| Airway inhalation treatment (94640) |
$130 |
$200 |
0.7× |
| Assessment of aphasia (96105) |
$166.40 |
$256 |
1.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$117 |
$180 |
1.1× |
| Bfb training 1st 15 min (90912) |
$178.75 |
$275 |
2.2× |
| Bfb training ea addl 15 min (90913) |
$48.75 |
$75 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$65 |
$100 |
0.2× |
| Canalith Repositioning (95992) |
$52 |
$80 |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$239.20 |
$368 |
1.2× |
| Cardiopulmonary resuscitation (92950) |
$272.35 |
$419 |
1.4× |
| Cardioversion (92960) |
$396.50 |
$610 |
0.7× |
| Caregiver training 1st 30 min (97550) |
$55.25 |
$85 |
1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$29.25 |
$45 |
1.1× |
| Cbt 1st hour (94644) |
$97.50 |
$150 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$92.95 |
$143 |
1.4× |
| Chemo IV push addl drug (96411) |
$92.95 |
$143 |
1.4× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$247.65 |
$381 |
0.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$92.95 |
$143 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$247.65 |
$381 |
3.8× |
| Color/duplex Doppler, complete (93975) |
$559 |
$860 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$295.10 |
$454 |
3.1× |
| Cpap initiation and management (94660) |
$147.88 |
$227.50 |
0.7× |
| Cpt initial (94667) |
$149.50 |
$230 |
1.2× |
| Critical care (99291) |
$811.20 |
$1,248 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$129.35 |
$199 |
0.7× |
| Demo &/or eval,pt use,aerosol device (94664) |
$27.30 |
$42 |
0.1× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$312 |
$480 |
2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$438.75 |
$675 |
2.0× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$289.25 |
$445 |
3.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$372.45 |
$573 |
1.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$247 |
$380 |
2.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$224.25 |
$345 |
2.4× |
| Duplex scan extracranial art compl bi study (93880) |
$338 |
$520 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$172.25 |
$265 |
0.8× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$422.50 |
$650 |
0.8× |
| EKG (93005) |
$71.50 |
$110 |
1.3× |
| EKG rhythm strip (93041) |
$39 |
$60 |
0.7× |
| Er level 1 (99281) |
$48.75 |
$75 |
0.6× |
| Er level ii (99282) |
$119.92 |
$184.50 |
0.9× |
| Er level iii (99283) |
$193.05 |
$297 |
0.8× |
| Er level IV (99284) |
$292.18 |
$449.50 |
0.8× |
| Er level v (99285) |
$428.02 |
$658.50 |
0.8× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$120.25 |
$185 |
1.7× |
| Evaluation of speech fluency (92521) |
$139.75 |
$215 |
1.0× |
| Evaluation of speech sound production (92522) |
$113.75 |
$175 |
1.0× |
| Evaluation of swallowing function (92610) |
$104 |
$160 |
1.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$181.35 |
$279 |
1.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$235.95 |
$363 |
1.2× |
| Group Therapeutic Procedures (97150) |
$22.75 |
$35 |
1.3× |
| Holter Monitor Recording (93225) |
$136.50 |
$210 |
1.1× |
| Immunization Admin (90471) |
$74.75 |
$115 |
1.1× |
| Inital newborn e/m (99460) |
$100.75 |
$155 |
0.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$42.25 |
$65 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$45.50 |
$70 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$183.62 |
$282.50 |
0.9× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$55.25 |
$85 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$234 |
$360 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$45.50 |
$70 |
1.1× |
| IV push initial (96374) |
$183.62 |
$282.50 |
0.9× |
| Manual therapy 15 min (97140) |
$35.75 |
$55 |
1.3× |
| Massage 15 min (97124) |
$35.75 |
$55 |
1.2× |
| Mechanical traction (97012) |
$19.50 |
$30 |
1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$27.95 |
$43 |
0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$35.10 |
$54 |
1.0× |
| Mnt Group Ea 30 Min (97804) |
$12.35 |
$19 |
0.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$235.95 |
$363 |
