| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$189.66 |
$474.15 |
3.0× |
| Acupunct w/o stimul 15 min (97810) |
$47.32 |
$118.30 |
1.5× |
| Acupunct w/stimul 15 min (97813) |
$47.32 |
$118.30 |
1.5× |
| Administration of chemotherapy into artery using push technique (96420) |
$728.97 |
$1,822.41 |
2.1× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,321.66 |
$3,304.15 |
3.8× |
| Advance care planning first 30 mins (99497) |
$42.92 |
$107.28 |
0.4× |
| Aerosol inhalation pentamidine (94642) |
$789.20 |
$1,972.98 |
3.4× |
| Airway inhalation treatment (94640) |
$159.46 |
$398.64 |
0.7× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$461.60 |
$1,153.99 |
3.3× |
| Ambulatory bp recording (93786) |
$461.60 |
$1,153.99 |
3.3× |
| Analyze pacemaker system (93724) |
$1,094.05 |
$2,735.11 |
3.3× |
| Anterior segment imaging with interpretation and report; with fluorescein angiography (92287) |
$532.30 |
$1,330.73 |
3.8× |
| Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis (92286) |
$467.26 |
$1,168.14 |
3.3× |
| Appl on-body injector for timed subq injection (96377) |
$79.03 |
$197.56 |
1.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$20.80 |
$51.98 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$171.93 |
$429.81 |
— |
| Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Other Outpatient (97036) |
$68.19 |
$170.47 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$111.06 |
$277.64 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$113.36 |
$283.38 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$95.91 |
$239.77 |
— |
| Assessment of aphasia (96105) |
$266.42 |
$666.03 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$22.14 |
$55.33 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$80.69 |
$201.71 |
— |
| Bfb training ea addl 15 min (90913) |
$109.11 |
$272.77 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$156.87 |
$392.16 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$89.68 |
$224.18 |
— |
| Bioimpedance-derived physiologic cardiovascular analysis (93701) |
$169.02 |
$422.55 |
1.2× |
| Biopsy of heart lining (93505) |
$4,117.43 |
$10,293.56 |
1.2× |
| Bipap initial day (94660) |
$1,231.65 |
$3,079.12 |
5.3× |
| Breath hydrogen/methane test (91065) |
$686.36 |
$1,715.89 |
3.0× |
| Breathing capacity test (94010) |
$470.64 |
$1,176.60 |
2.0× |
| Bronchial allergy tests (95070) |
$358.15 |
$895.36 |
0.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$901.41 |
$2,253.52 |
2.3× |
Bundle of his recording (93600)
unusually low — confirm this is the full procedure |
$3,209.93 |
$8,024.82 |
0.4× |
| C motor evoked lwr limbs (95929) |
$871.64 |
$2,179.11 |
2.2× |
| C motor evoked uppr limbs (95928) |
$1,047.90 |
$2,619.75 |
1.1× |
| Canalith repositioning (95992) |
$56.16 |
$140.40 |
— |
| Cardiopulmonary exercise testing (94621) |
$1,219.93 |
$3,049.81 |
3.1× |
| Cardiovascular procedure unlisted (93799) |
$3,336.32 |
$8,340.80 |
24.3× |
| Cardiovascular stress test (93017) |
$2,077.68 |
$5,194.18 |
9.0× |
| Cardioversion elective external (92960) |
$4,013.54 |
$10,033.83 |
5.7× |
| Cardioversion elective internal (92961) |
$2,511.75 |
$6,279.36 |
3.6× |
| Caregiver training 1st 30 min (97550) |
$45.15 |
$112.87 |
— |
| Caregiver training ea addl 15 (97551) |
$20.65 |
$51.62 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$12,157.26 |
$30,393.15 |
3.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$12,265.03 |
$30,662.57 |
3.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$10,388.36 |
$25,970.88 |
3.0× |
| Chemo anti-neopl sq/im (96401) |
$329.60 |
$823.99 |
4.3× |
| Chemo hormon antineopl sq/im (96402) |
$329.60 |
$823.99 |
4.3× |
| Chemo IV infus each addl seq (96417) |
$516.82 |
$1,292.03 |
6.7× |
| Chemo IV infusion addl hr (96415) |
$448.26 |
$1,120.63 |
5.8× |
| Chemo IV push addl drug (96411) |
$373.54 |
$933.85 |
4.9× |
| Chemother prolong infuse w/pump (96416) |
$332.48 |
$831.19 |
0.9× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$582.26 |
$1,455.64 |
1.7× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$516.82 |
$1,292.03 |
1.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$373.54 |
$933.85 |
1.1× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$891 |
$2,227.48 |
2.5× |
| Chest physiotherapy initial (94667) |
$283.76 |
$709.38 |
2.0× |
| Chron care mgmt srvc 20 min (99490) |
$42.92 |
$107.28 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$923.41 |
$2,308.52 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$649.28 |
$1,623.18 |
5.8× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$123.08 |
