| Airway inhalation treatment (94640) |
$124.60 |
$178 |
0.5× |
| 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× |
| Ant Sgm Imaging W/Microscopy Endothelial Analy (92286) |
$53.90 |
$77 |
0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$19.25 |
$27.50 |
1.3× |
| Application on-body injector (96377) |
$81.20 |
$116 |
1.7× |
| Bedside Swallowing Eval (92610) |
$439.60 |
$628 |
5.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$216.30 |
$309 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$378.35 |
$540.50 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,394.75 |
$1,992.50 |
6.2× |
| Cardiopulmonary resuscitation (92950) |
$867.30 |
$1,239 |
3.8× |
| Cardioversion (92960) |
$1,320.20 |
$1,886 |
1.9× |
| Cardioversion elective internal (92961) |
$1,439.90 |
$2,057 |
2.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,504.60 |
$13,578 |
2.8× |
| Chemo Admin Peritoneal Cavity (96446) |
$638.40 |
$912 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$132.30 |
$189 |
1.8× |
| Chemo Ia Infuse Each Addl Hr (96423) |
$79.45 |
$113.50 |
1.6× |
| Chemo IV push addl drug (96411) |
$221.20 |
$316 |
2.9× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$687.40 |
$982 |
2.0× |
| Chemother, IV infusion, 1 hr (96413) |
$674.10 |
$963 |
2.0× |
| Chemother, IV infusion, ea add hr (96415) |
$653.10 |
$933 |
8.7× |
| Chemother,ia infusn tech,<1 hr (96422) |
$526.05 |
$751.50 |
1.5× |
| Chemother,Ia Push Technique (96420) |
$526.05 |
$751.50 |
1.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$298.20 |
$426 |
4.0× |
| Chemotherapy Administration Intralesional </7 (96405) |
$100.10 |
$143 |
1.3× |
| Chemotherapy into cns (96450) |
$638.40 |
$912 |
1.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$526.05 |
$751.50 |
1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$337.40 |
$482 |
4.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$526.05 |
$751.50 |
1.5× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$638.40 |
$912 |
1.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$394.80 |
$564 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$1,195.60 |
$1,708 |
4.8× |
| Corneal Topography (92025) |
$49.70 |
$71 |
0.8× |
| Cpap/bipap (94660) |
$948.50 |
$1,355 |
4.1× |
| Cpt initial (94667) |
$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 (99291) |
$259.70 |
$371 |
0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$575.75 |
$822.50 |
2.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,121.40 |
$1,602 |
4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$769.30 |
$1,099 |
7.0× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$356.30 |
$509 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,634.15 |
$2,334.50 |
6.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$544.60 |
$778 |
5.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$807.10 |
$1,153 |
3.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$732.90 |
$1,047 |
6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$628.42 |
$897.74 |
2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$674.80 |
$964 |
6.2× |
| Duplex penile vessels ltd (93981) |
$356.30 |
$509 |
3.3× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$715.40 |
$1,022 |
6.6× |
| Duplex scan extracranial art compl bi study (93880) |
$734.67 |
$1,049.53 |
2.9× |
| Duplex Scan Hemodialysis Access (93990) |
$696.50 |
$995 |
6.4× |
| Echo Heart Xthoracic,Limited (93308) |
$299.60 |
$428 |
1.2× |
| Echo transesophag montr cardiac pump functj (93318) |
$4,123 |
$5,890 |
7.2× |
| Echo transesophageal (93312) |
$4,051.95 |
$5,788.50 |
7.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$4,123 |
$5,890 |
7.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,151.50 |
$1,645 |
2.0× |
| EEG awake and asleep (95819) |
$1,117.90 |
$1,597 |
5.0× |
| EEG greater than 1 hour (95813) |
$656.60 |
$938 |
2.9× |
| EKG rhythm strip (93041) |
$109.90 |
$157 |
1.8× |
| Electrocardiogram Tracing (93005) |
$375.90 |
$537 |
6.1× |
| Electroconvulsive Therapy (90870) |
$1,193.50 |
$1,705 |
1.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$917.70 |
$1,311 |
4.1× |
| EMG four extremities (95864) |
