| Airway inhalation treatment (94640) |
$121.50 |
$243 |
0.6× |
| Behav assmt w/score & docd/stand instrument (96127) |
$5.50 |
$11 |
0.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$187.50 |
$375 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$272.50 |
$545 |
0.8× |
| Capsule endoscopy (91110) |
$1,013 |
$2,026 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$546 |
$1,092 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$379 |
$758 |
1.9× |
| Cardioversion (92960) |
$839 |
$1,678 |
1.4× |
| Cbt 1st hour (94644) |
$160 |
$320 |
1.3× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$25.50 |
$51 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$629.50 |
$1,259 |
2.8× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$45.25 |
$90.50 |
0.3× |
| Comprehensive Hearing Test (92557) |
$16.50 |
$33 |
0.1× |
| Cpap initiation and management (94660) |
$231 |
$462 |
1.1× |
| Cpt initial (94667) |
$84.50 |
$169 |
0.7× |
| Critical care (99291) |
$951.50 |
$1,903 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$157.50 |
$315 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$745 |
$1,490 |
3.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$407.50 |
$815 |
4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$483 |
$966 |
4.9× |
| Duplex scan extracranial art compl bi study (93880) |
$654 |
$1,308 |
2.9× |
| Echo Heart Xthoracic,Limited (93308) |
$328.75 |
$657.50 |
1.5× |
| Echo transesophageal (93312) |
$667.50 |
$1,335 |
1.3× |
| EEG awake asleep (95819) |
$443 |
$886 |
2.2× |
| EEG awake drowsy (95816) |
$443 |
$886 |
2.2× |
| EKG (93005) |
$170.25 |
$340.50 |
3.1× |
| Er level 1 (99281) |
$140 |
$280 |
1.8× |
| Er level ii (99282) |
$277 |
$554 |
1.9× |
| Er level iii (99283) |
$427 |
$854 |
1.7× |
| Er level IV (99284) |
$591 |
$1,182 |
1.5× |
| Er level v (99285) |
$768.50 |
$1,537 |
1.4× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$839.50 |
$1,679 |
2.4× |
| Evaluation of speech sound production (92522) |
$192.50 |
$385 |
1.7× |
| Evaluation of swallowing function (92610) |
$212.50 |
$425 |
2.5× |
| External ECG rec>48hr<7d recording (93242) |
$46.50 |
$93 |
1.3× |
| External ECG rec>7d<15d recording (93246) |
$46.50 |
$93 |
1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$711 |
$1,422 |
0.9× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$20 |
$40 |
0.5× |
| Immunization Admin (90471) |
$22.50 |
$45 |
0.3× |
| Immunotherapy, 2+ Injections (95117) |
$14 |
$28 |
0.3× |
| IV infusion hydration each additional hour (96361) |
$91 |
$182 |
2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$328.50 |
$657 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$112.50 |
$225 |
1.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$350.50 |
$701 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$91.50 |
$183 |
2.1× |
| IV push initial (96374) |
$211 |
$422 |
1.1× |
| Low frequency non-thermal us (97610) |
$198.50 |
$397 |
1.1× |
| Manual therapy 15 min (97140) |
$79 |
$158 |
2.8× |
| Mechanical traction (97012) |
$82.50 |
$165 |
5.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26.50 |
$53 |
0.7× |
| Motility study esophagus (91010) |
$474 |
$948 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$313.50 |
$627 |
3.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$185.75 |
$371.50 |
1.0× |
| Nerve conduction studies 13/> studies (95913) |
$420.50 |
$841 |
1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$240.75 |
$481.50 |
1.2× |
| Nerve conduction studies; 11-12 studies (95912) |
$383.50 |
$767 |
1.1× |
| Nerve conduction studies; 5-6 studies (95909) |
$273.50 |
$547 |
1.3× |
| Nerve conduction studies; 7-8 studies (95910) |
$311.25 |
$622.50 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$405.50 |
$811 |
3.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$124 |
$248 |
1.0× |
| Ot eval high complex 60 min (97167) |
$196 |
$392 |
1.9× |
| Ot eval low complex 30 min (97165) |
$156 |
$312 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$176 |
$352 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$146 |
$292 |
1.2× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$78.50 |
$157 |
1.4× |
| Pm device eval in person (93288) |
$27.50 |
$55 |
0.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$546.50 |
$1,093 |
0.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$7.75 |
$15.50 |
0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$11 |
$22 |
0.3× |
| Psych diag eval w/med srvcs (90792) |
$94 |
$188 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$82.25 |
$164.50 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$75 |
$150 |
2.0× |
| Pt Electrical Stimulation (97032) |
$59.50 |
$119 |
4.0× |
| Pt eval high complex 45 min (97163) |
$148 |
$296 |
1.5× |
| Pt eval low complex 20 min (97161) |
$128 |
$256 |
1.3× |
| Pt Gait Training Therapy (97116) |
$48 |
$96 |
1.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$72.50 |
$145 |
2.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$138.25 |
$276.50 |
1.4× |
| Pt re-evaluation (97164) |
$83 |
$166 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$55 |
$110 |
1.7× |
| Pulm function test by gas (94727) |
$159 |
$318 |
0.8× |
| Pure Tone Audiometry Air & Bone (92553) |
$39 |
$78 |
0.3× |
| Pure Tone Audiometry, Air (92552) |
$32 |
$64 |
0.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$49.50 |
$99 |
0.4× |
| Sleep study unattended (95806) |
$716.50 |
$1,433 |
3.5× |
| Speech Audiometry, Complete (92556) |
$27 |
$54 |
0.5× |
| Speech sound lang comprehen (92523) |
$403 |
$806 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$138 |
$276 |
1.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$64 |
$128 |
2.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$30.50 |
$61 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$32 |
$64 |
0.5× |
| Therapeutic Activities (97530) |
$66 |
$132 |
1.9× |
| Therapeutic phlebotomy (99195) |
$127.50 |
$255 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$5 |
$10 |
0.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$88 |
$176 |
0.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,566 |
$3,132 |
3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$138 |
$276 |
1.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$145 |
$290 |
1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$159.50 |
$319 |
3.6× |
| Tympanometry (92567) |
$6.50 |
$13 |
0.2× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$239.50 |
$479 |
2.0× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$755 |
$1,510 |
3.4× |
| Visual reinforcement audiometry (vra) (92579) |
$20 |
$40 |
0.1× |