| Airway inhalation treatment (94640) |
$311.40 |
$519 |
1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$328.50 |
$547.50 |
0.8× |
| Canalith Repositioning (95992) |
$117.60 |
$196 |
2.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$501.90 |
$836.50 |
2.2× |
| Cardiopulmonary resuscitation (92950) |
$459 |
$765 |
2.0× |
| Cardioversion (92960) |
$973.20 |
$1,622 |
1.4× |
| Cbt 1st hour (94644) |
$190.20 |
$317 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$363.80 |
$606.32 |
1.4× |
| Comprehensive Hearing Test (92557) |
$39 |
$65 |
0.3× |
| Continuous Glucose Monitoring (95250) |
$162 |
$270 |
1.1× |
| Cpap initiation and management (94660) |
$311.40 |
$519 |
1.3× |
| Cpt initial (94667) |
$190.20 |
$317 |
1.3× |
| Critical care (99291) |
$1,388.40 |
$2,314 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$54 |
$90 |
0.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$111 |
$185 |
0.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$367.59 |
$612.64 |
1.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$367.59 |
$612.64 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$360 |
$600 |
1.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$360 |
$600 |
3.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$360 |
$600 |
1.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$297.32 |
$495.54 |
2.7× |
| Duplex scan extracranial art compl bi study (93880) |
$360 |
$600 |
1.4× |
| EEG awake asleep (95819) |
$405 |
$675 |
1.8× |
| EEG awake drowsy (95816) |
$405 |
$675 |
1.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$405 |
$675 |
1.8× |
| EKG (93005) |
$116.40 |
$194 |
1.8× |
| EKG rhythm strip (93041) |
$63.60 |
$106 |
1.0× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$405 |
$675 |
1.8× |
| Er level 1 (99281) |
$123.60 |
$206 |
1.4× |
| Er level ii (99282) |
$228.60 |
$381 |
1.4× |
| Er level iii (99283) |
$408 |
$680 |
1.4× |
| Er level IV (99284) |
$681.60 |
$1,136 |
1.5× |
| Er level v (99285) |
$1,012.80 |
$1,688 |
1.6× |
| Evaluation of speech fluency (92521) |
$232.80 |
$388 |
1.7× |
| Evaluation of swallowing function (92610) |
$179.40 |
$299 |
2.1× |
| Exhaled air analysis o2 (94680) |
$233.55 |
$389.25 |
1.7× |
| Eye service or procedure (92499) |
$20.40 |
$34 |
0.7× |
| Flow volume loop (94375) |
$102.81 |
$171.34 |
0.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,216.20 |
$2,027 |
1.3× |
| Group Therapeutic Procedures (97150) |
$36.60 |
$61 |
2.0× |
| Immunization Admin (90471) |
$68.70 |
$114.50 |
0.9× |
| Immunotherapy, 2+ Injections (95117) |
$30 |
$50 |
0.6× |
| Injection intra arterial (96373) |
$146.40 |
$244 |
0.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$111 |
$185 |
1.8× |
| IV infusion hydration each additional hour (96361) |
$67.20 |
$112 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$189.90 |
$316.50 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$132.30 |
$220.50 |
1.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$303.30 |
$505.50 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$66.30 |
$110.50 |
1.3× |
| IV push initial (96374) |
$135.60 |
$226 |
0.6× |
| Manual therapy 15 min (97140) |
$54.60 |
$91 |
2.0× |
| Massage 15 min (97124) |
$54.60 |
$91 |
1.8× |
| Maximum voluntary ventilation (94200) |
$190.20 |
$317 |
3.0× |
| Mechanical traction (97012) |
$33.60 |
$56 |
2.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$25.80 |
$43 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29.70 |
$49.50 |
0.8× |
| Mnt Group Ea 30 Min (97804) |
$14.40 |
$24 |
0.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$183 |
$305 |
2.0× |
| Multiple sleep latency test (95805) |
$1,996.50 |
$3,327.50 |
2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$60.60 |
$101 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$60.60 |
$101 |
0.1× |
| Newborn resuscitation (99465) |
$433.80 |
$723 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$214.20 |
$357 |
