24 |
— |
1.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,021.24 |
— |
1.1× |
| Polysom <6 yrs cpap/bilvl (95783) |
$1,021.24 |
— |
1.1× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist UNSCHEDULED (95808) |
$1,021.24 |
— |
1.1× |
| Positional nystagmus test, minimum of 4 positions, with recording UNSCHEDULED (92542) |
$129.39 |
— |
0.9× |
| Pr corneal topography (92025) |
$59.62 |
— |
1.0× |
| PR Needle Electromyography Cranial Nerve Supplied Muscle Bilateral|PROFESSIONAL COMPONENT (95868) |
$312.58 |
— |
1.4× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$46.31 |
— |
0.9× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$46.31 |
— |
0.9× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$46.31 |
— |
0.9× |
| Prepj& antigen allergen immunotherapy 3 insect (95147) |
$71.44 |
— |
1.0× |
| Prepj& antigen allergen immunotherapy 4 insect (95148) |
$71.44 |
— |
1.0× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
$71.44 |
— |
1.0× |
| Prepj& antigen prv allergen immunotherapy 1 do (95144) |
$46.31 |
— |
0.9× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) |
$129.39 |
— |
0.9× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) |
$129.39 |
— |
0.9× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$400.55 |
— |
0.9× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
$129.39 |
— |
0.9× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$39.40 |
— |
1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
$129.39 |
— |
0.9× |
| Prgrmg dev eval pm/ldls pm (93279) |
$37.43 |
— |
1.0× |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
$92.85 |
— |
0.9× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$46.31 |
— |
0.9× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
$46.31 |
— |
0.9× |
| Program eval implantable in persn dual ld pacer (93280) |
$37.43 |
— |
1.0× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) SCHEDULED (92358) |
$59.62 |
— |
1.0× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$7,227 |
$7,227 |
0.6× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$4,738.04 |
$7,506 |
0.8× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$11,383.44 |
— |
0.9× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$11,383.44 |
— |
0.9× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$11,383.44 |
— |
0.9× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$18,024.60 |
— |
0.9× |
Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$378 |
$378 |
0.0× |
| Psych diag eval w/med srvcs (90792) |
$161.28 |
— |
0.9× |
| Psychiatric Diagnostic Evaluation (90791) |
$161.28 |
— |
0.9× |
| Psychoanalysis (90845) |
$161.28 |
— |
0.9× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$312.58 |
— |
1.4× |
| Psycl/nrpsycl tst elec platform auto result (96146) |
$24.58 |
— |
0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$400.55 |
— |
0.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$129.39 |
— |
0.9× |
| Psytx crisis initial 60 min (90839) |
$161.28 |
— |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$46.97 |
$70 |
1.3× |
| Pt Community/Work Reintegration Trainj Ea 15 Min (97537) |
$40.61 |
$73 |
1.3× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$199.45 |
$450 |
1.0× |
| Pt Electric Current Therapy (97033) |
$23.82 |
$66 |
1.3× |
| Pt Electrical Stimulation (97032) |
$18.62 |
$54 |
1.3× |
| Pt eval high complex 45 min (97163) |
$126.19 |
$245 |
1.3× |
| Pt eval low complex 20 min (97161) |
$126.19 |
$245 |
1.3× |
| Pt infrared therapy (97026) |
$8.81 |
— |
1.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$41.24 |
$62 |
1.3× |
| Pt Physical Performance Test (97750) |
$42.65 |
$75 |
1.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$126.19 |
$245 |
1.3× |
| Pt re-eval est plan care (97164) |
$86.04 |
$67 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$40.79 |
$59 |
1.3× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$44.62 |
$66 |
1.3× |
| Pt Whirlpool Therapy (97022) |
$20.16 |
$41 |
1.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$29.90 |
— |
0.8× |
| Pulm funct tst plethysmograp (94726) |
$312.58 |
— |
0.8× |
| Pulmonary service/procedure (94799) |
$157.05 |
— |
1.2× |
| Pulmonary stress testing (94618) |
$129.39 |
$387 |
0.9× |
| Pulse oximetry continuous (94762) |
$78.53 |
$0.01 |
0.6× |
| Pure tone audiometry air & bone (92553) |
$157.05 |
— |
1.2× |
| Pure tone audiometry, air only (92552) |
$129.39 |
— |
0.9× |
| Quantitative pupillometry phys/qhp i&r uni/bi (95919) |
$129.39 |
— |
0.9× |
| R hrt art/grft angio (93457) |
$3,228.57 |
— |
1.0× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$3,228.57 |
— |
1.0× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$3,228.57 |
— |
1.0× |
| R hrt coronary artery angio (93456) |
$3,228.57 |
— |
1.0× |
