| Advance care planning first 30 mins (99497) |
$71.60 |
$89.50 |
0.7× |
| Aerosol inhalation pentamidine (94642) |
$14.40 |
$18 |
0.1× |
| Airway inhalation treatment (94640) |
$94.40 |
$118 |
0.4× |
| Allergy injection single (95115) |
$20.80 |
$26 |
0.4× |
| Behav assmt w/score & docd/stand instrument (96127) |
$9.60 |
$12 |
0.2× |
| Behavioral & qualit analysis voice and resonance (92524) |
$404 |
$505 |
3.7× |
| Blink reflex test (95933) |
$93.60 |
$117 |
1.5× |
| C motor evoked lwr limbs (95929) |
$313.60 |
$392 |
0.8× |
| C motor evoked uppr limbs (95928) |
$308 |
$385 |
0.3× |
| Canalith repositioning (95992) |
$89.60 |
$112 |
2.2× |
| Cardiac stress test (93017) |
$398.40 |
$498 |
1.8× |
| Cardiovascular procedure unlisted (93799) |
$218.40 |
$273 |
1.6× |
| Cardioversion elective external (92960) |
$780.80 |
$976 |
1.1× |
| Carotid duplex scan; bilat (93880) |
$826.40 |
$1,033 |
3.3× |
| Carotid duplex scan; unil/limit (93882) |
$287.20 |
$359 |
2.6× |
| Chemo IV infusion addl hr (96415) |
$239.20 |
$299 |
3.2× |
| Chemother, IV infusion, 1 hr (96413) |
$1,153.60 |
$1,442 |
3.3× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$254.40 |
$318 |
0.7× |
| Chron care mgmt srvc 20 min (99490) |
$29.20 |
$36.50 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$546 |
$682.50 |
2.2× |
| Continuous inhalation tx, 1st hr (94644) |
$98.40 |
$123 |
0.7× |
| Cpap/bipap daily (94660) |
$298.40 |
$373 |
1.3× |
| Cpr (92950) |
$324.80 |
$406 |
1.4× |
| Cpt initial (94667) |
$108.80 |
$136 |
0.8× |
| Cpt subsequent (94668) |
$100.80 |
$126 |
0.7× |
| Critical care first hour (99291) |
$873.60 |
$1,092 |
1.0× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$832.80 |
$1,041 |
0.9× |
| Duplex ext veins; bilat (93970) |
$1,460.80 |
$1,826 |
5.9× |
| Duplex hemodialysis access (93990) |
$206.40 |
$258 |
1.9× |
| Duplex le art/bpg; bilat (93925) |
$1,032 |
$1,290 |
4.1× |
| Duplex le art/bpg; unil/limit (93926) |
$553.60 |
$692 |
5.1× |
| Duplex ue art/bpg; bilat (93930) |
$635.20 |
$794 |
2.5× |
| Duplex ue art/bpg; unil/limit (93931) |
$308 |
$385 |
2.8× |
| Duplex venous ext unilat/lmtd (93971) |
$534.40 |
$668 |
4.9× |
| ECG monit/reprt up to 48 hrs (93226) |
$351.20 |
$439 |
5.7× |
| ECG up to 48 hrs recording (93225) |
$452 |
$565 |
3.3× |
| Echo transesophageal (93312) |
$778.40 |
$973 |
1.4× |
| EEG awake & asleep (95819) |
$422.80 |
$528.50 |
1.9× |
| EEG coma or sleep only (95822) |
$673.60 |
$842 |
3.0× |
| EKG rhythm strip (93041) |
$76 |
$95 |
1.2× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$276.80 |
$346 |
2.8× |
| Electrocardiogram (93005) |
$234.40 |
$293 |
3.8× |
| Electrode stimulation brain (95961) |
$320 |
$400 |
0.4× |
| Emergency department visit high mdm (99285) |
$847.20 |
$1,059 |
1.4× |
| Emergency department visit low mdm (99283) |
$339.60 |
$424.50 |
1.2× |
| Emergency department visit may not req phys/qhp (99281) |
$132 |
$165 |
1.5× |
| Emergency department visit moderate mdm (99284) |
$584.80 |
$731 |
1.3× |
| Emergency department visit straightforward mdm (99282) |
$243.60 |
$304.50 |
1.5× |
| EMG four extremities (95864) |
$242.40 |
$303 |
1.8× |
| EMG one extremity (95860) |
$143.20 |
$179 |
1.0× |
| EMG thoracic paraspinal (95869) |
$142.40 |
$178 |
0.6× |
| EMG three extremities (95863) |
$208 |
$260 |
1.5× |
| EMG two extremities (95861) |
$151.20 |
$189 |
1.1× |
| Endoscopy swallow (fees) vid (92612) |
$376 |
$470 |
1.9× |
| Evaluate pt use of inhaler (94664) |
$78.40 |
$98 |
0.3× |
| Evaluate speech production (92522) |
$404 |
$505 |
3.6× |
| Evaluation of speech fluency (92521) |
$404 |
$505 |
3.0× |
| External ECG rec>48hr<7d recording (93242) |
$901.60 |
$1,127 |
23.1× |
| External ECG rec>7d<15d recording (93246) |
$1,803.20 |
$2,254 |
46.2× |
| Flow volume loop (94375) |
$80.80 |
$101 |
0.4× |
| Gait training 15 min (97116) |
$47.20 |
$59 |
