| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$93.50 |
$110 |
0.7× |
| Airway inhalation treatment (94640) |
$85 |
$100 |
0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$51 |
$60 |
3.6× |
| Assessment of aphasia per hr (96105) |
$238 |
$280 |
2.4× |
| Bedside Swallowing Eval (92610) |
$258.19 |
$303.76 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$212.50 |
$250 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$741.20 |
$872 |
3.5× |
| Cardiopulmonary resuscitation (92950) |
$232.05 |
$273 |
1.1× |
| Cardioversion (92960) |
$671.50 |
$790 |
1.0× |
| Cbt 1st hour (94644) |
$148.75 |
$175 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$106.25 |
$125 |
1.5× |
| Chemo IV push addl drug (96411) |
$230.35 |
$271 |
3.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$537.20 |
$632 |
1.6× |
| Chemother, IV infusion, 1 hr (96413) |
$429.46 |
$505.25 |
1.3× |
| Chemother, IV infusion, ea add hr (96415) |
$135.15 |
$159 |
1.9× |
| Chemother,Ia Push Technique (96420) |
$348.50 |
$410 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$148.75 |
$175 |
2.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$473.45 |
$557 |
1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$334.69 |
$393.75 |
4.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$392.70 |
$462 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$834.49 |
$981.75 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$489.60 |
$576 |
4.7× |
| Comprehensive Hearing Test (92557) |
$80.75 |
$95 |
0.6× |
| Conditioning Play Audiometry (92582) |
$80.75 |
$95 |
0.6× |
| Cpap/bipap (94660) |
$212.50 |
$250 |
1.0× |
| Cpt initial (94667) |
$106.25 |
$125 |
0.8× |
| Critical care (99291) |
$607.75 |
$715 |
0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$113.15 |
$133.12 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$458.15 |
$539 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$871.25 |
$1,025 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$484.50 |
$570 |
4.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$554.20 |
$652 |
2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$657.90 |
$774 |
2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$513.82 |
$604.50 |
5.0× |
| Duplex scan extracranial art compl bi study (93880) |
$722.50 |
$850 |
3.1× |
| Duplex Scan Hemodialysis Access (93990) |
$552.50 |
$650 |
5.3× |
| Echo Heart Xthoracic,Limited (93308) |
$378.25 |
$445 |
1.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$663 |
$780 |
1.2× |
| Electrocardiogram Tracing (93005) |
$153 |
$180 |
2.6× |
| Er level 1 (99281) |
$68 |
$80 |
0.8× |
| Er level ii (99282) |
$119 |
$140 |
0.8× |
| Er level iii (99283) |
$153 |
$180 |
0.6× |
| Er level IV (99284) |
$255 |
$300 |
0.6× |
| Er level v (99285) |
$361.25 |
$425 |
0.6× |
| Eval speech sound production (92522) |
$255 |
$300 |
2.3× |
| Evaluate Pt Use Of Inhaler (94664) |
$114.99 |
$135.28 |
0.5× |
| External ECG rec>48hr<7d recording (93242) |
$127.50 |
$150 |
3.5× |
| External ECG rec>7d<15d recording (93246) |
$212.50 |
$250 |
5.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$200.37 |
$235.73 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$439.45 |
$517 |
7.5× |
| Group Therapeutic Procedures (97150) |
$51 |
$60 |
2.8× |
| Holter Monitor (93225) |
$127.50 |
$150 |
1.0× |
| Imm admn sarscov2 vaccine single dose (90480) |
$34 |
$40 |
0.8× |
| Immunization Admin (90471) |
$41.22 |
$48.50 |
0.6× |
| Injection intra arterial (96373) |
$42.50 |
$50 |
0.2× |
| Iontophoresis 15 min (97033) |
$61.20 |
$72 |
3.2× |
| Irrig drug delivery device (96523) |
$96.90 |
$114 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$57.80 |
$68 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$189.98 |
$223.50 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$127.02 |
$149.44 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$179.52 |
$211.20 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$95.34 |
$112.17 |
2.1× |
| IV push ea addl new drug (96375) |
$61.20 |
$72 |
1.3× |
| IV push initial (96374) |
$123.25 |
$145 |
0.6× |
