| Actigraphy Testing Recording Analysis I&R (95803) |
$137.20 |
$196 |
2.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$70 |
$100 |
1.6× |
| Airway Inhalation Treatment (94640) |
$70.70 |
$101 |
0.3× |
| Airway resistance by oscillometry (94728) |
$162.40 |
$232 |
1.2× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$70 |
$100 |
1.8× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$59.50 |
$85 |
2.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$261.10 |
$373 |
1.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$261.10 |
$373 |
1.9× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$689.50 |
$985 |
1.8× |
| Ans parasymp & symp w/tilt (95924) |
$560.70 |
$801 |
2.5× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$72.80 |
$104 |
1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$31.50 |
$45 |
2.2× |
| Application on-body injector (96377) |
$103.60 |
$148 |
2.1× |
| Behavral qualit analys voice (92524) |
$231.70 |
$331 |
2.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$77 |
$110 |
0.9× |
| Bfb training ea addl 15 min (90913) |
$42 |
$60 |
1.3× |
| Breath hydrogen/methane test (91065) |
$294 |
$420 |
1.3× |
| Breathing response to hypoxia (94450) |
$238 |
$340 |
1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$435.40 |
$622 |
1.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$716.80 |
$1,024 |
3.1× |
| Cardiopulmonary exercise testing (94621) |
$650.30 |
$929 |
1.7× |
| Cardiopulmonary resuscitation (92950) |
$494.90 |
$707 |
2.2× |
| Cardioversion (92960) |
$1,195.60 |
$1,708 |
1.7× |
| Cbt 1st hour (94644) |
$126 |
$180 |
0.9× |
| 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 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× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$260.40 |
$372 |
3.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$697.20 |
$996 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$457.10 |
$653 |
1.3× |
| Chest Wall Manipulation (94668) |
$28.70 |
$41 |
0.2× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$151.20 |
$216 |
1.4× |
| Color Vision Xm Extended Anomaloscope/Equiv (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 Trainj Ea 15 Min (97537) |
$70 |
$100 |
2.2× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$270.20 |
$386 |
1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$161 |
$230 |
1.1× |
| Continuous Pulse Ox (94762) |
$273.70 |
$391 |
2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$270.20 |
$386 |
1.2× |
| Cpt initial (94667) |
$82.60 |
$118 |
0.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$270.20 |
$386 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$910 |
$1,300 |
3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$187.60 |
$268 |
1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$936.60 |
$1,338 |
3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$511.70 |
$731 |
4.6× |
| Echo Heart Xthoracic,Limited (93308) |
$837.20 |
$1,196 |
3.3× |
| Echo transesophageal (93312) |
$1,619.80 |
$2,314 |
2.8× |
| EKG signal averaged (93278) |
$147.70 |
$211 |
2.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$38.50 |
$55 |
2.6× |
| Electrocardiogram Tracing (93005) |
$166.60 |
$238 |
2.7× |
| Emg 3 Extremities (95863) |
$494.90 |
$707 |
3.6× |
| Emg 4 Extremities (95864) |
$545.30 |
$779 |
4.0× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$980.70 |
$1,401 |
2.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,222.20 |
$1,746 |
3.1× |
| Evaluate pt use of inhaler (94664) |
$70.70 |
$101 |
0.3× |
| Evaluate Speech Production (92522) |
$219.80 |
$314 |
2.0× |
| Evaluate Swallowing Function (92610) |
$296.80 |
$424 |
3.5× |
| Evaluation of speech fluency (92521) |
$231.70 |
$331 |
1.7× |
| Exercise test for bronchospasm (94617) |
$893.90 |
$1,277 |
6.4× |
| External ECG rec>48hr<7d recording (93242) |
$64.40 |
$92 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$105.70 |
$151 |
2.7× |
| Extracranial Bilat Study (93880) |
$936.60 |
$1,338 |
3.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$189 |
$270 |
0.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$592.20 |
$846 |
1.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,114.40 |
$1,592 |
4.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,292.90 |
$1,847 |
1.4× |