1.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$304.20 |
$507 |
1.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$270.60 |
$451 |
2.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$79.20 |
$132 |
1.7× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$41.40 |
$69 |
1.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$88.80 |
$148 |
3.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$102.60 |
$171 |
4.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$118.20 |
$197 |
5.1× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$63.60 |
$106 |
2.0× |
| Ot Contrast Bath Ea 15 Min (97034) |
$37.80 |
$63 |
2.7× |
| Ot eval high complex 60 min (97167) |
$163.20 |
$272 |
1.6× |
| Ot eval low complex 30 min (97165) |
$132.60 |
$221 |
1.3× |
| Ot eval mod complex 45 min (97166) |
$144 |
$240 |
1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$69.60 |
$116 |
1.7× |
| Ot re-eval est plan care (97168) |
$110.40 |
$184 |
1.6× |
| Paraffin bath (97018) |
$23.40 |
$39 |
3.9× |
| Plethysmography (94726) |
$312.32 |
$520.52 |
0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,996.50 |
$3,327.50 |
2.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,996.50 |
$3,327.50 |
2.2× |
| Psych diag eval w/med srvcs (90792) |
$225 |
$375 |
1.2× |
| Psychiatric diagnostic evaluation (90791) |
$57 |
$95 |
0.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$90.60 |
$151 |
2.4× |
| Pt Electric Current Therapy (97033) |
$44.10 |
$73.50 |
2.3× |
| Pt Electrical Stimulation (97032) |
$40.20 |
$67 |
2.7× |
| Pt eval high complex 45 min (97163) |
$174 |
$290 |
1.8× |
| Pt eval low complex 20 min (97161) |
$137.40 |
$229 |
1.4× |
| Pt Gait Training Therapy (97116) |
$59.40 |
$99 |
2.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$48.60 |
$81 |
1.5× |
| Pt Physical Performance Test (97750) |
$69.60 |
$116 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$161.40 |
$269 |
1.6× |
| Pt re-evaluation (97164) |
$87.60 |
$146 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$73.20 |
$122 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$26.40 |
$44 |
1.8× |
| Pt Whirlpool Therapy (97022) |
$61.20 |
$102 |
3.9× |
| Pulm Funct Test Oscillometry (94728) |
$58.20 |
$97 |
0.4× |
| Pulm function test by gas (94727) |
$120 |
$200 |
0.5× |
| Pulmonary stress testing (94618) |
$190.20 |
$317 |
1.3× |
| Pure Tone Audiometry, Air (92552) |
$50.40 |
$84 |
0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$175.80 |
$293 |
0.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$116.40 |
$194 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$60.60 |
$101 |
1.0× |
| Sleep study attended (95807) |
$1,996.50 |
$3,327.50 |
5.0× |
| Smoking cessation > 10 min (99407) |
$55.80 |
$93 |
1.4× |
| Spirometry (94010) |
$270.60 |
$451 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$33 |
$55 |
1.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$26.40 |
$44 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$87.60 |
$146 |
1.1× |
| Therapeutic Activities (97530) |
$72.60 |
$121 |
2.1× |
| Therapeutic phlebotomy (99195) |
$93.60 |
$156 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41.40 |
$69 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$976.80 |
$1,628 |
1.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$976.80 |
$1,628 |
3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$166.20 |
$277 |
2.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$180.60 |
$301 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$134.10 |
$223.50 |
2.7× |
| Unlisted pulmonary service/procedure (94799) |
$73.20 |
$122 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$332.10 |
$553.50 |
1.3× |
| Vasopneumatic device (97016) |
$46.80 |
$78 |
3.9× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$611.40 |
$1,019 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$430.80 |
$718 |
0.7× |
| Vital capacity total (94150) |
$270.60 |
$451 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$57.60 |
$96 |
1.9× |