$307.69 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$5,696.29 |
$14,240.71 |
0.7× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$25,767.32 |
$64,418.30 |
0.9× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$5,696.29 |
$14,240.71 |
0.7× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$25,635.60 |
$64,088.99 |
0.9× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$23,695.26 |
$59,238.15 |
0.8× |
| Comprehensive hearing test (92557) |
$188.15 |
$470.37 |
1.4× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$101.70 |
$254.24 |
0.7× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$208.17 |
$520.41 |
1.5× |
| Coronary art/grft angio s&i (93455) |
$7,944.06 |
$19,860.14 |
2.3× |
| Coronary artery angio s&i (93454) |
$6,697.38 |
$16,743.44 |
1.9× |
| Cpr (92950) |
$1,189.98 |
$2,974.93 |
5.2× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$446.26 |
$1,115.64 |
7.1× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$446.26 |
$1,115.64 |
7.1× |
| Critical care ill/injured patient init 30-74 min (99291) |
$7,115.62 |
$17,789.03 |
8.1× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,171.36 |
$2,928.40 |
1.3× |
| Debridement open wound 20 sq cm< (97597) |
$338.12 |
$845.30 |
1.6× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$649.28 |
$1,623.18 |
5.8× |
| Duplex hemodialysis access (93990) |
$1,055.32 |
$2,638.30 |
9.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,439.44 |
$3,598.58 |
5.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$959.62 |
$2,399.05 |
8.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$923.41 |
$2,308.52 |
3.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$649.28 |
$1,623.18 |
5.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$923.41 |
$2,308.52 |
3.6× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$649.28 |
$1,623.18 |
5.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$923.41 |
$2,308.52 |
3.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$649.28 |
$1,623.18 |
5.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$923.41 |
$2,308.52 |
3.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$649.28 |
$1,623.18 |
5.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$923.41 |
$2,308.52 |
3.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$649.28 |
$1,623.18 |
5.8× |
| ECG monit/reprt up to 48 hrs (93226) |
$597.19 |
$1,492.97 |
9.5× |
| ECG/monitoring and analysis (93271) |
$1,511.25 |
$3,778.12 |
14.9× |
| Echo transesophageal (93312) |
$1,875.68 |
$4,689.18 |
3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,904.54 |
$4,761.33 |
3.3× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$1,875.68 |
$4,689.18 |
3.2× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$1,875.68 |
$4,689.18 |
3.2× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,731.40 |
$4,328.48 |
6.8× |
| EEG 41-60 minutes (95812) |
$727.30 |
$1,818.25 |
3.2× |
| EEG awake & asleep (95819) |
$1,905.48 |
$4,763.68 |
8.3× |
| EEG awake/drowsy (95816) |
$1,523.54 |
$3,808.85 |
6.6× |
| EEG coma or sleep only (95822) |
$1,466.62 |
$3,666.53 |
6.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$548.51 |
$1,371.26 |
2.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,254.76 |
$5,636.90 |
9.8× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$1,052.39 |
$2,630.97 |
2.6× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,052.39 |
$2,630.97 |
2.6× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$1,052.39 |
$2,630.97 |
2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$548.51 |
$1,371.26 |
2.4× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$548.51 |
$1,371.26 |
2.4× |
| EKG 12 lead tracing only (93005) |
$331.85 |
$829.62 |
5.3× |
| EKG rhythm strip (93041) |
$157.52 |
$393.78 |
2.5× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$393.96 |
$984.90 |
3.9× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$286.63 |
$716.56 |
2.0× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$384.10 |
$960.25 |
3.8× |
| Electro-oculography with interpretation and report (92270) |
$437.78 |
$1,094.44 |
3.1× |
| Electroconvulsive therapy (90870) |
$1,673.64 |
$4,184.10 |
1.8× |
| Electrode stimulation brain (95961) |
$1,571.85 |
$3,929.61 |
1.7× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$1,648.32 |
$4,120.78 |
1.3× |
| Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) |
$7,101.56 |
$17,753.89 |
0.9× |
| Emergency department visit high mdm (99285) |
$7,025.77 |
$17,564.42 |
11.1× |
| Emergency department visit low mdm (99283) |
$1,557.79 |
$3,894.47 |
5.4× |
| Emergency department visit may not req phys/qhp (99281) |
