| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$137.20 |
$196 |
2.2× |
| Aerosol inhalation pentamidine (94642) |
$313.60 |
$448 |
1.4× |
| Airway inhalation treatment (94640) |
$70.70 |
$101 |
0.3× |
| Allergy injection single (95115) |
$35 |
$50 |
0.7× |
| Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95018) |
$70 |
$100 |
1.8× |
| Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95017) |
$59.50 |
$85 |
2.0× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$261.10 |
$373 |
1.9× |
| Ambulatory bp recording (93786) |
$261.10 |
$373 |
1.9× |
| Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed (91125) |
$689.50 |
$985 |
1.8× |
| Appl modality 1+lllt po pain (97037) |
$72.80 |
$104 |
1.8× |
| Appl on-body injector for timed subq injection (96377) |
$103.60 |
$148 |
2.1× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$38.50 |
$55 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$46.20 |
$66 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$31.50 |
$45 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$231.70 |
$331 |
— |
| Bfb training ea addl 15 min (90913) |
$42 |
$60 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$77 |
$110 |
— |
| Bipap initial day (94660) |
$270.20 |
$386 |
1.2× |
| Breath hydrogen/methane test (91065) |
$294 |
$420 |
1.3× |
| Breathing capacity test (94010) |
$122.50 |
$175 |
0.5× |
| Bronchial allergy tests (95070) |
$735 |
$1,050 |
1.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$435.40 |
$622 |
1.1× |
| Cardiopulmonary exercise testing (94621) |
$650.30 |
$929 |
1.7× |
| Cardiovascular stress test (93017) |
$716.80 |
$1,024 |
3.1× |
| Cardioversion elective external (92960) |
$1,195.60 |
$1,708 |
1.7× |
| Chemo anti-neopl sq/im (96401) |
$184.10 |
$263 |
2.4× |
| Chemo hormon antineopl sq/im (96402) |
$163.80 |
$234 |
2.2× |
| Chemo intralesional over 7 (96406) |
$220.50 |
$315 |
1.0× |
| Chemo intralesional up to 7 (96405) |
$163.80 |
$234 |
2.2× |
| Chemo IV infus each addl seq (96417) |
$260.40 |
$372 |
3.4× |
| Chemo IV infusion addl hr (96415) |
$168.70 |
$241 |
2.2× |
| Chemo IV push addl drug (96411) |
$252 |
$360 |
3.3× |
| Chemother prolong infuse w/pump (96416) |
$644.70 |
$921 |
1.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$697.20 |
$996 |
2.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$457.10 |
$653 |
1.3× |
| Chest physiotherapy initial (94667) |
$82.60 |
$118 |
0.6× |
| Chron care mgmt srvc 20 min (99490) |
$151.20 |
$216 |
1.4× |
| Color vision examination, extended, eg, anomaloscope or equivalent (92283) |
$78.40 |
$112 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,092.70 |
$1,561 |
4.3× |
| Color/duplex Doppler, limited (93976) |
$581 |
$830 |
5.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$70 |
$100 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$270.20 |
$386 |
1.4× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$161 |
$230 |
1.1× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$126 |
$180 |
0.9× |
| Cpr (92950) |
$494.90 |
$707 |
2.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$270.20 |
$386 |
2.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$910 |
$1,300 |
3.6× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$936.60 |
$1,338 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$936.60 |
$1,338 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$511.70 |
$731 |
4.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$187.60 |
$268 |
1.7× |
| Echo transesophageal (93312) |
$1,619.80 |
$2,314 |
2.8× |
| EKG 12 lead tracing only (93005) |
$166.60 |
$238 |
2.7× |
| EMG thoracic paraspinal (95869) |
$342.30 |
$489 |
1.5× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$194.60 |
$278 |
1.4× |
| Endoscopy swallow (fees) vid (92612) |
$189 |
$270 |
— |
| Esoph balloon distension tst (91040) |
$980.70 |
$1,401 |
2.5× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,222.20 |
$1,746 |
3.1× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$1,114.40 |
$1,592 |
4.9× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,102.50 |
$1,575 |
2.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$296.80 |
$424 |
— |
| Evaluate pt use of inhaler (94664) |
$70.70 |
$101 |
0.3× |
| Evaluation of speech fluency (92521) |
$231.70 |
$331 |
— |
| Evaluation of speech sound production articulate (92522) |
$219.80 |
$314 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$893.90 |
$1,277 |
6.4× |
| Exercise tst brncspsm wo ECG (94619) |
$100.80 |
$144 |
1.6× |
| External ECG rec>48hr<7d recording (93242) |
$64.40 |
$92 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$105.70 |
$151 |
2.7× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$294.70 |
$421 |
2.1× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$169.40 |
$242 |
0.7× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$592.20 |
$846 |
1.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,292.90 |
$1,847 |
1.4× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,978.90 |
$2,827 |
2.1× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$1,646.40 |
$2,352 |
1.7× |
