| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$121.50 |
$135 |
1.0× |
| Acoustic reflex testing (92568) |
$121.50 |
$135 |
3.5× |
| Airway inhalation treatment (94640) |
$71.55 |
$79.50 |
0.4× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$753.30 |
$837 |
8.1× |
| Auditory Function, 60 Min (92620) |
$162.90 |
$181 |
1.4× |
| Behav assmt w/score & docd/stand instrument (96127) |
$4.50 |
$5 |
0.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$151.20 |
$168 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$359.10 |
$399 |
1.0× |
| Canalith Repositioning (95992) |
$86.40 |
$96 |
2.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$606.15 |
$673.50 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$628.20 |
$698 |
3.2× |
| Cbt 1st hour (94644) |
$107.10 |
$119 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$119.70 |
$133 |
1.8× |
| Chemo IV push addl drug (96411) |
$99.90 |
$111 |
1.5× |
| Chemo Iv Push Sngl Drug (96409) |
$143.10 |
$159 |
0.5× |
| Chemother, IV infusion, 1 hr (96413) |
$357.30 |
$397 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$218.70 |
$243 |
3.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$119.70 |
$133 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$99.90 |
$111 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$626.40 |
$696 |
2.9× |
| Comprehensive Hearing Test (92557) |
$386.10 |
$429 |
3.3× |
| Conditioning Play Audiometry (92582) |
$180 |
$200 |
1.5× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$54 |
$60 |
1.0× |
| Continuous Glucose Monitoring (95250) |
$279 |
$310 |
2.3× |
| Cpap initiation and management (94660) |
$369 |
$410 |
1.8× |
| Cpt initial (94667) |
$121.50 |
$135 |
1.0× |
| Critical care (99291) |
$761.40 |
$846 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$144.45 |
$160.50 |
0.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$89.10 |
$99 |
0.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$810.90 |
$901 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$948.60 |
$1,054 |
4.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$789.30 |
$877 |
8.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$948.60 |
$1,054 |
4.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$789.30 |
$877 |
8.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$789.30 |
$877 |
8.2× |
| Duplex scan extracranial art compl bi study (93880) |
$785.70 |
$873 |
3.6× |
| Echo Heart Xthoracic,Limited (93308) |
$440.10 |
$489 |
2.0× |
| EKG (93005) |
$121.50 |
$135 |
2.2× |
| EKG rhythm strip (93041) |
$121.50 |
$135 |
2.2× |
| Er level 1 (99281) |
$126.90 |
$141 |
1.6× |
| Er level ii (99282) |
$133.20 |
$148 |
0.9× |
| Er level iii (99283) |
$223.20 |
$248 |
0.9× |
| Er level IV (99284) |
$390.60 |
$434 |
1.0× |
| Er level v (99285) |
$452.70 |
$503 |
0.8× |
| Evaluation of speech fluency (92521) |
$151.20 |
$168 |
1.1× |
| Evaluation of speech sound production (92522) |
$151.20 |
$168 |
1.4× |
| Evaluation of swallowing function (92610) |
$211.50 |
$235 |
2.5× |
| Evaluation with prescription of speech-generating alternative (92607) |
$179.10 |
$199 |
1.5× |
| Evoked auditory test,limited (92587) |
$152.10 |
$169 |
0.8× |
| External ECG rec>48hr<7d recording (93242) |
$270 |
$300 |
7.9× |
| External ECG rec>7d<15d recording (93246) |
$270 |
$300 |
7.9× |
| Holter Monitor Recording (93225) |
$1,009.80 |
$1,122 |
8.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$27 |
$30 |
0.7× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$18 |
$20 |
0.3× |
| Immunization Admin (90471) |
$43.65 |
$48.50 |
0.7× |
| Immunotherapy, 2+ Injections (95117) |
$54.90 |
$61 |
1.3× |
| Inital newborn e/m (99460) |
$331.20 |
$368 |
2.7× |
| Initial normal newborn care, same day discharge (99463) |
$495.90 |
$551 |
4.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$122.40 |
$136 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$157.50 |
$175 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$297.45 |
$330.50 |
1.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$223.20 |
$248 |
3.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$331.20 |
$368 |
1.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$101.70 |
$113 |
2.4× |
| IV push initial (96374) |
$100.80 |
$112 |
0.5× |
| Manual therapy 15 min (97140) |
$132.30 |
$147 |
4.8× |
| Massage 15 min (97124) |
$91.80 |
$102 |
3.1× |
| Maximum voluntary ventilation (94200) |
$66.60 |
$74 |
1.2× |
| Mechanical chest wall oscillation (94669) |
$67.50 |
$75 |
0.3× |
| Mechanical traction (97012) |
$86.40 |
$96 |
6.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$19.80 |
$22 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$19.80 |
$22 |
0.5× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$248.40 |
