| Advance care planning first 30 mins (99497) |
$90 |
$180 |
1.0× |
| Airway inhalation treatment (94640) |
$29.50 |
$59 |
0.2× |
| Analyze Neurostim Complex (95972) |
$50 |
$100 |
0.6× |
| Analyze neurostim no prog (95970) |
$17.50 |
$35 |
0.2× |
| Application of heat wave therapy (97024) |
$30.75 |
$61.50 |
4.2× |
| Assessment of aphasia (96105) |
$203.50 |
$407 |
2.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$163.50 |
$327 |
1.5× |
| Bfb training 1st 15 min (90912) |
$70.34 |
$140.68 |
0.9× |
| Biofeedback training any modality (90901) |
$36 |
$72 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$330 |
$340 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$125 |
$250 |
0.7× |
| Cardiopulmonary resuscitation (92950) |
$198.50 |
$397 |
1.1× |
| Cardioversion (92960) |
$138 |
$276 |
0.2× |
| Caregiver training 1st 30 min (97550) |
$50 |
$100 |
0.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$25 |
$50 |
1.0× |
| Cbt 1st hour (94644) |
$94 |
$188 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$55 |
$110 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$150 |
$300 |
0.5× |
| Chemother, IV infusion, ea add hr (96415) |
$42.50 |
$85 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$110 |
$220 |
0.5× |
| Cpap initiation and management (94660) |
$66 |
$132 |
0.3× |
| Cpt initial (94667) |
$28 |
$56 |
0.2× |
| Critical care (99291) |
$215.50 |
$431 |
0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$87 |
$174 |
0.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$23.50 |
$47 |
0.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$140 |
$280 |
0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$171.50 |
$343 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$185 |
$370 |
0.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$247.75 |
$495.50 |
2.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$155 |
$310 |
0.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$100 |
$200 |
1.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$97.50 |
$195 |
1.1× |
| Duplex hemodialysis access (93990) |
$100 |
$200 |
1.1× |
| Duplex scan extracranial art compl bi study (93880) |
$170 |
$340 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$80 |
$160 |
0.4× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$125 |
$250 |
0.3× |
| EEG awake asleep (95819) |
$155 |
$310 |
0.8× |
| EEG awake drowsy (95816) |
$155 |
$310 |
0.8× |
| EKG (93005) |
$55 |
$110 |
1.1× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$42.50 |
$85 |
0.5× |
| Electroconvulsive Therapy (90870) |
$105 |
$210 |
0.1× |
| Er level 1 (99281) |
$19 |
$38 |
0.3× |
| Er level ii (99282) |
$29 |
$58 |
0.2× |
| Er level iii (99283) |
$65 |
$130 |
0.3× |
| Er level IV (99284) |
$102 |
$204 |
0.3× |
| Er level v (99285) |
$158.50 |
$317 |
0.3× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$50 |
$100 |
0.7× |
| Evaluation of speech fluency (92521) |
$60.15 |
$120.30 |
0.5× |
| Evaluation of speech sound production (92522) |
$50 |
$100 |
0.4× |
| Evaluation of swallowing function (92610) |
$176 |
$352 |
2.1× |
| Exhaled air analysis o2 (94680) |
$120 |
$240 |
1.1× |
| Eye exam, new patient,comprehesv (92004) |
$75 |
$150 |
0.7× |
| Flow volume loop (94375) |
$300 |
$600 |
1.6× |
| Fundus photography w/interpretation & report (92250) |
$22.50 |
$45 |
0.2× |
| Group Therapeutic Procedures (97150) |
$68.75 |
$137.50 |
3.8× |
| Hypnotherapy (90880) |
$218.50 |
$437 |
2.5× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$16.25 |
$32.50 |
0.5× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$5 |
$10 |
0.1× |
| Immunization Admin (90471) |
$35 |
$70 |
0.6× |
| Immunotherapy, 2+ Injections (95117) |
$17.50 |
$35 |
0.4× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$610 |
$1,220 |
1.9× |
| Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) |
$146 |
$292 |
1.0× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$65 |
$130 |
1.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$50 |
$100 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$42.50 |
$85 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$125 |
$250 |
0.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$37 |
$74 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$86 |
$172 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$23 |
$46 |
0.6× |
| IV push initial (96374) |
$86 |
$172 |
0.5× |
| Manual therapy 15 min (97140) |
$81 |
$162 |
2.9× |
| Massage 15 min (97124) |
$32.50 |
$65 |
1.1× |
| Maximum voluntary ventilation (94200) |
$51.75 |
$103.50 |
1.0× |
| Mechanical traction (97012) |
$42.50 |
$85 |
3.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$207.50 |
$415 |
2.3× |
| Multiple sleep latency test (95805) |
$875 |
$1,750 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$82.50 |
$165 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$160.50 |
$321 |
0.5× |
| Nerve conduction studies 13/> studies (95913) |
$325 |
$650 |
1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$175 |
$350 |
0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$325 |
$650 |
1.0× |
| Nerve conduction studies; 1-2 studies (95907) |
$175 |
$350 |
0.9× |
| Nerve conduction studies; 11-12 studies (95912) |
$325 |
$650 |
1.0× |
| Nerve conduction studies; 5-6 studies (95909) |
$175 |
$350 |
0.9× |
| Nerve conduction studies; 7-8 studies (95910) |
$175 |