$362.06 |
$905.13 |
4.0× |
| Emergency department visit moderate mdm (99284) |
$3,342.78 |
$8,356.95 |
7.5× |
| Emergency department visit straightforward mdm (99282) |
$697.21 |
$1,743.01 |
4.3× |
| EMG thoracic paraspinal (95869) |
$317.56 |
$793.88 |
1.4× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$243.30 |
$608.24 |
1.8× |
| Endoscopy swallow (fees) vid (92612) |
$227.76 |
$569.39 |
— |
| Esoph balloon distension tst (91040) |
$358.56 |
$896.40 |
0.9× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,801.10 |
$4,502.75 |
4.5× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$1,160.60 |
$2,901.48 |
5.0× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,960.63 |
$4,901.56 |
4.9× |
| Esophageal recording (93615) |
$4,908.81 |
$12,272.02 |
3.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$81.03 |
$202.57 |
0.6× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$337.12 |
$842.79 |
— |
| Evaluate pt use of inhaler (94664) |
$178.22 |
$445.55 |
0.8× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$115.44 |
$288.59 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$301.64 |
$754.08 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$101.92 |
$254.79 |
— |
| Evaluation of speech fluency (92521) |
$98.31 |
$245.77 |
— |
| Evaluation of speech sound production articulate (92522) |
$79.77 |
$199.41 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$526.44 |
$1,316.09 |
3.7× |
| Exercise tst brncspsm wo ECG (94619) |
$526.44 |
$1,316.09 |
8.4× |
| Ext ECG>48hr<7d scan a/r (93243) |
$327.74 |
$819.35 |
2.3× |
| External ECG rec>48hr<7d recording (93242) |
$1,449 |
$3,622.50 |
36.4× |
| External ECG rec>7d<15d recording (93246) |
$1,449 |
$3,622.50 |
36.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$181.80 |
$454.49 |
1.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$1,449 |
$3,622.50 |
10.2× |
| External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) |
$222.48 |
$556.18 |
5.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$220.41 |
$551.02 |
— |
| Fluidotherapy (97022) |
$143.48 |
$358.70 |
— |
| Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92235) |
$691.86 |
$1,729.63 |
3.0× |
| Fundus photography with interpretation and report (92250) |
$228.26 |
$570.64 |
1.6× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$742.24 |
$1,855.59 |
3.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,672.14 |
$4,180.35 |
1.8× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,615.22 |
$4,038.04 |
1.7× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report Age… (91111) |
$1,063.56 |
$2,658.89 |
1.1× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$1,063.56 |
$2,658.89 |
1.1× |
| Group caregiver training strategies & technique (97552) |
$19.28 |
$48.20 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,526.19 |
$3,815.46 |
2.1× |
| Hot/cold pack (97010) |
$9.94 |
$24.84 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$34.09 |
$85.22 |
0.4× |
| Imm admn sarscov2 vaccine single dose (90480) |
$46.74 |
$116.84 |
1.1× |
| Immunization administration (90471) |
$88.15 |
$220.36 |
1.1× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$1,569.56 |
$3,923.90 |
1.2× |
| Infrared therapy (97026) |
$11.99 |
$29.97 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$266.74 |
$666.86 |
5.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$278.95 |
$697.36 |
1.2× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,425.58 |
$6,063.95 |
1.4× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$102.07 |
$255.17 |
2.6× |
| Interrog device eval heart (93289) |
$593.95 |
$1,484.86 |
14.9× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$522.66 |
$1,306.65 |
13.1× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$184.67 |
$461.66 |
6.0× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$186.56 |
$466.38 |
4.7× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) |
$186.56 |
$466.38 |
4.7× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$83.22 |
$208.05 |
2.1× |
Intra-atrial pacing (93610)
unusually low — confirm this is the full procedure |
$3,508.10 |
$8,770.25 |
0.4× |
| Intra-atrial recording (93602) |
$9,102.28 |
$22,755.70 |
1.1× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$11,962.41 |
$29,906.01 |
1.4× |
Intraventricular pacing (93612)
unusually low — confirm this is the full procedure |
$3,209.93 |
$8,024.82 |
0.4× |
| Io anal gast n-stim subsq (95981) |
$104.47 |
$261.16 |
1.7× |
| Io ga n-stim subsq w/reprog (95982) |
$104.47 |
$261.16 |
2.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$78.10 |
$195.25 |
1.2× |