| Hast w/oxygen titrate (94453) |
$108.50 |
$155 |
0.8× |
| High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) |
$93.80 |
$134 |
0.7× |
| Hot/cold pack (97010) |
$15.40 |
$22 |
— |
| Hypoxia response curve (94450) |
$238 |
$340 |
1.8× |
| Imm admn sarscov2 vaccine single dose (90480) |
$70 |
$100 |
1.6× |
| Immunization administration (90471) |
$34.30 |
$49 |
0.5× |
| Ingestion challenge test initial 120 minutes (95076) |
$478.10 |
$683 |
1.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$160.30 |
$229 |
3.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$280.70 |
$401 |
1.3× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$86.10 |
$123 |
2.2× |
| Interrog device eval heart (93289) |
$86.10 |
$123 |
2.2× |
| Interrog w/o prgrmg ipnss (93153) |
$187.60 |
$268 |
1.9× |
| Interrog&prgrmg ipnss (93151) |
$164.50 |
$235 |
1.6× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$77.70 |
$111 |
2.0× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$46.90 |
$67 |
1.5× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$62.30 |
$89 |
1.6× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$93.80 |
$134 |
2.4× |
| Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number… (95028) |
$59.50 |
$85 |
1.5× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$59.50 |
$85 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$158.20 |
$226 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$108.50 |
$155 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$412.30 |
$589 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$184.10 |
$263 |
2.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$520.80 |
$744 |
2.3× |
| IV tx, each additional hour (96366) |
$136.50 |
$195 |
2.8× |
| Liver elastography (91200) |
$276.50 |
$395 |
2.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$28.70 |
$41 |
0.2× |
| Maximum voluntary ventilation (94200) |
$126 |
$180 |
2.0× |
| Mechanical chest wall oscillation lung function (94669) |
$180.60 |
$258 |
0.8× |
| Mechanical traction therapy (97012) |
$35 |
$50 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$21.70 |
$31 |
— |
| Medical nutrition group (97804) |
$25.20 |
$36 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$18.20 |
$26 |
— |
| Methacholine challenge (94070) |
$478.10 |
$683 |
1.2× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$324.10 |
$463 |
— |
| Multiple sleep latency (95805) |
$944.30 |
$1,349 |
1.0× |
| Muscle test 3 limbs (95863) |
$494.90 |
$707 |
3.6× |
| Muscle test larynx (95865) |
$310.80 |
$444 |
2.2× |
| Nasopharyngoscopy (92511) |
$613.90 |
$877 |
2.9× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$545.30 |
$779 |
4.0× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$315 |
$450 |
2.2× |
| Needle electromyography cranial nrv muscle uni (95867) |
$623 |
$890 |
2.7× |
| Needle electromyography hemidiaphragm (95866) |
$389.90 |
$557 |
2.9× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$358.40 |
$512 |
1.6× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$296.10 |
$423 |
2.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$299.60 |
$428 |
2.1× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$650.30 |
$929 |
2.9× |
| Nerve conduction studies 1-2 studies (95907) |
$338.80 |
$484 |
1.5× |
| Nerve conduction studies 11-12 studies (95912) |
$1,199.80 |
$1,714 |
3.0× |
| Nerve conduction studies 13/> studies (95913) |
$1,227.80 |
$1,754 |
3.1× |
| Nerve conduction studies 3-4 studies (95908) |
$693 |
$990 |
3.0× |
| Nerve conduction studies 5-6 studies (95909) |
$713.30 |
$1,019 |
3.1× |
| Nerve conduction studies 7-8 studies (95910) |
$744.10 |
$1,063 |
1.9× |
| Nerve conduction studies 9-10 studies (95911) |
$1,184.40 |
$1,692 |
3.0× |
| Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) |
$210.70 |
$301 |
0.9× |
| Neuromuscular junction test (95937) |
$253.40 |
$362 |
1.9× |
| Nitric oxide expired gas determination (95012) |
$50.40 |
$72 |
1.3× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$273.70 |
$391 |
2.0× |
| Occupational therapy eval high complex 60 mins (97167) |
$147 |
$210 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$147 |
$210 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$147 |
$210 |
— |
| Oral function therapy (92526) |
$135.10 |
$193 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$108.50 |
$155 |
— |
| Ot manual therapy ea 15 min (97140) |
$61.60 |
$88 |
— |
| Ot neuromuscular re-education (97112) |
$88.90 |
$127 |
— |
| Ot paraffin bath (97018) |
$38.50 |
$55 |
— |
| Ot re-evaluation (97168) |
$100.10 |
$143 |
— |
| OT Therapeutic Activities Charges (97530) |
$61.60 |
$88 |
— |
| Ot wheelchair management (97542) |
$38.50 |
$55 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$44.80 |
$64 |
— |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$97.30 |
$139 |
1.6× |
| Patch or application test(s) (specify number of tests) (95044) |
$25.90 |
$37 |
0.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$25.90 |
$37 |
0.0× |
| Phlebotomy therapeutic (99195) |
$158.20 |
$226 |
1.1× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$141.40 |