$350 |
0.5× |
| New patient problem focused exam of visual system (92002) |
$61.75 |
$123.50 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$80 |
$145 |
0.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$49.50 |
$99 |
0.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$25 |
$50 |
1.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$37.50 |
$75 |
1.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$12.50 |
$25 |
0.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$118.64 |
$237.28 |
0.4× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$72.50 |
$145 |
0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$42.50 |
$85 |
0.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$65.50 |
$131 |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$54.50 |
$109 |
1.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$35.50 |
$71 |
2.5× |
| Ot eval high complex 60 min (97167) |
$130 |
$260 |
1.3× |
| Ot eval low complex 30 min (97165) |
$110 |
$220 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$120 |
$240 |
1.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$67.50 |
$135 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$71.50 |
$143 |
1.8× |
| Ot re-eval est plan care (97168) |
$82.50 |
$165 |
1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$62.50 |
$125 |
0.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$100 |
$200 |
0.9× |
| Paraffin bath (97018) |
$42.50 |
$85 |
7.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$152.50 |
$305 |
0.8× |
| Peripheral arterial disease rehab per session (93668) |
$82.50 |
$165 |
1.6× |
| Plethysmography (94726) |
$209 |
$176 |
0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,000 |
$2,000 |
1.4× |
| Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) |
$198.75 |
$397.50 |
6.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$17.50 |
$35 |
0.4× |
| Psych diag eval w/med srvcs (90792) |
$156.75 |
$313.50 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$140 |
$280 |
0.9× |
| Psychoanalysis (90845) |
$79.50 |
$159 |
0.5× |
| Psycl tst eval phys/qhp 1st (96130) |
$111.94 |
$223.88 |
0.6× |
| Pt Electric Current Therapy (97033) |
$65.50 |
$131 |
3.4× |
| Pt Electrical Stimulation (97032) |
$62.50 |
$125 |
4.3× |
| Pt eval high complex 45 min (97163) |
$130 |
$260 |
1.3× |
| Pt eval low complex 20 min (97161) |
$110 |
$220 |
1.1× |
| Pt Gait Training Therapy (97116) |
$81 |
$162 |
2.8× |
| Pt group caregiver training (97552) |
$12.50 |
$25 |
0.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$65.50 |
$131 |
2.0× |
| Pt Physical Performance Test (97750) |
$18.50 |
$37 |
0.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$120 |
$240 |
1.2× |
| Pt re-evaluation (97164) |
$82.50 |
$165 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$56 |
$112 |
1.7× |
| Pt Ultrasound Therapy (97035) |
$62 |
$124 |
4.3× |
| Pt Whirlpool Therapy (97022) |
$38.50 |
$77 |
2.5× |
| Pulmonary stress testing (94618) |
$110 |
$220 |
1.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$257 |
$514 |
1.4× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$209.50 |
$419 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$48 |
$96 |
0.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$25 |
$50 |
0.2× |
| Sensory Integration Ea 15 Min (97533) |
$22.75 |
$45.50 |
0.4× |
| Sleep study attended (95807) |
$277.50 |
$555 |
0.9× |
| Sleep study unattended (95806) |
$150 |
$300 |
0.8× |
| Smoking cessation > 10 min (99407) |
$17.50 |
$35 |
0.5× |
| Speech group therapy (92508) |
$54 |
$108 |
2.2× |
| Speech sound lang comprehen (92523) |
$385 |
$770 |
1.7× |
| Spirometry (94010) |
$175 |
$350 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$55 |
$110 |
0.5× |
| Stress echo (93350) |
$550 |
$1,100 |
1.2× |
| Stress Tte Complete (93351) |
$450 |
$900 |
1.0× |
| Temp transcutaneous pacing (92953) |
$17.50 |
$35 |
0.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$17.50 |
$35 |
0.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$12.50 |
$25 |
0.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$55 |
$110 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$17 |
$34 |
0.3× |
| Therapeutic Activities (97530) |
$59 |
$118 |
1.7× |
| Therapeutic phlebotomy (99195) |
$36.50 |
$73 |
0.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$13.75 |
$27.50 |
0.4× |
| Trans Care Mgmt 14 Day Disch (99495) |
$87.50 |
$175 |
0.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$124 |
$248 |
1.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$155 |
$310 |
0.3× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$110 |
$220 |
0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$162.50 |
$325 |
2.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$127.50 |
$255 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$23 |
$46 |
0.6× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$60 |
$120 |
0.5× |
| Unlisted pulmonary service/procedure (94799) |
$11 |
$22 |
0.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$147.50 |
$295 |
0.7× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$100 |
$200 |
1.1× |
| Vasopneumatic device (97016) |
$33.50 |
$67 |
2.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$251 |
$502 |
0.5× |
| Vital capacity total (94150) |
$150 |
$300 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67.75 |
$135.50 |
2.2× |