1.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$40 |
$50 |
0.9× |
| Immunization Admin (90471) |
$24 |
$30 |
0.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$115.60 |
$144.50 |
2.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$268 |
$335 |
1.2× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$138.80 |
$173.50 |
2.3× |
| IV hydration each add'l hr (96361) |
$107.20 |
$134 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$290.40 |
$363 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$223.20 |
$279 |
3.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$305.60 |
$382 |
1.4× |
| IV tx, each additional hour (96366) |
$135.20 |
$169 |
2.8× |
| Manual therapy ea 15 min (97140) |
$47.20 |
$59 |
1.7× |
| Massage therapy ea 15 mins (97124) |
$47.20 |
$59 |
1.6× |
| Maximum voluntary ventilation (94200) |
$185.60 |
$232 |
3.0× |
| Mechanical chest wall oscillation lung function (94669) |
$68.80 |
$86 |
0.3× |
| Multiple family group psychotherapy (90849) |
$196 |
$245 |
1.1× |
| Multiple sleep latency test (95805) |
$2,142.40 |
$2,678 |
2.4× |
| Nasopharyngoscopy (92511) |
$34 |
$42.50 |
0.2× |
| Needle electromyography cranial nrv muscle uni (95867) |
$122.40 |
$153 |
0.5× |
| Needle electromyography; larynx (95865) |
$128.80 |
$161 |
0.9× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$142.40 |
$178 |
1.0× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$462.40 |
$578 |
1.1× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$980 |
$1,225 |
2.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$24.80 |
$31 |
0.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$26.40 |
$33 |
0.1× |
| Nerve conduction studies 1-2 studies (95907) |
$145.60 |
$182 |
0.6× |
| Nerve conduction studies 11-12 studies (95912) |
$711.20 |
$889 |
1.8× |
| Nerve conduction studies 13/> studies (95913) |
$438.40 |
$548 |
1.1× |
| Nerve conduction studies 3-4 studies (95908) |
$243.60 |
$304.50 |
1.1× |
| Nerve conduction studies 5-6 studies (95909) |
$244.40 |
$305.50 |
1.1× |
| Nerve conduction studies 7-8 studies (95910) |
$260 |
$325 |
0.7× |
| Nerve conduction studies 9-10 studies (95911) |
$711.20 |
$889 |
1.8× |
| Neuromuscular junction test (95937) |
$132.80 |
$166 |
1.0× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$806.40 |
$1,008 |
3.6× |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$47.20 |
$59 |
1.0× |
| Osteopathic manip,3-4 body regn (98926) |
$9.60 |
$12 |
0.4× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$7.20 |
$9 |
0.3× |
| Ot eval high complex 60 min (97167) |
$212.80 |
$266 |
2.1× |
| Ot eval low complex 30 min (97165) |
$212.80 |
$266 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$212.80 |
$266 |
2.1× |
| Ot group therapy procedures (97150) |
$33.60 |
$42 |
1.9× |
| Ot mechanical traction (97012) |
$47.20 |
$59 |
3.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$47.20 |
$59 |
0.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$47.20 |
$59 |
1.2× |
| Ot re-eval est plan care (97168) |
$212.80 |
$266 |
3.1× |
| Ot wheelchair management (97542) |
$47.20 |
$59 |
1.5× |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$186.40 |
$233 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$186.40 |
$233 |
1.4× |
| Paraffin bath therapy (97018) |
$51.20 |
$64 |
8.5× |
| Phlebotomy therapeutic (99195) |
$108.40 |
$135.50 |
0.8× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$120.80 |
$151 |
2.0× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,301.60 |
$1,627 |
1.5× |
| PR Needle Electromyography Cranial Nerve Supplied Muscle Bilateral|PROFESSIONAL COMPONENT (95868) |
$145.60 |
$182 |
0.6× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$24.80 |
$31 |
0.5× |
| Psych diag eval w/med srvcs (90792) |
$205.60 |
$257 |
1.1× |
| Psychiatric Diagnostic Evaluation (90791) |
$236 |
$295 |
1.3× |
| Psytx crisis initial 60 min (90839) |
$276 |
$345 |