$276 |
2.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$172.80 |
$192 |
0.5× |
| Neg press wound tx >50 cm (97608) |
$72 |
$80 |
0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$76.50 |
$85 |
0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$82.80 |
$92 |
0.2× |
| Newborn resuscitation (99465) |
$316.80 |
$352 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$574.20 |
$638 |
4.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$63 |
$70 |
0.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$151.20 |
$168 |
1.3× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$84.60 |
$94 |
1.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$82.80 |
$92 |
2.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$62.10 |
$69 |
4.4× |
| Ot eval high complex 60 min (97167) |
$207 |
$230 |
2.1× |
| Ot eval low complex 30 min (97165) |
$171 |
$190 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$187.20 |
$208 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$60.30 |
$67 |
1.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$72.90 |
$81 |
1.8× |
| Ot re-eval est plan care (97168) |
$165.60 |
$184 |
2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$168.30 |
$187 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$168.30 |
$187 |
1.4× |
| Paraffin bath (97018) |
$82.80 |
$92 |
13.8× |
| Peripheral arterial disease rehab per session (93668) |
$126 |
$140 |
2.3× |
| Plethysmography (94726) |
$187.20 |
$208 |
0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,723.30 |
$4,137 |
4.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$45.90 |
$51 |
1.1× |
| Psych diag eval w/med srvcs (90792) |
$491.40 |
$546 |
3.0× |
| Psychiatric diagnostic evaluation (90791) |
$193.50 |
$215 |
1.2× |
| Psytx crisis initial 60 min (90839) |
$229.50 |
$255 |
1.4× |
| Pt Electric Current Therapy (97033) |
$99.90 |
$111 |
5.2× |
| Pt Electrical Stimulation (97032) |
$69.75 |
$77.50 |
4.7× |
| Pt eval high complex 45 min (97163) |
$207 |
$230 |
2.1× |
| Pt eval low complex 20 min (97161) |
$171 |
$190 |
1.7× |
| Pt Gait Training Therapy (97116) |
$87.30 |
$97 |
3.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$104.40 |
$116 |
3.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$187.20 |
$208 |
1.9× |
| Pt re-evaluation (97164) |
$165.60 |
$184 |
2.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$89.55 |
$99.50 |
2.8× |
| Pt Ultrasound Therapy (97035) |
$86.40 |
$96 |
6.0× |
| Pulmonary stress testing (94618) |
$67.50 |
$75 |
0.6× |
| Pure Tone Audiometry Air & Bone (92553) |
$210.60 |
$234 |
1.8× |
| Pure Tone Audiometry, Air (92552) |
$215.10 |
$239 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$87.30 |
$97 |
0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$62.10 |
$69 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$91.80 |
$102 |
1.5× |
| Sleep study unattended (95806) |
$450 |
$500 |
2.3× |
| Smoking cessation > 10 min (99407) |
$50.40 |
$56 |
1.5× |
| Speech Audiometry Threshold (92555) |
$208.80 |
$232 |
3.8× |
| Speech Audiometry, Complete (92556) |
$204.30 |
$227 |
3.8× |
| Speech sound lang comprehen (92523) |
$179.10 |
$199 |
0.8× |
| Spirometry (94010) |
$165.60 |
$184 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$151.20 |
$168 |
1.5× |
| Stenger Test, Pure Tone (92565) |
$58.50 |
$65 |
1.1× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$67.50 |
$75 |
3.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$67.50 |
$75 |
3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$133.20 |
$148 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$54.90 |
$61 |
0.8× |
| Therapeutic Activities (97530) |
$84.60 |
$94 |
2.4× |
| Therapeutic phlebotomy (99195) |
$148.50 |
$165 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$27.90 |
$31 |
0.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,240.10 |
$2,489 |
4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$133.20 |
$148 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$205.20 |
$228 |
2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$49.50 |
$55 |
1.1× |
| Tympanometry (92567) |
$162.90 |
$181 |
4.7× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$190.80 |
$212 |
1.0× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$4.50 |
$5 |
0.0× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$785.70 |
$873 |
3.6× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$789.30 |
$877 |
8.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$954.90 |
$1,061 |
1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$954.90 |
$1,061 |
1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$61.20 |
$68 |
2.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$151.20 |
$168 |
2.8× |