| Airway Inhalation Treatment (94640) |
$93.60 |
$144 |
0.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$303.55 |
$467 |
1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$68.90 |
$106 |
4.8× |
| Application on-body injector (96377) |
$196.30 |
$302 |
4.4× |
| Assessment of aphasia per hr (96105) |
$209.95 |
$323 |
2.2× |
| Behavral qualit analys voice (92524) |
$208 |
$320 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$837.85 |
$1,289 |
2.4× |
| Canalith repositioning proc (95992) |
$140.40 |
$216 |
3.4× |
| Car seat/bed test 60 min (94780) |
$71.50 |
$110 |
2.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,150.50 |
$1,770 |
5.6× |
| Cardiopulmonary resuscitation (92950) |
$403 |
$620 |
2.0× |
| Cardioversion (92960) |
$1,255.15 |
$1,931 |
2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$75.40 |
$116 |
2.9× |
| Cbt 1st hour (94644) |
$273.65 |
$421 |
2.2× |
| Chemo Admin Peritoneal Cavity (96446) |
$809.25 |
$1,245 |
2.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$267.15 |
$411 |
3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$123.50 |
$190 |
1.8× |
| Chemo IV infusion addl hr (96415) |
$123.50 |
$190 |
1.8× |
| Chemo IV push addl drug (96411) |
$267.15 |
$411 |
3.9× |
| Chemother Prolong Infuse W/Pump (96416) |
$809.25 |
$1,245 |
2.6× |
| Chemotherapy Into Cns (96450) |
$809.25 |
$1,245 |
2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$123.50 |
$190 |
1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$809.25 |
$1,245 |
2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$498.55 |
$767 |
1.6× |
| Chest Wall Manipulation (94668) |
$103.35 |
$159 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$1,359.15 |
$2,091 |
6.0× |
| Color/duplex Doppler, limited (93976) |
$764.40 |
$1,176 |
7.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$263.90 |
$406 |
2.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$127.40 |
$196 |
2.3× |
| Continuous Pulse Ox (94762) |
$317.85 |
$489 |
2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$2,177.50 |
$3,350 |
10.5× |
| Cpt initial (94667) |
$102.70 |
$158 |
0.8× |
| Critical care first hour (99291) |
$2,249 |
$3,460 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$486.20 |
$748 |
2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,045.20 |
$1,608 |
4.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,045.20 |
$1,608 |
4.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$656.50 |
$1,010 |
6.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,004.25 |
$1,545 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$631.80 |
$972 |
6.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,064.70 |
$1,638 |
4.7× |
| Duplex Scan Hemodialysis Access (93990) |
$495.30 |
$762 |
5.0× |
| Duplex up extrem art bilat (93930) |
$1,045.20 |
$1,608 |
4.6× |
| Duplex up extrem art unilat/ltd (93931) |
$655.20 |
$1,008 |
6.6× |
| Echo Congenital Complete (93303) |
$1,236.30 |
$1,902 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$877.50 |
$1,350 |
3.9× |
| Echo transesophageal (93312) |
$1,836.90 |
$2,826 |
3.6× |
| EEG awake and asleep (95819) |
$1,374.75 |
$2,115 |
6.7× |
| EEG awake drowsy (95816) |
$1,374.75 |
$2,115 |
6.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,296.75 |
$1,995 |
6.3× |
| Eeg Sleep Only (95822) |
$1,279.20 |
$1,968 |
6.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$176.15 |
$271 |
2.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$61.75 |
$95 |
1.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$122.85 |
$189 |
8.4× |
| Electrocardiogram Tracing (93005) |
$288.60 |
$444 |
5.2× |
| Emergency Dept Visit Level 2 (99282) |
$452.40 |
$696 |
3.1× |
| Emergency Dept Visit Level 3 (99283) |
$726.70 |
$1,118 |
2.8× |
| Emergency Dept Visit Level 4 (99284) |
$845 |
$1,300 |
2.1× |
| Er level 1 (99281) |
$244.40 |
$376 |
3.1× |
| Er level v (99285) |
$1,119.95 |
$1,723 |
2.0× |
| Evaluate pt use of inhaler (94664) |
$206.70 |
$318 |
1.0× |
| Evaluate Speech Production (92522) |
$198.25 |
$305 |
1.8× |
| Evaluate Swallowing Function (92610) |
$341.90 |
$526 |
4.0× |
| Evaluation of speech fluency (92521) |
$244.40 |
$376 |
1.8× |
| External ECG rec>48hr<7d recording (93242) |
$384.80 |
$592 |
10.9× |
| External ECG rec>7d<15d recording (93246) |
$632.45 |
$973 |
17.9× |
| External Ecg Scanning Analysis Report (93226) |
$724.75 |
$1,115 |
13.0× |
| Extracranial Bilat Study (93880) |
$1,097.85 |
$1,689 |
4.9× |
| Extracranial Uni/Ltd Study (93882) |
$837.85 |
$1,289 |
8.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$964.60 |
$1,484 |
1.9× |
| Group Therapeutic Procedures (97150) |
$88.40 |
$136 |
4.9× |
| Holter monitor recording (93225) |
$384.80 |
$592 |
3.1× |
| Immunization administration (90471) |
$72.15 |
$111 |
1.1× |
| Iontophoresis 15 min (97033) |
$156 |
$240 |
8.2× |
| Irrig Drug Delivery Device (96523) |
$180.05 |
$277 |
3.2× |
| IV infusion hydration each additional hour (96361) |
$122.85 |
$189 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$251.55 |
$387 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$247.65 |
$381 |
3.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$133.90 |
$206 |
3.0× |
| IV push initial (96374) |
$200.20 |
$308 |
1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$952.25 |
$1,465 |
4.7× |
