| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$147.70 |
$211 |
2.4× |
| Acupunct w/o stimul 15 min (97810) |
$41.30 |
$59 |
1.4× |
| Acupunct w/stimul 15 min (97813) |
$47.60 |
$68 |
1.6× |
| Administration of chemotherapy into artery using push technique (96420) |
$511.70 |
$731 |
1.5× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$2,247.70 |
$3,211 |
6.5× |
| Advance care planning first 30 mins (99497) |
$123.90 |
$177 |
1.2× |
| Aep neurodiagnostic interpretation and report (92653) |
$467.60 |
$668 |
2.1× |
| Aerosol inhalation pentamidine (94642) |
$286.30 |
$409 |
1.2× |
| Airway inhalation treatment (94640) |
$153.30 |
$219 |
0.7× |
| Ambulatory bp recording (93786) |
$215.60 |
$308 |
1.5× |
| Analyze pacemaker system (93724) |
$658.70 |
$941 |
2.0× |
| Appl modality 1+lllt po pain (97037) |
$69.30 |
$99 |
1.8× |
| Appl on-body injector for timed subq injection (96377) |
$56.70 |
$81 |
1.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$46.20 |
$66 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$84 |
$120 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$86.10 |
$123 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$39.20 |
$56 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$91 |
$130 |
— |
| Assessment of aphasia (96105) |
$399.70 |
$571 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$41.30 |
$59 |
1.0× |
| Behavioral & qualit analysis voice and resonance (92524) |
$340.20 |
$486 |
— |
| Bfb training ea addl 15 min (90913) |
$94.50 |
$135 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$128.80 |
$184 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$127.40 |
$182 |
— |
| Bipap initial day (94660) |
$656.60 |
$938 |
2.8× |
| Blink reflex test (95933) |
$151.90 |
$217 |
2.4× |
| Breath hydrogen/methane test (91065) |
$657.30 |
$939 |
2.9× |
| Breathing capacity test (94010) |
$259 |
$370 |
1.1× |
| Bronchial allergy tests (95070) |
$995.40 |
$1,422 |
2.5× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$689.50 |
$985 |
1.8× |
| Bundle of his recording (93600) |
$6,223 |
$8,890 |
0.8× |
| C motor evoked lwr limbs (95929) |
$1,345.40 |
$1,922 |
3.4× |
| C motor evoked uppr limbs (95928) |
$1,432.90 |
$2,047 |
1.6× |
| Canalith repositioning (95992) |
$94.50 |
$135 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$212.80 |
$304 |
5.4× |
| Cardiopulmonary exercise testing (94621) |
$1,486.80 |
$2,124 |
3.8× |
| Cardiovascular procedure unlisted (93799) |
$524.13 |
$748.75 |
3.9× |
| Cardiovascular stress test (93017) |
$702.10 |
$1,003 |
3.1× |
| Cardioversion elective external (92960) |
$987.70 |
$1,411 |
1.4× |
| Cardioversion elective internal (92961) |
$1,333.50 |
$1,905 |
1.9× |
| Caregiver training 1st 30 min (97550) |
$109.20 |
$156 |
— |
| Caregiver training ea addl 15 (97551) |
$53.90 |
$77 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$14,944.30 |
$21,349 |
4.4× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$11,149.60 |
$15,928 |
3.3× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$13,155.80 |
$18,794 |
3.8× |
| Chemo anti-neopl sq/im (96401) |
$162.40 |
$232 |
2.1× |
| Chemo hormon antineopl sq/im (96402) |
$156.10 |
$223 |
2.1× |
| Chemo intralesional over 7 (96406) |
$376.60 |
$538 |
1.7× |
| Chemo intralesional up to 7 (96405) |
$245.70 |
$351 |
3.2× |
| Chemo IV infus each addl seq (96417) |
$221.20 |
$316 |
2.9× |
| Chemo IV infusion addl hr (96415) |
$221.20 |
$316 |
2.9× |
| Chemo IV push addl drug (96411) |
$336 |
$480 |
4.4× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$1,924.30 |
$2,749 |
5.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$839.30 |
$1,199 |
2.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$336 |
$480 |
1.0× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$1,924.30 |
$2,749 |
5.5× |
| Chest physiotherapy initial (94667) |
$181.30 |
$259 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,262.10 |
$1,803 |
5.0× |
| Color/duplex Doppler, limited (93976) |
$956.90 |
$1,367 |
8.7× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$98 |
$140 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$11,093.60 |
$15,848 |
1.3× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$64,003.10 |
$91,433 |
2.3× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$8,271.20 |
$11,816 |
1.0× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$44,433.20 |
$63,476 |
