| Airway inhalation treatment (94640) |
$151.36 |
$172 |
0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$103.84 |
$118 |
7.2× |
| Application on-body injector (96377) |
$189.20 |
$215 |
3.9× |
| Bedside Swallowing Eval (92610) |
$396.88 |
$451 |
4.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$352 |
$400 |
3.2× |
| Brief Emotional/Behavioral Assessment (96127) |
$10.56 |
$12 |
0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$434.72 |
$494 |
1.1× |
| Canalith Repositioning Procedure (95992) |
$185.68 |
$211 |
4.6× |
| Car seat/bed test 60 min (94780) |
$85.36 |
$97 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$855.36 |
$972 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$913.44 |
$1,038 |
4.1× |
| Cardioversion (92960) |
$1,349.92 |
$1,534 |
2.0× |
| Cbt 1st hour (94644) |
$271.04 |
$308 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$187.44 |
$213 |
2.5× |
| Chemo IV push addl drug (96411) |
$294.80 |
$335 |
4.0× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$543.84 |
$618 |
1.6× |
| Chemother, IV infusion, 1 hr (96413) |
$690.80 |
$785 |
2.0× |
| Chemother, IV infusion, ea add hr (96415) |
$285.12 |
$324 |
3.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$287.76 |
$327 |
3.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$382.80 |
$435 |
5.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$458.48 |
$521 |
1.3× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$481.36 |
$547 |
1.2× |
| Color/duplex Doppler, limited (93976) |
$322.96 |
$367 |
3.0× |
| Comprehensive Hearing Test (92557) |
$82.72 |
$94 |
0.6× |
| Cpap/bipap (94660) |
$625.68 |
$711 |
2.8× |
| Critical care (99291) |
$1,290.96 |
$1,467 |
1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$302.72 |
$344 |
1.5× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$271.04 |
$308 |
1.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$609.84 |
$693 |
2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$596.20 |
$677.50 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$360.80 |
$410 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,014.64 |
$1,153 |
4.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$368.28 |
$418.50 |
3.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$601.48 |
$683.50 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$447.04 |
$508 |
4.1× |
| Duplex scan extracranial art compl bi study (93880) |
$521.40 |
$592.50 |
2.1× |
| Duplex Scan Hemodialysis Access (93990) |
$663.52 |
$754 |
6.1× |
| Echo Heart Xthoracic,Limited (93308) |
$476.52 |
$541.50 |
1.9× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,557.60 |
$1,770 |
2.8× |
| EEG awake and asleep (95819) |
$924.88 |
$1,051 |
4.2× |
| EEG coma or sleep only (95822) |
$1,012.88 |
$1,151 |
4.5× |
| EKG rhythm strip (93041) |
$239.36 |
$272 |
3.9× |
| Electrocardiogram Tracing (93005) |
$207.68 |
$236 |
3.4× |
| Er level 1 (99281) |
$67.76 |
$77 |
0.8× |
| Er level ii (99282) |
$134.64 |
$153 |
0.8× |
| Er level iii (99283) |
$223.96 |
$254.50 |
0.8× |
| Er level IV (99284) |
$331.32 |
$376.50 |
0.8× |
| Er level v (99285) |
$454.96 |
$517 |
0.7× |
| Eval speech sound production (92522) |
$284.24 |
$323 |
2.5× |
| Evaluation of speech fluency (92521) |
$168.08 |
$191 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$30.36 |
$34.50 |
0.8× |
| External ECG rec>7d<15d recording (93246) |
$30.36 |
$34.50 |
0.8× |
| Holter Monitor (93225) |
$40.48 |
$46 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$39.60 |
$45 |
0.9× |
| Immune Admin Oral/Nasal (90473) |
$37.84 |
$43 |
0.5× |
| Immunization Admin (90471) |
$47.52 |
$54 |
0.6× |
| Inital newborn e/m (99460) |
$208.56 |
$237 |
1.5× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$243.76 |
$277 |
1.8× |
| Iontophoresis 15 min (97033) |
$120.56 |
$137 |
6.3× |
| Irrig drug delivery device (96523) |
$129.36 |
$147 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$85.80 |
$97.50 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$212.08 |
$241 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$220 |
$250 |
3.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$428.56 |
$487 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$186.56 |
$212 |
3.9× |
| IV push ea addl new drug (96375) |
$89.76 |
$102 |
1.9× |
| IV push initial (96374) |
$171.16 |
$194.50 |
0.8× |
| Low frequency non-thermal us (97610) |
$243.76 |
$277 |
1.2× |
| Manual therapy 15 min (97140) |
$91.08 |
$103.50 |
3.3× |
| Maximum voluntary ventilation (94200) |
$254.32 |
$289 |
4.2× |
| Mechanical traction (97012) |
$115.28 |
$131 |
8.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$80.96 |
$92 |
2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$86.24 |
$98 |
2.3× |
| Methacholine challenge (94070) |
$637.12 |
$724 |
1.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$440 |
$500 |
4.8× |
| Multiple Family Group Psychotherapy (90849) |
$145.20 |
$165 |
0.8× |
| Nasopharyngoscopy (92511) |
$235.84 |
$268 |
1.1× |
| Neg press wound tx >50 cm (97608) |
$860.64 |
$978 |
2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$772.64 |
