| Airway inhalation treatment (94640) |
$212.50 |
$250 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$136 |
$160 |
2.9× |
| Assessment of aphasia (96105) |
$323 |
$380 |
3.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$255 |
$300 |
2.3× |
| Breath Hydrogen/Methane Test (91065) |
$340 |
$400 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$552.50 |
$650 |
1.5× |
| Canalith Repositioning (95992) |
$106.25 |
$125 |
2.6× |
| Capsule endoscopy (91110) |
$1,615 |
$1,900 |
1.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$935 |
$1,100 |
4.3× |
| Cardiopulmonary resuscitation (92950) |
$531.25 |
$625 |
2.5× |
| Cardioversion (92960) |
$1,445 |
$1,700 |
2.2× |
| Caregiver training 1st 30 min (97550) |
$106.25 |
$125 |
2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$55.25 |
$65 |
2.1× |
| Cbt 1st hour (94644) |
$119 |
$140 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$130.05 |
$153 |
1.8× |
| Chemo IV push addl drug (96411) |
$97.75 |
$115 |
1.4× |
| Chemo Iv Push Sngl Drug (96409) |
$276.25 |
$325 |
0.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$297.50 |
$350 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$807.50 |
$950 |
2.4× |
| Chemother, IV infusion, ea add hr (96415) |
$174.25 |
$205 |
2.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$127.50 |
$150 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$191.25 |
$225 |
2.7× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$110.50 |
$130 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$1,020 |
$1,200 |
4.3× |
| Color/duplex Doppler, limited (93976) |
$722.50 |
$850 |
6.9× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$148.75 |
$175 |
2.5× |
| Cpap initiation and management (94660) |
$1,190 |
$1,400 |
5.4× |
| Cpt initial (94667) |
$136 |
$160 |
1.0× |
| Critical care (99291) |
$2,975 |
$3,500 |
3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$276.25 |
$325 |
1.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$148.75 |
$175 |
0.7× |
| Dermatological procedure (96999) |
$425 |
$500 |
2.1× |
| Duodenal Motility Study (91022) |
$1,275 |
$1,500 |
3.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$637.50 |
$750 |
2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$552.50 |
$650 |
5.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$935 |
$1,100 |
3.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$722.50 |
$850 |
6.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,105 |
$1,300 |
4.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$714 |
$840 |
6.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$807.50 |
$950 |
7.7× |
| Duplex hemodialysis access (93990) |
$977.50 |
$1,150 |
9.3× |
| Duplex scan extracranial art compl bi study (93880) |
$680 |
$800 |
2.8× |
| Echo Heart Xthoracic,Limited (93308) |
$680 |
$800 |
2.8× |
| Echo transesophageal (93312) |
$3,145 |
$3,700 |
5.7× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,700 |
$2,000 |
3.1× |
| EKG (93005) |
$178.50 |
$210 |
3.0× |
| Er level 1 (99281) |
$276.25 |
$325 |
3.3× |
| Er level ii (99282) |
$510 |
$600 |
3.3× |
| Er level iii (99283) |
$1,190 |
$1,400 |
4.4× |
| Er level IV (99284) |
$1,530 |
$1,800 |
3.7× |
| Er level v (99285) |
$2,125 |
$2,500 |
3.6× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$1,190 |
$1,400 |
3.2× |
| Esophgl balo distension dx std w/provocation (91040) |
$765 |
$900 |
2.0× |
| Evaluation of speech fluency (92521) |
$255 |
$300 |
1.9× |
| Evaluation of speech sound production (92522) |
$297.50 |
$350 |
2.7× |
| Evaluation of swallowing function (92610) |
$225.25 |
$265 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$68 |
$80 |
1.8× |
| External ECG rec>7d<15d recording (93246) |
$127.50 |
$150 |
3.4× |
| External Ecg Scanning Analysis Report (93226) |
$318.75 |
$375 |
5.4× |
| Gastric motility studies (91020) |
$1,190 |
$1,400 |
3.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$680 |
$800 |
1.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,436.50 |
$1,690 |
6.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$467.50 |
$550 |
0.5× |
| Group Therapeutic Procedures (97150) |
$76.50 |
$90 |
4.2× |
| Holter Monitor Recording (93225) |
$374 |
$440 |
2.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$68 |
$80 |
0.9× |
| Immunization Admin (90471) |
$77.35 |
$91 |
1.1× |
| Injection intra arterial (96373) |
$255 |
$300 |
1.2× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$85 |
$100 |
2.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$191.25 |
$225 |
3.2× |
| IV infusion hydration each additional hour (96361) |
$102 |
$120 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$255 |
$300 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$204 |
$240 |
2.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$340 |
$400 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$123.25 |
$145 |
2.6× |
| IV push initial (96374) |
$221 |
$260 |
1.0× |
