| Airway Inhalation Treatment (94640) |
— |
$229 |
— |
| Analyze neurostim complex (95972) |
— |
$290 |
— |
| Analyze neurostim no prog (95970) |
— |
$324 |
— |
| Analyze Neurostim Simple (95971) |
— |
$290 |
— |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines |
— |
$53–$162 |
— |
| Assessment of aphasia per hr (96105) |
— |
$311 |
— |
| Behavral qualit analys voice (92524) |
— |
$401 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines |
— |
$48–$1,295 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$991 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,294 |
— |
| Cardioversion (92960) |
— |
$1,547 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$68 |
— |
| Cbt 1st hour (94644) |
— |
$193 |
— |
| Chest Wall Manipulation (94668) |
— |
$130 |
— |
| Chron Care Mgmt Srvc 20 Min (99490) |
— |
$243.43 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,185 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$125 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
— |
$435.43 |
— |
| Continuous Pulse Ox (94762) |
— |
$294 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$391 |
— |
| Cpt initial (94667) |
— |
$130 |
— |
| Critical care first hour (99291) |
— |
$2,372 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$1,647.70 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$832 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$779 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$425 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,087 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,017 |
— |
| Duplex up extrem art bilat (93930) |
— |
$942 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$425 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$306 |
— |
| EEG awake and asleep (95819) |
— |
$1,670 |
— |
| EEG awake drowsy (95816) |
— |
$1,036 |
— |
| EEG cerebral death evaluation (95824) |
— |
$762 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$487 |
— |
| Eeg Sleep Only (95822) |
— |
$762 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$105 |
— |
| Electrocardiogram Tracing (93005) |
— |
$177 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$612 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$689 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,420 |
— |
| Er level 1 (99281) |
— |
$406 |
— |
| Er level v (99285) |
— |
$1,671 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$168 |
— |
| Evaluate Speech Production (92522) |
— |
$420 |
— |
| Evaluate Swallowing Function (92610) |
— |
$269 |
— |
| Evaluation of speech fluency (92521) |
— |
$470 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$286 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$285 |
— |
| Extracranial Bilat Study (93880) |
— |
$883 |
— |
| Group Therapeutic Procedures (97150) |
— |
$72 |
— |
| Holter monitor recording (93225) |
— |
$1,180 |
— |
| Immunization administration (90471) |
— |
$192.38 |
— |
Iontophoresis 15 min (97033)
range across 3 matching MRF lines |
— |
$272–$298 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$176 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$129.73 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$585.35 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$192.38 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$235 |
— |
| IV push initial (96374) |
— |
$585.35 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$186 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$377 |
— |
| Nasopharyngoscopy (92511) |
— |
$183 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$88 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$98 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$574 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$311 |
— |
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines |
— |
$114–$185 |
— |
| Oral Function Therapy (92526) |
— |
$139 |
— |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
— |
$128–$159 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$75 |
— |
| Ot eval high complexity (97167) |
— |
$279 |
— |
| Ot Eval Low Complex (97165) |
— |
$279 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$279 |
— |
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines |
— |
$114–$124 |
— |
| Ot paraffin bath (97018) |
— |
$45 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$128 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$184 |
— |
| Ot rom hand (95852) |
— |
$68 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$197 |
— |
| Phlebotomy therapeutic (99195) |
— |
$360 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$166 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$166 |
— |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
— |
$151.60 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$54 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$54 |
— |
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines |
— |
$454–$482 |
— |
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines |
— |
$406–$428 |
— |
| Psychoanalysis (90845) |
— |
$291 |
— |
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines |
— |
$326–$422 |
— |
| Pt Eval High Complex (97163) |
— |
$287 |
— |
| Pt eval low complex 20 min (97161) |
— |
$287 |
— |
| Pt Eval Mod Complex (97162) |
— |
$287 |
— |
| Pt gait training 15 min (97116) |
— |
$111 |
— |
| Pt group caregiver training (97552) |
— |
$56 |
— |
| Pt mechanical traction (97012) |
— |
$126 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$194 |
— |
| Pulmonary service/procedure (94799) |
— |
$154 |
— |
| Pulmonary Stress Testing (94618) |
— |
$348.85 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$900 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$286 |
— |
| Respiratory flow volume loop (94375) |
— |
$131 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$142 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$71 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$352 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$142 |
— |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
— |
$111–$130 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$136 |
— |
| Speech sound lang comprehen (92523) |
— |
$719 |
— |
| Spirometry (94010) |
— |
$417 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,433 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$197 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$98 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$176 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$111 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$294 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$203.39 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$585.35 |
— |
Therapeutic Activities (97530)
range across 3 matching MRF lines |
— |
$156–$162 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$91 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$85.10 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$372 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$538 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,450.72 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,679.33 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$168 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$129.73 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$582 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$516 |
— |
| Vasopneumatic device (97016) |
— |
$34 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$2,211 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,783 |
— |
| Vital capacity, total (94150) |
— |
$154 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$126 |
— |
Whirlpool Therapy (97022)
range across 3 matching MRF lines |
— |
$95–$294 |
— |