| Admn Sarscov2 Vacc 1 Dose (90480) |
$76.70 |
$118 |
1.5× |
| Advncd Care Plan 30 Min (99497) |
$182 |
$280 |
1.4× |
| Airway Inhalation Treatment (94640) |
$445.90 |
$686 |
1.6× |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines |
$61.75 |
$90–$95 |
4.3× |
| Behavral qualit analys voice (92524) |
$301.60 |
$464 |
2.8× |
| Brief Emotional/Behav Assmt (96127) |
$84.50 |
$130 |
1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$895.70 |
$1,378 |
1.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$678.60 |
$1,044 |
2.5× |
| Cardiopulmonary resuscitation (92950) |
$1,086.15 |
$1,671 |
4.0× |
| Cardioversion (92960) |
$1,677.65 |
$2,581 |
2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$62.40 |
$96 |
2.4× |
| Cbt 1st hour (94644) |
$281.45 |
$433 |
1.7× |
| Chemo IV infusion addl hr (96415) |
$321.10 |
$494 |
3.6× |
| Chemo IV push addl drug (96411) |
$298.35 |
$459 |
3.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$330.85 |
$509 |
3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,118 |
$1,720 |
2.7× |
| Color/duplex Doppler, complete (93975) |
$1,621.10 |
$2,494 |
5.4× |
| Color/duplex Doppler, limited (93976) |
$312 |
$480 |
2.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$167.05 |
$257 |
5.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$341.25 |
$525 |
2.1× |
| Continuous Pulse Ox (94762) |
$339.95 |
$523 |
2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$778.70 |
$1,198 |
2.8× |
| Cpt initial (94667) |
$237.90 |
$366 |
1.4× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$324.35 |
$499 |
1.2× |
Critical care first hour (99291)
range across 2 matching MRF lines |
$2,143.70 |
$2,945–$3,298 |
2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$437.45 |
$673 |
1.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$312 |
$480 |
2.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,409.85 |
$2,169 |
4.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$312 |
$480 |
2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,316.90 |
$2,026 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$312 |
$480 |
2.4× |
| Duplex Scan Hemodialysis Access (93990) |
$650 |
$1,000 |
5.0× |
| Duplex up extrem art unilat/ltd (93931) |
$312 |
$480 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$780 |
$1,200 |
2.6× |
| Echo transesophageal (93312) |
$1,574.30 |
$2,422 |
2.3× |
| Eeg 41-60 Minutes (95812) |
$583.70 |
$898 |
2.2× |
| EEG awake and asleep (95819) |
$644.80 |
$992 |
2.4× |
| EEG awake drowsy (95816) |
$845 |
$1,300 |
3.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$43.55 |
$67 |
3.0× |
| Electrocardiogram Tracing (93005) |
$239.85 |
$369 |
3.3× |
| Emergency Dept Visit Level 2 (99282) |
$377.65 |
$581 |
2.0× |
| Emergency Dept Visit Level 3 (99283) |
$722.80 |
$1,112 |
2.1× |
| Emergency Dept Visit Level 4 (99284) |
$1,129.05 |
$1,737 |
2.2× |
| Emg 3 Extremities (95863) |
$358.15 |
$551 |
2.2× |
| Emg 4 Extremities (95864) |
$358.15 |
$551 |
2.2× |
| Er level 1 (99281) |
$295.75 |
$455 |
2.8× |
| Er level v (99285) |
$1,619.15 |
$2,491 |
2.2× |
| Evaluate pt use of inhaler (94664) |
$445.90 |
$686 |
1.6× |
| Evaluate Speech Production (92522) |
$272.35 |
$419 |
2.4× |
| Evaluate Swallowing Function (92610) |
$378.30 |
$582 |
4.5× |
| Evaluation of speech fluency (92521) |
$260 |
$400 |
2.0× |
| Evoked Auditory Test,Limited (92587) |
$627.90 |
$966 |
2.3× |
| Extracranial Bilat Study (93880) |
$1,090.70 |
$1,678 |
3.7× |
| Gi tract capsule endoscopy (91110) |
$3,614 |
$5,560 |
3.2× |
| Gonioscopy (92020) |
$267.15 |
$411 |
1.6× |
| Group Therapeutic Procedures (97150) |
$38.35 |
$59 |
2.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,678.95 |
$2,583 |
2.0× |
| Holter monitor recording (93225) |
$407.55 |
$627 |
2.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$119.60 |
$184 |
1.3× |
Immunization administration (90471)
range across 3 matching MRF lines |
$170.95 |
$235–$263 |
1.9× |
| Irrig Drug Delivery Device (96523) |
$142.35 |
$219 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$285.35 |
$439 |
4.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$587.60 |
$904 |
2.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$208 |
$320 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$454.35 |
$699 |
7.8× |
| IV push initial (96374) |
$587.60 |
$904 |
2.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$178.51 |
$274.63 |
2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$30.55 |
$47 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$103.35 |
$159 |
2.8× |
| Motion Fluoroscopy/Swallow (92611) |
$451.10 |
$694 |
4.9× |
| Multiple Sleep Latency Test (95805) |
$2,036.45 |
$3,133 |
1.9× |
| Muscle Test 2 Limbs (95861) |
$281.45 |
$433 |
1.7× |
| Muscle Test Nonparaspinal (95870) |
$287.95 |
$443 |
1.7× |
| Muscle Test One Limb (95860) |
$281.45 |
$433 |
1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$661.05 |
$1,017 |