| R&l hrt art/ventricle angio (93461) |
$3,228.57 |
— |
1.0× |
| R&l hrt art/ventricle angio (93460) |
$1,614.29 |
$0.01 |
0.5× |
| R&l hrt cath chd abnl nt cnj (93597) |
$3,228.57 |
— |
1.0× |
| R&l hrt cath chd nml nt cnj (93596) |
$3,228.57 |
— |
1.0× |
| R&l hrt cath w/ventriclgrphy (93453) |
$3,228.57 |
— |
1.0× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$10.05 |
— |
0.4× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$7.28 |
— |
0.3× |
| Rapid desensitization procedure each hour (95180) |
$400.55 |
— |
0.9× |
| Refill/maint pump/resvr syst (96522) |
$211.49 |
— |
1.0× |
| Refill/maint, portable pump (96521) |
$211.49 |
— |
1.0× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$332.94 |
— |
1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$37.43 |
— |
1.0× |
| Rem interrog pm/ldls pm/ids <90 d tech review (93296) |
$37.43 |
— |
1.0× |
| Rem interrog scrms <30 d phys/qhp (93298) |
$37.43 |
— |
1.0× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$37.43 |
— |
1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$129.36 |
— |
0.9× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$37.43 |
— |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$37.43 |
— |
1.0× |
| Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) |
$37.43 |
— |
1.0× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$39.59 |
— |
0.7× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$38.75 |
— |
0.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$129.36 |
— |
0.9× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98976) |
$37.43 |
— |
1.0× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98978) |
$37.43 |
— |
1.0× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia SCHEDULED (92371) |
$59.62 |
— |
1.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$312.58 |
— |
1.4× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$312.58 |
— |
1.4× |
| Replacement of contact lens SCHEDULED (92326) |
$59.62 |
— |
1.0× |
| Review patient spirometry (94016) |
$31.91 |
— |
1.3× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$296.31 |
— |
0.9× |
| Right heart cath (93451) |
$596 |
$596 |
0.2× |
| Right ventricular recording (93603) |
$979.29 |
$1,480 |
0.8× |
| Select picture audiometry (92583) |
$59.62 |
— |
1.0× |
| Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) |
$24.58 |
— |
0.8× |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$59.62 |
— |
1.0× |
| Short-latency somatosens ep std upr & low limbs (95938) |
$532.61 |
— |
0.6× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$312.58 |
— |
1.4× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$312.58 |
— |
1.4× |
| Signal average EKG (93278) |
$59.62 |
— |
1.0× |
| Sinusoidal vertical axis rotational testing UNSCHEDULED (92546) |
$157.05 |
— |
1.2× |
| Sleep study attended (95807) |
$532.61 |
— |
1.4× |
| Sleep study unattended (95806) |
$157.05 |
— |
0.7× |
| Sleep study unattended (95800) |
$157.05 |
— |
0.7× |
| Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis… (95801) |
$59.62 |
— |
1.0× |
| Slp evaloral pharyngeal swallow function (92610) |
$91.47 |
— |
1.1× |
| Speech audiometry threshold (92555) |
$59.62 |
— |
1.0× |
| Speech sound lang comprehen (92523) |
$292.08 |
— |
1.3× |
| Spirometry (94010) |
$157.05 |
$418 |
0.7× |
| Spirometry with bronchodilator (94060) |
$256.29 |
$400 |
0.7× |
| Spontaneous nystagmus test (92541) |
$129.39 |
— |
0.9× |
| Ssep upper limbs (95925) |
$312.58 |
— |
1.4× |
| St eval speech comm device 1st hr (92607) |
$155.22 |
— |
1.3× |
| Standardized cognitive performance testing (96125) |
$129.95 |
— |
1.3× |
| Stenger test, pure tone (92565) |
$59.62 |
— |
1.0× |
| Stress echocardiogram (93350) |
$550.37 |
$1,725 |
1.0× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$40.16 |
$68 |
0.8× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$211.49 |
— |
1.0× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$71.44 |
— |
1.0× |
| Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) |
$92.85 |
— |
0.9× |
| Synthetic sentence test (92576) |
$39.40 |
— |
1.0× |
| Tcd emboli detect wo inj (93892) |
$106.74 |
— |
1.0× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$106.74 |
— |
1.0× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$30.24 |
— |
1.2× |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$43.07 |
— |
1.2× |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$15.47 |
— |
1.1× |
| Temp transcutaneous pacing (92953) |
$656.85 |
$706 |
1.0× |
| Tensilon Test (95857) |
$312.58 |
— |
1.4× |
| Test for ability to detect and repeat spoken words with speech recognition (92556) |
$59.62 |
— |
1.0× |
| Test for allergy using allergenic extract by sniffing (95065) |
$39.40 |
— |
1.0× |
| Test for allergy using ultraviolet light (95056) |
$129.39 |
— |
0.9× |
