| Airway inhalation treatment (94640) |
$230 |
$460 |
1.1× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Breath Hydrogen/Methane Test (91065) |
$1,657.50 |
$3,315 |
7.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$358.75 |
$717.50 |
1.0× |
| Canalith Repositioning (95992) |
$33.50 |
$67 |
0.8× |
| Capsule endoscopy (91110) |
$256.50 |
$513 |
0.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$509.50 |
$1,019 |
2.4× |
| Cardiopulmonary exercise testing (94621) |
$535.50 |
$1,071 |
1.5× |
| Cardiopulmonary resuscitation (92950) |
$440.50 |
$881 |
2.1× |
| Cardioversion (92960) |
$627.50 |
$1,255 |
1.0× |
| Caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$22 |
$44 |
0.8× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,728 |
$7,456 |
1.2× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,728 |
$7,456 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,728 |
$7,456 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,728 |
$7,456 |
1.2× |
| Cbt 1st hour (94644) |
$320 |
$640 |
2.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$163.50 |
$327 |
2.3× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$356 |
$712 |
1.0× |
| Colon Motility 6 Hr Study (91117) |
$411.50 |
$823 |
2.0× |
| Color/duplex Doppler, complete (93975) |
$1,181 |
$2,362 |
5.1× |
| Color/duplex Doppler, limited (93976) |
$352.50 |
$705 |
3.5× |
| Coronary artery angio s&i (93454) |
$3,728 |
$7,456 |
1.2× |
| Cpap initiation and management (94660) |
$188 |
$376 |
0.9× |
| Cpt initial (94667) |
$157.50 |
$315 |
1.2× |
| Critical care (99291) |
$2,204 |
$4,408 |
2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$241 |
$482 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$230 |
$460 |
1.1× |
| Duodenal Motility Study (91022) |
$2,309.50 |
$4,619 |
6.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$237 |
$474 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$636 |
$1,272 |
6.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$391 |
$782 |
1.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$216 |
$432 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$391 |
$782 |
1.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$196 |
$392 |
1.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$408 |
$816 |
4.0× |
| Duplex hemodialysis access (93990) |
$203.50 |
$407 |
2.0× |
| Duplex scan extracranial art compl bi study (93880) |
$615 |
$1,230 |
2.7× |
| Echo Heart Xthoracic,Limited (93308) |
$535.50 |
$1,071 |
2.3× |
| Echo transesophageal (93312) |
$1,408.50 |
$2,817 |
2.7× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,738.50 |
$3,477 |
8.3× |
| EKG (93005) |
$144.50 |
$289 |
2.5× |
| Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) |
$1,086 |
$2,172 |
5.2× |
| Er level 1 (99281) |
$252 |
$504 |
3.1× |
| Er level ii (99282) |
$440.50 |
$881 |
3.0× |
| Er level iii (99283) |
$630 |
$1,260 |
2.4× |
| Er level IV (99284) |
$975.50 |
$1,951 |
2.4× |
| Er level v (99285) |
$1,291.50 |
$2,583 |
2.2× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$1,162 |
$2,324 |
3.2× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$258 |
$516 |
3.6× |
| Evaluation of speech fluency (92521) |
$252.50 |
$505 |
1.9× |
| Evaluation of swallowing function (92610) |
$252.50 |
$505 |
3.0× |
| Exercise tst brncspsm (94617) |
$465.50 |
$931 |
3.6× |
| External Ecg Scanning Analysis Report (93226) |
$303.50 |
$607 |
5.3× |
| Gastric motility studies (91020) |
$1,070.50 |
$2,141 |
3.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$888.50 |
$1,777 |
2.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$595 |
$1,190 |
2.8× |
| Gi wireless capsule measure (91112) |
$733 |
$1,466 |
0.8× |
| Group Therapeutic Procedures (97150) |
$104.50 |
$209 |
5.8× |
| Hemodialysis (90935) |
$497 |
$994 |
0.7× |
| Holter Monitor Recording (93225) |
$303.50 |
$607 |
2.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$18.50 |
$37 |
0.5× |
| Immunization Admin (90471) |
$148 |
$296 |
2.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$63 |
$126 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$104.50 |
$209 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$209 |
$418 |
1.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$96.50 |
$193 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$209 |
$418 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$101 |
$202 |
2.2× |
| IV push initial (96374) |
$209 |
$418 |
1.0× |
| Liver elastography w/o imag w/i&r (91200) |
$368.50 |
$737 |
2.9× |
| Manual therapy 15 min (97140) |
$75 |
$150 |
2.7× |
| Massage 15 min (97124) |
$146 |
$292 |
4.9× |
| Maximum voluntary ventilation (94200) |
$141.50 |
$283 |
2.5× |
| Mechanical traction (97012) |
$175.50 |
$351 |
12.2× |
| Motility study esophagus (91010) |
$1,070.50 |
$2,141 |
3.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$128 |
$256 |
1.4× |
| Multiple sleep latency test (95805) |
$1,138 |
$2,276 |
1.4× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$184.50 |
$369 |
1.0× |
| 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 13/> studies (95913) |
$456 |
$912 |
1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$253 |
