| Airway inhalation treatment (94640) |
$226.13 |
$347.90 |
1.0× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$214.98 |
$330.75 |
1.0× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$43.51 |
$66.94 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$62.34 |
$95.92 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$91.42 |
$140.66 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$68.46 |
$105.33 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$47.30 |
$72.77 |
— |
| Assessment of aphasia (96105) |
$154.47 |
$237.65 |
— |
| Bipap initial day (94660) |
$627.76 |
$965.79 |
2.7× |
| Breathing capacity test (94010) |
$211.26 |
$325.02 |
0.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$376.55 |
$579.32 |
1.0× |
| Canalith repositioning (95992) |
$101.76 |
$156.56 |
— |
| Cardiovascular stress test (93017) |
$643.27 |
$989.65 |
2.8× |
| Cardioversion elective external (92960) |
$1,368.46 |
$2,105.33 |
2.0× |
| Caregiver training 1st 30 min (97550) |
$44.36 |
$68.25 |
— |
| Caregiver training ea addl 15 (97551) |
$22.18 |
$34.13 |
— |
| Chemo anti-neopl sq/im (96401) |
$273.46 |
$420.71 |
3.6× |
| Chemo hormon antineopl sq/im (96402) |
$273.46 |
$420.71 |
3.6× |
| Chemo IV infus each addl seq (96417) |
$244.10 |
$375.54 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$270.45 |
$416.08 |
3.6× |
| Chemo IV push addl drug (96411) |
$199.02 |
$306.19 |
2.6× |
| Chemother prolong infuse w/pump (96416) |
$442.95 |
$681.47 |
1.3× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$858.37 |
$1,320.57 |
2.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$499.74 |
$768.84 |
1.4× |
| Chest physiotherapy initial (94667) |
$278.92 |
$429.12 |
2.0× |
| Color vision examination, extended, eg, anomaloscope or equivalent (92283) |
$13.65 |
$21 |
0.2× |
| Color/duplex Doppler, complete (93975) |
$398.58 |
$613.20 |
1.6× |
| Color/duplex Doppler, limited (93976) |
$178.81 |
$275.10 |
1.6× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$48.45 |
$74.55 |
— |
| Concurrent chemotherapy (96549) |
$189.96 |
$292.26 |
3.8× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$486.10 |
$747.86 |
3.5× |
| Cpr (92950) |
$1,335.07 |
$2,053.96 |
5.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,329.03 |
$3,583.13 |
2.7× |
| Debridement open wound 20 sq cm< (97597) |
$444.02 |
$683.12 |
2.1× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$483.34 |
$743.61 |
4.4× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$688.97 |
$1,059.96 |
2.7× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$811.95 |
$1,249.16 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$891.82 |
$1,372.04 |
3.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$691.25 |
$1,063.47 |
6.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$768.93 |
$1,182.98 |
3.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$653.70 |
$1,005.70 |
5.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$870.32 |
$1,338.96 |
3.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$702.73 |
$1,081.13 |
6.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$491.03 |
$755.44 |
7.9× |
| ECG/monitoring and analysis (93271) |
$1,356.84 |
$2,087.45 |
13.5× |
| EEG awake & asleep (95819) |
$645.33 |
$992.83 |
2.8× |
| EEG awake/drowsy (95816) |
$877.90 |
$1,350.63 |
3.9× |
| EKG 12 lead tracing only (93005) |
$208.82 |
$321.27 |
3.4× |
| EKG rhythm strip (93041) |
$81.67 |
$125.65 |
1.3× |
| Emergency department visit high mdm (99285) |
$1,670.05 |
$2,569.32 |
2.7× |
| Emergency department visit low mdm (99283) |
$762.77 |
$1,173.50 |
2.6× |
| Emergency department visit may not req phys/qhp (99281) |
$316.18 |
$486.44 |
3.6× |
| Emergency department visit moderate mdm (99284) |
$1,183 |
$1,820.01 |
2.7× |
| Emergency department visit straightforward mdm (99282) |
$400.32 |
$615.88 |
2.5× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$860.97 |
$1,324.58 |
3.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$240.05 |
$369.32 |
— |
| Evaluate pt use of inhaler (94664) |
$259.03 |
$398.51 |
1.1× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$286.04 |
$440.07 |
— |
| Evaluation of speech fluency (92521) |
$149.63 |
$230.20 |
— |
| Evaluation of speech sound production articulate (92522) |
$167.69 |
$257.99 |
— |
| External ECG rec>48hr<7d recording (93242) |
$149.72 |
$230.34 |
3.8× |
| External ECG rec>7d<15d recording (93246) |
$55.25 |
$85 |
1.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$318.50 |
$490 |
2.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$308.47 |
$474.57 |
2.2× |
| Fluidotherapy (97022) |
$36.38 |
$55.97 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$222.87 |
$342.88 |
1.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$3,076.59 |
$4,733.22 |
3.4× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$8,204.58 |
$12,622.44 |
8.6× |
| Group caregiver training strategies & technique (97552) |
$66.54 |
$102.38 |
— |
| Hot/cold pack (97010) |
$50.01 |
$76.94 |
— |
| Immunization administration (90471) |
$37.97 |
$58.43 |
0.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$162.96 |
$250.71 |
3.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$422.67 |
$650.27 |
1.9× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$172.27 |
$265.04 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$80.54 |