1.6× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$50,775.90 |
$72,537 |
1.8× |
| Concurrent chemotherapy (96549) |
$579.14 |
$827.34 |
11.7× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$847 |
$1,210 |
6.0× |
| Cont gluc mntr pt prov eqp (95249) |
$388.50 |
$555 |
6.2× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$340.20 |
$486 |
2.4× |
| Coronary art/grft angio s&i (93455) |
$9,657.20 |
$13,796 |
2.8× |
| Coronary artery angio s&i (93454) |
$8,746.50 |
$12,495 |
2.6× |
| Corticapted neurological or neuromuscular diagnostic procedure (95999) |
$295.53 |
$422.18 |
2.2× |
| Cpr (92950) |
$1,343.30 |
$1,919 |
5.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$5,462.80 |
$7,804 |
6.3× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$2,569.70 |
$3,671 |
2.8× |
| Debridement open wound 20 sq cm< (97597) |
$346.50 |
$495 |
1.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$434.70 |
$621 |
3.2× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$301 |
$430 |
2.7× |
| Duplex hemodialysis access (93990) |
$755.30 |
$1,079 |
6.8× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,229.20 |
$1,756 |
4.9× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$672 |
$960 |
6.1× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$617.40 |
$882 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$550.90 |
$787 |
5.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$884.80 |
$1,264 |
3.5× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$767.20 |
$1,096 |
7.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,661.80 |
$2,374 |
6.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$1,396.50 |
$1,995 |
12.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,033.90 |
$1,477 |
4.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$634.90 |
$907 |
5.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$819.70 |
$1,171 |
3.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$492.10 |
$703 |
4.5× |
| ECG monit/reprt up to 48 hrs (93226) |
$668.50 |
$955 |
10.7× |
| ECG/monitoring and analysis (93271) |
$1,260 |
$1,800 |
12.6× |
| Echo transesophageal (93312) |
$2,537.50 |
$3,625 |
4.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,245.30 |
$1,779 |
2.2× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$912.10 |
$1,303 |
3.6× |
| EEG 41-60 minutes (95812) |
$2,482.90 |
$3,547 |
10.9× |
| EEG awake & asleep (95819) |
$1,992.20 |
$2,846 |
8.7× |
| EEG awake/drowsy (95816) |
$1,960 |
$2,800 |
8.6× |
| EEG coma or sleep only (95822) |
$1,992.20 |
$2,846 |
8.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,052.10 |
$1,503 |
4.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$3,323.60 |
$4,748 |
14.6× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$2,795.10 |
$3,993 |
7.1× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,207.10 |
$3,153 |
5.6× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$3,105.20 |
$4,436 |
7.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,699.60 |
$2,428 |
7.5× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$1,618.40 |
$2,312 |
7.1× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,780.10 |
$2,543 |
7.8× |
| EKG 12 lead tracing only (93005) |
$233.80 |
$334 |
3.8× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$531.30 |
$759 |
5.3× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$218.40 |
$312 |
1.6× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$266 |
$380 |
6.8× |
| Electroconvulsive therapy (90870) |
$933.10 |
$1,333 |
1.0× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$3,214.40 |
$4,592 |
2.5× |
| Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) |
$6,149.50 |
$8,785 |
0.7× |
| Emergency department visit high mdm (99285) |
$2,487.10 |
$3,553 |
4.0× |
| Emergency department visit low mdm (99283) |
$882.70 |
$1,261 |
3.1× |
| Emergency department visit may not req phys/qhp (99281) |
$298.90 |
$427 |
3.4× |
| Emergency department visit moderate mdm (99284) |
$1,273.30 |
$1,819 |
2.9× |
| Emergency department visit straightforward mdm (99282) |
$515.90 |
$737 |
3.2× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$121.27 |
$173.23 |
0.9× |
| Endoscopy swallow (fees) vid (92612) |
$403.90 |
$577 |
— |
| Esoph balloon distension tst (91040) |
$1,274 |
$1,820 |
3.2× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$690.20 |
$986 |
3.0× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,456 |
