| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$146.50 |
$293 |
1.2× |
| Acoustic reflex testing (92568) |
$73.50 |
$147 |
2.0× |
| Airway inhalation treatment (94640) |
$137.50 |
$275 |
0.6× |
| Assessment of aphasia (96105) |
$159 |
$318 |
1.6× |
| Auditory Function, 60 Min (92620) |
$196.50 |
$393 |
1.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$190 |
$380 |
1.7× |
| Biofeedback training any modality (90901) |
$78 |
$156 |
1.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$160.50 |
$321 |
1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$251.50 |
$503 |
0.7× |
| Canalith Repositioning (95992) |
$68 |
$136 |
1.7× |
| Cardiopulmonary exercise testing (94621) |
$1,164.50 |
$2,329 |
3.2× |
| Cardiopulmonary resuscitation (92950) |
$629 |
$1,258 |
3.0× |
| Cardioversion (92960) |
$1,021.50 |
$2,043 |
1.6× |
| Caregiver training 1st 30 min (97550) |
$104 |
$208 |
2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$52 |
$104 |
2.0× |
| Cbt 1st hour (94644) |
$192.50 |
$385 |
1.5× |
| Chemo Admin Peritoneal Cavity (96446) |
$707.50 |
$1,415 |
2.2× |
| Color/duplex Doppler, complete (93975) |
$550 |
$1,100 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$437 |
$874 |
4.3× |
| Comprehensive Hearing Test (92557) |
$140 |
$280 |
1.1× |
| Cpap initiation and management (94660) |
$488.50 |
$977 |
2.3× |
| Cpt initial (94667) |
$177.75 |
$355.50 |
1.4× |
| Critical care (99291) |
$2,321.75 |
$4,643.50 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$187 |
$374 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$118 |
$236 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$499 |
$998 |
2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$454.50 |
$909 |
4.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$465.50 |
$931 |
4.6× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$374 |
$748 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$572 |
$1,144 |
2.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$347 |
$694 |
3.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$497 |
$994 |
2.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$317 |
$634 |
3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$414.50 |
$829 |
4.1× |
| Duplex hemodialysis access (93990) |
$512.50 |
$1,025 |
5.0× |
| Duplex scan extracranial art compl bi study (93880) |
$691 |
$1,382 |
3.0× |
| Echo Heart Xthoracic,Limited (93308) |
$486.50 |
$973 |
2.1× |
| Echo transesophageal (93312) |
$1,355 |
$2,710 |
2.6× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,463 |
$2,926 |
2.8× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$890.50 |
$1,781 |
1.7× |
| Er level 1 (99281) |
$141 |
$282 |
1.7× |
| Er level ii (99282) |
$286.50 |
$573 |
1.9× |
| Er level iii (99283) |
$863 |
$1,726 |
3.3× |
| Er level IV (99284) |
$1,227.50 |
$2,455 |
3.0× |
| Er level v (99285) |
$1,726.50 |
$3,453 |
3.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$196.50 |
$393 |
1.6× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$77 |
$154 |
1.1× |
| Evaluation of speech fluency (92521) |
$190 |
$380 |
1.4× |
| Evaluation of speech sound production (92522) |
$190 |
$380 |
1.7× |
| Evaluation of swallowing function (92610) |
$190 |
$380 |
2.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$328 |
$656 |
2.7× |
| Exercise tst brncspsm (94617) |
$160.50 |
$321 |
1.2× |
| Exhaled Air Analysis (94690) |
$119 |
$238 |
2.1× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$330 |
$660 |
1.7× |
| Flow volume loop (94375) |
$186 |
$372 |
0.9× |
| Group Therapeutic Procedures (97150) |
$42.50 |
$85 |
2.4× |
| Hast w/report (94452) |
$134.50 |
$269 |
1.0× |
| High altitude simulation test (94453) |
$135.50 |
$271 |
1.0× |
| Immunization Admin (90471) |
$47.50 |
$95 |
0.7× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$395.50 |
$791 |
1.1× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$365 |
$730 |
1.8× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$81.50 |
$163 |
1.2× |
| IV infusion hydration each additional hour (96361) |
$225 |
$450 |
4.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$347.25 |
$694.50 |
1.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$215 |
$430 |
3.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$336.50 |
$673 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$218 |
$436 |
4.8× |
| IV push initial (96374) |
$180 |
$360 |
0.9× |
| Manual therapy 15 min (97140) |
$66.50 |
$133 |
2.4× |
| Mechanical traction (97012) |
$66.50 |
$133 |
4.6× |
| Methacholine challenge (94070) |
$645.50 |
$1,291 |
1.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$190 |
$380 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$313 |
$626 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$519.50 |
$1,039 |
1.3× |
| Newborn resuscitation (99465) |
$391.50 |
$783 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$268.50 |