2.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$661.05 |
$1,017 |
2.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$358.15 |
$551 |
1.3× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$348.40 |
$536 |
1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$863.20 |
$1,328 |
1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$863.20 |
$1,328 |
1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$448.50 |
$690 |
1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$863.20 |
$1,328 |
1.7× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$358.15 |
$551 |
1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,251.25 |
$1,925 |
2.7× |
| Nerve conduction studies 13 or more studies (95913) |
$1,251.25 |
$1,925 |
2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$661.05 |
$1,017 |
2.5× |
| Nerve conduction studies 5-6 studies (95909) |
$661.05 |
$1,017 |
2.5× |
| Nerve conduction studies 7-8 studies (95910) |
$678.60 |
$1,044 |
1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,251.25 |
$1,925 |
2.7× |
| Neuromuscular Reeducation (97112) |
$107.90 |
$166 |
3.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$661.05 |
$1,017 |
1.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$304.85 |
$469 |
1.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$281.45 |
$433 |
1.7× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$281.45 |
$433 |
1.7× |
| Oral Function Therapy (92526) |
$271.05 |
$417 |
3.2× |
| Oral Speech Device Eval (92597) |
$170.30 |
$262 |
2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$91 |
$140 |
2.0× |
| Ot eval high complexity (97167) |
$783.25 |
$1,205 |
7.8× |
| Ot Eval Low Complex (97165) |
$282.10 |
$434 |
2.8× |
| Ot Eval Moderate Complexity (97166) |
$319.80 |
$492 |
3.2× |
| Ot manual therapy 15 min (97140) |
$116.35 |
$179 |
4.2× |
| Ot paraffin bath (97018) |
$26 |
$40 |
4.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$74.75 |
$115 |
1.8× |
| Ot Re-Eval Est Plan Care (97168) |
$270.40 |
$416 |
3.9× |
| Phlebotomy therapeutic (99195) |
$289.25 |
$445 |
1.7× |
| Physical Performance Test (97750) |
$74.10 |
$114 |
2.2× |
| Plethysmography (94726) |
$736.45 |
$1,133 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,240.55 |
$3,447 |
2.1× |
| Psych diag eval w/med srvcs (90792) |
$343.20 |
$528 |
1.5× |
| Psychiatric diagnostic evaluation (90791) |
$371.80 |
$572 |
1.7× |
| Pt Eval High Complex (97163) |
$295.75 |
$455 |
3.0× |
| Pt eval low complex 20 min (97161) |
$265.85 |
$409 |
2.7× |
| Pt Eval Mod Complex (97162) |
$276.25 |
$425 |
2.8× |
| Pt gait training 15 min (97116) |
$120.25 |
$185 |
4.1× |
| Pt group caregiver training (97552) |
$92.95 |
$143 |
4.2× |
| Pt mechanical traction (97012) |
$36.40 |
$56 |
2.5× |
| Pt Re-Eval Est Plan Care (97164) |
$192.40 |
$296 |
2.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$65.65 |
$101 |
1.4× |
| Pulm function test by gas (94727) |
$339.95 |
$523 |
1.3× |
| Pulmonary service/procedure (94799) |
$330.85 |
$509 |
2.1× |
| Respiratory flow volume loop (94375) |
$627.90 |
$966 |
2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$448.50 |
$690 |
1.8× |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
$107.90 |
$158–$166 |
3.3× |
| Sensory Integration Ea 15 Min (97533) |
$65 |
$100 |
1.1× |
| Sleep study unattended (95806) |
$358.15 |
$551 |
1.3× |
| Slp caregiver training 1st 30 min (97550) |
$126.10 |
$194 |
2.4× |
| Speech sound lang comprehen (92523) |
$488.80 |
$752 |
2.2× |
| Spirometry (94010) |
$434.20 |
$668 |
1.6× |
| Temp transcutaneous pacing (92953) |
$1,402.70 |
$2,158 |
1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$53.95 |
$83 |
2.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$50.70 |
$78 |
2.4× |
| Ther/Proph/Diag Inj Ia (96373) |
$572 |
$880 |
2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$177.45 |
$273 |
2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$712.40 |
$1,096 |
2.7× |
Therapeutic Activities (97530)
range across 4 matching MRF lines |
$128.70 |
$188–$198 |
3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$65.65 |
$101 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$73.45 |
$113 |
1.6× |
| Tte w/doppler, complete (93306) |
$1,833.65 |
$2,821 |
2.7× |
| Tte W/O Doppler Complete (93307) |
$943.15 |
$1,451 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$347.10 |
$534 |
4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$143.65 |
$221 |
2.5× |
| Tympanometry (92567) |
$93.60 |
$144 |
2.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$664.30 |
$1,022 |
4.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$358.15 |
$551 |
1.3× |
| Vent Mgmt Inpat Init Day (94002) |
$1,186.25 |
$1,825 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,186.25 |
$1,825 |
1.5× |
| Vital capacity, total (94150) |
$330.85 |
$509 |
2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$68.90 |
$106 |
2.2× |
| Whirlpool Therapy (97022) |
$57.20 |
$88 |
3.6× |