| Mechanical chest wall oscillation per session (94669) |
$131.95 |
$203 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$23.40 |
$36 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$23.40 |
$36 |
0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$67.60 |
$104 |
4.0× |
| Motion Fluoroscopy/Swallow (92611) |
$406.25 |
$625 |
4.4× |
| Multiple Sleep Latency Test (95805) |
$2,466.10 |
$3,794 |
3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$782.60 |
$1,204 |
2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$794.95 |
$1,223 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$369.85 |
$569 |
1.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$553.15 |
$851 |
1.4× |
| Neuromuscular Reeducation (97112) |
$113.75 |
$175 |
3.5× |
| Newborn resuscitation (99465) |
$1,912.95 |
$2,943 |
3.1× |
| Oral Function Therapy (92526) |
$195 |
$300 |
2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$165.75 |
$255 |
3.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$110.50 |
$170 |
2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$39.65 |
$61 |
1.9× |
| Ot eval high complexity (97167) |
$344.50 |
$530 |
3.4× |
| Ot Eval Low Complex (97165) |
$270.40 |
$416 |
2.7× |
| Ot Eval Moderate Complexity (97166) |
$308.10 |
$474 |
3.1× |
| Ot manual therapy 15 min (97140) |
$85.80 |
$132 |
3.1× |
| Ot paraffin bath (97018) |
$51.35 |
$79 |
8.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$120.25 |
$185 |
3.0× |
| Ot Re-Eval Est Plan Care (97168) |
$163.15 |
$251 |
2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$160.55 |
$247 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$145.60 |
$224 |
1.2× |
| Phlebotomy therapeutic (99195) |
$263.25 |
$405 |
2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$116.35 |
$179 |
2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$116.35 |
$179 |
2.1× |
| Physical Performance Test (97750) |
$147.55 |
$227 |
4.4× |
| Plethysmography (94726) |
$436.80 |
$672 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,722.60 |
$8,804 |
7.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,208.40 |
$4,936 |
3.9× |
| Pt Eval High Complex (97163) |
$344.50 |
$530 |
3.5× |
| Pt eval low complex 20 min (97161) |
$270.40 |
$416 |
2.8× |
| Pt Eval Mod Complex (97162) |
$308.10 |
$474 |
3.1× |
| Pt gait training 15 min (97116) |
$86.45 |
$133 |
3.0× |
| Pt mechanical traction (97012) |
$85.80 |
$132 |
6.0× |
| Pt Re-Eval Est Plan Care (97164) |
$176.15 |
$271 |
2.6× |
| Pulm function test by gas (94727) |
$310.05 |
$477 |
1.5× |
| Pulmonary service/procedure (94799) |
$181.35 |
$279 |
1.5× |
| Pulmonary Stress Testing (94618) |
$193.05 |
$297 |
1.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$631.15 |
$971 |
2.0× |
| Refill/Maint Portable Pump (96521) |
$498.55 |
$767 |
2.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$57.20 |
$88 |
1.6× |
| Rem ther mntr dev sply resp (98976) |
$57.20 |
$88 |
1.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$344.50 |
$530 |
9.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$182.65 |
$281 |
1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$46.15 |
$71 |
1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$46.15 |
$71 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$328.90 |
$506 |
1.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$406.25 |
$625 |
3.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$258.70 |
$398 |
5.4× |
| Self Care Mngment Training (97535) |
$151.45 |
$233 |
4.7× |
| Sensory Integration Ea 15 Min (97533) |
$151.45 |
$233 |
2.5× |
| Sleep study attended (95807) |
$1,470.30 |
$2,262 |
4.2× |
| Sleep study unattended (95806) |
$670.15 |
$1,031 |
3.3× |
| Slp caregiver training 1st 30 min (97550) |
$151.45 |
$233 |
2.9× |
| Speech sound lang comprehen (92523) |
$409.50 |
$630 |
1.8× |
| Spirometry (94010) |
$181.35 |
$279 |
0.9× |
| Stress Tte Only (93350) |
$1,443.65 |
$2,221 |
2.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$78.65 |
$121 |
2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$57.85 |
$89 |
1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$258.70 |
$398 |
2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$196.30 |
$302 |
2.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$251.55 |
$387 |
1.3× |
| Therapeutic Activities (97530) |
$104.65 |
$161 |
3.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$50.05 |
$77 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50.05 |
$77 |
1.4× |
| Tte w/doppler, complete (93306) |
$2,101.45 |
$3,233 |
4.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$204.75 |
$315 |
2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$72.15 |
$111 |
3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$196.30 |
$302 |
4.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$294.45 |
$453 |
2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,173.25 |
$1,805 |
5.7× |
| Vasopneumatic device (97016) |
$66.30 |
$102 |
5.5× |
| Vent Mgmt Inpat Init Day (94002) |
$2,074.15 |
$3,191 |
3.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,678.95 |
$2,583 |
2.9× |
| Vital capacity, total (94150) |
$149.50 |
$230 |
1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$258.05 |
$397 |
8.3× |
| Whirlpool Therapy (97022) |
$85.80 |
$132 |
5.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$1,244.10 |
$1,914 |
22.3× |