| Airway inhalation treatment (94640) |
$60 |
$100 |
0.3× |
| Analyze Neurostim Complex (95972) |
$262.80 |
$438 |
2.8× |
| Cardiopulmonary resuscitation (92950) |
$316.20 |
$527 |
1.5× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) |
$67.80 |
$113 |
3.1× |
| Color/duplex Doppler, complete (93975) |
$708.60 |
$1,181 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$591.60 |
$986 |
5.6× |
| Critical care (99291) |
$1,087.80 |
$1,813 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$472.20 |
$787 |
2.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$123 |
$205 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$708.60 |
$1,181 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$742.80 |
$1,238 |
3.1× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$526.80 |
$878 |
5.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$687.60 |
$1,146 |
2.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$404.40 |
$674 |
3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$385.20 |
$642 |
3.7× |
| Duplex scan extracranial art compl bi study (93880) |
$496.80 |
$828 |
2.1× |
| Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) |
$302.40 |
$504 |
2.3× |
| EKG (93005) |
$169.80 |
$283 |
2.9× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$315.60 |
$526 |
3.3× |
| Er level 1 (99281) |
$297.60 |
$496 |
3.5× |
| Er level ii (99282) |
$516 |
$860 |
3.3× |
| Er level iii (99283) |
$1,101 |
$1,835 |
4.0× |
| Er level IV (99284) |
$2,175 |
$3,625 |
5.2× |
| Er level v (99285) |
$4,601.40 |
$7,669 |
7.7× |
| Eye exam w anesth; limited (92019) |
$789 |
$1,315 |
0.3× |
| Fluorescein angioscopy (92230) |
$266.40 |
$444 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,344 |
$2,240 |
1.6× |
| Immunization Admin (90471) |
$75.60 |
$126 |
1.0× |
| Injection intra arterial (96373) |
$683.40 |
$1,139 |
3.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$153 |
$255 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$248.40 |
$414 |
5.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$248.10 |
$413.50 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$240 |
$400 |
3.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$252.60 |
$421 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$248.10 |
$413.50 |
5.3× |
| IV push initial (96374) |
$252.60 |
$421 |
1.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$188.40 |
$314 |
0.5× |
| Neg press wound tx >50 cm (97608) |
$177 |
$295 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$486.60 |
$811 |
2.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$189.60 |
$316 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$303 |
$505 |
2.3× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$309.60 |
$516 |
1.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$76.20 |
$127 |
0.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$32.40 |
$54 |
2.3× |
| Ot eval high complex 60 min (97167) |
$111.60 |
$186 |
1.1× |
| Ot eval low complex 30 min (97165) |
$111.60 |
$186 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$111.60 |
$186 |
1.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$81.60 |
$136 |
1.6× |
| Ot re-eval est plan care (97168) |
$77.40 |
$129 |
1.1× |
| Pt Electric Current Therapy (97033) |
$32.40 |
$54 |
1.7× |
| Pt Electrical Stimulation (97032) |
$32.40 |
$54 |
2.2× |
| Pt eval high complex 45 min (97163) |
$97.20 |
$162 |
1.0× |
| Pt eval low complex 20 min (97161) |
$97.20 |
$162 |
1.0× |
| Pt Gait Training Therapy (97116) |
$59.40 |
$99 |
2.0× |
| Pt Physical Performance Test (97750) |
$59.40 |
$99 |
1.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$97.20 |
$162 |
1.0× |
| Pt re-evaluation (97164) |
$77.40 |
$129 |
1.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$45 |
$75 |
1.4× |
| Pt Ultrasound Therapy (97035) |
$32.40 |
$54 |
2.3× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$789 |
$1,315 |
2.6× |
| Sc Ther Infusion Reset Pump (96371) |
$235.80 |
$393 |
3.3× |
| Sensory Integration Ea 15 Min (97533) |
$67.80 |
$113 |
1.1× |
| Spirometry (94010) |
$178.20 |
$297 |
0.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$118.20 |
$197 |
2.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$67.80 |
$113 |
3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$243.60 |
$406 |
3.4× |
| Therapeutic Activities (97530) |
$60 |
$100 |
1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$244.20 |
$407 |
5.2× |
| Unlisted pulmonary service/procedure (94799) |
$184.20 |
$307 |
1.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$501.60 |
$836 |
2.1× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$303 |
$505 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$32.40 |
$54 |
1.0× |