| Airway inhalation treatment (94640) |
$228.80 |
$572 |
1.2× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$4 |
$10 |
0.2× |
| Analyze Neurostim Complex (95972) |
$113.20 |
$283 |
1.3× |
| Appl on-body injector for timed subq injection (96377) |
$48.40 |
$121 |
1.1× |
| Assessment of aphasia (96105) |
$73.20 |
$183 |
0.8× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$84.80 |
$212 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$314.80 |
$787 |
0.9× |
| Canalith Repositioning (95992) |
$41.60 |
$104 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$350.20 |
$875.50 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$315.20 |
$788 |
1.6× |
| Cardioversion (92960) |
$614.80 |
$1,537 |
1.0× |
| Cbt 1st hour (94644) |
$136.40 |
$341 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$70.80 |
$177 |
1.1× |
| Chemo IV push addl drug (96411) |
$74.40 |
$186 |
1.1× |
| Chemo Iv Push Sngl Drug (96409) |
$244.40 |
$611 |
0.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$380.40 |
$951 |
1.3× |
| Chemother, IV infusion, 1 hr (96413) |
$373.80 |
$934.50 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$73.20 |
$183 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$72.20 |
$180.50 |
1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$74.40 |
$186 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$188.80 |
$472 |
0.9× |
| Comprehensive Hearing Test (92557) |
$157.20 |
$393 |
1.3× |
| Conditioning Play Audiometry (92582) |
$157.20 |
$393 |
1.3× |
| Cpap initiation and management (94660) |
$230.80 |
$577 |
1.2× |
| Cpt initial (94667) |
$138 |
$345 |
1.1× |
| Critical care (99291) |
$845.20 |
$2,113 |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$278 |
$695 |
1.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$222.80 |
$557 |
1.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$244.80 |
$612 |
1.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$438.20 |
$1,095.50 |
2.0× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$215.20 |
$538 |
2.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$416.80 |
$1,042 |
1.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$215.20 |
$538 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$270.80 |
$677 |
2.9× |
| Duplex scan extracranial art compl bi study (93880) |
$358 |
$895 |
1.7× |
| Ear and throat examination (92502) |
$508 |
$1,270 |
1.0× |
| Echo Heart Xthoracic,Limited (93308) |
$278 |
$695 |
1.3× |
| Echo transesophageal (93312) |
$537.40 |
$1,343.50 |
1.1× |
| EEG awake drowsy (95816) |
$389.20 |
$973 |
2.0× |
| EKG (93005) |
$72 |
$180 |
1.3× |
| EKG rhythm strip (93041) |
$69.60 |
$174 |
1.3× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$131.60 |
$329 |
1.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$53.60 |
$134 |
1.6× |
| Er level 1 (99281) |
$57.40 |
$143.50 |
0.8× |
| Er level ii (99282) |
$170.80 |
$427 |
1.2× |
| Er level iii (99283) |
$298 |
$745 |
1.2× |
| Er level IV (99284) |
$462 |
$1,155 |
1.2× |
| Er level v (99285) |
$576.40 |
$1,441 |
1.1× |
| Evaluation of speech sound production (92522) |
$104 |
$260 |
0.9× |
| Evaluation of swallowing function (92610) |
$106.20 |
$265.50 |
1.3× |
| Evoked Auditory Test,Comprehsv (92588) |
$297.20 |
$743 |
0.9× |
| External ECG rec>48hr<7d recording (93242) |
$150.40 |
$376 |
4.4× |
| External Ecg Scanning Analysis Report (93226) |
$148.80 |
$372 |
2.8× |
| Flow volume loop (94375) |
$297.20 |
$743 |
1.5× |
| Group Therapeutic Procedures (97150) |
$28.80 |
$72 |
1.6× |
| Holter Monitor Recording (93225) |
$148.80 |
$372 |
1.2× |
| Icd Device Interrogate (93289) |
$63.40 |
$158.50 |
1.9× |
| Ilr Device Eval Progr (93285) |
$63.20 |
$158 |
1.9× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$49.60 |
$124 |
1.3× |
| Immunization Admin (90471) |
$77 |
$192.50 |
1.2× |
| Immunotherapy, 2+ Injections (95117) |
$12 |
$30 |
0.3× |
| Ingestion challenge test initial 120 minutes (95076) |
$548 |
$1,370 |
1.6× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$32.20 |
$80.50 |
1.2× |
| Interrogate subq defib (93261) |
$58 |
$145 |
1.7× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$94.40 |
$236 |
1.8× |
| IV infusion hydration each additional hour (96361) |
$57 |
$142.50 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$244.80 |
$612 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$75.40 |
$188.50 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$245.20 |
$613 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$52.20 |
$130.50 |
1.2× |
| IV push initial (96374) |
$237.60 |
$594 |
1.2× |
| Low frequency non-thermal us (97610) |
$244.40 |
$611 |
1.3× |
| Manual therapy 15 min (97140) |
$49.60 |
$124 |
1.8× |
| Mechanical chest wall oscillation (94669) |
$159.20 |
$398 |
0.8× |
| Methacholine challenge (94070) |
$365.20 |
$913 |
1.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$248.80 |
$622 |
2.7× |
| Multiple Family Group Psychotherapy (90849) |
$153.20 |
$383 |
1.0× |
| Multiple sleep latency test (95805) |
$1,284.40 |
$3,211 |
1.7× |
| Nasopharyngoscopy (92511) |
$185.20 |
$463 |
1.0× |
| Neg press wnd tx </=50 sq cm (97607) |
$460.40 |
$1,151 |
1.3× |
| Neg press wound tx >50 cm (97608) |
$460.40 |
$1,151 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$198.40 |
$496 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$460.40 |
$1,151 |
1.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$208.40 |
$521 |