| IV infusion hydration each additional hour (96361) |
$137.82 |
$344.53 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$249.50 |
$623.74 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$380.96 |
$952.38 |
5.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$454.68 |
$1,136.70 |
2.0× |
| IV tx, each additional hour (96366) |
$324.51 |
$811.27 |
6.5× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$10,388.36 |
$25,970.88 |
3.0× |
| Liver elastography (91200) |
$3,596.14 |
$8,990.34 |
26.2× |
| Low frequency non-thermal us (97610) |
$255.69 |
$639.21 |
1.2× |
| Lwr xtr vasc stdy bilat (93924) |
$142.89 |
$357.22 |
0.6× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$129.71 |
$324.27 |
0.9× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$1,191.52 |
$2,978.79 |
3.0× |
| Mechanical chest wall oscillation lung function (94669) |
$311.46 |
$778.64 |
1.3× |
| Mechanical traction therapy (97012) |
$46.10 |
$115.23 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$20.21 |
$50.51 |
— |
| Medical nutrition group (97804) |
$28.86 |
$72.14 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$31.74 |
$79.35 |
— |
| Methacholine challenge (94070) |
$1,264.32 |
$3,160.78 |
3.2× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$404.55 |
$1,011.37 |
— |
| Multiple sleep latency (95805) |
$3,230.20 |
$8,075.48 |
3.5× |
| Muscle test 3 limbs (95863) |
$851.13 |
$2,127.81 |
6.2× |
| Muscle test larynx (95865) |
$736.89 |
$1,842.22 |
5.2× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$982.32 |
$2,455.78 |
7.2× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$719.94 |
$1,799.84 |
5.1× |
| Needle electromyography cranial nrv muscle uni (95867) |
$231.10 |
$577.73 |
1.0× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$506.99 |
$1,267.47 |
3.6× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$441.12 |
$1,102.80 |
3.1× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$346.64 |
$866.59 |
1.5× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$476.43 |
$1,191.07 |
1.1× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$476.43 |
$1,191.07 |
1.1× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$504.85 |
$1,262.12 |
2.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$624.39 |
$1,560.96 |
1.4× |
| Nerve conduction studies 1-2 studies (95907) |
$476.11 |
$1,190.27 |
2.1× |
| Nerve conduction studies 11-12 studies (95912) |
$2,856.66 |
$7,141.65 |
7.2× |
| Nerve conduction studies 13/> studies (95913) |
$3,332.78 |
$8,331.94 |
8.4× |
| Nerve conduction studies 3-4 studies (95908) |
$952.22 |
$2,380.53 |
4.1× |
| Nerve conduction studies 5-6 studies (95909) |
$1,428.34 |
$3,570.83 |
6.2× |
| Nerve conduction studies 7-8 studies (95910) |
$1,904.45 |
$4,761.12 |
4.8× |
| Nerve conduction studies 9-10 studies (95911) |
$2,380.55 |
$5,951.37 |
6.0× |
| Neuromuscular junction test (95937) |
$218.48 |
$546.18 |
1.6× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$1,402.02 |
$3,505.05 |
6.1× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$181.81 |
$454.51 |
1.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$372.26 |
$930.65 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$304.58 |
$761.44 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$338.42 |
$846.03 |
— |
| Oral function therapy (92526) |
$235.48 |
$588.70 |
— |
| Oral speech device eval (92597) |
$88.26 |
$220.64 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$48.02 |
$120.04 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$143.74 |
$359.32 |
— |
| Osteopath manj 1-2 regions (98925) |
$36.85 |
$92.12 |
1.6× |
| Osteopath manj 3-4 regions (98926) |
$26.04 |
$65.08 |
1.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$34.01 |
$85.01 |
1.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$40.38 |
$100.94 |
1.8× |
| Ot manual therapy ea 15 min (97140) |
$115.63 |
$289.06 |
— |
| Ot neuromuscular re-education (97112) |
$120.18 |
$300.45 |
— |
| Ot paraffin bath (97018) |
$86.06 |
$215.13 |
— |
| Ot re-evaluation (97168) |
$228.96 |
$572.40 |
— |
| OT Therapeutic Activities Charges (97530) |
$102.24 |
$255.59 |
— |
| Ot wheelchair management (97542) |
$119.18 |
$297.93 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$262.24 |
$655.59 |
1.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$183.86 |
$459.63 |
1.3× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$388.32 |
$970.78 |
1.0× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$56.63 |
$141.56 |
0.9× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$12,318.96 |
$30,797.39 |
0.6× |
| Peripheral vascular rehab (93668) |
$241.11 |
