| Airway inhalation treatment (94640) |
$86.40 |
$192 |
0.4× |
| Assessment of aphasia (96105) |
$140.85 |
$313 |
1.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$160.20 |
$356 |
1.5× |
| Biofeedback training any modality (90901) |
$57.60 |
$128 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$187.65 |
$417 |
0.5× |
| Canalith Repositioning (95992) |
$57.60 |
$128 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$819.90 |
$1,822 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$532.80 |
$1,184 |
2.5× |
| Cardioversion (92960) |
$670.05 |
$1,489 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$45.22 |
$100.50 |
0.6× |
| Chemo IV push addl drug (96411) |
$105.75 |
$235 |
1.5× |
| Chemo Iv Push Sngl Drug (96409) |
$508.50 |
$1,130 |
1.5× |
| Chemother, IV infusion, 1 hr (96413) |
$508.50 |
$1,130 |
1.5× |
| Chemother, IV infusion, ea add hr (96415) |
$105.75 |
$235 |
1.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$105.75 |
$235 |
1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$105.75 |
$235 |
1.5× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$84.82 |
$188.50 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$330.75 |
$735 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$259.20 |
$576 |
2.5× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$186.75 |
$415 |
1.1× |
| Cpap initiation and management (94660) |
$258.75 |
$575 |
1.2× |
| Cpt initial (94667) |
$64.80 |
$144 |
0.5× |
| Critical care (99291) |
$422.55 |
$939 |
0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$300.60 |
$668 |
1.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$166.05 |
$369 |
0.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$532.12 |
$1,182.50 |
2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$247.50 |
$550 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$846.22 |
$1,880.50 |
3.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$658.12 |
$1,462.50 |
6.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$805.95 |
$1,791 |
3.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$626.85 |
$1,393 |
6.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$626.85 |
$1,393 |
6.0× |
| Duplex scan extracranial art compl bi study (93880) |
$776.25 |
$1,725 |
3.2× |
| Ear and throat examination (92502) |
$112.50 |
$250 |
0.2× |
| Echo Heart Xthoracic,Limited (93308) |
$351.45 |
$781 |
1.5× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$226.35 |
$503 |
0.4× |
| EEG awake asleep (95819) |
$445.95 |
$991 |
2.1× |
| EKG (93005) |
$67.05 |
$149 |
1.1× |
| EKG rhythm strip (93041) |
$50.40 |
$112 |
0.9× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$172.58 |
$383.50 |
1.8× |
| EMG one extremity (95860) |
$93.15 |
$207 |
0.7× |
| EMG thoracic paraspinal (95869) |
$98.10 |
$218 |
0.5× |
| EMG two extremities (95861) |
$135.90 |
$302 |
1.0× |
| Er level 1 (99281) |
$129.60 |
$288 |
1.5× |
| Er level ii (99282) |
$203.85 |
$453 |
1.3× |
| Er level iii (99283) |
$335.02 |
$744.50 |
1.2× |
| Er level IV (99284) |
$463.28 |
$1,029.50 |
1.1× |
| Er level v (99285) |
$631.35 |
$1,403 |
1.1× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$105.75 |
$235 |
1.5× |
| Evaluation of speech fluency (92521) |
$193.50 |
$430 |
1.5× |
| Evaluation of speech sound production (92522) |
$162.45 |
$361 |
1.5× |
| Evaluation of swallowing function (92610) |
$123.30 |
$274 |
1.5× |
| Evaluation with prescription of speech-generating alternative (92607) |
$178.65 |
$397 |
1.5× |
| External ECG rec>48hr<7d recording (93242) |
$339.30 |
$754 |
9.1× |
| External ECG rec>7d<15d recording (93246) |
$339.30 |
$754 |
9.1× |
| External Ecg Scanning Analysis Report (93226) |
$345.60 |
$768 |
5.8× |
| Eye exam w anesth; complete (92018) |
$1,462.50 |
$3,250 |
0.6× |
| Group Therapeutic Procedures (97150) |
$26.10 |
$58 |
1.4× |
| Holter Monitor Recording (93225) |
$339.30 |
$754 |
2.5× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$105.75 |
$235 |
1.5× |
| Immunization Admin (90471) |
$20.82 |
$46.26 |
0.3× |
| Immunotherapy, 2+ Injections (95117) |
$71.55 |
$159 |
1.5× |
| Inital newborn e/m (99460) |
$160.65 |
$357 |
1.2× |
| Initial normal newborn care, same day discharge (99463) |
$160.65 |
$357 |
1.2× |
| Injection intra arterial (96373) |
$321.75 |
$715 |
1.5× |
| Ins swan ganz bedside (93503) |
$2,403.45 |
$5,341 |
1.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$91.80 |
$204 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$71.55 |
$159 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$321.75 |
$715 |
1.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$105.75 |
$235 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$321.75 |
$715 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$71.55 |
$159 |
1.5× |
| IV push initial (96374) |
$280.80 |
$624 |
1.3× |
| Manual therapy 15 min (97140) |
