| Airway Inhalation Treatment (94640) |
$316.80 |
$528 |
1.5× |
| Airway resistance by oscillometry (94728) |
$316.80 |
$528 |
2.6× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$60.60 |
$101 |
1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$211.20 |
$352 |
14.7× |
| Application Modality 1/> Areas Infrared (97026) |
$90.60 |
$151 |
13.6× |
| Application on-body injector (96377) |
$74.40 |
$124 |
1.7× |
| Assessment of aphasia per hr (96105) |
$571.80 |
$953 |
5.9× |
| Behavral qualit analys voice (92524) |
$414.60 |
$691 |
3.8× |
| Biofeedback training any modality (90901) |
$168 |
$280 |
4.1× |
| Breath hydrogen/methane test (91065) |
$309.60 |
$516 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$484.20 |
$807 |
1.4× |
| Canalith repositioning proc (95992) |
$162.60 |
$271 |
4.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$960 |
$1,600 |
4.7× |
| Cardiopulmonary resuscitation (92950) |
$391.80 |
$653 |
1.9× |
| Cardioversion (92960) |
$1,266.60 |
$2,111 |
2.0× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$44.40 |
$74 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$36.60 |
$61 |
1.4× |
| Cbt 1st hour (94644) |
$268.80 |
$448 |
2.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$168 |
$280 |
2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$160.20 |
$267 |
2.3× |
| Chemo IV infusion addl hr (96415) |
$278.40 |
$464 |
4.0× |
| Chemo IV push addl drug (96411) |
$211.20 |
$352 |
3.1× |
| Chemother Prolong Infuse W/Pump (96416) |
$847.80 |
$1,413 |
2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$229.80 |
$383 |
3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$373.20 |
$622 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$394.80 |
$658 |
1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$372 |
$620 |
1.2× |
| Chest Wall Manipulation (94668) |
$154.20 |
$257 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$664.80 |
$1,108 |
2.9× |
| Color/duplex Doppler, limited (93976) |
$254.40 |
$424 |
2.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$127.20 |
$212 |
4.0× |
| Continuous Pulse Ox (94762) |
$476.40 |
$794 |
3.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$184.20 |
$307 |
0.9× |
| Cpt initial (94667) |
$113.40 |
$189 |
0.9× |
| Critical care first hour (99291) |
$2,438.40 |
$4,064 |
3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$688.20 |
$1,147 |
3.6× |
| Dialysis One Evaluation (90945) |
$2,986.20 |
$4,977 |
7.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$373.20 |
$622 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$1,571.40 |
$2,619 |
15.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,462.20 |
$2,437 |
6.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$981 |
$1,635 |
9.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,667.40 |
$2,779 |
7.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,111.20 |
$1,852 |
11.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,303.20 |
$2,172 |
5.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$652.20 |
$1,087 |
6.5× |
| Duplex Scan Hemodialysis Access (93990) |
$463.80 |
$773 |
4.6× |
| Duplex up extrem art bilat (93930) |
$684.60 |
$1,141 |
3.0× |
| Duplex up extrem art unilat/ltd (93931) |
$1,059 |
$1,765 |
10.6× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,758.60 |
$2,931 |
3.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$180 |
$300 |
12.2× |
| Electrocardiogram Tracing (93005) |
$272.40 |
$454 |
4.8× |
| Emergency Dept Visit Level 2 (99282) |
$945 |
$1,575 |
6.4× |
| Emergency Dept Visit Level 3 (99283) |
$1,259.40 |
$2,099 |
4.8× |
| Emergency Dept Visit Level 4 (99284) |
$1,385.40 |
$2,309 |
3.5× |
| Er level 1 (99281) |
$292.80 |
$488 |
3.6× |
| Er level v (99285) |
$1,575 |
$2,625 |
2.8× |
| Evaluate pt use of inhaler (94664) |
$193.80 |
$323 |
0.9× |
| Evaluate Speech Production (92522) |
$414.60 |
$691 |
3.7× |
| Evaluate Swallowing Function (92610) |
$514.20 |
$857 |
6.1× |
| Evaluation of speech fluency (92521) |
$414 |
$690 |
3.1× |
| External Ecg Scanning Analysis Report (93226) |
$961.20 |
$1,602 |
17.1× |
| Extracranial Bilat Study (93880) |
$1,628.40 |
$2,714 |
7.1× |
| Extracranial Uni/Ltd Study (93882) |
$441 |
$735 |
4.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,844.40 |
$3,074 |
3.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$625.80 |
$1,043 |
3.1× |
| Group Therapeutic Procedures (97150) |
$147.60 |
$246 |
8.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$2,097 |
$3,495 |
3.2× |
| Holter monitor recording (93225) |
$676.80 |
$1,128 |
5.3× |
| Immunization administration (90471) |
$48 |
$80 |
0.7× |
| Insert/Place Heart Catheter (93503) |
$2,829.60 |
$4,716 |
1.9× |
| Iontophoresis 15 min (97033) |
$185.40 |
$309 |
9.7× |
| Irrig Drug Delivery Device (96523) |
$183 |
$305 |
3.2× |
| IV infusion hydration each additional hour (96361) |
$162 |
$270 |
3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$274.20 |
$457 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$142.20 |
$237 |
2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$162 |
$270 |
3.6× |
| IV push initial (96374) |
$341.40 |
$569 |
1.7× |
| Laryngeal Function Studies (92520) |
$601.20 |
$1,002 |
4.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$179.40 |
$299 |
3.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$999 |
$1,665 |
4.8× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$544.20 |
$907 |
2.6× |
| Mechanical chest wall oscillation per session (94669) |
$392.40 |
$654 |
1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$75 |
$125 |
2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$75 |
$125 |
2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$110.40 |
$184 |
6.5× |
