| Airway inhalation treatment (94640) |
$130.65 |
$201 |
0.6× |
| Appl on-body injector for timed subq injection (96377) |
$51.35 |
$79 |
1.1× |
| Assessment of aphasia (96105) |
$231.40 |
$356 |
2.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$231.08 |
$355.50 |
2.1× |
| Biofeedback training any modality (90901) |
$104.65 |
$161 |
2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$240.82 |
$370.50 |
0.6× |
| Canalith Repositioning (95992) |
$98.80 |
$152 |
2.4× |
| Capsule endoscopy (91110) |
$2,432.95 |
$3,743 |
2.7× |
| Car seat/bed test 60 min (94780) |
$92.30 |
$142 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$586.30 |
$902 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$588.90 |
$906 |
2.7× |
| Cardioversion (92960) |
$466.05 |
$717 |
0.7× |
| Cbt 1st hour (94644) |
$130.65 |
$201 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$176.80 |
$272 |
2.5× |
| Chemo IV push addl drug (96411) |
$205.40 |
$316 |
2.8× |
| Chemo Iv Push Sngl Drug (96409) |
$205.40 |
$316 |
0.6× |
| Chemother, IV infusion, 1 hr (96413) |
$298.35 |
$459 |
0.9× |
| Chemother, IV infusion, ea add hr (96415) |
$298.35 |
$459 |
4.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$176.80 |
$272 |
2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$298.35 |
$459 |
4.1× |
| Color/duplex Doppler, complete (93975) |
$545.35 |
$839 |
2.3× |
| Color/duplex Doppler, limited (93976) |
$404.62 |
$622.50 |
3.9× |
| Comprehensive Hearing Test (92557) |
$116.35 |
$179 |
0.9× |
| Conditioning Play Audiometry (92582) |
$116.35 |
$179 |
0.9× |
| Cpap initiation and management (94660) |
$546 |
$840 |
2.5× |
| Cpt initial (94667) |
$91 |
$140 |
0.7× |
| Critical care (99291) |
$668.85 |
$1,029 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$163.15 |
$251 |
0.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$128.05 |
$197 |
0.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$125.45 |
$193 |
1.0× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$476.45 |
$733 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$247.65 |
$381 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$578.50 |
$890 |
2.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$137.80 |
$212 |
1.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$472.88 |
$727.50 |
2.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$337.68 |
$519.50 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$510.25 |
$785 |
4.9× |
| Duplex scan extracranial art compl bi study (93880) |
$503.10 |
$774 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$238.55 |
$367 |
1.0× |
| EEG awake drowsy (95816) |
$453.70 |
$698 |
2.1× |
| EKG (93005) |
$184.60 |
$284 |
3.1× |
| EKG rhythm strip (93041) |
$117.65 |
$181 |
2.0× |
| Er level 1 (99281) |
$171.60 |
$264 |
2.0× |
| Er level ii (99282) |
$217.75 |
$335 |
1.4× |
| Er level iii (99283) |
$353.92 |
$544.50 |
1.3× |
| Er level IV (99284) |
$501.48 |
$771.50 |
1.2× |
| Er level v (99285) |
$749.78 |
$1,153.50 |
1.3× |
| Evaluation of speech fluency (92521) |
$231.08 |
$355.50 |
1.7× |
| Evaluation of speech sound production (92522) |
$231.08 |
$355.50 |
2.1× |
| Evaluation of swallowing function (92610) |
$231.08 |
$355.50 |
2.7× |
| Evaluation with prescription of speech-generating alternative (92607) |
$192.40 |
$296 |
1.6× |
| Evoked Auditory Test,Comprehsv (92588) |
$131.95 |
$203 |
0.4× |
| Evoked auditory test,limited (92587) |
$100.75 |
$155 |
0.5× |
| Exam of visual field with limited testing (92081) |
$75.40 |
$116 |
1.3× |
| Exercise tst brncspsm (94617) |
$151.45 |
$233 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$489.45 |
$753 |
8.3× |
| Flow volume loop (94375) |
$143 |
$220 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,733.55 |
$2,667 |
2.0× |
| Group Therapeutic Procedures (97150) |
$68.58 |
$105.50 |
3.8× |
| Holter Monitor Recording (93225) |
$388.05 |
$597 |
2.9× |
| Hydrotherapy (97036) |
$74.75 |
$115 |
2.2× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$40.30 |
$62 |
1.0× |
| Immunization Admin (90471) |
$53.30 |
$82 |
0.7× |
| Immunotherapy, 2+ Injections (95117) |
$22.75 |
$35 |
0.5× |
