| Aerosol inhalation pentamidine (94642) |
$206.50 |
$295 |
0.9× |
| Airway inhalation treatment (94640) |
$124.60 |
$178 |
0.5× |
| Allergy injection single (95115) |
$394.80 |
$564 |
8.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$18.20 |
$26 |
0.5× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$10.50 |
$15 |
0.3× |
| Appl on-body injector for timed subq injection (96377) |
$81.20 |
$116 |
1.7× |
| Behavioral & qualit analysis voice and resonance (92524) |
$216.30 |
$309 |
2.0× |
| Cardiac stress test (93017) |
$1,394.75 |
$1,992.50 |
6.2× |
| Cardioversion elective external (92960) |
$1,320.20 |
$1,886 |
1.9× |
| Cardioversion elective internal (92961) |
$1,439.90 |
$2,057 |
2.1× |
| Carotid duplex scan; bilat (93880) |
$734.67 |
$1,049.53 |
2.9× |
| Chemo cns (intrathecal) w lp (96450) |
$638.40 |
$912 |
1.9× |
| Chemo hormon antineopl sq/im (96402) |
$132.30 |
$189 |
1.8× |
| Chemo inj via sq reservoir (96542) |
$394.80 |
$564 |
1.1× |
| Chemo intralesional 1-7 lesions (96405) |
$100.10 |
$143 |
1.3× |
| Chemo intralesional over 7 (96406) |
$330.40 |
$472 |
1.5× |
| Chemo IV infus each addl seq (96417) |
$337.40 |
$482 |
4.5× |
| Chemo IV infusion addl hr (96415) |
$653.10 |
$933 |
8.7× |
| Chemother prolong infuse w/pump (96416) |
$687.40 |
$982 |
2.0× |
| Chemother, IV infusion, 1 hr (96413) |
$674.10 |
$963 |
2.0× |
| Chemother, IV push,ea add drug (96411) |
$221.20 |
$316 |
2.9× |
| Chemother,non-hormone anti-neopl, sub-q/im (96401) |
$298.20 |
$426 |
4.0× |
| Chemotherapy admin intra-arterial push tq (96420) |
$526.05 |
$751.50 |
1.5× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis UNSCHEDULED (96440) |
$638.40 |
$912 |
1.9× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$79.45 |
$113.50 |
1.6× |
| Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) |
$526.05 |
$751.50 |
1.5× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED (96422) |
$526.05 |
$751.50 |
1.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$526.05 |
$751.50 |
1.5× |
| Chemotx admn pertl cavity implanted port/cath (96446) |
$638.40 |
$912 |
1.9× |
| Color/duplex Doppler, complete (93975) |
$1,195.60 |
$1,708 |
4.8× |
| Compre electrophysiologic arrhythmia induction (93620) |
$11,883.90 |
$16,977 |
1.5× |
| Cpap/bipap daily (94660) |
$948.50 |
$1,355 |
4.1× |
| Cpr (92950) |
$867.30 |
$1,239 |
3.8× |
| Cpt initial (94667) |
$164.50 |
$235 |
1.2× |
| Cpt subsequent (94668) |
$164.50 |
$235 |
1.2× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$39.90 |
$57 |
0.6× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$46.55 |
$66.50 |
0.8× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$62.65 |
$89.50 |
1.0× |
| Critical care first hour (99291) |
$259.70 |
$371 |
0.3× |
| Delivery/birthing room resuscitation (99465) |
$485.80 |
$694 |
0.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$356.30 |
$509 |
3.3× |
| Duplex a ivc il/bpg; compl (93978) |
$1,121.40 |
$1,602 |
4.5× |
| Duplex a ivc il/bpg; unil/lim (93979) |
$769.30 |
$1,099 |
7.0× |
| Duplex ext veins; bilat (93970) |
$628.42 |
$897.74 |
2.5× |
| Duplex hemodialysis access (93990) |
$696.50 |
$995 |
6.4× |
| Duplex le art/bpg; bilat (93925) |
$1,634.15 |
$2,334.50 |
6.6× |
| Duplex le art/bpg; unil/limit (93926) |
$544.60 |
$778 |
5.0× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$715.40 |
$1,022 |
6.6× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$356.30 |
$509 |
3.3× |
| Duplex ue art/bpg; bilat (93930) |
$807.10 |
$1,153 |
3.2× |
| Duplex ue art/bpg; unil/limit (93931) |
$732.90 |
$1,047 |
6.7× |
| Duplex venous ext unilat/lmtd (93971) |
$674.80 |
$964 |
6.2× |
| ECG up to 48 hrs recording (93225) |
$995.75 |
$1,422.50 |
7.2× |
| Echo transesophageal (93312) |