$602.76 |
3.8× |
| Perq transcath closure pda (93582) |
$12,318.96 |
$30,797.39 |
0.6× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$16,893.49 |
$42,233.71 |
0.9× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$16,893.49 |
$42,233.71 |
0.9× |
| Phlebotomy therapeutic (99195) |
$365.64 |
$914.09 |
2.6× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$62.52 |
$156.28 |
1.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$62.52 |
$156.28 |
1.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$372.26 |
$930.65 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$304.58 |
$761.44 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$338.42 |
$846.03 |
— |
| Pm device progr eval multi (93281) |
$214.38 |
$535.94 |
5.4× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,233.82 |
$5,584.55 |
2.4× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,136.48 |
$5,341.18 |
2.3× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$4,526.08 |
$11,315.18 |
4.9× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$4,001.89 |
$10,004.72 |
4.4× |
| Pr unlisted therapeutic procedure specify (97139) |
$37.21 |
$93.02 |
— |
| Prgrmg dev eval pm/ldls pm (93279) |
$127.27 |
$318.16 |
3.2× |
| Program eval implantable in persn dual ld pacer (93280) |
$171.51 |
$428.77 |
4.3× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$205.35 |
$513.36 |
5.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$186.56 |
$466.38 |
4.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$92.58 |
$231.45 |
2.3× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$305.61 |
$764.02 |
7.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$244.49 |
$611.22 |
6.1× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$73.80 |
$184.50 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$10,017.07 |
$25,042.66 |
0.8× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$10,337.02 |
$25,842.53 |
1.7× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$13,287.53 |
$33,218.82 |
1.1× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$10,182.21 |
$25,455.52 |
0.8× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$13,287.53 |
$33,218.82 |
1.1× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$13,287.53 |
$33,218.82 |
0.7× |
| Psychiatric diagnostic evaluation (90791) |
$191.23 |
$478.06 |
1.0× |
| Pt gait training 15 min (97116) |
$114.07 |
$285.16 |
— |
| Pt physical performance test (97750) |
$97.06 |
$242.63 |
— |
| Pt re-evaluation (97164) |
$228.96 |
$572.40 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$169.50 |
$423.73 |
— |
| Pulm funct tst plethysmograp (94726) |
$742.24 |
$1,855.59 |
1.9× |
| Pulmonary stress testing (94618) |
$925.71 |
$2,314.26 |
6.5× |
| R hrt art/grft angio (93457) |
$13,565.66 |
$33,914.14 |
3.9× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$12,318.96 |
$30,797.39 |
3.6× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$12,318.96 |
$30,797.39 |
3.6× |
| R hrt coronary artery angio (93456) |
$12,318.96 |
$30,797.39 |
3.6× |
| R&l hrt art/ventricle angio (93461) |
$13,403.97 |
$33,509.92 |
3.9× |
| R&l hrt cath w/ventriclgrphy (93453) |
$9,640.42 |
$24,101.05 |
2.8× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$47.06 |
$117.63 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$15.43 |
$38.56 |
— |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$508.41 |
$1,271.01 |
8.1× |
| Refilling and maintenance of portable pump (96521) |
$370.98 |
$927.45 |
1.6× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$83.22 |
$208.05 |
2.1× |
| Rem interrog scrms <30 d phys/qhp (93298) |
$83.22 |
$208.05 |
2.1× |
| Remote 30 day ECG rev/report (93270) |
$1,449 |
$3,622.50 |
36.4× |
| Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) |
$83.22 |
$208.05 |
2.1× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$41.48 |
$103.68 |
— |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$33.76 |
$84.38 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$16.99 |
$42.47 |
0.1× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$48.84 |
$122.08 |
1.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$822.86 |
$2,057.14 |
3.6× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$449.79 |
$1,124.47 |
2.0× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$358.08 |
$895.19 |
1.1× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$12,157.26 |
$30,393.15 |
3.5× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$12,157.26 |
$30,393.15 |
3.5× |
| Right heart cath o2 saturation & cardiac output (93451) |
$5,868.08 |
$14,670.18 |
1.7× |
| Right ventricular recording (93603) |
$597.43 |
