| Advance care planning first 30 mins (99497) |
$161.60 |
$202 |
1.5× |
| Airway inhalation treatment (94640) |
$167.20 |
$209 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$92.80 |
$116 |
1.9× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$72 |
$90 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$32 |
$40 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$76.80 |
$96 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$114.40 |
$143 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$76 |
$95 |
— |
| Assessment of aphasia (96105) |
$280.80 |
$351 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$48 |
$60 |
1.2× |
| Behavioral & qualit analysis voice and resonance (92524) |
$235.20 |
$294 |
— |
| Bipap initial day (94660) |
$539.20 |
$674 |
2.3× |
| Breathing capacity test (94010) |
$128.80 |
$161 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$510.40 |
$638 |
1.3× |
| Canalith repositioning (95992) |
$83.60 |
$104.50 |
— |
| Cardiopulmonary exercise testing (94621) |
$420 |
$525 |
1.1× |
| Cardiovascular stress test (93017) |
$517.60 |
$647 |
2.3× |
| Cardioversion elective external (92960) |
$198.40 |
$248 |
0.3× |
| Chemo anti-neopl sq/im (96401) |
$244 |
$305 |
3.2× |
| Chemo hormon antineopl sq/im (96402) |
$194.40 |
$243 |
2.6× |
| Chemo IV infus each addl seq (96417) |
$224.80 |
$281 |
3.0× |
| Chemo IV infusion addl hr (96415) |
$165.60 |
$207 |
2.2× |
| Chemo IV push addl drug (96411) |
$212.80 |
$266 |
2.8× |
| Chemother prolong infuse w/pump (96416) |
$645.60 |
$807 |
1.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$716.80 |
$896 |
2.1× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$461.60 |
$577 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,085.60 |
$1,357 |
4.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$92 |
$115 |
— |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$229.60 |
$287 |
1.6× |
| Cont gluc mntr pt prov eqp (95249) |
$75.20 |
$94 |
1.2× |
| Cpr (92950) |
$388 |
$485 |
1.7× |
| Critical care ill/injured patient init 30-74 min (99291) |
$754.40 |
$943 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$252.80 |
$316 |
1.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$479.20 |
$599 |
1.9× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$554.40 |
$693 |
5.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$963.20 |
$1,204 |
3.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,159.60 |
$1,449.50 |
4.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$764 |
$955 |
6.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$828 |
$1,035 |
3.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$587.20 |
$734 |
5.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$849.60 |
$1,062 |
3.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$566.40 |
$708 |
5.1× |
| ECG monit/reprt up to 48 hrs (93226) |
$441.60 |
$552 |
7.1× |
| EKG 12 lead tracing only (93005) |
$224 |
$280 |
3.6× |
| EKG rhythm strip (93041) |
$96.80 |
$121 |
1.6× |
| Emergency department visit high mdm (99285) |
$666.40 |
$833 |
1.1× |
| Emergency department visit low mdm (99283) |
$297.60 |
$372 |
1.0× |
| Emergency department visit may not req phys/qhp (99281) |
$112 |
$140 |
1.3× |
| Emergency department visit moderate mdm (99284) |
$449.60 |
$562 |
1.0× |
| Emergency department visit straightforward mdm (99282) |
$181.60 |
$227 |
1.1× |
| Endoscopy swallow (fees) vid (92612) |
$141.60 |
$177 |
— |
| Evaluate pt use of inhaler (94664) |
$101.60 |
$127 |
0.4× |
| Evaluation of speech sound production articulate (92522) |
$280.80 |
$351 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$248 |
$310 |
1.8× |
| Exercise tst brncspsm wo ECG (94619) |
$184 |
$230 |
3.0× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$344.80 |
$431 |
2.5× |
| Hot/cold pack (97010) |
$12 |
$15 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$18.40 |
$23 |
0.4× |
| Immunization administration (90471) |
$126.80 |
$158.50 |
1.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$111.20 |
$139 |
2.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$206.40 |
$258 |
0.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$135.20 |
$169 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$132.80 |
$166 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$351.20 |
$439 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$147.20 |
$184 |
1.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$397.60 |
$497 |
1.8× |
| IV tx, each additional hour (96366) |
$133.20 |
$166.50 |
2.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$41.60 |
$52 |
— |
| Medical nutrition group (97804) |
$28 |
$35 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$46.40 |
$58 |
— |
| Nasopharyngoscopy (92511) |
$271.20 |
$339 |
1.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$364.80 |
$456 |
0.9× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$532.80 |
$666 |
1.2× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$328 |
$410 |
1.5× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$364 |
$455 |
0.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$236 |
$295 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$255.20 |
$319 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$273.60 |
$342 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$273.60 |
$342 |
— |
| Oral function therapy (92526) |
$225.60 |
$282 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$110.40 |
$138 |
— |
| Osteopath manj 1-2 regions (98925) |
$59.60 |
$74.50 |
2.6× |
| Osteopath manj 3-4 regions (98926) |
$83.20 |
$104 |
3.7× |
| Ot manual therapy ea 15 min (97140) |
$144.80 |
$181 |
— |
| Ot neuromuscular re-education (97112) |
$99.60 |
$124.50 |
— |
| Ot paraffin bath (97018) |
$52 |
$65 |
— |
| Ot re-evaluation (97168) |
$189.60 |
$237 |
— |
| OT Therapeutic Activities Charges (97530) |
$100.80 |
$126 |
— |
| Ot wheelchair management (97542) |
$137.60 |
$172 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$212 |
$265 |
1.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$92 |
$115 |
0.7× |
| Phlebotomy therapeutic (99195) |
$179.20 |
$224 |
1.3× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$40 |
$50 |
0.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$28 |
$35 |
0.4× |
| Physical therapy evaluation high complex 45 mins (97163) |
$268 |
$335 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$271.20 |
$339 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$271.20 |
$339 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,422.40 |
$4,278 |
3.8× |
| Pt gait training 15 min (97116) |
$85.60 |
$107 |
— |
| Pt physical performance test (97750) |
$67.20 |
$84 |
— |
| Pt re-evaluation (97164) |
$189.60 |
$237 |
— |
| Pulmonary stress testing (94618) |
$96 |
$120 |
0.7× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$144.80 |
$181 |
— |
| Refilling and maintenance of portable pump (96521) |
$340 |
$425 |
1.5× |
| Remote 30 day ECG rev/report (93270) |
$112 |
$140 |
2.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$110.40 |
$138 |
— |
| Speech sound lang comprehen (92523) |
$372.80 |
$466 |
— |
| Standardized cognitive performance testing (96125) |
$216.80 |
$271 |
— |
| Stress tte only (93350) |
$492 |
$615 |
0.9× |
| Temp transcutaneous pacing (92953) |
$899.20 |
$1,124 |
1.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$60 |
$75 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$80 |
$100 |
— |
| Ther/proph/diag inj ia (96373) |
$369.60 |
$462 |
1.6× |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$84 |
$105 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$102.40 |
$128 |
1.3× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$28 |
$35 |
0.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$717.60 |
$897 |
1.2× |
| Tte congenital complete (93303) |
$1,038.40 |
$1,298 |
1.8× |
| Tte f-up or lmtd (93308) |
$598.40 |
$748 |
2.4× |
| Tte w/doppler complete (93306) |
$1,918.80 |
$2,398.50 |
3.3× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$253.60 |
$317 |
— |
| Upr/l xtremity art 2 levels (93922) |
$417.60 |
$522 |
3.0× |
| Wound(s) care non-selective (97602) |
$250.80 |
$313.50 |
1.2× |