| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
$52 |
$104 |
0.6× |
| Ablate Heart Dysrhythm Focus (93650) |
$5,348.50 |
$10,697 |
0.7× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$90.50 |
$181 |
1.6× |
| Actinotherapy Ultraviolet Light (96900) |
$127.50 |
$255 |
3.7× |
| Advncd Care Plan 30 Min (99497) |
$44.50 |
$89 |
0.5× |
| Airway Inhalation Treatment (94640) |
$125.50 |
$251 |
0.6× |
| Airway resistance by oscillometry (94728) |
$297 |
$594 |
2.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$144 |
$288 |
1.2× |
| Analyze neurostim complex (95972) |
$138.50 |
$277 |
1.6× |
| Analyze neurostim no prog (95970) |
$262.50 |
$525 |
2.1× |
| Analyze Neurostim Simple (95971) |
$138.50 |
$277 |
1.6× |
| Analyze Pacemaker System (93724) |
$735.50 |
$1,471 |
2.6× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$133.50 |
$267 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$53.50 |
$107 |
3.7× |
| Application on-body injector (96377) |
$21 |
$42 |
0.5× |
| Arrhythmia Induction (93618) |
$1,073 |
$2,146 |
0.9× |
| Assessment of aphasia per hr (96105) |
$172 |
$344 |
1.8× |
| Behavral qualit analys voice (92524) |
$199.50 |
$399 |
1.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$69.50 |
$139 |
0.8× |
| Bfb training ea addl 15 min (90913) |
$34.50 |
$69 |
1.1× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Blink reflex test (95933) |
$166 |
$332 |
3.0× |
| Breath hydrogen/methane test (91065) |
$423 |
$846 |
2.1× |
| Brief Emotional/Behav Assmt (96127) |
$16 |
$32 |
0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$317.50 |
$635 |
0.9× |
Bundle of his recording (93600)
unusually low: confirm this is the full procedure |
$3,099 |
$6,198 |
0.4× |
| C motor evoked uppr limbs (95928) |
$1,376.50 |
$2,753 |
1.7× |
| C motor evoked upr&lwr limbs (95939) |
$1,376.50 |
$2,753 |
1.7× |
| Canalith repositioning proc (95992) |
$29 |
$58 |
0.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$419.50 |
$839 |
2.1× |
| Cardiopulmonary exercise testing (94621) |
$827.50 |
$1,655 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$309.50 |
$619 |
1.5× |
| Cardioversion (92960) |
$748.50 |
$1,497 |
1.2× |
| Cardioversion elective internal (92961) |
$545.50 |
$1,091 |
0.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$20.50 |
$41 |
0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$9,224.50 |
$18,449 |
3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$7,211 |
$14,422 |
2.4× |
| Cbt 1st hour (94644) |
$97 |
$194 |
0.8× |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
$228 |
$456 |
1.1× |
| Cervical Vemp Testing W/I&R (92517) |
$120 |
$240 |
1.0× |
| Chemo Admin Peritoneal Cavity (96446) |
$99.50 |
$199 |
0.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$77.50 |
$155 |
1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$77.50 |
$155 |
1.2× |
| Chemo Ia Push (96420) |
$68 |
$136 |
0.2× |
| Chemo intralesional up to 7 (96405) |
$77.50 |
$155 |
1.2× |
| Chemo IV infusion addl hr (96415) |
$48.50 |
$97 |
0.7× |
| Chemo IV push addl drug (96411) |
$61 |
$122 |
0.9× |
| Chemother Prolong Infuse W/Pump (96416) |
$148.50 |
$297 |
0.5× |
| Chemotherapy Into Cns (96450) |
$99.50 |
$199 |
0.3× |
| Chemotherapy Unspecified (96549) |
$11.50 |
$23 |
0.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$34.50 |
$69 |
0.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$99.50 |
$199 |
0.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$77.50 |
$155 |
0.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$58.50 |
$117 |
0.2× |
| Chest Wall Manipulation (94668) |
$111.50 |
$223 |
0.9× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$245 |
$490 |
0.7× |
| Cmptr ophth dx img ant segmt (92132) |
$47 |
$94 |
0.9× |
| Colon Motility 6 Hr Study (91117) |
$304.50 |
$609 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$738.50 |
$1,477 |
3.3× |
| Color/duplex Doppler, limited (93976) |
$424.50 |
$849 |
4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$45 |
$90 |
1.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$47 |
$94 |
0.9× |
| Computerized Ophthalmic Imaging Retina (92134) |