$2,080 |
3.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$237.30 |
$339 |
— |
| Evaluate pt use of inhaler (94664) |
$207.20 |
$296 |
0.9× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$282.80 |
$404 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$547.40 |
$782 |
— |
| Evaluation of speech fluency (92521) |
$325.50 |
$465 |
— |
| Evaluation of speech sound production articulate (92522) |
$296.10 |
$423 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$702.10 |
$1,003 |
5.0× |
| Exercise tst brncspsm wo ECG (94619) |
$153.30 |
$219 |
2.5× |
| External ECG rec>48hr<7d recording (93242) |
$946.40 |
$1,352 |
24.0× |
| External ECG rec>7d<15d recording (93246) |
$977.90 |
$1,397 |
24.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$364 |
$520 |
2.6× |
| Fluidotherapy (97022) |
$53.90 |
$77 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$689.50 |
$985 |
3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,500.40 |
$3,572 |
2.8× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$2,125.90 |
$3,037 |
2.2× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$1,171.10 |
$1,673 |
1.2× |
| Group caregiver training strategies & technique (97552) |
$46.20 |
$66 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,165.50 |
$1,665 |
1.6× |
| Hot/cold pack (97010) |
$17.50 |
$25 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$68.60 |
$98 |
1.6× |
| Immunization administration (90471) |
$101.50 |
$145 |
1.3× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$2,014.60 |
$2,878 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$161 |
$230 |
3.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$224 |
$320 |
1.0× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,387.70 |
$3,411 |
1.4× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$134.40 |
$192 |
3.4× |
| Interrog device eval heart (93289) |
$205.80 |
$294 |
5.2× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$202.30 |
$289 |
5.1× |
| Intra-atrial pacing (93610) |
$6,215.30 |
$8,879 |
0.8× |
| Intra-atrial recording (93602) |
$6,149.50 |
$8,785 |
0.7× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$9,835 |
$14,050 |
1.2× |
| Intraventricular pacing (93612) |
$6,149.50 |
$8,785 |
0.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$169.40 |
$242 |
2.7× |
| IV infusion hydration each additional hour (96361) |
$186.90 |
$267 |
3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$550.90 |
$787 |
2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$221.20 |
$316 |
2.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$441.70 |
$631 |
2.0× |
| IV tx, each additional hour (96366) |
$161 |
$230 |
3.3× |
| Lwr xtr vasc stdy bilat (93924) |
$910.70 |
$1,301 |
4.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$184.80 |
$264 |
1.3× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$1,964.90 |
$2,807 |
5.0× |
| Mechanical chest wall oscillation lung function (94669) |
$207.20 |
$296 |
0.9× |
| Mechanical traction therapy (97012) |
$45.50 |
$65 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$59.50 |
$85 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$54.60 |
$78 |
— |
| Methacholine challenge (94070) |
$969.50 |
$1,385 |
2.5× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$478.10 |
$683 |
— |
| Multi-family group psychotherapy - psychologist (90849) |
$367.43 |
$524.90 |
2.0× |
| Multiple sleep latency (95805) |
$3,330.60 |
$4,758 |
3.7× |
| Muscle test larynx (95865) |
$301.70 |
$431 |
2.1× |
| Nasopharyngoscopy (92511) |
$235.90 |
$337 |
1.1× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$382.90 |
$547 |
2.8× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$355.60 |
$508 |
2.5× |
| Needle electromyography cranial nrv muscle uni (95867) |
$382.90 |
$547 |
1.7× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$301.70 |
$431 |
2.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$158.90 |
$227 |
1.1× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$618.80 |
$884 |
2.7× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$680.40 |
$972 |
1.6× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$788.20 |
$1,126 |
1.8× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$262.50 |
$375 |
1.2× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$390.60 |
$558 |
0.9× |
| Nerve conduction studies 1-2 studies (95907) |
$284.20 |
$406 |
1.2× |
| Nerve conduction studies 11-12 studies (95912) |