2.6× |
| Multiple sleep latency test (95805) |
$224.25 |
$345 |
0.3× |
| Nasopharyngoscopy (92511) |
$204.75 |
$315 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$234 |
$360 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$484.25 |
$745 |
1.3× |
| Neurobehavioral Status Exam (96116) |
$325 |
$500 |
1.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$172.25 |
$265 |
1.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$55.25 |
$85 |
1.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$39 |
$60 |
1.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$17.55 |
$27 |
1.3× |
| Ot eval high complex 60 min (97167) |
$191.75 |
$295 |
1.9× |
| Ot eval low complex 30 min (97165) |
$97.50 |
$150 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$143 |
$220 |
1.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$42.90 |
$66 |
0.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$34.12 |
$52.50 |
0.8× |
| Ot Range Motion Measure,Each Extrem (95851) |
$19.50 |
$30 |
0.7× |
| Ot re-eval est plan care (97168) |
$91 |
$140 |
1.3× |
| Paraffin bath (97018) |
$9.75 |
$15 |
1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$70.20 |
$108 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$562.25 |
$865 |
0.7× |
| Pt Aquatic Therapy/Exercises (97113) |
$48.75 |
$75 |
1.3× |
| Pt Electric Current Therapy (97033) |
$29.25 |
$45 |
1.5× |
| Pt Electrical Stimulation (97032) |
$17.55 |
$27 |
1.2× |
| Pt eval high complex 45 min (97163) |
$191.75 |
$295 |
2.0× |
| Pt eval low complex 20 min (97161) |
$97.50 |
$150 |
1.0× |
| Pt Gait Training Therapy (97116) |
$35.75 |
$55 |
1.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$42.25 |
$65 |
1.3× |
| Pt Physical Performance Test (97750) |
$45.50 |
$70 |
1.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$143 |
$220 |
1.5× |
| Pt re-evaluation (97164) |
$91 |
$140 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$42.25 |
$65 |
1.3× |
| Pt Ultrasound Therapy (97035) |
$16.25 |
$25 |
1.1× |
| Pt Whirlpool Therapy (97022) |
$20.80 |
$32 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$227.50 |
$350 |
1.2× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$22.75 |
$35 |
1.1× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$149.50 |
$230 |
1.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$59.15 |
$91 |
1.2× |
| Sc Ther Infusion Reset Pump (96371) |
$110.50 |
$170 |
1.7× |
| Sensory Integration Ea 15 Min (97533) |
$42.25 |
$65 |
0.7× |
| Speech sound lang comprehen (92523) |
$240.50 |
$370 |
1.1× |
| Spirometry (94010) |
$91 |
$140 |
0.5× |
| Standardized Cognitive Performance Testing (96125) |
$143 |
$220 |
1.4× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$39 |
$60 |
0.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$164.45 |
$253 |
0.8× |
| Temp transcutaneous pacing (92953) |
$181.35 |
$279 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$24.05 |
$37 |
1.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$26 |
$40 |
1.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$133.25 |
$205 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$68.25 |
$105 |
1.0× |
| Therapeutic Activities (97530) |
$48.75 |
$75 |
1.4× |
| Therapeutic phlebotomy (99195) |
$89.70 |
$138 |
0.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$360.75 |
$555 |
0.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$301.60 |
$464 |
1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$97.50 |
$150 |
1.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$104 |
$160 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$65 |
$100 |
1.5× |
| Ultraviolet Therapy (97028) |
$6.50 |
$10 |
0.8× |
| Unlisted pulmonary service/procedure (94799) |
$123.50 |
$190 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$341.25 |
$525 |
1.6× |
| Vasopneumatic device (97016) |
$16.90 |
$26 |
1.4× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$724.75 |
$1,115 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$724.75 |
$1,115 |
1.3× |
| Vital capacity total (94150) |
$48.75 |
$75 |
0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$39 |
$60 |
1.3× |