| Airway Inhalation Treatment (94640) |
$210 |
$350 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$49 |
$81 |
3.4× |
| Brief Emotional/Behav Assmt (96127) |
$69 |
$115 |
1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$364 |
$606 |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$454 |
$757 |
2.1× |
| Chest Wall Manipulation (94668) |
$195 |
$325 |
1.5× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$48 |
$80 |
0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$315 |
$525 |
1.4× |
| Cpt initial (94667) |
$195 |
$325 |
1.5× |
| Critical care first hour (99291) |
$1,071 |
$1,785 |
1.3× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$12 |
$20 |
0.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$556 |
$927 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$442 |
$736 |
4.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$764 |
$1,273 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$455 |
$758 |
4.3× |
| Duplex up extrem art bilat (93930) |
$726 |
$1,210 |
3.0× |
| Echo Heart Xthoracic,Limited (93308) |
$550 |
$917 |
2.3× |
| Electrocardiogram Tracing (93005) |
$105 |
$175 |
1.8× |
| Emergency Dept Visit Level 2 (99282) |
$217 |
$361 |
1.4× |
| Emergency Dept Visit Level 3 (99283) |
$340 |
$567 |
1.2× |
| Emergency Dept Visit Level 4 (99284) |
$494 |
$824 |
1.2× |
| Er level 1 (99281) |
$124 |
$206 |
1.5× |
| Er level v (99285) |
$680 |
$1,133 |
1.1× |
| Evaluate pt use of inhaler (94664) |
$315 |
$525 |
1.4× |
| Extracranial Bilat Study (93880) |
$784 |
$1,307 |
3.3× |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
$6–$30 |
$10–$50 |
varies |
Immunization administration (90471)
range across 7 matching MRF lines |
$3–$56 |
$5–$93 |
varies |
| IV infusion hydration each additional hour (96361) |
$36 |
$60 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$111 |
$185 |
0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$68 |
$114 |
0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$55 |
$91 |
1.2× |
| IV push initial (96374) |
$114 |
$190 |
0.5× |
| Lung Function Test (Mbc/Mvv) (94200) |
$38 |
$63 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$300 |
$500 |
1.5× |
| Neuromuscular Reeducation (97112) |
$65 |
$108 |
2.0× |
| Ot paraffin bath (97018) |
$44 |
$73 |
7.3× |
| Phlebotomy therapeutic (99195) |
$195 |
$325 |
1.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$18 |
$30 |
0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$36 |
$60 |
0.8× |
| Pt eval low complex 20 min (97161) |
$155 |
$258 |
1.6× |
| Pt gait training 15 min (97116) |
$56 |
$93 |
1.9× |
| Pt Re-Eval Est Plan Care (97164) |
$105 |
$175 |
1.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$89 |
$149 |
2.4× |
| Pulmonary service/procedure (94799) |
$240 |
$400 |
1.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$30 |
$50 |
0.8× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$13 |
$22 |
0.1× |
| Spirometry (94010) |
$240 |
$400 |
1.1× |
| Stress Tte Only (93350) |
$1,546 |
$2,576 |
2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$49 |
$82 |
1.6× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
$9–$35 |
$15–$59 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$195 |
$325 |
0.9× |
| Therapeutic Activities (97530) |
$75 |
$125 |
2.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$43 |
$72 |
1.1× |
| Tte w/doppler, complete (93306) |
$711 |
$1,185 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$36 |
$60 |
0.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$496 |
$827 |
3.7× |
| Vent Mgmt Inpat Init Day (94002) |
$780 |
$1,300 |
1.3× |
| Whirlpool Therapy (97022) |
$73 |
$121 |
4.6× |