$783.30 |
$1,119 |
2.0× |
| Nerve conduction studies 13/> studies (95913) |
$906.50 |
$1,295 |
2.3× |
| Nerve conduction studies 3-4 studies (95908) |
$382.90 |
$547 |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$438.90 |
$627 |
1.9× |
| Nerve conduction studies 7-8 studies (95910) |
$519.40 |
$742 |
1.3× |
| Nerve conduction studies 9-10 studies (95911) |
$728 |
$1,040 |
1.8× |
| Neuromuscular junction test (95937) |
$383.60 |
$548 |
2.8× |
| Nitric oxide expired gas determination (95012) |
$67.20 |
$96 |
1.7× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$613.90 |
$877 |
2.7× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$686 |
$980 |
5.1× |
| Occupational therapy eval high complex 60 mins (97167) |
$270.90 |
$387 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$256.90 |
$367 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$262.50 |
$375 |
— |
| Oral function therapy (92526) |
$305.90 |
$437 |
— |
| Oral speech device eval (92597) |
$420.70 |
$601 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$104.30 |
$149 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$86.10 |
$123 |
— |
| Osteopath manj 1-2 regions (98925) |
$71.40 |
$102 |
3.1× |
| Ot manual therapy ea 15 min (97140) |
$80.50 |
$115 |
— |
| Ot neuromuscular re-education (97112) |
$98.70 |
$141 |
— |
| Ot paraffin bath (97018) |
$25.90 |
$37 |
— |
| Ot re-evaluation (97168) |
$179.90 |
$257 |
— |
| OT Therapeutic Activities Charges (97530) |
$111.30 |
$159 |
— |
| Ot wheelchair management (97542) |
$109.20 |
$156 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$338.80 |
$484 |
2.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$177.10 |
$253 |
1.3× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$343 |
$490 |
5.5× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$33,126.10 |
$47,323 |
1.7× |
| Peripheral vascular rehab (93668) |
$163.10 |
$233 |
2.6× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$34,740.30 |
$49,629 |
1.8× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$35,759.50 |
$51,085 |
1.8× |
| Phlebotomy therapeutic (99195) |
$263.20 |
$376 |
1.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$333.90 |
$477 |
5.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$229.60 |
$328 |
3.7× |
| Physical therapy evaluation high complex 45 mins (97163) |
$270.90 |
$387 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$256.90 |
$367 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$262.50 |
$375 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$6,317.50 |
$9,025 |
7.0× |
| Prgrmg dev eval pm/ldls pm (93279) |
$210.70 |
$301 |
5.4× |
| Program eval implantable in persn dual ld pacer (93280) |
$244.30 |
$349 |
6.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$214.20 |
$306 |
5.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$263.90 |
$377 |
6.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$246.40 |
$352 |
6.3× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$84.70 |
$121 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$15,913.10 |
$22,733 |
1.3× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$14,478.10 |
$20,683 |
2.4× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$16,001.30 |
$22,859 |
1.3× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$16,001.30 |
$22,859 |
1.3× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$33,232.50 |
$47,475 |
2.7× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$17,282.30 |
$24,689 |
0.9× |
| Psych diag eval w/med srvcs (90792) |
$303.62 |
$433.74 |
1.6× |
| Psychiatric diagnostic evaluation (90791) |
$303.62 |
$433.74 |
1.6× |
| Pt gait training 15 min (97116) |
$120.40 |
$172 |
— |
| Pt physical performance test (97750) |
$86.10 |
$123 |
— |
| Pt re-evaluation (97164) |
$179.90 |
$257 |
— |
| Pulm funct tst plethysmograp (94726) |
$1,666.70 |
$2,381 |
4.2× |
| Pulmonary stress testing (94618) |
$490.70 |
$701 |
3.5× |
| R hrt art/grft angio (93457) |
$14,329.70 |
$20,471 |
4.2× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$5,248.60 |
$7,498 |
1.5× |
| R hrt coronary artery angio (93456) |
$12,040 |
$17,200 |
3.5× |
| R&l hrt art/ventricle angio (93461) |
$14,520.10 |
$20,743 |
4.2× |
| R&l hrt cath w/ventriclgrphy (93453) |
$14,004.90 |
$20,007 |
4.1× |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$560.70 |
$801 |
9.0× |
| Remote 30 day ECG rev/report (93270) |