$47 |
$94 |
0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$276.50 |
$553 |
2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$138 |
$276 |
2.5× |
| Continuous Pulse Ox (94762) |
$123.50 |
$247 |
1.0× |
| Corneal Topography (92025) |
$102.50 |
$205 |
1.9× |
| Coronary Art/Grft Angio S&I (93455) |
$7,252.50 |
$14,505 |
2.4× |
| Coronary Artery Angio S&I (93454) |
$5,753.50 |
$11,507 |
1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$704.50 |
$1,409 |
3.5× |
| Cpt initial (94667) |
$125.50 |
$251 |
1.0× |
| Critical care first hour (99291) |
$2,204 |
$4,408 |
2.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$1,376.50 |
$2,753 |
4.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$193.50 |
$387 |
1.0× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
$338.50 |
$677 |
1.8× |
| Dialysis One Evaluation (90945) |
$335 |
$670 |
0.9× |
| Duodenal motility study (91022) |
$1,261 |
$2,522 |
3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$803 |
$1,606 |
3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$398 |
$796 |
4.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$505 |
$1,010 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$418 |
$836 |
4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$510 |
$1,020 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$423.50 |
$847 |
4.4× |
| Duplex Scan Hemodialysis Access (93990) |
$203.50 |
$407 |
2.1× |
| Duplex up extrem art bilat (93930) |
$510 |
$1,020 |
2.3× |
| Duplex up extrem art unilat/ltd (93931) |
$418 |
$836 |
4.3× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
$199 |
$398 |
1.0× |
| Ear and throat examination (92502) |
$339.50 |
$679 |
0.7× |
| ECG/monitoring and analysis (93271) |
$81.50 |
$163 |
0.9× |
| Echo Congenital Complete (93303) |
$1,067 |
$2,134 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$529 |
$1,058 |
2.4× |
| Echo transesophag montr cardiac pump functj (93318) |
$993.50 |
$1,987 |
2.0× |
| Echo transesophageal (93312) |
$1,275.50 |
$2,551 |
2.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,186 |
$2,372 |
2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,123.50 |
$2,247 |
2.2× |
| Eeg 41-60 Minutes (95812) |
$916.50 |
$1,833 |
4.6× |
| EEG awake and asleep (95819) |
$630 |
$1,260 |
3.1× |
| EEG awake drowsy (95816) |
$630 |
$1,260 |
3.1× |
| EEG cerebral death evaluation (95824) |
$1,391.50 |
$2,783 |
4.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$364 |
$728 |
1.8× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,391.50 |
$2,783 |
6.9× |
| Eeg Sleep Only (95822) |
$364 |
$728 |
1.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$318 |
$636 |
1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$318 |
$636 |
1.6× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$910 |
$1,820 |
2.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$910 |
$1,820 |
2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$318 |
$636 |
1.6× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$910 |
$1,820 |
2.6× |
| EKG signal averaged (93278) |
$121.50 |
$243 |
2.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$38.50 |
$77 |
0.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$116 |
$232 |
1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$37 |
$74 |
1.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$50.50 |
$101 |
3.4× |
| Electro-Oculography (92270) |
$62.50 |
$125 |
0.5× |
| Electrocardiogram Tracing (93005) |
$59.50 |
$119 |
1.1× |
| Electroconvulsive Therapy (90870) |
$593.50 |
$1,187 |
0.7× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$593 |
$1,186 |
3.0× |
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure |
$3,533.50 |
$7,067 |
0.5× |
| Electrophysiology Evaluation (93642) |
$2,208.50 |
$4,417 |
2.0× |
| Emergency Dept Visit Level 2 (99282) |
$440.50 |
$881 |
3.1× |
| Emergency Dept Visit Level 3 (99283) |
$630 |
$1,260 |
2.5× |
| Emergency Dept Visit Level 4 (99284) |
$975.50 |
$1,951 |
2.5× |
| Emg 3 Extremities (95863) |
$475.50 |
$951 |
4.0× |
| Emg 4 Extremities (95864) |
$541 |
$1,082 |
4.5× |
| Endomyocardial Biopsy (93505) |
$2,300.50 |
$4,601 |
0.8× |