$39.15 |
$87 |
1.4× |
| Massage 15 min (97124) |
$43.20 |
$96 |
1.5× |
| Mechanical traction (97012) |
$20.70 |
$46 |
1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$50.85 |
$113 |
1.6× |
| Mnt Group Ea 30 Min (97804) |
$27 |
$60 |
1.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$132.75 |
$295 |
1.5× |
| Multiple sleep latency test (95805) |
$920.25 |
$2,045 |
1.1× |
| Nasopharyngoscopy (92511) |
$177.52 |
$394.50 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$300.60 |
$668 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$355.50 |
$790 |
0.9× |
| Nerve conduction studies 13/> studies (95913) |
$578.25 |
$1,285 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$222.75 |
$495 |
1.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$425.25 |
$945 |
1.1× |
| Nerve conduction studies; 1-2 studies (95907) |
$182.92 |
$406.50 |
0.8× |
| Nerve conduction studies; 11-12 studies (95912) |
$498.15 |
$1,107 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$265.05 |
$589 |
1.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$349.65 |
$777 |
0.9× |
| Newborn resuscitation (99465) |
$248.85 |
$553 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$294.75 |
$655 |
2.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$369 |
$820 |
1.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$286.65 |
$637 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$67.05 |
$149 |
1.5× |
| Ot eval high complex 60 min (97167) |
$146.25 |
$325 |
1.5× |
| Ot eval low complex 30 min (97165) |
$146.25 |
$325 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$146.25 |
$325 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$59.40 |
$132 |
1.5× |
| Ot re-eval est plan care (97168) |
$100.35 |
$223 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$70.88 |
$157.50 |
0.5× |
| Paraffin bath (97018) |
$8.10 |
$18 |
1.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$51.08 |
$113.50 |
0.9× |
| Plethysmography (94726) |
$243.90 |
$542 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,833.75 |
$4,075 |
2.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$71.55 |
$159 |
1.5× |
| Psych diag eval w/med srvcs (90792) |
$175.50 |
$390 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$171 |
$380 |
1.0× |
| Pt Electric Current Therapy (97033) |
$27.90 |
$62 |
1.5× |
| Pt Electrical Stimulation (97032) |
$21.15 |
$47 |
1.4× |
| Pt eval high complex 45 min (97163) |
$153.90 |
$342 |
1.6× |
| Pt eval low complex 20 min (97161) |
$135.90 |
$302 |
1.4× |
| Pt Gait Training Therapy (97116) |
$42.75 |
$95 |
1.5× |
| Pt Infrared Therapy (97026) |
$9.45 |
$21 |
1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$48.60 |
$108 |
1.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$144.90 |
$322 |
1.5× |
| Pt re-evaluation (97164) |
$99.90 |
$222 |
1.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$46.80 |
$104 |
1.4× |
| Pt Ultrasound Therapy (97035) |
$20.25 |
$45 |
1.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$110.70 |
$246 |
3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$189.90 |
$422 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$62.10 |
$138 |
0.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$70.20 |
$156 |
1.5× |
| Sensory Integration Ea 15 Min (97533) |
$86.40 |
$192 |
1.4× |
| Sleep study unattended (95806) |
$183.15 |
$407 |
0.8× |
| Smoking cessation > 10 min (99407) |
$44.55 |
$99 |
1.2× |
| Speech sound lang comprehen (92523) |
$331.65 |
$737 |
1.5× |
| Spirometry (94010) |
$138.15 |
$307 |
0.6× |
| Standardized Cognitive Performance Testing (96125) |
$148.95 |
$331 |
1.4× |
| Stress echo (93350) |
$1,357.20 |
$3,016 |
2.5× |
| Temp transcutaneous pacing (92953) |
$976.95 |
$2,171 |
1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$148.50 |
$330 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$105.75 |
$235 |
1.5× |
| Therapeutic Activities (97530) |
$52.20 |
$116 |
1.5× |
| Therapeutic phlebotomy (99195) |
$91.35 |
$203 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$112.50 |
$250 |
3.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$199.80 |
$444 |
1.5× |
| Trans Care Mgmt 7 Day Disch (99496) |
$199.80 |
$444 |
1.5× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$425.70 |
$946 |
0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$111.15 |
$247 |
1.5× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$122.85 |
$273 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$71.55 |
$159 |
1.5× |
| Unlisted pulmonary service/procedure (94799) |
$65.25 |
$145 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$855.68 |
$1,901.50 |
3.6× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$549.90 |
$1,222 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$507.60 |
$1,128 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$45.90 |
$102 |
1.5× |