$437.50 |
$625 |
11.1× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$131.60 |
$188 |
— |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$107.80 |
$154 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$153.30 |
$219 |
1.1× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$100.10 |
$143 |
2.5× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$547.40 |
$782 |
2.4× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$508.20 |
$726 |
2.2× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$1,001 |
$1,430 |
3.1× |
| Right heart cath o2 saturation & cardiac output (93451) |
$6,527.50 |
$9,325 |
1.9× |
| Right ventricular recording (93603) |
$2,771.30 |
$3,959 |
2.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$103.60 |
$148 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$77.70 |
$111 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$382.90 |
$547 |
1.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,346.10 |
$1,923 |
1.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$674.80 |
$964 |
3.0× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$700.70 |
$1,001 |
3.1× |
| Sleep study attended (95807) |
$786.80 |
$1,124 |
2.0× |
| Sleep study unattended (95806) |
$448 |
$640 |
2.0× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$578.20 |
$826 |
2.5× |
| Speech sound lang comprehen (92523) |
$340.20 |
$486 |
— |
| Standardized cognitive performance testing (96125) |
$359.10 |
$513 |
— |
| Stress tte only (93350) |
$984.90 |
$1,407 |
1.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$94.50 |
$135 |
1.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$531.30 |
$759 |
2.4× |
| Surfactant administration (94610) |
$648.90 |
$927 |
2.8× |
| Temp transcutaneous pacing (92953) |
$1,046.50 |
$1,495 |
1.5× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$511 |
$730 |
3.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$123.90 |
$177 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$120.40 |
$172 |
— |
| Ther/proph/diag inj ia (96373) |
$407.40 |
$582 |
1.8× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$439.60 |
$628 |
1.9× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$70.70 |
$101 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$89.60 |
$128 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$84.70 |
$121 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$130.20 |
$186 |
1.7× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$467.60 |
$668 |
— |
| Tilt table evaluation (93660) |
$1,181.60 |
$1,688 |
3.0× |
| Transcath closure of asd (93580) |
$20,518.40 |
$29,312 |
1.1× |
| Transcranial doppler stdy intracranial art compl (93886) |
$583.10 |
$833 |
2.3× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$383.60 |
$548 |
3.5× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,879.50 |
$2,685 |
3.3× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$772.10 |
$1,103 |
1.3× |
| Tte congenital complete (93303) |
$1,107.40 |
$1,582 |
1.9× |
| Tte f-up or lmtd (93308) |
$721 |
$1,030 |
2.9× |
| Tte w/doppler complete (93306) |
$2,680.30 |
$3,829 |
4.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$238 |
$340 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$70.70 |
$101 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
$294.31 |
$420.43 |
9.6× |
| Unlisted psychiatric service or procedure (90899) |
$575.14 |
$821.62 |
14.6× |
| Upr/l xtremity art 2 levels (93922) |
$397.60 |
$568 |
2.8× |
| Valvuloplasty aortic valve (92986) |
$11,722.20 |
$16,746 |
2.0× |
| Valvuloplasty mitral valve (92987) |
$15,953.70 |
$22,791 |
1.3× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,716.40 |
$2,452 |
7.5× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$2,228.10 |
$3,183 |
5.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,861.30 |
$2,659 |
4.7× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$5,812.80 |
$8,304 |
6.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,571.40 |
$5,102 |
9.1× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$3,525.20 |
$5,036 |
9.0× |
| Ventilation ip/obs initial day (94002) |
$1,908.90 |
$2,727 |
2.9× |
| Ventilator subsequent day (94003) |
$1,145.90 |
$1,637 |
1.8× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$382.90 |
$547 |
1.7× |
| Vital capacity total (94150) |
$334.60 |
$478 |
2.5× |
| Wound(s) care non-selective (97602) |
$168.70 |
$241 |
0.8× |