| Ep & ablate supravent arrhyt (93653) |
$15,265 |
$30,530 |
0.6× |
| Ep & ablate ventric tachy (93654) |
$15,265 |
$30,530 |
0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$6,442 |
$12,884 |
0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$4,855.50 |
$9,711 |
0.7× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$2,253.50 |
$4,507 |
2.0× |
| Er level 1 (99281) |
$252 |
$504 |
3.2× |
| Er level v (99285) |
$1,291.50 |
$2,583 |
2.3× |
| Esoph Atrial Electrogram (93615) |
$1,877 |
$3,754 |
1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$634.50 |
$1,269 |
1.8× |
| Evaluate pt use of inhaler (94664) |
$125.50 |
$251 |
0.6× |
| Evaluate Speech Production (92522) |
$199.50 |
$399 |
1.8× |
| Evaluate Swallowing Function (92610) |
$199.50 |
$399 |
2.4× |
| Evaluation of speech fluency (92521) |
$199.50 |
$399 |
1.5× |
| Exercise test for bronchospasm (94617) |
$138.50 |
$277 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$35 |
$70 |
1.0× |
| External ECG rec>7d<15d recording (93246) |
$58.50 |
$117 |
1.7× |
| External Ecg Scanning Analysis Report (93226) |
$129 |
$258 |
2.4× |
| Extracranial Bilat Study (93880) |
$712 |
$1,424 |
3.2× |
| Extracranial Uni/Ltd Study (93882) |
$491.50 |
$983 |
5.1× |
| Eye Allergy Tests (95060) |
$97 |
$194 |
0.8× |
| Eye exam w anesth; complete (92018) |
$973 |
$1,946 |
0.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$788.50 |
$1,577 |
1.6× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$340 |
$680 |
2.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$111 |
$222 |
0.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$119 |
$238 |
0.5× |
| Fluorescein angiography (92235) |
$124 |
$248 |
0.6× |
| Full Field Electroretinography W/I&R (92273) |
$146 |
$292 |
0.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$2,062 |
$4,124 |
2.6× |
| Fundus photography (92250) |
$84 |
$168 |
0.7× |
| Gastric motility studies (91020) |
$508.50 |
$1,017 |
1.5× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,396.50 |
$2,793 |
4.0× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$325 |
$650 |
1.6× |
| Gi tract capsule endoscopy (91110) |
$608 |
$1,216 |
0.7× |
| Gi wireless capsule measure (91112) |
$374.50 |
$749 |
0.4× |
| Gonioscopy (92020) |
$37.50 |
$75 |
0.3× |
| Group Therapeutic Procedures (97150) |
$46 |
$92 |
2.5× |
| Health Behavior Assessment/Re-Assessment (96156) |
$44 |
$88 |
0.5× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$16 |
$32 |
0.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$16 |
$32 |
0.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$44 |
$88 |
0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$9,504.50 |
$19,009 |
3.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$497 |
$994 |
0.8× |
| High altitude simulation test (94452) |
$120 |
$240 |
1.0× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$120 |
$240 |
1.0× |
| Holter monitor recording (93225) |
$125 |
$250 |
1.0× |
| Icd Device Interrogate (93289) |
$66.50 |
$133 |
1.9× |
| Icd device progr eval dual (93283) |
$68 |
$136 |
2.0× |
| Icd Device Progr Eval Mult (93284) |
$68 |
$136 |
2.0× |
| Icm Device Eval (93290) |
$38.50 |
$77 |
1.1× |
| Ilr Device Eval Progr (93285) |
$39.50 |
$79 |
1.1× |
| Ilr Device Interrogate (93291) |
$38.50 |
$77 |
1.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$18 |
$36 |
0.3× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$37 |
$74 |
0.7× |
Immunization administration (90471)
range across 3 matching MRF lines |
$12–$18 |
$24–$36 |
varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$162 |
$324 |
0.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$418.50 |
$837 |
1.2× |
| Insert/Place Heart Catheter (93503) |
$1,369 |
$2,738 |
0.9× |
| Interrogate Subq Defib (93261) |
$48.50 |
$97 |
1.4× |
| Interrogation vad in person (93750) |
$185.50 |
$371 |
2.1× |
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure |
$3,099 |
$6,198 |
0.4× |
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure |
$3,099 |
$6,198 |
0.4× |
| Intracranial Complete Study (93886) |
$703 |
$1,406 |
3.2× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$55.50 |