$804.30 |
$1,149 |
6.0× |
| EMG one extremity (95860) |
$410.90 |
$587 |
3.0× |
| 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× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$11,883.90 |
$16,977 |
1.5× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$276.50 |
$395 |
0.2× |
| Er level 1 (99281) |
$418.60 |
$598 |
4.8× |
| Er level ii (99282) |
$672.70 |
$961 |
4.2× |
| Er level iii (99283) |
$1,129.10 |
$1,613 |
4.0× |
| Er level IV (99284) |
$150.50 |
$215 |
0.3× |
| Er level v (99285) |
$876.75 |
$1,252.50 |
1.4× |
| Eval speech sound production (92522) |
$216.30 |
$309 |
1.9× |
| Evaluate Pt Use Of Inhaler (94664) |
$114.80 |
$164 |
0.5× |
| Evaluation of speech fluency (92521) |
$312.20 |
$446 |
2.3× |
| Eye exam, new patient,comprehesv (92004) |
$191.80 |
$274 |
1.4× |
| Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) |
$105 |
$150 |
0.5× |
| Full field electroretinography w/i&r (92273) |
$89.60 |
$128 |
0.4× |
| Fundus photography w/interpretation & report (92250) |
$52.50 |
$75 |
0.4× |
| Gonioscopy (92020) |
$53.20 |
$76 |
0.4× |
| Group Therapeutic Procedures (97150) |
$174.30 |
$249 |
9.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$162.40 |
$232 |
1.5× |
| Hemodialysis (90935) |
$1,817.20 |
$2,596 |
2.5× |
| Holter Monitor (93225) |
$995.75 |
$1,422.50 |
7.2× |
| Ilr Device Eval Progr (93285) |
$52.50 |
$75 |
1.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$72.10 |
$103 |
1.7× |
| Immune Admin Oral/Nasal (90473) |
$51.10 |
$73 |
0.7× |
| Immunization Admin (90471) |
$63.70 |
$91 |
0.8× |
| Ingestion challenge test initial 120 minutes (95076) |
$183.40 |
$262 |
0.5× |
| Injection intra arterial (96373) |
$210 |
$300 |
0.9× |
| Ins swan ganz bedside (93503) |
$2,214.80 |
$3,164 |
1.3× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$385.35 |
$550.50 |
6.3× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$330.40 |
$472 |
1.5× |
| Iontophoresis 15 min (97033) |
$116.90 |
$167 |
6.1× |
| Irrig drug delivery device (96523) |
$410.20 |
$586 |
6.7× |
| IV infusion hydration each additional hour (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, therap/proph/diagnost,initial,1st hour (96365) |
$331.80 |
$474 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$336.70 |
$481 |
6.9× |
| IV push ea addl new drug (96375) |
$174.30 |
$249 |
3.6× |
| IV push initial (96374) |
$191.80 |
$274 |
0.9× |
| L hrt art/grft angio (93459) |
$9,504.60 |
$13,578 |
2.8× |
| Manual therapy 15 min (97140) |
$207.90 |
$297 |
7.5× |
| Massage 15 min (97124) |
$50.40 |
$72 |
1.7× |
| Mechanical traction (97012) |
$209.30 |
$299 |
14.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$85.40 |
$122 |
2.3× |
| Methacholine challenge (94070) |
$850.50 |
$1,215 |
2.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$656.60 |
$938 |
7.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$418.60 |
$598 |
0.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$767.20 |
$1,096 |
3.4× |
| Needle Emg W/1 Fiber Electrode Quan Meas Jitter (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 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× |
| Nerve conduction studies; 1-2 studies (95907) |
$207.90 |
$297 |
0.9× |
| Newborn resuscitation (99465) |
$485.80 |
$694 |
0.7× |
| Nitric oxide expired gas determination (95012) |
$50.40 |
$72 |
1.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$447.30 |
$639 |
3.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$190.40 |
$272 |
1.4× |
| Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) |
$103.25 |
$147.50 |
0.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$245.35 |
$350.50 |
1.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$180.60 |
$258 |
1.3× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$116.20 |
$166 |
0.8× |
| 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 re-evaluation (97168) |
$161.35 |
$230.50 |
2.4× |
| Ot therapeutic activity 15 min (97530) |
$119.35 |
$170.50 |
3.4× |
| Paraffin bath pt (97018) |
$195.30 |
$279 |
32.5× |
| Patch/Application Test Specify Number Tests (95044) |
$767.20 |
$1,096 |
0.9× |
| Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) |