| Manual therapy 15 min (97140) |
$106.25 |
$125 |
3.8× |
| Massage 15 min (97124) |
$63.75 |
$75 |
2.1× |
| Mechanical chest wall oscillation (94669) |
$255 |
$300 |
1.2× |
| Mechanical traction (97012) |
$93.50 |
$110 |
6.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$60.35 |
$71 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$78.20 |
$92 |
2.1× |
| Motility study esophagus (91010) |
$4,675 |
$5,500 |
12.5× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$276.25 |
$325 |
3.0× |
| Neg press wnd tx </=50 sq cm (97607) |
$1,020 |
$1,200 |
2.5× |
| Neg press wound tx >50 cm (97608) |
$510 |
$600 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$318.75 |
$375 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$276.25 |
$325 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$467.50 |
$550 |
3.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$365.50 |
$430 |
2.8× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$106.25 |
$125 |
2.3× |
| Ot eval high complex 60 min (97167) |
$212.50 |
$250 |
2.1× |
| Ot eval low complex 30 min (97165) |
$208.25 |
$245 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$212.50 |
$250 |
2.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$119 |
$140 |
2.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$72.25 |
$85 |
1.8× |
| Ot re-eval est plan care (97168) |
$136 |
$160 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$255 |
$300 |
2.0× |
| Paraffin bath (97018) |
$85 |
$100 |
14.1× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$238 |
$280 |
4.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$212.50 |
$250 |
3.6× |
| Plethysmography (94726) |
$446.25 |
$525 |
1.2× |
| Pm device eval in person (93288) |
$110.50 |
$130 |
3.0× |
| Pm device progr eval dual (93280) |
$110.50 |
$130 |
3.0× |
| Pm device progr eval multi (93281) |
$48.88 |
$57.50 |
1.3× |
| Pm device progr eval sngl (93279) |
$89.25 |
$105 |
2.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,058.75 |
$4,775 |
4.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$38.25 |
$45 |
0.8× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$76.50 |
$90 |
2.0× |
| Programming of dual lead implantable defibrillator system (93283) |
$127.50 |
$150 |
3.4× |
| Programming of single lead implantable defibrillator system (93282) |
$106.25 |
$125 |
2.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$106.25 |
$125 |
2.9× |
| Pt Electric Current Therapy (97033) |
$97.75 |
$115 |
5.1× |
| Pt Electrical Stimulation (97032) |
$93.50 |
$110 |
6.4× |
| Pt eval high complex 45 min (97163) |
$212.50 |
$250 |
2.2× |
| Pt eval low complex 20 min (97161) |
$212.50 |
$250 |
2.2× |
| Pt Gait Training Therapy (97116) |
$68 |
$80 |
2.3× |
| Pt group caregiver training (97552) |
$23.80 |
$28 |
1.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$114.75 |
$135 |
3.5× |
| Pt Physical Performance Test (97750) |
$85 |
$100 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$212.50 |
$250 |
2.2× |
| Pt re-evaluation (97164) |
$153 |
$180 |
2.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$85 |
$100 |
2.6× |
| Pt Ultrasound Therapy (97035) |
$97.75 |
$115 |
6.8× |
| Pt Whirlpool Therapy (97022) |
$68 |
$80 |
4.3× |
| Pulm function test by gas (94727) |
$398.65 |
$469 |
1.8× |
| Pulmonary stress testing (94618) |
$148.75 |
$175 |
1.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$72.25 |
$85 |
1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$255 |
$300 |
1.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$85 |
$100 |
0.6× |
| Sensory Integration Ea 15 Min (97533) |
$76.50 |
$90 |
1.3× |
| Sleep study unattended (95806) |
$488.75 |
$575 |
2.3× |
| Speech sound lang comprehen (92523) |
$403.75 |
$475 |
1.8× |
| Spirometry (94010) |
$212.50 |
$250 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$318.75 |
$375 |
3.1× |
| Stress echo (93350) |
$1,997.50 |
$2,350 |
3.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$63.75 |
$75 |
2.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$68 |
$80 |
3.2× |
| Ther/prop/diag inj/inf proc (96379) |
$127.50 |
$150 |
2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$127.50 |
$150 |
1.8× |
| Therapeutic Activities (97530) |
$85 |
$100 |
2.4× |
| Therapeutic phlebotomy (99195) |
$235.45 |
$277 |
1.8× |
| Transcranial Doppler Limited (93888) |
$487.90 |
$574 |
4.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,125 |
$2,500 |
3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$276.25 |
$325 |
3.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$212.50 |
$250 |
2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$127.50 |
$150 |
2.7× |
| Unlisted pulmonary service/procedure (94799) |
$38.25 |
$45 |
0.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$850 |
$1,000 |
3.6× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,275 |
$1,500 |
2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,275 |
$1,500 |
2.1× |