$111 |
2.1× |
| Intracutaneous tests w/allergenic extracts (95024) |
$47 |
$94 |
0.9× |
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure |
$3,099 |
$6,198 |
0.4× |
| Io anal gast n-stim subsq (95981) |
$125.50 |
$251 |
2.3× |
| Io ga n-stim subsq w/reprog (95982) |
$189 |
$378 |
5.4× |
| Iontophoresis 15 min (97033) |
$70 |
$140 |
3.7× |
| Irrig Drug Delivery Device (96523) |
$22 |
$44 |
0.4× |
| Ischemic limb exercise test (95875) |
$597 |
$1,194 |
5.0× |
| IV infusion hydration each additional hour (96361) |
$29.50 |
$59 |
0.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$59.50 |
$119 |
0.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$29 |
$58 |
0.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$29.50 |
$59 |
0.7× |
| IV push initial (96374) |
$54.50 |
$109 |
0.3× |
| L Hrt Art/Grft Angio (93459) |
$8,085.50 |
$16,171 |
2.7× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$4,607.50 |
$9,215 |
1.5× |
| Laryngeal Function Studies (92520) |
$195.50 |
$391 |
1.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$146 |
$292 |
1.2× |
| Low frequency non-thermal us (97610) |
$339 |
$678 |
1.8× |
| Lung Function Test (Mbc/Mvv) (94200) |
$158 |
$316 |
2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$596.50 |
$1,193 |
3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$13.50 |
$27 |
0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$28.50 |
$57 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$16 |
$32 |
0.9× |
| Methacholine challenge (94070) |
$323 |
$646 |
0.9× |
| Motility study esophagus (91010) |
$508.50 |
$1,017 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$367 |
$734 |
4.0× |
| Multifocal Electroretinography W/I&R (92274) |
$91.50 |
$183 |
0.8× |
| Multiple Sleep Latency Test (95805) |
$1,151 |
$2,302 |
1.4× |
| Muscle Test 2 Limbs (95861) |
$475 |
$950 |
3.8× |
| Muscle Test Nonparaspinal (95870) |
$292 |
$584 |
2.4× |
| Muscle Test One Limb (95860) |
$331.50 |
$663 |
2.7× |
Nasal function studies (92512)
range across 2 matching MRF lines |
$150.50–$185.50 |
$301–$371 |
varies |
| Nasopharyngoscopy (92511) |
$205 |
$410 |
1.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$414 |
$828 |
2.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$292 |
$584 |
1.5× |
| Needle electromyography larynx (95865) |
$340 |
$680 |
2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$292 |
$584 |
1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$463.50 |
$927 |
2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$196 |
$392 |
0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$309.50 |
$619 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$116 |
$232 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$309.50 |
$619 |
0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$118 |
$236 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$373.50 |
$747 |
1.1× |
| Nerve conduction studies 13 or more studies (95913) |
$438 |
$876 |
1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$151 |
$302 |
0.8× |
| Nerve conduction studies 5-6 studies (95909) |
$227.50 |
$455 |
1.1× |
| Nerve conduction studies 7-8 studies (95910) |
$285.50 |
$571 |
0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$330.50 |
$661 |
1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$275.50 |
$551 |
2.3× |
| Neuromuscular Reeducation (97112) |
$51.50 |
$103 |
1.6× |
| Newborn resuscitation (99465) |
$275 |
$550 |
0.4× |
| Nitric oxide expired gas determination (95012) |
$38.50 |
$77 |
1.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$124.50 |
$249 |
0.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$286 |
$572 |
0.8× |
| Ocular Vemp Testing W/I&R (92518) |
$120 |
$240 |
1.0× |
| Oculoelectromyography (92265) |
$40 |
$80 |
0.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$310 |
$620 |
2.5× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$71 |
$142 |
0.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$53.50 |
$107 |
0.4× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$53.50 |
$107 |
0.4× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$53.50 |