| Inital newborn e/m (99460) |
$139.10 |
$214 |
1.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$139.10 |
$214 |
2.4× |
| IV infusion hydration each additional hour (96361) |
$171.60 |
$264 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$171.60 |
$264 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$185.25 |
$285 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$185.25 |
$285 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$185.25 |
$285 |
3.9× |
| IV push initial (96374) |
$124.15 |
$191 |
0.6× |
| Manual therapy 15 min (97140) |
$70.85 |
$109 |
2.6× |
| Massage 15 min (97124) |
$60.45 |
$93 |
2.0× |
| Maximum voluntary ventilation (94200) |
$97.82 |
$150.50 |
1.7× |
| Mechanical chest wall oscillation (94669) |
$130.65 |
$201 |
0.6× |
| Mechanical traction (97012) |
$78.65 |
$121 |
5.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$26.65 |
$41 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$35.10 |
$54 |
1.0× |
| Methacholine challenge (94070) |
$726.05 |
$1,117 |
1.9× |
| Motility study esophagus (91010) |
$371.80 |
$572 |
1.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$395.20 |
$608 |
4.3× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$301.60 |
$464 |
0.7× |
| Multiple sleep latency test (95805) |
$1,489.15 |
$2,291 |
1.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$241.80 |
$372 |
0.6× |
| Neg press wound tx >50 cm (97608) |
$246.02 |
$378.50 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$156.65 |
$241 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$243.75 |
$375 |
0.6× |
| Nerve conduction studies 13/> studies (95913) |
$1,157.65 |
$1,781 |
3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$379.60 |
$584 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$906.10 |
$1,394 |
2.4× |
| Nerve conduction studies; 1-2 studies (95907) |
$227.82 |
$350.50 |
1.1× |
| Nerve conduction studies; 11-12 studies (95912) |
$982.48 |
$1,511.50 |
2.6× |
| Nerve conduction studies; 5-6 studies (95909) |
$529.42 |
$814.50 |
2.4× |
| Nerve conduction studies; 7-8 studies (95910) |
$706.88 |
$1,087.50 |
1.9× |
| Neurobehavioral Status Exam (96116) |
$258.70 |
$398 |
1.2× |
| Neurological procedure unlisted (95999) |
$130.65 |
$201 |
1.0× |
| Newborn resuscitation (99465) |
$533 |
$820 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$131.30 |
$202 |
1.0× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$237.90 |
$366 |
1.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$237.90 |
$366 |
1.8× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$486.85 |
$749 |
1.3× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$70.85 |
$109 |
1.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$52.32 |
$80.50 |
1.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$48.10 |
$74 |
3.4× |
| Ot eval high complex 60 min (97167) |
$287.95 |
$443 |
2.9× |
| Ot eval low complex 30 min (97165) |
$260.98 |
$401.50 |
2.6× |
| Ot eval mod complex 45 min (97166) |
$274.62 |
$422.50 |
2.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$66.95 |
$103 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$70.85 |
$109 |
1.8× |
| Ot Range Motion Measure,Each Extrem (95851) |
$66.95 |
$103 |
2.6× |
| Ot re-eval est plan care (97168) |
$204.42 |
$314.50 |
3.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$202.15 |
$311 |
1.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$135.20 |
$208 |
1.0× |
| Paraffin bath (97018) |
$57.52 |
$88.50 |
9.6× |
| Peripheral arterial disease rehab per session (93668) |
$115.05 |
$177 |
1.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$273.65 |
$421 |
4.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$273.65 |
$421 |
4.6× |
| Plethysmography (94726) |
$202.80 |
$312 |
0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,349.08 |
$2,075.50 |
1.6× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,258.08 |
$1,935.50 |
1.5× |
| Positional Nystagmus Test (92542) |
$181.35 |
$279 |
1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$33.80 |
$52 |
0.7× |
| Pt Aquatic Therapy/Exercises (97113) |
$74.75 |
$115 |
2.0× |
| Pt Electric Current Therapy (97033) |
$93.60 |