$878 |
1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$550 |
$625 |
2.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$545.60 |
$620 |
1.3× |
| Newborn resuscitation (99465) |
$615.56 |
$699.50 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$582.56 |
$662 |
4.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$144.32 |
$164 |
3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$70.40 |
$80 |
3.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$102.08 |
$116 |
4.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$132.88 |
$151 |
6.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$161.04 |
$183 |
7.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$190.08 |
$216 |
8.5× |
| Ot eval high complex 60 min (97167) |
$336.16 |
$382 |
3.3× |
| Ot eval low complex 30 min (97165) |
$272.80 |
$310 |
2.7× |
| Ot eval mod complex 45 min (97166) |
$299.20 |
$340 |
3.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$125.84 |
$143 |
2.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$109.12 |
$124 |
2.7× |
| Ot Range Motion Measure,Each Extrem (95851) |
$105.60 |
$120 |
4.1× |
| Ot re-evaluation (97168) |
$182.16 |
$207 |
2.7× |
| Ot therapeutic activity 15 min (97530) |
$138.16 |
$157 |
3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$338.80 |
$385 |
2.5× |
| Paraffin bath pt (97018) |
$81.84 |
$93 |
13.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$371.36 |
$422 |
1.6× |
| Phlebotomy therapeutic (99195) |
$291.28 |
$331 |
2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,249.52 |
$4,829 |
4.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$36.96 |
$42 |
0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$44 |
$50 |
0.9× |
| Psych diag eval w/med srvcs (90792) |
$281.16 |
$319.50 |
1.5× |
| Psychiatric diagnostic evaluation (90791) |
$325.60 |
$370 |
1.8× |
| Psycl tst eval phys/qhp 1st (96130) |
$282.48 |
$321 |
1.3× |
| Psycl/nrpsyc tst phy/qhp 1st (96136) |
$124.96 |
$142 |
0.9× |
| Psytx crisis initial 60 min (90839) |
$285.12 |
$324 |
1.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$140.80 |
$160 |
3.8× |
| Pt Electrical Stimulation (97032) |
$115.28 |
$131 |
7.8× |
| Pt eval high complex 45 min (97163) |
$318.56 |
$362 |
3.3× |
| Pt eval low complex 20 min (97161) |
$277.20 |
$315 |
2.8× |
| Pt eval mod complex 30 min (97162) |
$290.40 |
$330 |
3.0× |
| Pt gait training 15 min (97116) |
$125.84 |
$143 |
4.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$129.36 |
$147 |
4.0× |
| Pt Physical Performance Test (97750) |
$134.64 |
$153 |
4.0× |
| Pt re-evaluation (97164) |
$184.80 |
$210 |
2.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$129.36 |
$147 |
4.0× |
| Pt ultraviolet (97028) |
$66.88 |
$76 |
8.0× |
| Pt Whirlpool Therapy (97022) |
$104.72 |
$119 |
6.7× |
| Pulm function test by gas (94727) |
$391.60 |
$445 |
1.8× |
| Pulmonary Service/Procedure (94799) |
$230.56 |
$262 |
1.7× |
| Pulmonary stress test simple (94618) |
$312.40 |
$355 |
2.3× |
| Pure Tone Audiometry Air Only (92552) |
$89.76 |
$102 |
0.7× |
| Refill/Maint Portable Pump (96521) |
$491.92 |
$559 |
2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$315.92 |
$359 |
1.5× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$61.60 |
$70 |
2.9× |
| Sensory Integration Ea 15 Min (97533) |
$106.48 |
$121 |
1.8× |
| Sleep study unattended (95806) |
$833.36 |
$947 |
3.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$764.72 |
$869 |
3.4× |
| Smoking cessation > 10 min (99407) |
$85.36 |
$97 |
2.2× |
| Speech sound lang comprehen (92523) |
$468.16 |
$532 |
2.1× |
| Spirometry (94010) |
$242 |
$275 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$364.32 |
$414 |
3.5× |
| Stress echo (93350) |
$1,496 |
$1,700 |
2.7× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$504.24 |
$573 |
2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$104.72 |
$119 |
2.2× |
| Temp transcutaneous pacing (92953) |
$68.64 |
$78 |
0.1× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$108.24 |
$123 |
4.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$108.24 |
$123 |
5.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$322.08 |
$366 |
3.1× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$74.80 |
$85 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$39.60 |
$45 |
1.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$471.68 |
$536 |
3.4× |
| Trans Care Mgmt 7 Day Disch (99496) |
$639.76 |
$727 |
4.7× |
| Tte w/doppler, complete (93306) |
$1,725.68 |
$1,961 |
3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$278.08 |
$316 |
3.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$277.20 |
$315 |
3.3× |
| Tympanometry (92567) |
$36.08 |
$41 |
0.9× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$807.84 |
$918 |
3.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$319.88 |
$363.50 |
3.0× |
| Vasopneumatic device (97016) |
$92.40 |
$105 |
7.7× |
| Vent mgmt inpat init day (94002) |
$827.20 |
$940 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,318.24 |
$1,498 |
2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$110 |
$125 |
3.5× |