| Gi tract capsule endoscopy (91110) |
$1,978.90 |
$2,827 |
2.1× |
| Gi wireless capsule measure (91112) |
$1,646.40 |
$2,352 |
1.7× |
| Group Therapeutic Procedures (97150) |
$42 |
$60 |
2.3× |
| High altitude simulation test (94452) |
$93.80 |
$134 |
0.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$108.50 |
$155 |
0.8× |
| Holter monitor recording (93225) |
$294.70 |
$421 |
2.1× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
$59.50 |
$85 |
1.5× |
| Icd Device Interrogate (93289) |
$86.10 |
$123 |
2.2× |
| Icd device progr eval dual (93283) |
$93.80 |
$134 |
2.4× |
| Icd Device Progr Eval Mult (93284) |
$100.80 |
$144 |
2.6× |
| Icm Device Eval (93290) |
$77.70 |
$111 |
2.0× |
| Ilr Device Eval Progr (93285) |
$81.20 |
$116 |
2.1× |
| Ilr Device Interrogate (93291) |
$46.90 |
$67 |
1.5× |
| Immunization administration (90471) |
$34.30 |
$49 |
0.5× |
| Ingestion challenge test initial 120 minutes (95076) |
$478.10 |
$683 |
1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$735 |
$1,050 |
1.9× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$164.50 |
$235 |
1.6× |
| Interrogate Subq Defib (93261) |
$62.30 |
$89 |
1.6× |
| Interrogation without programming ipnss (93153) |
$187.60 |
$268 |
1.9× |
| Intracutaneous tests w/allergenic extracts (95024) |
$59.50 |
$85 |
1.0× |
| Iontophoresis 15 min (97033) |
$46.20 |
$66 |
2.4× |
| Irrig Drug Delivery Device (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 ea hour (96366) |
$136.50 |
$195 |
2.8× |
| IV push initial (96374) |
$280.70 |
$401 |
1.3× |
| Liver Elastography W/O Imag W/I&R (91200) |
$276.50 |
$395 |
2.0× |
| Lung Function Test (Mbc/Mvv) (94200) |
$126 |
$180 |
2.0× |
| Mechanical chest wall oscillation per session (94669) |
$180.60 |
$258 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$18.20 |
$26 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$21.70 |
$31 |
0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$25.20 |
$36 |
1.5× |
| Methacholine challenge (94070) |
$478.10 |
$683 |
1.2× |
| Motility study esophagus (91010) |
$1,102.50 |
$1,575 |
2.8× |
| Motion Fluoroscopy/Swallow (92611) |
$324.10 |
$463 |
3.5× |
| Multiple Sleep Latency Test (95805) |
$944.30 |
$1,349 |
1.0× |
| Muscle Test 2 Limbs (95861) |
$315 |
$450 |
2.2× |
| Muscle Test Hemidiaphragm (95866) |
$389.90 |
$557 |
2.9× |
| Muscle Test Nonparaspinal (95870) |
$299.60 |
$428 |
2.1× |
| Muscle Test One Limb (95860) |
$296.10 |
$423 |
2.1× |
| Nasopharyngoscopy (92511) |
$613.90 |
$877 |
2.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$650.30 |
$929 |
2.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$623 |
$890 |
2.7× |
| Needle electromyography larynx (95865) |
$310.80 |
$444 |
2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$342.30 |
$489 |
1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$358.40 |
$512 |
1.6× |
| 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 or more 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 (96116) |
$210.70 |
$301 |
0.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$253.40 |
$362 |
1.9× |
| Neuromuscular Reeducation (97112) |
$88.90 |
$127 |
2.7× |
| Nitric oxide expired gas determination (95012) |
$50.40 |
$72 |
1.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$24.50 |
$35 |
1.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$41.30 |
$59 |
1.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$12.60 |
$18 |
0.9× |
| Oral Function Therapy (92526) |
$135.10 |
$193 |
1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$108.50 |
$155 |
2.4× |
| Ot eval high complexity (97167) |
$147 |
$210 |
1.5× |
| Ot Eval Low Complex (97165) |
$147 |
$210 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$147 |
$210 |
1.5× |
| Ot manual therapy 15 min (97140) |
$61.60 |
$88 |
2.2× |
| Ot paraffin bath (97018) |
$38.50 |
$55 |
6.4× |
| Ot Re-Eval Est Plan Care (97168) |
$100.10 |
$143 |
1.5× |
| Oxygen Uptake Rest Indirect (94690) |
$97.30 |
$139 |
1.6× |
| Patch/Application Test Specify Number Tests (95044) |
$25.90 |
$37 |
0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$313.60 |
$448 |
1.4× |
| Percutaneous tests w/allergenic extracts (95004) |
$25.90 |
$37 |
0.0× |
| Phlebotomy therapeutic (99195) |
$158.20 |
$226 |
1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$141.40 |