$506 |
1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$456 |
$912 |
1.3× |
| Nerve conduction studies; 1-2 studies (95907) |
$149.50 |
$299 |
0.7× |
| Nerve conduction studies; 11-12 studies (95912) |
$456 |
$912 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$253 |
$506 |
1.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$253 |
$506 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$189 |
$378 |
1.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$352 |
$704 |
1.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$164.50 |
$329 |
1.3× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$170.50 |
$341 |
3.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$135.50 |
$271 |
9.7× |
| Ot eval high complex 60 min (97167) |
$174 |
$348 |
1.7× |
| Ot eval low complex 30 min (97165) |
$74 |
$148 |
0.7× |
| Ot eval mod complex 45 min (97166) |
$334 |
$668 |
3.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$50 |
$100 |
1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$174 |
$348 |
4.3× |
| Ot re-eval est plan care (97168) |
$138 |
$276 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$140 |
$280 |
1.1× |
| Paraffin bath (97018) |
$135.50 |
$271 |
22.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$296 |
$592 |
1.4× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$100.50 |
$201 |
1.8× |
| Plethysmography (94726) |
$188 |
$376 |
0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$909 |
$1,818 |
1.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,305.50 |
$4,611 |
2.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$137.50 |
$275 |
3.7× |
| Pt Electric Current Therapy (97033) |
$218.50 |
$437 |
11.5× |
| Pt Electrical Stimulation (97032) |
$113.50 |
$227 |
7.7× |
| Pt eval high complex 45 min (97163) |
$377 |
$754 |
3.9× |
| Pt eval low complex 20 min (97161) |
$311.50 |
$623 |
3.2× |
| Pt Gait Training Therapy (97116) |
$152 |
$304 |
5.2× |
| Pt group caregiver training (97552) |
$10 |
$20 |
0.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$150 |
$300 |
4.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$342.50 |
$685 |
3.5× |
| Pt re-evaluation (97164) |
$120.50 |
$241 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$144.50 |
$289 |
4.5× |
| Pt Ultrasound Therapy (97035) |
$143 |
$286 |
10.0× |
| Pt Whirlpool Therapy (97022) |
$234 |
$468 |
14.9× |
| Pulm function test by gas (94727) |
$187.50 |
$375 |
0.9× |
| Pulmonary stress testing (94618) |
$180.50 |
$361 |
1.4× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$3,728 |
$7,456 |
1.2× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$3,728 |
$7,456 |
1.2× |
| R hrt art/grft angio (93457) |
$3,728 |
$7,456 |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$3,728 |
$7,456 |
1.2× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$35 |
$70 |
1.0× |
| Rem ther mntr dev supply w/rec respir sys ea 30d (98976) |
$35 |
$70 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$182 |
$364 |
5.0× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$25 |
$50 |
0.5× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$25 |
$50 |
0.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$114 |
$228 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$125 |
$250 |
0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$77 |
$154 |
0.6× |
| Sensory Integration Ea 15 Min (97533) |
$102.50 |
$205 |
1.7× |
| Smoking cessation > 10 min (99407) |
$80.50 |
$161 |
2.2× |
| Speech sound lang comprehen (92523) |
$252.50 |
$505 |
1.1× |
| Spirometry (94010) |
$180.50 |
$361 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$504 |
$1,008 |
4.9× |
| Surfactant Admin Thru Tube (94610) |
$146 |
$292 |
0.7× |
| Temp transcutaneous pacing (92953) |
$275.50 |
$551 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$137.50 |
$275 |
6.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$69 |
$138 |
3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$97.50 |
$195 |
1.4× |
| Therapeutic Activities (97530) |
$143 |
$286 |
4.1× |
| Therapeutic phlebotomy (99195) |
$88 |
$176 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$36 |
$72 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,880.50 |
$3,761 |
3.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$984 |
$1,968 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$194.50 |
$389 |
2.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$194.50 |
$389 |
2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$61 |
$122 |
1.3× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,520.50 |
$3,041 |
2.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$406.50 |
$813 |
1.8× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$389.50 |
$779 |
3.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$166 |
$332 |
0.8× |
| Vasopneumatic device (97016) |
$130 |
$260 |
10.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$492 |
$984 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$492 |
$984 |
0.8× |
| Visual Evoked Potential Test (95930) |
$215 |
$430 |
1.0× |
| Vital capacity total (94150) |
$180.50 |
$361 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$191.50 |
$383 |
6.2× |