$4,051.95 |
$5,788.50 |
7.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,151.50 |
$1,645 |
2.0× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$4,123 |
$5,890 |
7.2× |
| EEG awake & asleep (95819) |
$1,117.90 |
$1,597 |
5.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$656.60 |
$938 |
2.9× |
| Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) |
$917.70 |
$1,311 |
4.1× |
| EKG rhythm strip (93041) |
$109.90 |
$157 |
1.8× |
| Electrocardiogram (93005) |
$375.90 |
$537 |
6.1× |
| Electroconvulsive therapy (90870) |
$1,193.50 |
$1,705 |
1.3× |
| Emergency department visit high mdm (99285) |
$876.75 |
$1,252.50 |
1.4× |
| Emergency department visit low mdm (99283) |
$1,129.10 |
$1,613 |
4.0× |
| Emergency department visit may not req phys/qhp (99281) |
$418.60 |
$598 |
4.8× |
| Emergency department visit moderate mdm (99284) |
$150.50 |
$215 |
0.3× |
| Emergency department visit straightforward mdm (99282) |
$672.70 |
$961 |
4.2× |
| EMG four extremities (95864) |
$804.30 |
$1,149 |
6.0× |
| EMG one extremity (95860) |
$410.90 |
$587 |
3.0× |
| EMG thoracic paraspinal (95869) |
$767.20 |
$1,096 |
3.4× |
| EMG three extremities (95863) |
$643.30 |
$919 |
4.8× |
| EMG two extremities (95861) |
$514.50 |
$735 |
3.7× |
| Endomyocardial biopsy (93505) |
$2,144.80 |
$3,064 |
0.7× |
| Ep & ablate supravent arrhyt (93653) |
$21,658.35 |
$30,940.50 |
0.8× |
| Ephys eval pacg cvdfb prgrmg/reprgrmg parameters (93642) |
$276.50 |
$395 |
0.2× |
| Evaluate pt use of inhaler (94664) |
$114.80 |
$164 |
0.5× |
| Evaluate speech production (92522) |
$216.30 |
$309 |
1.9× |
| Evaluation of speech fluency (92521) |
$312.20 |
$446 |
2.3× |
| External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) |
$9.10 |
$13 |
0.2× |
| Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral… (92235) |
$105 |
$150 |
0.5× |
| Full field electroretinography w/i&r (92273) |
$89.60 |
$128 |
0.4× |
| Fundus photography (92250) |
$52.50 |
$75 |
0.4× |
| Gait training 15 min (97116) |
$109.20 |
$156 |
3.8× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$469.70 |
$671 |
2.1× |
| Gonioscopy (92020) |
$53.20 |
$76 |
0.4× |
| Health behavior assessment/re-assessment (96156) |
$162.40 |
$232 |
1.5× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,817.20 |
$2,596 |
2.5× |
| Icd device prog eval, 1 single (93282) |
$80.50 |
$115 |
2.1× |
| Icd device progr eval, dual (93283) |
$135.10 |
$193 |
3.5× |
| Im adm intransl/oral 1 vaccine (90473) |
$51.10 |
$73 |
0.7× |
| Imm admn sarscov2 vaccine single dose (90480) |
$72.10 |
$103 |
1.7× |
| Immunization Admin (90471) |
$63.70 |
$91 |
0.8× |
| Ingestion challenge test initial 120 minutes (95076) |
$183.40 |
$262 |
0.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$174.30 |
$249 |
3.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$191.80 |
$274 |
0.9× |
| Injections intra arterial (96373) |
$210 |
$300 |
0.9× |
| Insertion flow directed catheter for monitoring (93503) |
$2,214.80 |
$3,164 |
1.3× |
| Internal eye photography (92286) |
$53.90 |
$77 |
0.4× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$385.35 |
$550.50 |
6.3× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$410.20 |
$586 |
6.7× |
| IV hydration each add'l hr (96361) |
$331.80 |
$474 |
6.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$331.80 |
$474 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$336.70 |
$481 |
4.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$331.80 |
$474 |
1.5× |
| IV tx, each additional hour (96366) |
$336.70 |
$481 |
6.9× |
| L Hrt Art/Grft Angio (93459) |
$9,504.60 |
$13,578 |
2.8× |
| L Hrt Artery/Ventricle Angio (93458) |
$9,504.60 |
$13,578 |
2.8× |
| Loop Recorder Ck W Prog (93285) |
$52.50 |
$75 |
