| Airway inhalation treatment (94640) |
$216 |
$216 |
0.9× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$45 |
$45 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$110 |
$110 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$60 |
$60 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$79 |
$79 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$322 |
$322 |
— |
| Breathing capacity test (94010) |
$499 |
$499 |
2.2× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$339 |
$339 |
0.9× |
| Canalith repositioning (95992) |
$135 |
$135 |
— |
| Cardiovascular stress test (93017) |
$871 |
$871 |
3.8× |
| Cardioversion elective external (92960) |
$1,881 |
$1,881 |
2.7× |
| Chemo anti-neopl sq/im (96401) |
$227 |
$227 |
3.0× |
| Chemo IV infus each addl seq (96417) |
$227 |
$227 |
3.0× |
| Chemo IV infusion addl hr (96415) |
$214 |
$214 |
2.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,033 |
$1,033 |
3.0× |
| Cpr (92950) |
$871 |
$871 |
3.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,295 |
$2,295 |
2.6× |
| Debridement open wound 20 sq cm< (97597) |
$602 |
$602 |
2.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$802 |
$802 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$802 |
$802 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$386 |
$386 |
3.5× |
| EEG awake & asleep (95819) |
$953 |
$953 |
4.2× |
| EEG awake/drowsy (95816) |
$953 |
$953 |
4.2× |
| EKG 12 lead tracing only (93005) |
$190 |
$190 |
3.1× |
| Emergency department visit high mdm (99285) |
$2,329 |
$2,329 |
3.7× |
| Emergency department visit low mdm (99283) |
$760 |
$760 |
2.6× |
| Emergency department visit may not req phys/qhp (99281) |
$240 |
$240 |
2.7× |
| Emergency department visit moderate mdm (99284) |
$1,283 |
$1,283 |
2.9× |
| Emergency department visit straightforward mdm (99282) |
$427 |
$427 |
2.6× |
| EMG thoracic paraspinal (95869) |
$953 |
$953 |
4.2× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$260 |
$260 |
— |
| Evaluation of speech fluency (92521) |
$403 |
$403 |
— |
| Evaluation of speech sound production articulate (92522) |
$330 |
$330 |
— |
| Fluidotherapy (97022) |
$74 |
$74 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$499 |
$499 |
2.2× |
| Immunization administration (90471) |
$208 |
$208 |
2.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$156 |
$156 |
3.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$654 |
$654 |
2.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$190 |
$190 |
3.1× |
| Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) 95875 (95875) |
$474 |
$474 |
3.5× |
| IV infusion hydration each additional hour (96361) |
$185 |
$185 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$658 |
$658 |
2.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$170 |
$170 |
2.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$654 |
$654 |
2.9× |
| IV tx, each additional hour (96366) |
$202 |
$202 |
4.1× |
| Mechanical traction therapy (97012) |
$61 |
$61 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$330 |
$330 |
— |
| Muscle test 3 limbs (95863) |
$474 |
$474 |
3.5× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$474 |
$474 |
3.5× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$388 |
$388 |
2.8× |
| Needle electromyography cranial nrv muscle uni (95867) |
$953 |
$953 |
4.2× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$474 |
$474 |
2.1× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$388 |
$388 |
2.8× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$388 |
$388 |
2.8× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$953 |
$953 |
4.2× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$632 |
$632 |
3.0× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$1,272 |
$1,272 |
3.0× |
| Nerve conduction studies 1-2 studies (95907) |
$474 |
$474 |
2.1× |
| Nerve conduction studies 11-12 studies (95912) |
$1,625 |
$1,625 |
4.1× |
| Nerve conduction studies 13/> studies (95913) |
$1,625 |
$1,625 |
4.1× |
| Nerve conduction studies 3-4 studies (95908) |
$953 |
$953 |
4.2× |
| Nerve conduction studies 5-6 studies (95909) |
$953 |
$953 |
4.2× |
| Nerve conduction studies 7-8 studies (95910) |
$953 |
$953 |
2.4× |
| Nerve conduction studies 9-10 studies (95911) |
$1,625 |
$1,625 |
4.1× |
| Neuromuscular junction test (95937) |
$474 |
$474 |
3.5× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$477 |
$477 |
3.5× |
| Occupational therapy eval high complex 60 mins (97167) |
$324 |
$324 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$327 |
$327 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$324 |
$324 |
— |
| Oral function therapy (92526) |
$312 |
$312 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$191 |
$191 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$179 |
$179 |
— |
| Ot manual therapy ea 15 min (97140) |
$115 |
$115 |
— |
| Ot neuromuscular re-education (97112) |
$127 |
$127 |
— |
| Ot paraffin bath (97018) |
$41 |
$41 |
— |
| Ot re-evaluation (97168) |
$226 |
$226 |
— |
| OT Therapeutic Activities Charges (97530) |
$141 |
$141 |
— |
| Ot wheelchair management (97542) |
$118 |
$118 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$379 |
$379 |
2.8× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$379 |
$379 |
2.8× |
| Phlebotomy therapeutic (99195) |
$411 |
$411 |
2.9× |
| Physical therapy evaluation high complex 45 mins (97163) |
$243 |
$243 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$219 |
$219 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$232 |
$232 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,129 |
$3,129 |
3.5× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$3,129 |
$3,129 |
3.5× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$112 |
$112 |
— |
| Pt gait training 15 min (97116) |
$105 |
$105 |
— |
| Pt physical performance test (97750) |
$110 |
$110 |
— |
| Pt re-evaluation (97164) |
$130 |
$130 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$407 |
$407 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$124 |
$124 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$953 |
$953 |
4.2× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$953 |
$953 |
4.2× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$953 |
$953 |
4.2× |
| Speech sound lang comprehen (92523) |
$692 |
$692 |
— |
| Standardized cognitive performance testing (96125) |
$375 |
$375 |
— |
| Temp transcutaneous pacing (92953) |
$1,847 |
$1,847 |
2.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$80 |
$80 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$77 |
$77 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$208 |
$208 |
2.7× |
| Tte f-up or lmtd (93308) |
$792 |
$792 |
3.1× |
| Tte w/doppler complete (93306) |
$1,646.30 |
$1,646.30 |
2.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$283 |
$283 |
— |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$953 |
$953 |
4.2× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$133 |
$133 |
— |
| Wound(s) care non-selective (97602) |
$632 |
$632 |
3.0× |