$107 |
0.4× |
| Oral Function Therapy (92526) |
$153.50 |
$307 |
1.8× |
| Oral Speech Device Eval (92597) |
$204 |
$408 |
2.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$41 |
$82 |
0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$41 |
$82 |
0.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$64.50 |
$129 |
3.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$55 |
$110 |
2.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$64.50 |
$129 |
3.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$64.50 |
$129 |
3.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$64.50 |
$129 |
3.2× |
| Ot eval high complexity (97167) |
$142.50 |
$285 |
1.4× |
| Ot Eval Low Complex (97165) |
$61 |
$122 |
0.6× |
| Ot Eval Moderate Complexity (97166) |
$114 |
$228 |
1.1× |
| Ot manual therapy 15 min (97140) |
$59.50 |
$119 |
2.1× |
| Ot paraffin bath (97018) |
$40 |
$80 |
6.7× |
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines |
$28.50–$31 |
$57–$62 |
varies |
| Ot Re-Eval Est Plan Care (97168) |
$48.50 |
$97 |
0.7× |
| Ot rom hand (95852) |
$29.50 |
$59 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$83 |
$166 |
0.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$61.50 |
$123 |
0.5× |
| Oxygen Uptake Rest Indirect (94690) |
$357 |
$714 |
6.5× |
| Patch/Application Test Specify Number Tests (95044) |
$4.50 |
$9 |
0.0× |
| Pdt dstr prmlg les phys/qhp (96573) |
$338.50 |
$677 |
1.8× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$117 |
$234 |
0.6× |
| Pediatric apnea monitor analyses computer (94776) |
$144.50 |
$289 |
1.2× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
$107.50 |
$215 |
0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$234.50 |
$469 |
1.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$488 |
$976 |
0.6× |
| Peripheral arterial disease rehab per session (93668) |
$34.50 |
$69 |
0.6× |
| Perq transcath closure pda (93582) |
$16,265 |
$32,530 |
1.0× |
| Perq Transcath Cls Aortic (93591) |
$18,451 |
$36,902 |
1.1× |
| Perq Transcath Cls Mitral (93590) |
$18,451 |
$36,902 |
1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$5,510 |
$11,020 |
1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$10,633.50 |
$21,267 |
1.0× |
| Phlebotomy therapeutic (99195) |
$159 |
$318 |
1.3× |
| Photo patch test(s) (95052) |
$78 |
$156 |
1.4× |
| Photo Tests (95056) |
$78 |
$156 |
0.6× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
$127.50 |
$255 |
2.3× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$127.50 |
$255 |
2.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$53.50 |
$107 |
1.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$53.50 |
$107 |
1.0× |
Physical Performance Test (97750)
range across 6 matching MRF lines |
$56–$56.50 |
$112–$113 |
varies |
| Plethysmography (94726) |
$195.50 |
$391 |
0.6× |
| Pm device eval in person (93288) |
$38.50 |
$77 |
1.1× |
| Pm device progr eval dual (93280) |
$28 |
$56 |
0.8× |
| Pm device progr eval multi (93281) |
$28 |
$56 |
0.8× |
| Pm Device Progr Eval Sngl (93279) |
$28 |
$56 |
0.8× |
| Pm/Icd Remote Tech Serv (93296) |
$66.50 |
$133 |
1.9× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$1,426.50–$2,281 |
$2,853–$4,562 |
varies |
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines |
$1,188–$1,901 |
$2,376–$3,802 |
varies |
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines |
$1,426.50–$2,281 |
$2,853–$4,562 |
varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$34 |
$68 |
0.8× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
$30 |
$60 |
0.7× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$43 |
$86 |
1.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$110 |
$220 |
0.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$48.50 |
$97 |
1.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$45 |
$90 |
1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$25 |
$50 |
0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$25 |
$50 |
0.6× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) |
$79 |
$158 |
1.4× |
| Prq Card Angio/Athrect 1 Art (92924) |
$10,506.50 |
$21,013 |