1.3× |
| Manual therapy ea 15 min (97140) |
$207.90 |
$297 |
7.5× |
| Massage therapy ea 15 mins (97124) |
$50.40 |
$72 |
1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$85.40 |
$122 |
2.3× |
| Methacholine challenge (94070) |
$850.50 |
$1,215 |
2.2× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$656.60 |
$938 |
7.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$418.60 |
$598 |
0.9× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$349.30 |
$499 |
1.5× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$24.10 |
$34.43 |
0.1× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$181.30 |
$259 |
0.9× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$139.30 |
$199 |
0.3× |
| Nerve conduction studies 1-2 studies (95907) |
$207.90 |
$297 |
0.9× |
| Nerve conduction studies 11-12 studies (95912) |
$210.70 |
$301 |
0.5× |
| Nerve conduction studies 13/> studies (95913) |
$1,166.90 |
$1,667 |
3.0× |
| Nerve conduction studies 3-4 studies (95908) |
$358.40 |
$512 |
1.6× |
| Nerve conduction studies 5-6 studies (95909) |
$499.80 |
$714 |
2.2× |
| Nerve conduction studies 7-8 studies (95910) |
$666.40 |
$952 |
1.7× |
| Nerve conduction studies 9-10 studies (95911) |
$767.20 |
$1,096 |
2.0× |
| Nitric oxide expired gas determination (95012) |
$50.40 |
$72 |
1.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$1,172.50 |
$1,675 |
5.2× |
| Ophthalmic biometry (92136) |
$103.25 |
$147.50 |
0.7× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$191.80 |
$274 |
1.4× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$116.20 |
$166 |
0.8× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$245.35 |
$350.50 |
1.8× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$180.60 |
$258 |
1.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$46.90 |
$67 |
0.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$51.80 |
$74 |
0.8× |
| Ot eval high complex 60 min (97167) |
$525.35 |
$750.50 |
5.2× |
| Ot eval low complex 30 min (97165) |
$411.25 |
$587.50 |
4.1× |
| Ot eval mod complex 45 min (97166) |
$468.30 |
$669 |
4.7× |
| Ot group therapy procedures (97150) |
$174.30 |
$249 |
9.7× |
| Ot mechanical traction (97012) |
$209.30 |
$299 |
14.6× |
| Ot re-eval est plan care (97168) |
$161.35 |
$230.50 |
2.4× |
| Paraffin bath therapy (97018) |
$195.30 |
$279 |
32.5× |
| Patch or application test(s) (specify number of tests) UNSCHEDULED (95044) |
$390.60 |
$558 |
0.4× |
| Percutaneous tests w/allergenic extracts (95004) |
$14 |
$20 |
0.0× |
| Peritoneal Dialysis-Outpatient (90945) |
$1,919.40 |
$2,742 |
4.4× |
| Phlebotomy therapeutic (99195) |
$378.35 |
$540.50 |
2.7× |
| Photochemotherapy uv-a or b (96913) |
$318.50 |
$455 |
0.8× |
| Photochemotherapy with uv-b (96910) |
$499.80 |
$714 |
8.1× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$5,770.10 |
$8,243 |
6.4× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist UNSCHEDULED (95808) |
$2,139.20 |
$3,056 |
2.4× |
| Pr corneal topography (92025) |
$49.70 |
$71 |
0.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$388.15 |
$554.50 |
7.9× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$396.55 |
$566.50 |
8.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
$9.10 |
$13 |
0.2× |
| Program eval implantable in persn dual ld pacer (93280) |
$65.80 |
$94 |
1.7× |
| Psych diag eval w/med srvcs (90792) |
$372.40 |
$532 |
2.0× |
| Psychiatric Diagnostic Evaluation (90791) |
$293.65 |
$419.50 |
1.6× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$146.30 |
$209 |
0.6× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$575.75 |
$822.50 |
2.7× |
| Pt Electric Current Therapy (97033) |
$116.90 |
$167 |
6.1× |
| Pt Electrical Stimulation (97032) |
$178.85 |
$255.50 |
12.2× |