| Manual therapy 15 min (97140) |
$68 |
$80 |
2.5× |
| Mechanical chest wall oscillation (94669) |
$102 |
$120 |
0.5× |
| Mechanical traction (97012) |
$36.55 |
$43 |
2.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$38.25 |
$45 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$38.25 |
$45 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$97.75 |
$115 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$161.50 |
$190 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$340 |
$400 |
2.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$106.25 |
$125 |
0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$104.12 |
$122.50 |
2.3× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$79.05 |
$93 |
2.5× |
| Ot eval high complex 60 min (97167) |
$255 |
$300 |
2.5× |
| Ot eval low complex 30 min (97165) |
$208.25 |
$245 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$225.25 |
$265 |
2.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$89.25 |
$105 |
1.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$89.25 |
$105 |
2.2× |
| Ot re-evaluation (97168) |
$123.68 |
$145.50 |
1.8× |
| Ot therapeutic activity 15 min (97530) |
$69.28 |
$81.50 |
2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$112.20 |
$132 |
0.9× |
| Paraffin bath pt (97018) |
$47.09 |
$55.40 |
7.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$144.50 |
$170 |
0.7× |
| Phlebotomy therapeutic (99195) |
$170 |
$200 |
1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,950.75 |
$2,295 |
2.3× |
| Pt Electrical Stimulation (97032) |
$49.30 |
$58 |
3.4× |
| Pt eval high complex 45 min (97163) |
$382.50 |
$450 |
3.9× |
| Pt eval low complex 20 min (97161) |
$195.50 |
$230 |
2.0× |
| Pt eval mod complex 30 min (97162) |
$280.50 |
$330 |
2.9× |
| Pt gait training 15 min (97116) |
$76.50 |
$90 |
2.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$76.50 |
$90 |
2.3× |
| Pt Physical Performance Test (97750) |
$80.66 |
$94.90 |
2.4× |
| Pt re-evaluation (97164) |
$105.82 |
$124.50 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$65.88 |
$77.50 |
2.0× |
| Pt Whirlpool Therapy (97022) |
$69.10 |
$81.28 |
4.4× |
| Pulmonary Service/Procedure (94799) |
$114.75 |
$135 |
0.9× |
| Pure Tone Audiometry Air & Bone (92553) |
$76.50 |
$90 |
0.6× |
| Pure Tone Audiometry Air Only (92552) |
$32.30 |
$38 |
0.2× |
| Refill/Maint Portable Pump (96521) |
$369.75 |
$435 |
1.8× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$102.85 |
$121 |
2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$86.19 |
$101.40 |
0.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$102 |
$120 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$88.40 |
$104 |
1.5× |
| Sleep study unattended (95806) |
$297.50 |
$350 |
1.4× |
| Speech audiometry threshold (92555) |
$29.75 |
$35 |
0.5× |
| Speech sound lang comprehen (92523) |
$314.50 |
$370 |
1.4× |
| Spirometry (94010) |
$123.25 |
$145 |
0.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$90.95 |
$107 |
4.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$51 |
$60 |
2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$69.70 |
$82 |
0.7× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$49.72 |
$58.50 |
0.7× |
| Tte w/doppler, complete (93306) |
$1,421.20 |
$1,672 |
2.6× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$765.85 |
$901 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$250.95 |
$295.24 |
3.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$63.75 |
$75 |
2.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$239.73 |
$282.03 |
2.8× |
| Tympanometry (92567) |
$32.30 |
$38 |
0.9× |
| Unlisted otorhinolaryngological service (92700) |
$1.28 |
$1.50 |
0.0× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$397.80 |
$468 |
1.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$437.75 |
$515 |
4.2× |
| Vent mgmt inpat init day (94002) |
$807.50 |
$950 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$488.75 |
$575 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$70.12 |
$82.50 |
2.3× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$297.88 |
$350.45 |
3.2× |