| Airway Inhalation Treatment (94640) |
— |
$197.50 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$116 |
— |
| Application on-body injector (96377) |
— |
$129 |
— |
| Assessment of aphasia per hr (96105) |
— |
$447.50 |
— |
| Behavral qualit analys voice (92524) |
— |
$371.50 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$522 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,012.50 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,301.50 |
— |
| Cardioversion (92960) |
— |
$683 |
— |
| Cbt 1st hour (94644) |
— |
$256 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$363 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$209 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$185 |
— |
| Chemo IV push addl drug (96411) |
— |
$349 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$328 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$467.50 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$742 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$556 |
— |
| Chest Wall Manipulation (94668) |
— |
$129 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$845 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$743 |
— |
| Continuous Pulse Ox (94762) |
— |
$290 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$464 |
— |
| Cpt initial (94667) |
— |
$144.50 |
— |
| Critical care first hour (99291) |
— |
$2,307 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines |
— |
$164–$208.50 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$473.50 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$518.50 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,039 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,719 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$2,074 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,360.50 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$521 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$734.50 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$1,880 |
— |
| Electrocardiogram Tracing (93005) |
— |
$232 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$377.50 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$707.50 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,360.50 |
— |
| Er level v (99285) |
— |
$1,794.50 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$232 |
— |
| Evaluate Speech Production (92522) |
— |
$341.50 |
— |
| Evaluate Swallowing Function (92610) |
— |
$325.50 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$104.50 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$104.50 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$622 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,164.50 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$1,388 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,591.50 |
— |
| Holter monitor recording (93225) |
— |
$549 |
— |
| Immunization administration (90471) |
— |
$55.50 |
— |
Iontophoresis 15 min (97033)
range across 5 matching MRF lines |
— |
$86.50–$136 |
— |
| Irrig Drug Delivery Device (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 ea hour (96366) |
— |
$154 |
— |
| IV push initial (96374) |
— |
$295 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$62 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$70 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$348 |
— |
| Multiple Sleep Latency Test (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 |
— |
| Neuromuscular Reeducation (97112) |
— |
$114 |
— |
| Oral Function Therapy (92526) |
— |
$260.50 |
— |
| Oral Speech Device Eval (92597) |
— |
$371.50 |
— |
| Ot eval high complexity (97167) |
— |
$298.50 |
— |
| Ot Eval Low Complex (97165) |
— |
$215 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$241.50 |
— |
| Ot manual therapy 15 min (97140) |
— |
$116 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$143.50 |
— |
| 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 Performance Test (97750)
range across 3 matching MRF lines |
— |
$105.50–$106.50 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,100 |
— |
| Pt Eval High Complex (97163) |
— |
$298.50 |
— |
| Pt eval low complex 20 min (97161) |
— |
$215 |
— |
| Pt Eval Mod Complex (97162) |
— |
$241.50 |
— |
| Pt gait training 15 min (97116) |
— |
$129 |
— |
| Pt mechanical traction (97012) |
— |
$88.50 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$143.50 |
— |
| Pulmonary service/procedure (94799) |
— |
$138.50 |
— |
| Pulmonary Stress Testing (94618) |
— |
$397.50 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$176.50 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$128 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$88.50 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$380 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$150 |
— |
| Self Care Mngment Training (97535) |
— |
$131.50 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$92.50 |
— |
| Speech sound lang comprehen (92523) |
— |
$415 |
— |
| Spirometry (94010) |
— |
$213.50 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$473.50 |
— |
| Stress Tte Only (93350) |
— |
$1,312 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$336 |
— |
| Temp transcutaneous pacing (92953) |
— |
$499 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$141 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$141 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$318.50 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$122 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$551 |
— |
| Therapeutic Activities (97530) |
— |
$111.50 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$169.50 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$98.50 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,101.50 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,125 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$266.50 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$216 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$62 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,347.50 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$546.50 |
— |
| Whirlpool Therapy (97022) |
— |
$116 |
— |