$75.60 |
$108 |
3.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$206.50 |
$295 |
0.9× |
| Percutaneous tests w/allergenic extracts (95004) |
$490.70 |
$701 |
0.5× |
| Peritoneal Dialysis (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; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (96910) |
$499.80 |
$714 |
8.1× |
| Plethysmography (94726) |
$504 |
$720 |
1.3× |
| Pm device progr eval dual (93280) |
$65.80 |
$94 |
1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,770.10 |
$8,243 |
6.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$2,139.20 |
$3,056 |
2.4× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$388.15 |
$554.50 |
7.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$394.80 |
$564 |
8.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (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× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$80.50 |
$115 |
2.1× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$135.10 |
$193 |
3.5× |
| Psych diag eval w/med srvcs (90792) |
$385.35 |
$550.50 |
2.1× |
| Psychiatric diagnostic evaluation (90791) |
$293.65 |
$419.50 |
1.6× |
| Psycl tst eval phys/qhp 1st (96130) |
$146.30 |
$209 |
0.6× |
| 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 eval mod complex 30 min (97162) |
$439.60 |
$628 |
4.5× |
| Pt gait training 15 min (97116) |
$109.20 |
$156 |
3.8× |
| 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 re-evaluation (97164) |
$159.60 |
$228 |
2.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$121.80 |
$174 |
3.8× |
| Pt Whirlpool Therapy (97022) |
$165.90 |
$237 |
10.6× |
| Pulm function test by gas (94727) |
$469.70 |
$671 |
2.1× |
| Pulmonary Service/Procedure (94799) |
$195.30 |
$279 |
1.5× |
| Pulmonary stress test simple (94618) |
$145.60 |
$208 |
1.0× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$9,504.60 |
$13,578 |
2.8× |
| R&l hrt art/ventricle angio (93460) |
$9,504.60 |
$13,578 |
2.8× |
| Refill/Maint Portable Pump (96521) |
$394.80 |
$564 |
1.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$469.70 |
$671 |
2.1× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$733.60 |
$1,048 |
3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$212.80 |
$304 |
1.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$164.50 |
$235 |
1.2× |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$84.35 |
$120.50 |
1.4× |
| Short-latency somatosens ep std upr limbs (95925) |
$205.10 |
$293 |
0.9× |
| Smoking cessation > 10 min (99407) |
$66.50 |
$95 |
1.7× |
| Speech sound lang comprehen (92523) |
$216.30 |
$309 |
1.0× |
| Spirometry (94010) |
$246.40 |
$352 |
1.1× |
| Ssep lower limbs (95926) |
$576.10 |
$823 |
2.6× |
| Stress echo (93350) |
$2,685.20 |
$3,836 |
4.7× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$336.70 |
$481 |
1.5× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$336.70 |
$481 |
6.9× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$341.60 |
$488 |
4.5× |
| Temp transcutaneous pacing (92953) |
$1,124.20 |
$1,606 |
1.6× |
| 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 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× |
| Tte w/doppler, complete (93306) |
$1,431.72 |
$2,045.30 |
2.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,920.10 |
$2,743 |
7.7× |
| Tx atrial fib pulm vein isol (93656) |
$28,824.60 |
$41,178 |
1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$261.45 |
$373.50 |
3.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$274.40 |
$392 |
3.3× |
| Unlisted psychiatric service or procedure (90899) |
$42.70 |
$61 |
1.1× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$1,172.50 |
$1,675 |
5.2× |
| Vent mgmt inpat init day (94002) |
$595.70 |
$851 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$434.70 |
$621 |
0.7× |
| Visual Evoked Potential Test (95930) |
$99.75 |
$142.50 |
0.4× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$80.15 |
$114.50 |
0.6× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$52.15 |
$74.50 |
0.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$9.10 |
$13 |
0.2× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$242.90 |
$347 |
2.4× |