| Airway inhalation treatment (94640) |
— |
$197.50 |
— |
| Appl on-body injector for timed subq injection (96377) |
— |
$129 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
— |
$136 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
— |
$116 |
— |
| Assessment of aphasia (96105) |
— |
$447.50 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
— |
$371.50 |
— |
| Bipap initial day (94660) |
— |
$464 |
— |
| Breathing capacity test (94010) |
— |
$213.50 |
— |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
— |
$522 |
— |
| Cardiovascular procedure unlisted (93799) |
— |
$62 |
— |
| Cardiovascular stress test (93017) |
— |
$1,012.50 |
— |
| Cardioversion elective external (92960) |
— |
$683 |
— |
| Chemo anti-neopl sq/im (96401) |
— |
$363 |
— |
| Chemo hormon antineopl sq/im (96402) |
— |
$209 |
— |
| Chemo IV infus each addl seq (96417) |
— |
$467.50 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$185 |
— |
| Chemo IV push addl drug (96411) |
— |
$349 |
— |
| Chemother prolong infuse w/pump (96416) |
— |
$328 |
— |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
— |
$742 |
— |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
— |
$556 |
— |
| Chest physiotherapy initial (94667) |
— |
$144.50 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$845 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$743 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
— |
$256 |
— |
| Cpr (92950) |
— |
$1,301.50 |
— |
| Critical care ill/injured patient init 30-74 min (99291) |
— |
$2,307 |
— |
| Debridement open wound 20 sq cm< (97597) |
— |
$186.25 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$473.50 |
— |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
— |
$518.50 |
— |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
— |
$1,164.50 |
— |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
— |
$1,388 |
— |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
— |
$2,074 |
— |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
— |
$1,360.50 |
— |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
— |
$1,039 |
— |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
— |
$1,719 |
— |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
— |
$521 |
— |
| ECG monit/reprt up to 48 hrs (93226) |
— |
$622 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$1,880 |
— |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
— |
$1,125 |
— |
| EKG 12 lead tracing only (93005) |
— |
$232 |
— |
| EKG rhythm strip (93041) |
— |
$128 |
— |
| Emergency department visit high mdm (99285) |
— |
$1,794.50 |
— |
| Emergency department visit low mdm (99283) |
— |
$707.50 |
— |
| Emergency department visit moderate mdm (99284) |
— |
$1,360.50 |
— |
| Emergency department visit straightforward mdm (99282) |
— |
$377.50 |
— |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
— |
$138.50 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
— |
$325.50 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$232 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
— |
$150 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
— |
$380 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
— |
$386 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
— |
$141 |
— |
| Evaluation of speech sound production articulate (92522) |
— |
$341.50 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$104.50 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$104.50 |
— |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
— |
$549 |
— |
| Fluidotherapy (97022) |
— |
$116 |
— |
| Immunization administration (90471) |
— |
$55.50 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
— |
$216 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
— |
$295 |
— |
| Irrigaj implntd venous access drug delivery syst (96523) |
— |
$188 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$159 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$458 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$357.50 |
— |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
— |
$551 |
— |
| IV tx, each additional hour (96366) |
— |
$154 |
— |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
— |
$129 |
— |
| Mechanical traction therapy (97012) |
— |
$88.50 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$70 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
— |
$62 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
— |
$348 |
— |
| Multiple sleep latency (95805) |
— |
$1,988.50 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
— |
$577 |
— |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
— |
$615 |
— |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
— |
$290 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
— |
$298.50 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
— |
$215 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
— |
$241.50 |
— |
| Oral function therapy (92526) |
— |
$260.50 |
— |
| Oral speech device eval (92597) |
— |
$371.50 |
— |
| Ot manual therapy ea 15 min (97140) |
— |
$116 |
— |
| Ot neuromuscular re-education (97112) |
— |
$114 |
— |
| Ot re-evaluation (97168) |
— |
$143.50 |
— |
| OT Therapeutic Activities Charges (97530) |
— |
$111.50 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
— |
$290 |
— |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
— |
$136 |
— |
| Phlebotomy therapeutic (99195) |
— |
$343.50 |
— |
| Physical therapy evaluation high complex 45 mins (97163) |
— |
$298.50 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
— |
$215 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
— |
$241.50 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
— |
$4,100 |
— |
| Pt gait training 15 min (97116) |
— |
$129 |
— |
| Pt physical performance test (97750) |
— |
$106.50 |
— |
| Pt re-evaluation (97164) |
— |
$143.50 |
— |
| Pulmonary stress testing (94618) |
— |
$397.50 |
— |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
— |
$88.50 |
— |
| Remote 30 day ECG rev/report (93270) |
— |
$176.50 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
— |
$131.50 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
— |
$92.50 |
— |
| Speech sound lang comprehen (92523) |
— |
$415 |
— |
| Standardized cognitive performance testing (96125) |
— |
$473.50 |
— |
| Stress tte only (93350) |
— |
$1,312 |
— |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
— |
$336 |
— |
| Temp transcutaneous pacing (92953) |
— |
$499 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$141 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
— |
$141 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
— |
$122 |
— |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
— |
$185 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
— |
$318.50 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
— |
$169.50 |
— |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
— |
$98.50 |
— |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
— |
$1,591.50 |
— |
| Tte f-up or lmtd (93308) |
— |
$734.50 |
— |
| Tte w/doppler complete (93306) |
— |
$3,101.50 |
— |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
— |
$266.50 |
— |
| Ventilation ip/obs initial day (94002) |
— |
$1,347.50 |
— |
| Ventilator subsequent day (94003) |
— |
$546.50 |
— |