| 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× |
| Assessment of aphasia (96105) |
$280.80 |
$351 |
2.9× |
| Behav assmt w/score & docd/stand instrument (96127) |
$48 |
$60 |
1.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$235.20 |
$294 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$510.40 |
$638 |
1.3× |
| Canalith Repositioning (95992) |
$83.60 |
$104.50 |
2.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$517.60 |
$647 |
2.3× |
| Cardiopulmonary exercise testing (94621) |
$420 |
$525 |
1.1× |
| Cardiopulmonary resuscitation (92950) |
$388 |
$485 |
1.7× |
| Cardioversion (92960) |
$198.40 |
$248 |
0.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$194.40 |
$243 |
2.6× |
| Chemo IV push addl drug (96411) |
$212.80 |
$266 |
2.8× |
| Chemo Iv Push Sngl Drug (96409) |
$461.60 |
$577 |
1.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$645.60 |
$807 |
1.9× |
| Chemother, IV infusion, 1 hr (96413) |
$716.80 |
$896 |
2.1× |
| Chemother, IV infusion, ea add hr (96415) |
$165.60 |
$207 |
2.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$244 |
$305 |
3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$224.80 |
$281 |
3.0× |
| Color/duplex Doppler, complete (93975) |
$1,085.60 |
$1,357 |
4.3× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$75.20 |
$94 |
1.2× |
| Continuous Glucose Monitoring (95250) |
$229.60 |
$287 |
1.6× |
| Cpap initiation and management (94660) |
$539.20 |
$674 |
2.3× |
| Critical care (99291) |
$754.40 |
$943 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$252.80 |
$316 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$101.60 |
$127 |
0.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$479.20 |
$599 |
1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$554.40 |
$693 |
5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$828 |
$1,035 |
3.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$587.20 |
$734 |
5.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$849.60 |
$1,062 |
3.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$566.40 |
$708 |
5.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$764 |
$955 |
6.9× |
| Duplex scan extracranial art compl bi study (93880) |
$963.20 |
$1,204 |
3.8× |
| Echo Heart Xthoracic,Limited (93308) |
$598.40 |
$748 |
2.4× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,038.40 |
$1,298 |
1.8× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$717.60 |
$897 |
1.2× |
| EKG (93005) |
$224 |
$280 |
3.6× |
| EKG rhythm strip (93041) |
$96.80 |
$121 |
1.6× |
| Er level 1 (99281) |
$112 |
$140 |
1.3× |
| Er level ii (99282) |
$181.60 |
$227 |
1.1× |
| Er level iii (99283) |
$297.60 |
$372 |
1.0× |
| Er level IV (99284) |
$449.60 |
$562 |
1.0× |
| Er level v (99285) |
$666.40 |
$833 |
1.1× |
| Evaluation of speech sound production (92522) |
$280.80 |
$351 |
2.5× |
| Exercise tst brncspsm (94617) |
$248 |
$310 |
1.8× |
| External Ecg Scanning Analysis Report (93226) |
$441.60 |
$552 |
7.1× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$141.60 |
$177 |
0.7× |
| Holter Monitor Recording (93225) |
$344.80 |
$431 |
2.5× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$18.40 |
$23 |
0.4× |
| Immunization Admin (90471) |
$126.80 |
$158.50 |
1.7× |
| Injection intra arterial (96373) |
$369.60 |
$462 |
1.6× |
| 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, therap/proph/diagnost,add infusion,1st hour (96367) |
$147.20 |
$184 |
1.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$397.60 |
$497 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$133.20 |
$166.50 |
2.7× |
| IV push initial (96374) |
$206.40 |
$258 |
0.9× |
| Manual therapy 15 min (97140) |
$144.80 |
$181 |
5.2× |
| Massage 15 min (97124) |
$84 |
$105 |
2.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$46.40 |
$58 |
1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$41.60 |
$52 |
1.1× |
| Mnt Group Ea 30 Min (97804) |
$28 |
$35 |
1.6× |
| Nasopharyngoscopy (92511) |
$271.20 |
$339 |
1.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$364.80 |
$456 |
0.9× |
| Neg press wound tx >50 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× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$417.60 |
$522 |
3.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$236 |
$295 |
1.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$110.40 |
$138 |
2.4× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$59.60 |
$74.50 |
2.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$83.20 |
$104 |
3.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$92 |
$115 |
2.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$72 |
$90 |
5.1× |
| Ot eval high complex 60 min (97167) |
$255.20 |
$319 |
2.5× |
| Ot eval low complex 30 min (97165) |
$273.60 |
$342 |
2.7× |
| Ot eval mod complex 45 min (97166) |
$273.60 |
$342 |
2.7× |
| Ot re-eval est plan care (97168) |
$189.60 |
$237 |
2.8× |
| 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× |
| Paraffin bath (97018) |
$52 |
$65 |
8.7× |
| 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× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,422.40 |
$4,278 |
3.8× |
| Pt Electric Current Therapy (97033) |
$76.80 |
$96 |
4.0× |
| Pt Electrical Stimulation (97032) |
$32 |
$40 |
2.2× |
| Pt eval high complex 45 min (97163) |
$268 |
$335 |
2.7× |
| Pt eval low complex 20 min (97161) |
$271.20 |
$339 |
2.8× |
| Pt Gait Training Therapy (97116) |
$85.60 |
$107 |
2.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$99.60 |
$124.50 |
3.0× |
| Pt Physical Performance Test (97750) |
$67.20 |
$84 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$271.20 |
$339 |
2.8× |
| Pt re-evaluation (97164) |
$189.60 |
$237 |
2.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$110.40 |
$138 |
3.4× |
| Pt Ultrasound Therapy (97035) |
$114.40 |
$143 |
8.0× |
| Pulmonary stress testing (94618) |
$96 |
$120 |
0.7× |
| Refill/maint, portable pump (96521) |
$340 |
$425 |
1.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$112 |
$140 |
2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$250.80 |
$313.50 |
1.2× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$144.80 |
$181 |
6.8× |
| Speech sound lang comprehen (92523) |
$372.80 |
$466 |
1.6× |
| Spirometry (94010) |
$128.80 |
$161 |
0.6× |
| Standardized Cognitive Performance Testing (96125) |
$216.80 |
$271 |
2.1× |
| Stress echo (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 |
2.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$80 |
$100 |
3.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$102.40 |
$128 |
1.3× |
| Therapeutic Activities (97530) |
$100.80 |
$126 |
2.9× |
| Therapeutic phlebotomy (99195) |
$179.20 |
$224 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28 |
$35 |
0.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,918.80 |
$2,398.50 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$253.60 |
$317 |
3.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$225.60 |
$282 |
2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$111.20 |
$139 |
2.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,159.60 |
$1,449.50 |
4.6× |
| Vasopneumatic device (97016) |
$76 |
$95 |
6.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$137.60 |
$172 |
4.4× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$184 |
$230 |
3.0× |