| Airway inhalation treatment (94640) |
— |
$197.50 |
— |
| Appl on-body injector for timed subq injection (96377) |
— |
$129 |
— |
| Assessment of aphasia (96105) |
— |
$447.50 |
— |
| Behavioral and qualitative analysis of voice and resonance (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 Hormon Antineopl Sq/Im (96402) |
— |
$209 |
— |
| Chemo IV push addl drug (96411) |
— |
$349 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$556 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$328 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$742 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$185 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$363 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$467.50 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$845 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$743 |
— |
| Cpap initiation and management (94660) |
— |
$464 |
— |
| Cpt initial (94667) |
— |
$144.50 |
— |
| Critical care (99291) |
— |
$2,307 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$186.25 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$232 |
— |
| 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 Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$521 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,360.50 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$1,164.50 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$734.50 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$1,591.50 |
— |
| EKG (93005) |
— |
$232 |
— |
| EKG rhythm strip (93041) |
— |
$128 |
— |
| Er level ii (99282) |
— |
$377.50 |
— |
| Er level iii (99283) |
— |
$707.50 |
— |
| Er level IV (99284) |
— |
$1,360.50 |
— |
| Er level v (99285) |
— |
$1,794.50 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$371.50 |
— |
| Evaluation of speech sound production (92522) |
— |
$341.50 |
— |
| Evaluation of swallowing function (92610) |
— |
$325.50 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$380 |
— |
| 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 |
— |
| Holter Monitor Recording (93225) |
— |
$549 |
— |
| Immunization Admin (90471) |
— |
$55.50 |
— |
| 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, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$357.50 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$551 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$154 |
— |
| IV push initial (96374) |
— |
$295 |
— |
| Manual therapy 15 min (97140) |
— |
$116 |
— |
| Mechanical traction (97012) |
— |
$88.50 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$62 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$70 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$348 |
— |
| Multiple sleep latency test (95805) |
— |
$1,988.50 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$577 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$615 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$290 |
— |
| Ot eval high complex 60 min (97167) |
— |
$298.50 |
— |
| Ot eval low complex 30 min (97165) |
— |
$215 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$241.50 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$88.50 |
— |
| 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 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,100 |
— |
| Pt Electric Current Therapy (97033) |
— |
$136 |
— |
| Pt eval high complex 45 min (97163) |
— |
$298.50 |
— |
| Pt eval low complex 20 min (97161) |
— |
$215 |
— |
| Pt Gait Training Therapy (97116) |
— |
$129 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$114 |
— |
| Pt Physical Performance Test (97750) |
— |
$106.50 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$241.50 |
— |
| Pt re-evaluation (97164) |
— |
$143.50 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$131.50 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$116 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$116 |
— |
| Pulmonary stress testing (94618) |
— |
$397.50 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$176.50 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$129 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$150 |
— |
| Sc Ther Infusion Reset Pump (96371) |
— |
$336 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$92.50 |
— |
| Smoking cessation > 10 min (99407) |
— |
$169.50 |
— |
| Speech sound lang comprehen (92523) |
— |
$415 |
— |
| Spirometry (94010) |
— |
$213.50 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$473.50 |
— |
| Stress echo (93350) |
— |
$1,312 |
— |
| Stress Tte Complete (93351) |
— |
$1,880 |
— |
| 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 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$318.50 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$122 |
— |
| Therapeutic Activities (97530) |
— |
$111.50 |
— |
| Therapeutic phlebotomy (99195) |
— |
$343.50 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$98.50 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$3,101.50 |
— |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$1,125 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$266.50 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$260.50 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$216 |
— |
| Unlisted Cardiovascular Service/Procedure (93799) |
— |
$62 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$138.50 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$2,074 |
— |
| Vasc Duplex Scan Extracranial,Limited (93882) |
— |
$1,388 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,347.50 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$546.50 |
— |