$144 |
4.9× |
| Pt Electrical Stimulation (97032) |
$64.35 |
$99 |
4.4× |
| Pt eval high complex 45 min (97163) |
$207.68 |
$319.50 |
2.1× |
| Pt eval low complex 20 min (97161) |
$181.02 |
$278.50 |
1.8× |
| Pt Gait Training Therapy (97116) |
$74.10 |
$114 |
2.5× |
| Pt Infrared Therapy (97026) |
$42.25 |
$65 |
6.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$74.10 |
$114 |
2.3× |
| Pt Physical Performance Test (97750) |
$88.40 |
$136 |
2.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$194.02 |
$298.50 |
2.0× |
| Pt re-evaluation (97164) |
$143.98 |
$221.50 |
2.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$78.65 |
$121 |
2.4× |
| Pt Ultrasound Therapy (97035) |
$74.10 |
$114 |
5.2× |
| Pt Whirlpool Therapy (97022) |
$83.52 |
$128.50 |
5.3× |
| Pulm function test by gas (94727) |
$254.80 |
$392 |
1.2× |
| Pulmonary stress testing (94618) |
$158.60 |
$244 |
1.2× |
| Pure Tone Audiometry, Air (92552) |
$44.85 |
$69 |
0.3× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$63.70 |
$98 |
1.7× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$320.45 |
$493 |
8.6× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$82.55 |
$127 |
1.5× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$61.10 |
$94 |
1.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$202.80 |
$312 |
1.5× |
| Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) |
$46.80 |
$72 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$150.80 |
$232 |
0.8× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$117 |
$180 |
5.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$89.05 |
$137 |
0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$78.65 |
$121 |
1.6× |
| Sensory Integration Ea 15 Min (97533) |
$80.60 |
$124 |
1.3× |
| Sleep study attended (95807) |
$485.55 |
$747 |
1.3× |
| Sleep study unattended (95806) |
$472.22 |
$726.50 |
2.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$442.32 |
$680.50 |
2.0× |
| Smoking cessation > 10 min (99407) |
$46.15 |
$71 |
1.2× |
| Speech Audiometry Threshold (92555) |
$57.85 |
$89 |
1.0× |
| Speech Audiometry, Complete (92556) |
$112.45 |
$173 |
1.9× |
| Speech group therapy (92508) |
$86.78 |
$133.50 |
3.6× |
| Speech sound lang comprehen (92523) |
$231.08 |
$355.50 |
1.0× |
| Spirometry (94010) |
$160.22 |
$246.50 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$234.65 |
$361 |
2.3× |
| Stress echo (93350) |
$442 |
$680 |
0.8× |
| Stress Tte Complete (93351) |
$1,036.10 |
$1,594 |
1.9× |
| Temp transcutaneous pacing (92953) |
$102.70 |
$158 |
0.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$83.20 |
$128 |
3.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$22.10 |
$34 |
1.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$160.88 |
$247.50 |
1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$87.10 |
$134 |
1.2× |
| Therapeutic Activities (97530) |
$79.95 |
$123 |
2.3× |
| Therapeutic phlebotomy (99195) |
$178.42 |
$274.50 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$21.45 |
$33 |
0.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$869.05 |
$1,337 |
1.6× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$670.48 |
$1,031.50 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$612.62 |
$942.50 |
8.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$210.92 |
$324.50 |
2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$124.15 |
$191 |
2.6× |
| Ultraviolet Light Therapy (96900) |
$102.05 |
$157 |
2.7× |
| Unlisted pulmonary service/procedure (94799) |
$96.20 |
$148 |
0.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$221 |
$340 |
0.9× |
| Vasopneumatic device (97016) |
$56.55 |
$87 |
4.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,192.75 |
$1,835 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$855.40 |
$1,316 |
1.4× |
| Visual reinforcement audiometry (vra) (92579) |
$119.60 |
$184 |
0.6× |
| Vital capacity total (94150) |
$89.70 |
$138 |
0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67.60 |
$104 |
2.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$236.92 |
$364.50 |
4.0× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$515.45 |
$793 |
5.4× |