$202 |
2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$126 |
$180 |
2.0× |
| Physical Performance Test (97750) |
$108.50 |
$155 |
3.2× |
| Plethysmography (94726) |
$432.60 |
$618 |
1.1× |
| Pm device eval in person (93288) |
$86.10 |
$123 |
2.2× |
| Pm device progr eval dual (93280) |
$93.80 |
$134 |
2.4× |
| Pm device progr eval multi (93281) |
$93.80 |
$134 |
2.4× |
| Pm Device Progr Eval Sngl (93279) |
$86.10 |
$123 |
2.2× |
| Pm/Icd Remote Tech Serv (93296) |
$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 4/> paramtrs (95782) |
$1,804.60 |
$2,578 |
2.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$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 Implantable Subq Lead Dfb System (93260) |
$66.50 |
$95 |
1.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$89.60 |
$128 |
2.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$35 |
$50 |
0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (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× |
| Pt Eval High Complex (97163) |
$135.10 |
$193 |
1.4× |
| Pt eval low complex 20 min (97161) |
$135.10 |
$193 |
1.4× |
| Pt Eval Mod Complex (97162) |
$135.10 |
$193 |
1.4× |
| Pt gait training 15 min (97116) |
$70 |
$100 |
2.4× |
| Pt mechanical traction (97012) |
$35 |
$50 |
2.4× |
| Pt Re-Eval Est Plan Care (97164) |
$93.10 |
$133 |
1.4× |
| Pulm function test by gas (94727) |
$169.40 |
$242 |
0.7× |
| Pulmonary service/procedure (94799) |
$194.60 |
$278 |
1.4× |
| Pulmonary Stress Testing (94618) |
$226.80 |
$324 |
1.6× |
| Pure Tone Audiometry Air (92552) |
$53.90 |
$77 |
0.4× |
| Rapid Desensitization Procedure Each Hour (95180) |
$198.80 |
$284 |
0.4× |
| Rectal sensation tone&compliance study (91124) |
$549.50 |
$785 |
2.4× |
| Refill/Maint Portable Pump (96521) |
$202.30 |
$289 |
0.9× |
| Refill/Maint Pump/Resvr Syst (96522) |
$77 |
$110 |
0.3× |
| 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× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$68.60 |
$98 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$170.10 |
$243 |
4.3× |
| Respiratory flow volume loop (94375) |
$119 |
$170 |
0.5× |
| Self Care Mngment Training (97535) |
$61.60 |
$88 |
1.9× |
| Sensory Integration Ea 15 Min (97533) |
$70 |
$100 |
1.2× |
| Sleep study unattended (95806) |
$532.70 |
$761 |
2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$532.70 |
$761 |
2.3× |
| Speech sound lang comprehen (92523) |
$277.20 |
$396 |
1.2× |
| Spirometry (94010) |
$122.50 |
$175 |
0.5× |
| Standardized Cognitive Performance Testing (96125) |
$158.20 |
$226 |
1.5× |
| Stress Tte Only (93350) |
$1,518.30 |
$2,169 |
2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$208.60 |
$298 |
4.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$448.70 |
$641 |
2.0× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$256.90 |
$367 |
3.4× |
| Testing Autonomic Nervous System Function (95923) |
$282.10 |
$403 |
2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$42 |
$60 |
1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$42 |
$60 |
2.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$88.90 |
$127 |
2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$123.90 |
$177 |
1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$520.80 |
$744 |
2.3× |
| Therapeutic Activities (97530) |
$61.60 |
$88 |
1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (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 Cardiovagal Innervaj Parasymp (95921) |
$314.30 |
$449 |
2.3× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
$271.60 |
$388 |
1.9× |
| Tte w/doppler, complete (93306) |
$1,829.80 |
$2,614 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$119.70 |
$171 |
1.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$58.10 |
$83 |
2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$160.30 |
$229 |
3.2× |
| Unlisted allergy/clinical immunologic srvc/px (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× |
| Vent Mgmt Inpat Init Day (94002) |
$1,005.90 |
$1,437 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$944.30 |
$1,349 |
1.4× |
| Vital capacity, total (94150) |
$46.90 |
$67 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$38.50 |
$55 |
1.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$100.80 |
$144 |
1.6× |