$537 |
2.1× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$525.50 |
$1,051 |
2.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$239.50 |
$479 |
1.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$26 |
$52 |
1.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$37 |
$74 |
1.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$20.50 |
$41 |
1.5× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$66.50 |
$133 |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$66.50 |
$133 |
2.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
$66.50 |
$133 |
4.7× |
| Ot eval low complex 30 min (97165) |
$155 |
$310 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$155 |
$310 |
1.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$66.50 |
$133 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$66.50 |
$133 |
1.6× |
| Ot Range Motion Measure,Each Extrem (95851) |
$66.50 |
$133 |
2.6× |
| Ot re-eval est plan care (97168) |
$82 |
$164 |
1.2× |
| Paraffin bath (97018) |
$66.50 |
$133 |
11.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$165 |
$330 |
0.8× |
| Plethysmography (94726) |
$186 |
$372 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$66.50 |
$133 |
1.8× |
| Pt Electric Current Therapy (97033) |
$66.50 |
$133 |
3.5× |
| Pt Electrical Stimulation (97032) |
$66.50 |
$133 |
4.5× |
| Pt eval high complex 45 min (97163) |
$150 |
$300 |
1.5× |
| Pt eval low complex 20 min (97161) |
$150 |
$300 |
1.5× |
| Pt Gait Training Therapy (97116) |
$66.50 |
$133 |
2.3× |
| Pt group caregiver training (97552) |
$47 |
$94 |
2.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$66.50 |
$133 |
2.0× |
| Pt Physical Performance Test (97750) |
$66.50 |
$133 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$150 |
$300 |
1.5× |
| Pt re-evaluation (97164) |
$82 |
$164 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$66.50 |
$133 |
2.1× |
| Pt Ultrasound Therapy (97035) |
$66.50 |
$133 |
4.6× |
| Pt Whirlpool Therapy (97022) |
$98.50 |
$197 |
6.3× |
| Pulm Funct Test Oscillometry (94728) |
$160 |
$320 |
1.3× |
| Pulm function test by gas (94727) |
$127 |
$254 |
0.6× |
| Pulmonary stress testing (94618) |
$159 |
$318 |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$293 |
$586 |
1.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$84 |
$168 |
0.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$87 |
$174 |
1.8× |
| Sensory Integration Ea 15 Min (97533) |
$66.50 |
$133 |
1.1× |
| Sleep study unattended (95806) |
$367.50 |
$735 |
1.8× |
| Speech group therapy (92508) |
$49 |
$98 |
2.0× |
| Speech sound lang comprehen (92523) |
$190 |
$380 |
0.8× |
| Spirometry (94010) |
$124 |
$248 |
0.6× |
| Standardized Cognitive Performance Testing (96125) |
$255 |
$510 |
2.5× |
| Stenger Test, Speech (92577) |
$288.50 |
$577 |
0.8× |
| Stress echo (93350) |
$1,409 |
$2,818 |
2.7× |
| Stress Tte Complete (93351) |
$1,409 |
$2,818 |
2.7× |
| Surfactant Admin Thru Tube (94610) |
$120.50 |
$241 |
0.6× |
| Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) |
$372.50 |
$745 |
3.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$372.50 |
$745 |
3.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$140.25 |
$280.50 |
6.3× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$140.25 |
$280.50 |
6.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$170 |
$340 |
1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$104 |
$208 |
1.5× |
| Therapeutic Activities (97530) |
$66.50 |
$133 |
1.9× |
| Tone Decay Test (92563) |
$59.50 |
$119 |
1.6× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$517.50 |
$1,035 |
2.2× |
| Transcranial Doppler Limited (93888) |
$360.50 |
$721 |
3.5× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,409 |
$2,818 |
2.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,105.50 |
$2,211 |
4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$131 |
$262 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$131 |
$262 |
1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$180 |
$360 |
4.0× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,686.50 |
$3,373 |
3.2× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$125 |
$250 |
4.4× |
| Unlisted pulmonary service/procedure (94799) |
$280.50 |
$561 |
2.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$758 |
$1,516 |
3.3× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$397.50 |
$795 |
3.9× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$631 |
$1,262 |
3.0× |
| Vasopneumatic device (97016) |
$66.50 |
$133 |
5.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$2,194.50 |
$4,389 |
3.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,109.75 |
$2,219.50 |
1.8× |
| Vital capacity total (94150) |
$104.50 |
$209 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$66.50 |
$133 |
2.1× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$162 |
$324 |
0.4× |