| Test to assess hearing loss using different tone pitches (92575) |
$39.40 |
— |
1.0× |
| Test to assess hearing using 2 syllable words (92572) |
$157.05 |
— |
1.2× |
| Test to measure exhaled air for evaluation of lung function during rest and exercise (94680) |
$157.05 |
— |
1.2× |
| Testing autonomic nervous system function (95923) |
$129.39 |
— |
0.9× |
| Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more… (95921) |
$157.05 |
— |
1.2× |
| Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) |
$129.39 |
— |
0.9× |
| Ther activation impl phrenic nrv stimulator sys (93150) |
$92.14 |
— |
0.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$29.70 |
$92 |
1.3× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$28.73 |
$92 |
1.4× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$312.58 |
— |
1.4× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$71.44 |
$248 |
1.0× |
| Therapeutic sp device service (92609) |
$128.79 |
— |
1.3× |
| Tilt table evaluation (93660) |
$532.61 |
— |
1.4× |
| Tinnitus assessment (92625) |
$157.05 |
— |
1.2× |
| Tobacco use cessation intensive >10 minutes (99407) |
$29.90 |
— |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$29.90 |
$126 |
0.8× |
| Tone Decay (92563) |
$39.40 |
— |
1.0× |
| Trans care mgmt 14 day disch (99495) |
$129.36 |
— |
0.9× |
| Trans care mgmt 7 day disch (99496) |
$129.36 |
— |
0.9× |
| Transcath closure of asd (93580) |
$18,024.60 |
— |
0.9× |
| Transcranial doppler stdy intracranial art compl (93886) |
$242.63 |
$551 |
1.0× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$550.37 |
— |
1.0× |
| Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) |
$550.37 |
— |
1.0× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$37.43 |
— |
1.0× |
| Treat swallowing dysfunction (92526) |
$107.20 |
— |
1.3× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$312.58 |
— |
1.4× |
| Tte f-up or lmtd (93308) |
$242.63 |
$1,276 |
1.0× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$550.37 |
$2,182 |
1.0× |
| Tte w/o doppler complete (93307) |
$233.06 |
$447 |
0.9× |
| Tx atrial fib pulm vein isol (93656) |
$24,625.03 |
— |
0.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$98.27 |
— |
1.3× |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$30.03 |
— |
1.2× |
| Tympanometry (92567) |
$39.40 |
— |
1.0× |
| Tympanometry and reflex threshold measurements (92550) |
$157.05 |
— |
0.7× |
| Ultrasound therapy ea 15 mins (97035) |
$17.72 |
$72 |
1.2× |
| Ultraviolet light therapy (96900) |
$39.40 |
— |
1.0× |
| Ultraviolet therapy (97028) |
$10.45 |
— |
1.3× |
| Unlisted allergy/clinical immunologic service or procedure (95199) |
$24.58 |
— |
0.8× |
| Unlisted neurological or neuromuscular diagnostic procedure UNSCHEDULED (95999) |
$157.05 |
— |
1.2× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$24.58 |
— |
0.8× |
| Unlisted ophthalmological service or procedure (92499) |
$24.58 |
— |
0.8× |
| Unlisted psychiatric service or procedure UNSCHEDULED (90899) |
$29.90 |
— |
0.8× |
| Unlisted special dermatological service or procedure UNSCHEDULED (96999) |
$60 |
$60 |
0.3× |
| Unlisted Ther Proph Dx Inj (96379) |
$46.31 |
— |
0.9× |
| Upr/l xtremity art 2 levels (93922) |
$129.39 |
$730 |
0.9× |
| Us transcranial doppler lmtd (93888) |
$106.74 |
— |
1.0× |
| Valvuloplasty pulmonary valve (92990) |
$11,383.44 |
— |
0.9× |
| Vasopneumatic device therapy (97016) |
$14.87 |
$54 |
1.2× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$312.58 |
— |
1.4× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$532.61 |
— |
1.4× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$312.58 |
— |
0.8× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,021.24 |
— |
1.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$532.61 |
— |
1.4× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$532.61 |
— |
1.4× |
| Ventilator initial day (94002) |
$563.55 |
$927 |
0.9× |
| Ventilator subsequent day (94003) |
$563.55 |
$927 |
0.9× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$312.58 |
— |
1.4× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$59.62 |
— |
1.0× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$59.62 |
— |
1.0× |
| Visual field extended (92083) |
$129.39 |
— |
0.9× |
| Visual reinforcement audiometry (vra) (92579) |
$157.05 |
— |
0.7× |
| Vital capacity total (94150) |
$157.05 |
$587 |
1.2× |
| Wada activation test hemispheric function w/EEG (95958) |
$1,021.24 |
— |
1.1× |
| Wearable Icd Ck (93292) |
$37.43 |
— |
1.0× |
| Wound care non-selective (97602) |
$199.45 |
$466 |
1.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$59.62 |
— |
1.0× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$312.58 |
— |
0.8× |
| Xtrnl pt activated ECG rec dwnld 30 days (93271) |
$92.14 |
— |
0.9× |