| Pt eval high complex 45 min (97163) |
$468.30 |
$669 |
4.8× |
| Pt eval low complex 20 min (97161) |
$411.25 |
$587.50 |
4.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$51.45 |
$73.50 |
1.6× |
| Pt Physical Performance Test (97750) |
$71.75 |
$102.50 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$439.60 |
$628 |
4.5× |
| Pt re-eval est plan care (97164) |
$159.60 |
$228 |
2.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$121.80 |
$174 |
3.8× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$119.35 |
$170.50 |
3.4× |
| Pt Whirlpool Therapy (97022) |
$165.90 |
$237 |
10.6× |
| Pulm funct tst plethysmograp (94726) |
$504 |
$720 |
1.3× |
| Pulmonary service/procedure (94799) |
$195.30 |
$279 |
1.5× |
| Pulmonary stress testing (94618) |
$145.60 |
$208 |
1.0× |
| Pulse oximetry continuous (94762) |
$190.40 |
$272 |
1.4× |
| R&l hrt art/ventricle angio (93461) |
$9,504.60 |
$13,578 |
2.8× |
| R&l hrt art/ventricle angio (93460) |
$9,504.60 |
$13,578 |
2.8× |
| Refill/maint pump/resvr syst (96522) |
$469.70 |
$671 |
2.1× |
| Refill/maint, portable pump (96521) |
$394.80 |
$564 |
1.8× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$733.60 |
$1,048 |
3.3× |
| Review patient spirometry (94016) |
$75.60 |
$108 |
3.1× |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$84.35 |
$120.50 |
1.4× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$576.10 |
$823 |
2.6× |
| Slp evaloral pharyngeal swallow function (92610) |
$439.60 |
$628 |
5.2× |
| Speech sound lang comprehen (92523) |
$216.30 |
$309 |
1.0× |
| Spirometry (94010) |
$246.40 |
$352 |
1.1× |
| Spirometry with bronchodilator (94060) |
$378.35 |
$540.50 |
1.0× |
| Ssep upper limbs (95925) |
$205.10 |
$293 |
0.9× |
| Stress echocardiogram (93350) |
$2,685.20 |
$3,836 |
4.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$336.70 |
$481 |
6.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$336.70 |
$481 |
1.5× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$341.60 |
$488 |
4.5× |
| Temp transcutaneous pacing (92953) |
$564.20 |
$806 |
0.8× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$402.50 |
$575 |
1.8× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$172.55 |
$246.50 |
2.3× |
| Tilt table evaluation (93660) |
$1,381.45 |
$1,973.50 |
3.5× |
| Tobacco use cessation intensive >10 minutes (99407) |
$66.50 |
$95 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41.30 |
$59 |
1.1× |
| Trans care mgmt 14 day disch (99495) |
$403.90 |
$577 |
2.9× |
| Trans care mgmt 7 day disch (99496) |
$567.70 |
$811 |
4.1× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$4,123 |
$5,890 |
7.2× |
| Treat swallowing dysfunction (92526) |
$274.40 |
$392 |
3.3× |
| Tte f-up or lmtd (93308) |
$299.60 |
$428 |
1.2× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$1,431.72 |
$2,045.30 |
2.5× |
| Tte w/o doppler complete (93307) |
$1,920.10 |
$2,743 |
7.7× |
| Tx atrial fib pulm vein isol (93656) |
$28,824.60 |
$41,178 |
1.1× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$261.45 |
$373.50 |
3.4× |
| Ultrasound therapy ea 15 mins (97035) |
$19.25 |
$27.50 |
1.3× |
| Unlisted psychiatric service or procedure UNSCHEDULED (90899) |
$42.70 |
$61 |
1.1× |
| Upr/l xtremity art 2 levels (93922) |
$447.30 |
$639 |
3.2× |
| Ventilator initial day (94002) |
$595.70 |
$851 |
0.9× |
| Ventilator subsequent day (94003) |
$434.70 |
$621 |
0.7× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$99.75 |
$142.50 |
0.4× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$52.15 |
$74.50 |
0.8× |
| Visual field extended (92083) |
$80.15 |
$114.50 |
0.6× |
| Wound care non-selective (97602) |
$212.80 |
$304 |
1.0× |
| Xtrnl pt activated ECG rec dwnld 30 days (93271) |
$242.90 |
$347 |
2.4× |