1.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$147.60 |
$369 |
0.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$164.80 |
$412 |
1.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$59.60 |
$149 |
1.3× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$30 |
$75 |
1.5× |
| Ot eval high complex 60 min (97167) |
$96 |
$240 |
1.0× |
| Ot eval low complex 30 min (97165) |
$97.80 |
$244.50 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$111.60 |
$279 |
1.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$18 |
$45 |
0.4× |
| Ot Range Motion Measure,Each Extrem (95851) |
$22 |
$55 |
0.8× |
| Ot re-eval est plan care (97168) |
$37.20 |
$93 |
0.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$205.60 |
$514 |
1.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$1,124 |
$2,810 |
1.4× |
| Plethysmography (94726) |
$314.80 |
$787 |
0.9× |
| Pm device eval in person (93288) |
$57.40 |
$143.50 |
1.7× |
| Pm device progr eval dual (93280) |
$46.20 |
$115.50 |
1.4× |
| Pm device progr eval multi (93281) |
$37.60 |
$94 |
1.1× |
| Pm device progr eval sngl (93279) |
$44.20 |
$110.50 |
1.3× |
| Pm/Icd Remote Tech Serv (93296) |
$68.80 |
$172 |
2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,365.20 |
$5,913 |
3.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,987.20 |
$4,968 |
2.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,249.20 |
$5,623 |
2.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$2,365.20 |
$5,913 |
3.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$51.20 |
$128 |
1.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$40.80 |
$102 |
1.2× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$63.80 |
$159.50 |
1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$10 |
$25 |
0.2× |
| Programming of dual lead implantable defibrillator system (93283) |
$58.60 |
$146.50 |
1.7× |
| Programming of single lead implantable defibrillator system (93282) |
$48.60 |
$121.50 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$153.20 |
$383 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$153.20 |
$383 |
1.0× |
| Psychoanalysis (90845) |
$168.20 |
$420.50 |
1.0× |
| Psytx crisis initial 60 min (90839) |
$168.20 |
$420.50 |
1.0× |
| Pt Electric Current Therapy (97033) |
$33.20 |
$83 |
1.7× |
| Pt Electrical Stimulation (97032) |
$12.80 |
$32 |
0.9× |
| Pt eval high complex 45 min (97163) |
$108 |
$270 |
1.1× |
| Pt eval low complex 20 min (97161) |
$67.40 |
$168.50 |
0.7× |
| Pt Gait Training Therapy (97116) |
$41.20 |
$103 |
1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$39.60 |
$99 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$96 |
$240 |
1.0× |
| Pt re-evaluation (97164) |
$65.60 |
$164 |
1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$49.80 |
$124.50 |
1.5× |
| Pt Ultrasound Therapy (97035) |
$33.60 |
$84 |
2.3× |
| Pulmonary stress testing (94618) |
$140 |
$350 |
1.2× |
| Pure Tone Audiometry Air & Bone (92553) |
$157.20 |
$393 |
1.3× |
| Pure Tone Audiometry, Air (92552) |
$126.80 |
$317 |
1.1× |
| Refill/maint, portable pump (96521) |
$244.40 |
$611 |
1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$47.20 |
$118 |
1.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$55 |
$137.50 |
1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$239.20 |
$598 |
1.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$138 |
$345 |
1.1× |
| Sleep study unattended (95806) |
$246 |
$615 |
1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$418.40 |
$1,046 |
2.1× |
| Smoking cessation > 10 min (99407) |
$31.20 |
$78 |
0.9× |
| Speech Audiometry Threshold (92555) |
$38.40 |
$96 |
0.7× |
| Speech Audiometry, Complete (92556) |
$62.80 |
$157 |
1.2× |
| Speech sound lang comprehen (92523) |
$169.60 |
$424 |
0.7× |
| Spirometry (94010) |
$168 |
$420 |
0.9× |
| Stenger Test, Pure Tone (92565) |
$38.40 |
$96 |
0.7× |
| Test for allergy using allergenic extract injected into skin (95024) |
$66 |
$165 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$46.80 |
$117 |
2.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$41.20 |
$103 |
2.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$89.20 |
$223 |
0.9× |
| Ther/prop/diag inj/inf proc (96379) |
$45.20 |
$113 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$75.40 |
$188.50 |
1.2× |
| Therapeutic Activities (97530) |
$47.80 |
$119.50 |
1.4× |
| Therapeutic phlebotomy (99195) |
$146 |
$365 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$31 |
$77.50 |
0.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$719.80 |
$1,799.50 |
1.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$344.80 |
$862 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$94.40 |
$236 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$94.40 |
$236 |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$55.20 |
$138 |
1.3× |
| Tympanometry (92567) |
$38.40 |
$96 |
1.1× |
| Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) |
$12 |
$30 |
0.5× |
| Unlisted pulmonary service/procedure (94799) |
$168 |
$420 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$423.20 |
$1,058 |
2.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$623.60 |
$1,559 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$623.60 |
$1,559 |
1.1× |
| Visual reinforcement audiometry (vra) (92579) |
$157.20 |
$393 |
0.8× |
| Vital capacity total (94150) |
$157.20 |
$393 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$37.20 |
$93 |
1.2× |