$123.92 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$223.73 |
$344.20 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$175.57 |
$270.11 |
2.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$398.58 |
$613.21 |
1.8× |
| IV tx, each additional hour (96366) |
$113.94 |
$175.30 |
2.3× |
| Lwr xtr vasc stdy bilat (93924) |
$199.72 |
$307.27 |
0.9× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$152.43 |
$234.52 |
1.1× |
| Maximum voluntary ventilation (94200) |
$167.78 |
$258.13 |
2.7× |
| Mechanical traction therapy (97012) |
$53.69 |
$82.60 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$37.29 |
$57.37 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$17.73 |
$27.29 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$315.63 |
$485.59 |
— |
| Multiple sleep latency (95805) |
$2,124.16 |
$3,267.94 |
2.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$321.88 |
$495.20 |
0.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$828.75 |
$1,275 |
1.9× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$466.23 |
$717.28 |
2.2× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$643.76 |
$990.40 |
1.5× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$296.25 |
$455.77 |
1.3× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$313.62 |
$482.50 |
2.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$192.58 |
$296.29 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$154.07 |
$237.04 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$186.33 |
$286.67 |
— |
| Oral function therapy (92526) |
$206.62 |
$317.88 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$106.51 |
$163.87 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$134.02 |
$206.19 |
— |
| Ot manual therapy ea 15 min (97140) |
$100.62 |
$154.80 |
— |
| Ot neuromuscular re-education (97112) |
$93.11 |
$143.26 |
— |
| Ot paraffin bath (97018) |
$40.13 |
$61.74 |
— |
| Ot re-evaluation (97168) |
$144.33 |
$222.06 |
— |
| OT Therapeutic Activities Charges (97530) |
$99.45 |
$153 |
— |
| Ot wheelchair management (97542) |
$73.81 |
$113.56 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$151.54 |
$233.14 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$129.35 |
$199 |
1.0× |
| Peripheral vascular rehab (93668) |
$89.70 |
$138 |
1.4× |
| Phlebotomy therapeutic (99195) |
$166.36 |
$255.94 |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$154.44 |
$237.60 |
2.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$135.13 |
$207.90 |
2.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$197.21 |
$303.41 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$160.23 |
$246.52 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$164.07 |
$252.43 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,368.13 |
$5,181.75 |
3.7× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$136.09 |
$209.38 |
— |
| Pt gait training 15 min (97116) |
$81.27 |
$125.04 |
— |
| Pt physical performance test (97750) |
$36.54 |
$56.23 |
— |
| Pt re-evaluation (97164) |
$96.47 |
$148.42 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$288.49 |
$443.84 |
— |
| Pulm funct tst plethysmograp (94726) |
$518.41 |
$797.56 |
1.3× |
| Pulmonary stress testing (94618) |
$272.39 |
$419.07 |
1.9× |
| Remote 30 day ECG rev/report (93270) |
$281.79 |
$433.53 |
7.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$99.45 |
$153 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$81.67 |
$125.65 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$173.08 |
$266.29 |
0.8× |
| Sleep study unattended (95806) |
$605.99 |
$932.30 |
2.7× |
| Speech sound lang comprehen (92523) |
$296.25 |
$455.77 |
— |
| Standardized cognitive performance testing (96125) |
$221.03 |
$340.06 |
— |
| Stress tte only (93350) |
$1,864.79 |
$2,868.92 |
3.2× |
| Temp transcutaneous pacing (92953) |
$846.96 |
$1,303.02 |
1.2× |
| Test for hearing various pitches using earphone (92552) |
$54.46 |
$83.79 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$74.58 |
$114.74 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$74.58 |
$114.74 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$55.04 |
$84.68 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$109.93 |
$169.13 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$195.98 |
$301.51 |
2.6× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$195.71 |
$301.10 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$58.42 |
$89.88 |
1.5× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$72.53 |
$111.59 |
1.8× |
| Tte f-up or lmtd (93308) |
$572.80 |
$881.24 |
2.3× |
| Tte w/doppler complete (93306) |
$2,064.65 |
$3,176.39 |
3.6× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$197.93 |
$304.51 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$54.33 |
$83.59 |
— |
| Upr/l xtremity art 2 levels (93922) |
$456.28 |
$701.97 |
3.3× |
| Ventilation ip/obs initial day (94002) |
$1,415.87 |
$2,178.27 |
2.2× |
| Ventilator subsequent day (94003) |
$1,177.93 |
$1,812.21 |
1.8× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$39.65 |
$61 |
0.6× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$13.65 |
$21 |
0.2× |
| Vital capacity total (94150) |
$226.13 |
$347.90 |
1.7× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$109.17 |
$167.96 |
— |
| Wound(s) care non-selective (97602) |
$155.85 |
$239.77 |
0.7× |