1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$10,633.50 |
$21,267 |
1.0× |
| Prq Card Stent/Ath/Angio (92933) |
$10,633.50 |
$21,267 |
0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$10,633.50 |
$21,267 |
1.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$14,584 |
$29,168 |
0.9× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$6,113.50 |
$12,227 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$102.50 |
$205 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$102.50 |
$205 |
0.6× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$131.50 |
$263 |
0.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$16 |
$32 |
0.6× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$17 |
$34 |
0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$16 |
$32 |
0.1× |
| Psytx Crisis Initial 60 Min (90839) |
$102.50 |
$205 |
0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$34.50 |
$69 |
0.9× |
| Pt Eval High Complex (97163) |
$85.50 |
$171 |
0.9× |
| Pt eval low complex 20 min (97161) |
$52 |
$104 |
0.5× |
| Pt Eval Mod Complex (97162) |
$57.50 |
$115 |
0.6× |
| Pt gait training 15 min (97116) |
$51.50 |
$103 |
1.8× |
| Pt group caregiver training (97552) |
$9 |
$18 |
0.4× |
| Pt mechanical traction (97012) |
$51.50 |
$103 |
3.6× |
| Pt Re-Eval Est Plan Care (97164) |
$47 |
$94 |
0.7× |
| Pulm function test by gas (94727) |
$172.50 |
$345 |
0.9× |
| Pulmonary Stress Testing (94618) |
$138.50 |
$277 |
1.1× |
| R Hrt Art/Grft Angio (93457) |
$10,207.50 |
$20,415 |
3.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$4,607.50 |
$9,215 |
1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$4,607.50 |
$9,215 |
1.5× |
| R hrt coronary artery angio (93456) |
$9,331.50 |
$18,663 |
3.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$5,891 |
$11,782 |
2.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$5,891 |
$11,782 |
2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$6,335 |
$12,670 |
2.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$96.50 |
$193 |
0.3× |
| Refill/Maint Portable Pump (96521) |
$64.50 |
$129 |
0.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$35 |
$70 |
1.0× |
| Rem ther mntr dev sply resp (98976) |
$35 |
$70 |
1.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$149 |
$298 |
4.3× |
| Remote 30 Day Ecg Tech Supp (93229) |
$84 |
$168 |
0.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$114 |
$228 |
0.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$25 |
$50 |
0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$25 |
$50 |
0.5× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$255.50 |
$511 |
1.3× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
$255.50 |
$511 |
1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$37 |
$74 |
0.7× |
| Right Heart Cath (93451) |
$4,028.50 |
$8,057 |
1.3× |
| Right ventricular recording (93603) |
$1,877 |
$3,754 |
1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$133 |
$266 |
0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$29.50 |
$59 |
1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$213.50 |
$427 |
1.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$107 |
$214 |
2.2× |
| Sbsq Psyc Collab Care Mgmt (99493) |
$52 |
$104 |
0.6× |
| Self Care Mngment Training (97535) |
$51.50 |
$103 |
1.6× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$43 |
$86 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$59.50 |
$119 |
1.0× |
| Short-latency somatosens ep std upr limbs (95925) |
$681.50 |
$1,363 |
3.4× |
Sleep study attended (95807)
range across 2 matching MRF lines |
$454.50–$907 |
$909–$1,814 |
varies |
| Sleep study unattended (95806) |
$712.50 |
$1,425 |
3.5× |
| Slp caregiver training 1st 30 min (97550) |
$39.50 |
$79 |
0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$712.50 |
$1,425 |
3.5× |
| Somatosensory Testing (95938) |
$1,361 |
$2,722 |
1.7× |
| Speech sound lang comprehen (92523) |
$199.50 |
$399 |
0.9× |
| Spin/Brain Pump Refil & Main (95991) |
$137.50 |
$275 |
0.5× |
| Spirometry (94010) |
$164.50 |
$329 |
0.8× |
| Ssep lower limbs (95926) |
$681.50 |
$1,363 |
3.4× |