1.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$47.20 |
$59 |
1.3× |
| Pt Community/Work Reintegration Trainj Ea 15 Min (97537) |
$45.60 |
$57 |
1.4× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$48.80 |
$61 |
0.2× |
| Pt Electric Current Therapy (97033) |
$47.20 |
$59 |
2.5× |
| Pt Electrical Stimulation (97032) |
$47.20 |
$59 |
3.2× |
| Pt eval high complex 45 min (97163) |
$212.80 |
$266 |
2.2× |
| Pt eval low complex 20 min (97161) |
$212.80 |
$266 |
2.2× |
| Pt infrared therapy (97026) |
$72 |
$90 |
10.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$47.20 |
$59 |
1.4× |
| Pt Physical Performance Test (97750) |
$47.20 |
$59 |
1.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$212.80 |
$266 |
2.2× |
| Pt re-eval est plan care (97164) |
$106.40 |
$133 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$47.20 |
$59 |
1.5× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) |
$47.20 |
$59 |
1.3× |
| Pt Whirlpool Therapy (97022) |
$55.20 |
$69 |
3.5× |
| Pulmonary service/procedure (94799) |
$13.60 |
$17 |
0.1× |
| Pulmonary stress testing (94618) |
$168 |
$210 |
1.2× |
| Pulse oximetry continuous (94762) |
$321.60 |
$402 |
2.4× |
| Pure tone audiometry, air only (92552) |
$164.80 |
$206 |
1.2× |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$56.80 |
$71 |
2.7× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$216 |
$270 |
5.5× |
| Short-latency somatosens ep std upr & low limbs (95938) |
$623.20 |
$779 |
0.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$294.40 |
$368 |
1.3× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$247.20 |
$309 |
1.1× |
| Slp evaloral pharyngeal swallow function (92610) |
$404 |
$505 |
4.8× |
| Speech sound lang comprehen (92523) |
$404 |
$505 |
1.8× |
| Spirometry (94010) |
$124 |
$155 |
0.5× |
| Spirometry with bronchodilator (94060) |
$436.80 |
$546 |
1.1× |
| Ssep upper limbs (95925) |
$280.80 |
$351 |
1.2× |
| Stress echocardiogram (93350) |
$778.40 |
$973 |
1.4× |
| Temp transcutaneous pacing (92953) |
$582.80 |
$728.50 |
0.8× |
| Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) |
$94.40 |
$118 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$283.20 |
$354 |
12.7× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$283.20 |
$354 |
13.5× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$51.60 |
$64.50 |
0.7× |
| Tilt table evaluation (93660) |
$711.20 |
$889 |
1.8× |
| Tobacco use cessation intensive >10 minutes (99407) |
$56 |
$70 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$27.20 |
$34 |
0.7× |
| Trans care mgmt 14 day disch (99495) |
$99.60 |
$124.50 |
0.7× |
| Trans care mgmt 7 day disch (99496) |
$144.80 |
$181 |
1.0× |
| Treat swallowing dysfunction (92526) |
$283.20 |
$354 |
3.4× |
| Tte f-up or lmtd (93308) |
$210.40 |
$263 |
0.8× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$738.40 |
$923 |
1.3× |
| Tte w/o doppler complete (93307) |
$716.80 |
$896 |
2.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$128 |
$160 |
1.7× |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$24.80 |
$31 |
1.0× |
| Tympanometry (92567) |
$10 |
$12.50 |
0.3× |
| Ultrasound therapy ea 15 mins (97035) |
$47.20 |
$59 |
3.3× |
| Unlisted psychiatric service or procedure UNSCHEDULED (90899) |
$150.80 |
$188.50 |
3.9× |
| Unlisted Ther Proph Dx Inj (96379) |
$59.20 |
$74 |
1.2× |
| Upr/l xtremity art 2 levels (93922) |
$218.80 |
$273.50 |
1.6× |
| Us transcranial doppler lmtd (93888) |
$255.20 |
$319 |
2.3× |
| Vasopneumatic device therapy (97016) |
$47.20 |
$59 |
3.9× |
| Ventilator initial day (94002) |
$175.60 |
$219.50 |
0.3× |
| Ventilator subsequent day (94003) |
$132.80 |
$166 |
0.2× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$93.60 |
$117 |
0.4× |
| Vital capacity total (94150) |
$98.80 |
$123.50 |
0.7× |
| Wound care non-selective (97602) |
$731.20 |
$914 |
3.5× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$52.80 |
$66 |
0.1× |