| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$4,967.33 |
— |
| Airway inhalation treatment (94640) |
— |
$1,302 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$487 |
— |
| Canalith Repositioning (95992) |
— |
$112.24 |
— |
| Capsule endoscopy (91110) |
— |
$1,620.89 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,886 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,462 |
— |
| Cardioversion (92960) |
— |
$1,927 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$24,557 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$216 |
— |
| Chemo IV push addl drug (96411) |
— |
$306 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$419 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$730 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$698 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$470 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$263 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$318 |
— |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
— |
$517 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$791.02 |
— |
| Coronary artery angio s&i (93454) |
— |
$16,200 |
— |
| Cpap initiation and management (94660) |
— |
$977.25 |
— |
| Cpt initial (94667) |
— |
$169 |
— |
| Critical care (99291) |
— |
$7,552.50 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$688 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$325.50 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,218.30 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$733.85 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,206 |
— |
| Echo transesophageal (93312) |
— |
$732 |
— |
| EEG awake asleep (95819) |
— |
$1,858.50 |
— |
| EEG awake drowsy (95816) |
— |
$829 |
— |
| EKG (93005) |
— |
$770 |
— |
| EMG cranial nerve bilat (95868) |
— |
$655 |
— |
| Er level 1 (99281) |
— |
$490.49 |
— |
| Er level ii (99282) |
— |
$1,028.48 |
— |
| Er level iii (99283) |
— |
$1,744.68 |
— |
| Er level IV (99284) |
— |
$5,100 |
— |
| Er level v (99285) |
— |
$5,825.82 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$1,482.61 |
— |
| Evaluation of speech sound production (92522) |
— |
$330.89 |
— |
| Evaluation of swallowing function (92610) |
— |
$363 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$99 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$98 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$181.50 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$728.76 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$208 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$118 |
— |
| Hemodialysis (90935) |
— |
$3,388.25 |
— |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
— |
$20 |
— |
| Immunization Admin (90471) |
— |
$164 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$66 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$297 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$2,030 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$794 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$1,020 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$2,442 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$1,824 |
— |
| IV push initial (96374) |
— |
$762 |
— |
| Manual therapy 15 min (97140) |
— |
$163.50 |
— |
| Mechanical traction (97012) |
— |
$93.50 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$290 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$324.50 |
— |
| Mnt Group Ea 30 Min (97804) |
— |
$220 |
— |
| Motility study esophagus (91010) |
— |
$310 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$463.99 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$476.75 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$699.25 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$626 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$221 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$441 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$177 |
— |
| Nerve conduction studies; 11-12 studies (95912) |
— |
$528 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$266 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$353 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$423.15 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$687.50 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$114 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$234 |
— |
| Ot eval low complex 30 min (97165) |
— |
$236 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$269 |
— |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
— |
$64 |
— |
| Ot re-eval est plan care (97168) |
— |
$163 |
— |
| Paraffin bath (97018) |
— |
$97.50 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,276.48 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$17,184 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
— |
$21,113 |
— |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$171 |
— |
| Pt Electric Current Therapy (97033) |
— |
$159 |
— |
| Pt Electrical Stimulation (97032) |
— |
$115 |
— |
| Pt eval high complex 45 min (97163) |
— |
$309 |
— |
| Pt eval low complex 20 min (97161) |
— |
$229 |
— |
| Pt Gait Training Therapy (97116) |
— |
$247.50 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$214 |
— |
| Pt Physical Performance Test (97750) |
— |
$230 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$497 |
— |
| Pt re-evaluation (97164) |
— |
$152 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$90 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$117 |
— |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
— |
$27,217 |
— |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
— |
$626.49 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$230 |
— |
| Sleep study unattended (95806) |
— |
$594 |
— |
| Speech sound lang comprehen (92523) |
— |
$414 |
— |
| Spirometry (94010) |
— |
$430.50 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$331 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$829.70 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
— |
$142.85 |
— |
| Therapeutic Activities (97530) |
— |
$270 |
— |
| Therapeutic phlebotomy (99195) |
— |
$225 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$30 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$354 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$479 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$1,220 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$253 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$261.39 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$1,056 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$308 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$1,042.90 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$2,308.50 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,139 |
— |