| Standardized Cognitive Performance Testing (96125) |
$153.50 |
$307 |
1.5× |
| Stress Tte Only (93350) |
$572 |
$1,144 |
1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$47 |
$94 |
1.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$54.50 |
$109 |
0.3× |
| Surfactant Admin Thru Tube (94610) |
$65 |
$130 |
0.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$128 |
$256 |
1.3× |
| Temp transcutaneous pacing (92953) |
$359 |
$718 |
0.6× |
| Testing Autonomic Nervous System Function (95923) |
$64 |
$128 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$51.50 |
$103 |
2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$25.50 |
$51 |
1.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$51.50 |
$103 |
1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$51.50 |
$103 |
1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$91 |
$182 |
0.9× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$21 |
$42 |
0.5× |
| Ther/Proph/Diag Inj Ia (96373) |
$54.50 |
$109 |
0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$21 |
$42 |
0.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$100.50 |
$201 |
0.5× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$255.50 |
$511 |
1.3× |
| Therapeutic Activities (97530) |
$59.50 |
$119 |
1.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$438 |
$876 |
1.3× |
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines |
$19–$21.50 |
$38–$43 |
varies |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines |
$16–$18 |
$32–$36 |
varies |
| Transcath Closure of Asd (93580) |
$9,428 |
$18,856 |
0.6× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$197 |
$394 |
2.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$475 |
$950 |
4.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$66.50 |
$133 |
1.9× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$238.50 |
$477 |
2.0× |
| Tte w/doppler, complete (93306) |
$856 |
$1,712 |
1.7× |
| Tte W/O Doppler Complete (93307) |
$809.50 |
$1,619 |
3.6× |
| Tx atrial fib pulm vein isol (93656) |
$15,265 |
$30,530 |
0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$153.50 |
$307 |
2.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$82 |
$164 |
3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$47 |
$94 |
1.1× |
Unlisted cardiovascular service/procedure (93799)
range across 9 matching MRF lines |
$848.50–$9,696.50 |
$1,697–$19,393 |
varies |
| Unlisted ophthalmological service/procedure (92499) |
$83 |
$166 |
3.1× |
Unlisted Psychiatric Service/Procedure (90899)
range across 3 matching MRF lines |
$112–$196 |
$224–$392 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$383.50 |
$767 |
3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$526 |
$1,052 |
2.6× |
| Valvuloplasty aortic valve (92986) |
$3,602 |
$7,204 |
0.7× |
| Valvuloplasty mitral valve (92987) |
$6,113.50 |
$12,227 |
0.6× |
| Valvuloplasty pulmonary valve (92990) |
$6,113.50 |
$12,227 |
0.6× |
| Vasopneumatic device (97016) |
$31.50 |
$63 |
2.6× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,122 |
$2,244 |
3.2× |
| Veeg 2-12 hr intmt mntr (95712) |
$667.50 |
$1,335 |
1.9× |
| Veeg 2-12 hr unmonitored (95711) |
$667.50 |
$1,335 |
3.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,077.50 |
$4,155 |
6.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,077.50 |
$4,155 |
6.0× |
| Veeg ea 12-26hr cont mntr (95716) |
$2,911 |
$5,822 |
3.6× |
| Vent Mgmt Inpat Init Day (94002) |
$888 |
$1,776 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$888 |
$1,776 |
1.5× |
| Visual Evoked Potential Test (95930) |
$554.50 |
$1,109 |
2.8× |
| Visual Field Exam Extended (92083) |
$92.50 |
$185 |
0.7× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$56 |
$112 |
1.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$31 |
$62 |
0.6× |
| Vital capacity, total (94150) |
$120 |
$240 |
1.0× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,212.50 |
$2,425 |
1.5× |
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines |
$66.50–$74 |
$133–$148 |
varies |
| Whirlpool Therapy (97022) |
$53.50 |
$107 |
3.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$76.50 |
$153 |
2.2× |