$202 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$126 |
$180 |
2.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$135.10 |
$193 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$135.10 |
$193 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$135.10 |
$193 |
— |
| Pm device progr eval multi (93281) |
$93.80 |
$134 |
2.4× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,011.10 |
$2,873 |
2.2× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$1,804.60 |
$2,578 |
2.0× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$1,804.60 |
$2,578 |
2.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$23.10 |
$33 |
0.5× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$44.10 |
$63 |
0.9× |
| Prgrmg dev eval pm/ldls pm (93279) |
$86.10 |
$123 |
2.2× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$53.90 |
$77 |
1.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
$432.60 |
$618 |
8.8× |
| Program eval implantable in persn dual ld pacer (93280) |
$93.80 |
$134 |
2.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$89.60 |
$128 |
2.3× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$66.50 |
$95 |
1.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$81.20 |
$116 |
2.1× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$100.80 |
$144 |
2.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$93.80 |
$134 |
2.4× |
| Pt gait training 15 min (97116) |
$70 |
$100 |
— |
| Pt physical performance test (97750) |
$108.50 |
$155 |
— |
| Pt re-evaluation (97164) |
$93.10 |
$133 |
— |
| Pulm funct tst plethysmograp (94726) |
$432.60 |
$618 |
1.1× |
| Pulmonary stress testing (94618) |
$226.80 |
$324 |
1.6× |
| Rapid desensitization procedure each hour (95180) |
$198.80 |
$284 |
0.4× |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$147.70 |
$211 |
2.4× |
| Rectal sensation, tone, and compliance study (eg, barostat) (91124) |
$549.50 |
$785 |
2.4× |
| Refill/maint pump/resvr syst (96522) |
$77 |
$110 |
0.3× |
| Refilling and maintenance of portable pump (96521) |
$202.30 |
$289 |
0.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$63.70 |
$91 |
1.6× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$224 |
$320 |
1.6× |
| Remote 30 day ECG rev/report (93270) |
$170.10 |
$243 |
4.3× |
| Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) |
$68.60 |
$98 |
1.7× |
| Respiratory flow volume loop (94375) |
$119 |
$170 |
0.5× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$61.60 |
$88 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$70 |
$100 |
— |
| Sleep study unattended (95806) |
$532.70 |
$761 |
2.3× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$532.70 |
$761 |
2.3× |
| Speech sound lang comprehen (92523) |
$277.20 |
$396 |
— |
| Standardized cognitive performance testing (96125) |
$158.20 |
$226 |
— |
| Stress tte only (93350) |
$1,518.30 |
$2,169 |
2.6× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$208.60 |
$298 |
4.2× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$448.70 |
$641 |
2.0× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$256.90 |
$367 |
3.4× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$24.50 |
$35 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$41.30 |
$59 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$12.60 |
$18 |
— |
| Test for hearing various pitches using earphone (92552) |
$53.90 |
$77 |
0.4× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$162.40 |
$232 |
1.2× |
| Testing autonomic nervous system function (95923) |
$282.10 |
$403 |
2.0× |
| Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more… (95921) |
$314.30 |
$449 |
2.3× |
| Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) |
$271.60 |
$388 |
1.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$42 |
$60 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$42 |
$60 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$42 |
$60 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$88.90 |
$127 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$123.90 |
$177 |
1.6× |
| Tilt table evaluation (93660) |
$1,031.80 |
$1,474 |
2.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$28.70 |
$41 |
0.7× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$28.70 |
$41 |
0.7× |
| Trans care mgmt 14 day disch (99495) |
$225.40 |
$322 |
1.6× |
| Trans care mgmt 7 day disch (99496) |
$225.40 |
$322 |
1.6× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$560.70 |
$801 |
2.5× |
| Tte f-up or lmtd (93308) |
$837.20 |
$1,196 |
3.3× |
| Tte w/doppler complete (93306) |
$1,829.80 |
$2,614 |
3.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$119.70 |
$171 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$58.10 |
$83 |
— |
| Unlisted allergy/clinical immunologic service or procedure (95199) |
$40.60 |
$58 |
1.3× |
| Unlisted diagnostic gastroenterology procedure (91299) |
$238 |
$340 |
1.8× |
| Upr/l xtremity art 2 levels (93922) |
$374.50 |
$535 |
2.7× |
| Ventilation ip/obs initial day (94002) |
$1,005.90 |
$1,437 |
1.5× |
| Ventilator subsequent day (94003) |
$944.30 |
$1,349 |
1.4× |
| Vital capacity total (94150) |
$46.90 |
$67 |
0.3× |