| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$62.10 |
$69 |
2.3× |
| Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) |
$76.05 |
$84.50 |
2.9× |
| Airway inhalation treatment (94640) |
$94.50 |
$105 |
0.5× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$82.80 |
$92 |
2.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$225 |
$250 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$338.85 |
$376.50 |
1.0× |
| Canalith Repositioning (95992) |
$80.10 |
$89 |
2.0× |
| Capsule endoscopy (91110) |
$390.15 |
$433.50 |
0.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$786.60 |
$874 |
4.0× |
| Cardiopulmonary resuscitation (92950) |
$527.85 |
$586.50 |
2.7× |
| Cardioversion (92960) |
$863.10 |
$959 |
1.4× |
| Cbt 1st hour (94644) |
$189.90 |
$211 |
1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$72 |
$80 |
1.1× |
| Chemo IV push addl drug (96411) |
$228.60 |
$254 |
3.5× |
| Chemo Iv Push Sngl Drug (96409) |
$234.90 |
$261 |
0.8× |
| Chemother, IV infusion, 1 hr (96413) |
$486 |
$540 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$288.90 |
$321 |
4.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$81.90 |
$91 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$93.60 |
$104 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$809.10 |
$899 |
3.7× |
| Cpap initiation and management (94660) |
$121.50 |
$135 |
0.6× |
| Cpt initial (94667) |
$134.10 |
$149 |
1.1× |
| Critical care (99291) |
$357.30 |
$397 |
0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$152.10 |
$169 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$483.30 |
$537 |
5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,003.50 |
$1,115 |
4.6× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$671.40 |
$746 |
7.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$842.40 |
$936 |
3.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$578.70 |
$643 |
6.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$690.30 |
$767 |
7.2× |
| Duplex scan extracranial art compl bi study (93880) |
$1,006.20 |
$1,118 |
4.6× |
| Echo Heart Xthoracic,Limited (93308) |
$648.90 |
$721 |
3.0× |
| EKG (93005) |
$238.50 |
$265 |
4.4× |
| Er level 1 (99281) |
$25.20 |
$28 |
0.3× |
| Er level ii (99282) |
$54.90 |
$61 |
0.4× |
| Er level iii (99283) |
$90 |
$100 |
0.4× |
| Er level IV (99284) |
$207 |
$230 |
0.5× |
| Er level v (99285) |
$229.50 |
$255 |
0.4× |
| Evaluation of speech fluency (92521) |
$225 |
$250 |
1.7× |
| Evaluation of speech sound production (92522) |
$225 |
$250 |
2.0× |
| Evaluation of swallowing function (92610) |
$225 |
$250 |
2.7× |
| Flow volume loop (94375) |
$142.20 |
$158 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$617.40 |
$686 |
0.8× |
| Group Therapeutic Procedures (97150) |
$68.40 |
$76 |
3.8× |
| Immunization Admin (90471) |
$90 |
$100 |
1.4× |
| Injection intra arterial (96373) |
$65.70 |
$73 |
0.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$108.90 |
$121 |
2.0× |
| IV infusion hydration each additional hour (96361) |
$172.80 |
$192 |
4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$345.60 |
$384 |
1.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$181.80 |
$202 |
2.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$345.60 |
$384 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$181.80 |
$202 |
4.2× |
| IV push initial (96374) |
$345.60 |
$384 |
1.8× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$306 |
$340 |
1.0× |
| Manual therapy 15 min (97140) |
$76.50 |
$85 |
2.8× |
| Massage 15 min (97124) |
$60.30 |
$67 |
2.0× |
| Maximum voluntary ventilation (94200) |
$86.40 |
$96 |
1.6× |
| Mechanical traction (97012) |
$65.70 |
$73 |
4.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$270 |
$300 |
3.0× |
| Multiple sleep latency test (95805) |
$1,660.50 |
$1,845 |
2.1× |
| Neg press wnd tx </=50 sq cm (97607) |
$34.20 |
$38 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$48.60 |
$54 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$240.75 |
$267.50 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$543.60 |
$604 |
4.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$633.60 |
$704 |
3.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$67.50 |
$75 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$69.75 |
$77.50 |
1.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$75.60 |
$84 |
2.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$67.05 |
$74.50 |
4.8× |
| Ot eval high complex 60 min (97167) |
$144.90 |
$161 |
1.4× |
| Ot eval low complex 30 min (97165) |
$144.90 |
$161 |
1.4× |
| Ot eval mod complex 45 min (97166) |
$144.90 |
$161 |
1.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$51.30 |
$57 |
1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$68.40 |
$76 |
1.7× |
| Ot re-eval est plan care (97168) |
$91.80 |
$102 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$163.80 |
$182 |
1.4× |
| Paraffin bath (97018) |
$59.40 |
$66 |
9.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$143.55 |
$159.50 |
0.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$501.30 |
$557 |
9.2× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$425.70 |
$473 |
7.8× |
| Plethysmography (94726) |
$358.20 |
$398 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,903.50 |
$2,115 |
2.4× |
| Pt Aquatic Therapy/Exercises (97113) |
$100.80 |
$112 |
2.7× |
| Pt Electric Current Therapy (97033) |
$85.50 |
$95 |
4.5× |
| Pt Electrical Stimulation (97032) |
$75.60 |
$84 |
5.1× |
| Pt eval high complex 45 min (97163) |
$155.70 |
$173 |
1.6× |
| Pt eval low complex 20 min (97161) |
$155.70 |
$173 |
1.6× |
| Pt Gait Training Therapy (97116) |
$71.10 |
$79 |
2.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$80.10 |
$89 |
2.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$155.70 |
$173 |
1.6× |
| Pt re-evaluation (97164) |
$99 |
$110 |
1.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$73.35 |
$81.50 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$63 |
$70 |
4.4× |
| Pt Whirlpool Therapy (97022) |
$79.20 |
$88 |
5.0× |
| Pulm Funct Test Oscillometry (94728) |
$225 |
$250 |
1.9× |
| Pulmonary stress testing (94618) |
$121.50 |
$135 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$256.50 |
$285 |
1.3× |
| Refill/maint, portable pump (96521) |
$218.70 |
$243 |
1.1× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$319.50 |
$355 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$203.40 |
$226 |
1.1× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$56.70 |
$63 |
2.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$98.10 |
$109 |
0.8× |
| Sleep study unattended (95806) |
$265.05 |
$294.50 |
1.3× |
| Speech sound lang comprehen (92523) |
$225 |
$250 |
1.0× |
| Spirometry (94010) |
$307.80 |
$342 |
1.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$68.40 |
$76 |
3.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$68.40 |
$76 |
3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$62.10 |
$69 |
0.9× |
| Therapeutic Activities (97530) |
$76.50 |
$85 |
2.2× |
| Therapeutic phlebotomy (99195) |
$99.90 |
$111 |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$31.50 |
$35 |
0.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,724.40 |
$1,916 |
3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$228.60 |
$254 |
3.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$243.90 |
$271 |
2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$108.90 |
$121 |
2.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$842.40 |
$936 |
3.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$747.90 |
$831 |
3.8× |
| Vasopneumatic device (97016) |
$73.80 |
$82 |
6.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$249.30 |
$277 |
0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$198 |
$220 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65.70 |
$73 |
2.1× |