$1,493.56 |
0.5× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$128.20 |
$320.48 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$184.31 |
$460.77 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$154.06 |
$385.14 |
0.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$451.11 |
$1,127.76 |
0.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$1,729.61 |
$4,324.01 |
7.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$1,594.04 |
$3,985.09 |
6.9× |
| Sleep study attended (95807) |
$1,453.45 |
$3,633.61 |
3.7× |
| Sleep study unattended (95806) |
$217.45 |
$543.61 |
0.9× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$349.52 |
$873.80 |
1.5× |
| Speech audiometry threshold (92555) |
$59.48 |
$148.68 |
0.9× |
| Speech sound lang comprehen (92523) |
$135.72 |
$339.29 |
— |
| Standardized cognitive performance testing (96125) |
$214.54 |
$536.32 |
— |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$214.18 |
$535.43 |
4.3× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$230.39 |
$575.96 |
1.0× |
| Surfactant administration (94610) |
$103.92 |
$259.79 |
0.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$839.62 |
$2,099.04 |
7.5× |
| Temp transcutaneous pacing (92953) |
$1,178.08 |
$2,945.18 |
1.7× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$90.11 |
$225.27 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$153.74 |
$384.33 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$153.74 |
$384.33 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$449.79 |
$1,124.47 |
2.0× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$62.56 |
$156.40 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$76.48 |
$191.20 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$85.33 |
$213.32 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$154.51 |
$386.26 |
2.0× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$97.34 |
$243.34 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$160.56 |
$401.38 |
— |
| Tilt table evaluation (93660) |
$1,439.48 |
$3,598.69 |
3.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$20.53 |
$51.31 |
0.5× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$19.90 |
$49.74 |
0.5× |
| Trans care mgmt 14 day disch (99495) |
$112.88 |
$282.20 |
0.8× |
| Trans care mgmt 7 day disch (99496) |
$157.92 |
$394.78 |
1.1× |
| Transcath closure of asd (93580) |
$12,318.96 |
$30,797.39 |
0.6× |
| Transcranial doppler stdy intracranial art compl (93886) |
$551.32 |
$1,378.28 |
2.2× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$441.06 |
$1,102.63 |
4.0× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,875.68 |
$4,689.18 |
3.2× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$83.22 |
$208.05 |
2.1× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$1,731.40 |
$4,328.48 |
3.0× |
| Tte congenital complete (93303) |
$1,875.68 |
$4,689.18 |
3.2× |
| Tte f-up or lmtd (93308) |
$923.41 |
$2,308.52 |
3.6× |
| Tte w/doppler complete (93306) |
$1,875.68 |
$4,689.18 |
3.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$195.06 |
$487.63 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$111.24 |
$278.10 |
— |
| Tympanometry (92567) |
$127.84 |
$319.60 |
3.2× |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$11.58 |
$28.94 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
$462.92 |
$1,157.29 |
15.0× |
| Unlisted psychiatric service or procedure (90899) |
$566.21 |
$1,415.52 |
14.2× |
| Upr/l xtremity art 2 levels (93922) |
$264.40 |
$660.99 |
1.9× |
| Valvuloplasty aortic valve (92986) |
$3,823.14 |
$9,557.85 |
0.6× |
| Valvuloplasty mitral valve (92987) |
$7,727.13 |
$19,317.81 |
0.6× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,052.39 |
$2,630.97 |
2.6× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$548.51 |
$1,371.26 |
1.4× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,969.83 |
$4,924.57 |
2.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,052.39 |
$2,630.97 |
2.6× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$1,052.39 |
$2,630.97 |
2.6× |
| Ventilation ip/obs initial day (94002) |
$1,615.97 |
$4,039.92 |
2.5× |
| Ventilator subsequent day (94003) |
$1,589.97 |
$3,974.92 |
2.4× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$1,836.36 |
$4,590.88 |
8.0× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$539.18 |
$1,347.95 |
3.8× |
| Vital capacity total (94150) |
$121.66 |
$304.13 |
0.9× |
| Wada activation test (95958) |
$658.06 |
$1,645.14 |
0.7× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$49.88 |
$124.68 |
— |
| Wound(s) care non-selective (97602) |
$403.88 |
$1,009.70 |
1.9× |