| Methacholine challenge (94070) |
$586.20 |
$977 |
1.6× |
| Motion Fluoroscopy/Swallow (92611) |
$465.60 |
$776 |
5.1× |
| Multiple Family Group Psychotherapy (90849) |
$256.80 |
$428 |
1.5× |
| Multiple Sleep Latency Test (95805) |
$3,401.40 |
$5,669 |
4.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$327.60 |
$546 |
0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$327.60 |
$546 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$472.80 |
$788 |
2.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$688.20 |
$1,147 |
1.8× |
| Neuromuscular Reeducation (97112) |
$167.40 |
$279 |
5.1× |
| Newborn resuscitation (99465) |
$966.60 |
$1,611 |
1.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$52.80 |
$88 |
2.1× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$78 |
$130 |
2.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$27 |
$45 |
2.0× |
| Oral Function Therapy (92526) |
$372 |
$620 |
4.4× |
| Oral Speech Device Eval (92597) |
$484.20 |
$807 |
6.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$127.20 |
$212 |
2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$194.40 |
$324 |
4.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$167.40 |
$279 |
11.9× |
| Ot eval high complexity (97167) |
$457.20 |
$762 |
4.5× |
| Ot Eval Low Complex (97165) |
$338.40 |
$564 |
3.4× |
| Ot Eval Moderate Complexity (97166) |
$398.40 |
$664 |
4.0× |
| Ot manual therapy 15 min (97140) |
$167.40 |
$279 |
6.0× |
| Ot paraffin bath (97018) |
$167.40 |
$279 |
27.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$167.40 |
$279 |
4.1× |
| Ot Re-Eval Est Plan Care (97168) |
$189 |
$315 |
2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$571.20 |
$952 |
4.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$285.60 |
$476 |
2.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$372 |
$620 |
1.8× |
| Phlebotomy therapeutic (99195) |
$196.80 |
$328 |
1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$311.40 |
$519 |
5.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$408 |
$680 |
7.2× |
| Physical Performance Test (97750) |
$441 |
$735 |
13.1× |
| Plethysmography (94726) |
$316.80 |
$528 |
0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,551 |
$7,585 |
5.6× |
| Psych diag eval w/med srvcs (90792) |
$162 |
$270 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$342 |
$570 |
2.0× |
| Psytx Crisis Initial 60 Min (90839) |
$256.80 |
$428 |
1.5× |
| Pt Eval High Complex (97163) |
$617.40 |
$1,029 |
6.3× |
| Pt eval low complex 20 min (97161) |
$457.20 |
$762 |
4.7× |
| Pt Eval Mod Complex (97162) |
$537.60 |
$896 |
5.5× |
| Pt gait training 15 min (97116) |
$167.40 |
$279 |
5.8× |
| Pt group caregiver training (97552) |
$32.40 |
$54 |
1.5× |
| Pt mechanical traction (97012) |
$167.40 |
$279 |
11.7× |
| Pt Re-Eval Est Plan Care (97164) |
$267 |
$445 |
4.0× |
| Pulm function test by gas (94727) |
$240.60 |
$401 |
1.2× |
| Pulmonary service/procedure (94799) |
$183.60 |
$306 |
1.5× |
| Pulmonary Stress Testing (94618) |
$191.40 |
$319 |
1.5× |
| Refill/Maint Portable Pump (96521) |
$302.40 |
$504 |
1.5× |
| Refill/Maint Pump/Resvr Syst (96522) |
$302.40 |
$504 |
1.5× |
| Respiratory flow volume loop (94375) |
$210.60 |
$351 |
1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$123.60 |
$206 |
2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$675 |
$1,125 |
3.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$127.80 |
$213 |
4.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$357 |
$595 |
2.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$179.40 |
$299 |
3.8× |
| Self Care Mngment Training (97535) |
$167.40 |
$279 |
5.2× |
| Sensory Integration Ea 15 Min (97533) |
$97.80 |
$163 |
1.6× |
| Sleep study attended (95807) |
$3,045 |
$5,075 |
8.5× |
| Sleep study unattended (95806) |
$778.20 |
$1,297 |
3.8× |
| Slp caregiver training 1st 30 min (97550) |
$78.60 |
$131 |
1.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$784.20 |
$1,307 |
3.8× |
| Speech sound lang comprehen (92523) |
$414 |
$690 |
1.8× |
| Spirometry (94010) |
$362.40 |
$604 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$572.40 |
$954 |
5.6× |
| Surfactant Admin Thru Tube (94610) |
$349.80 |
$583 |
1.7× |
| Temp transcutaneous pacing (92953) |
$941.40 |
$1,569 |
1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$42 |
$70 |
1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$42 |
$70 |
2.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$194.40 |
$324 |
5.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$167.40 |
$279 |
5.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$288 |
$480 |
2.8× |
| Ther/Proph/Diag Inj Ia (96373) |
$193.80 |
$323 |
1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$174 |
$290 |
2.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$274.80 |
$458 |
1.4× |
| Therapeutic Activities (97530) |
$172.80 |
$288 |
4.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$49.20 |
$82 |
1.4× |
| Tte w/doppler, complete (93306) |
$2,514 |
$4,190 |
4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$272.40 |
$454 |
3.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$221.40 |
$369 |
9.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$91.20 |
$152 |
2.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$937.80 |
$1,563 |
7.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,948.80 |
$3,248 |
9.5× |
| Vasopneumatic device (97016) |
$160.20 |
$267 |
13.3× |
| Vent Mgmt Inpat Init Day (94002) |
$523.80 |
$873 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$399 |
$665 |
0.7× |
| Vital capacity, total (94150) |
$122.40 |
$204 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$97.80 |
$163 |
3.1× |
| Whirlpool Therapy (97022) |
$180.60 |
$301 |
11.5× |