| Airway inhalation treatment (94640) |
$65.88 |
$244 |
0.3× |
| Analyze Neurostim Complex (95972) |
$1,197.99 |
$4,437 |
13.1× |
| Analyze neurostim no prog (95970) |
$1,197.99 |
$4,437 |
9.4× |
| Capsule endoscopy (91110) |
$333.18 |
$1,234 |
0.4× |
| Chemother, IV infusion, 1 hr (96413) |
$98.82 |
$366 |
0.3× |
| Chemother, IV infusion, ea add hr (96415) |
$55.62 |
$206 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$102.33 |
$379 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$102.33 |
$379 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$21.33 |
$79 |
0.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$23.22 |
$86 |
0.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$95.04 |
$352 |
0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$103.14 |
$382 |
1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$333.18 |
$1,234 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$333.18 |
$1,234 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$206.28 |
$764 |
0.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$333.18 |
$1,234 |
3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$102.33 |
$379 |
1.0× |
| Duplex scan extracranial art compl bi study (93880) |
$333.18 |
$1,234 |
1.5× |
| EKG (93005) |
$66.42 |
$246 |
1.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$1,197.99 |
$4,437 |
13.1× |
| EMG cranial nerve unilat (95867) |
$317.52 |
$1,176 |
1.5× |
| EMG four extremities (95864) |
$305.37 |
$1,131 |
2.5× |
| EMG two extremities (95861) |
$311.44 |
$1,153.50 |
2.4× |
| Er level 1 (99281) |
$26.19 |
$97 |
0.3× |
| Er level ii (99282) |
$129.87 |
$481 |
0.9× |
| Er level iii (99283) |
$201.69 |
$747 |
0.8× |
| Er level IV (99284) |
$254.07 |
$941 |
0.6× |
| Er level v (99285) |
$532.17 |
$1,971 |
0.9× |
| Fluorescein angiography (92235) |
$333.18 |
$1,234 |
1.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$399.33 |
$1,479 |
0.5× |
| Group Therapeutic Procedures (97150) |
$19.44 |
$72 |
1.1× |
| Io ga n-stim subsq w/reprog (95982) |
$46.71 |
$173 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$195.48 |
$724 |
2.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$195.48 |
$724 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$50.49 |
$187 |
1.1× |
| IV push initial (96374) |
$38.34 |
$142 |
0.2× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$223.29 |
$827 |
0.7× |
| Manual therapy 15 min (97140) |
$38.34 |
$142 |
1.4× |
| Massage 15 min (97124) |
$22.41 |
$83 |
0.8× |
| Mechanical traction (97012) |
$11.61 |
$43 |
0.8× |
| Multiple sleep latency test (95805) |
$1,089.99 |
$4,037 |
1.3× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$241.92 |
$896 |
1.9× |
| Neg press wnd tx </=50 sq cm (97607) |
$278.10 |
$1,030 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$26.19 |
$97 |
0.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$174.96 |
$648 |
0.4× |
| Neuromuscular junction test (95937) |
$76.68 |
$284 |
0.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$231.39 |
$857 |
1.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$32.94 |
$122 |
0.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$22.41 |
$83 |
1.6× |
| Ot eval high complex 60 min (97167) |
$74.38 |
$275.50 |
0.7× |
| Ot eval low complex 30 min (97165) |
$74.38 |
$275.50 |
0.7× |
| Ot eval mod complex 45 min (97166) |
$74.38 |
$275.50 |
0.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$53.46 |
$198 |
1.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$53.46 |
$198 |
1.3× |
| Ot Range Motion Measure,Each Extrem (95851) |
$100.98 |
$374 |
3.9× |
| Ot re-eval est plan care (97168) |
$45.50 |
$168.50 |
0.7× |
| Paraffin bath (97018) |
$16.47 |
$61 |
2.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,235.52 |
$4,576 |
1.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$32.94 |
$122 |
0.9× |
| Pt Electric Current Therapy (97033) |
$26.19 |
$97 |
1.4× |
| Pt Electrical Stimulation (97032) |
$22.41 |
$83 |
1.5× |
| Pt eval high complex 45 min (97163) |
$74.38 |
$275.50 |
0.8× |
| Pt eval low complex 20 min (97161) |
$74.38 |
$275.50 |
0.8× |
| Pt Gait Training Therapy (97116) |
$26.19 |
$97 |
0.9× |
| Pt Infrared Therapy (97026) |
$18.36 |
$68 |
2.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$29.97 |
$111 |
0.9× |
| Pt Physical Performance Test (97750) |
$53.73 |
$199 |
1.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$74.38 |
$275.50 |
0.8× |
| Pt re-evaluation (97164) |
$45.50 |
$168.50 |
0.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$32.94 |
$122 |
1.0× |
| Pt Ultrasound Therapy (97035) |
$22.41 |
$83 |
1.6× |
| Pt Whirlpool Therapy (97022) |
$19.44 |
$72 |
1.2× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$184.14 |
$682 |
0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$21.33 |
$79 |
0.1× |
| Sensory Integration Ea 15 Min (97533) |
$29.97 |
$111 |
0.5× |
| Short-latency somatosens ep std lwr limbs (95926) |
$317.52 |
$1,176 |
1.5× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$75.33 |
$279 |
0.4× |
| Sleep study unattended (95806) |
$199.26 |
$738 |
1.0× |
| Smoking cessation > 10 min (99407) |
$27.81 |
$103 |
0.8× |
| Somatosensory testing (95938) |
$75.33 |
$279 |
0.1× |
| Spirometry (94010) |
$65.88 |
$244 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$45.90 |
$170 |
2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$38.34 |
$142 |
0.6× |
| Therapeutic Activities (97530) |
$29.97 |
$111 |
0.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$38.34 |
$142 |
0.9× |
| Ultraviolet Therapy (97028) |
$18.36 |
$68 |
2.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$251.91 |
$933 |
1.1× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$333.18 |
$1,234 |
1.6× |
| Vasopneumatic device (97016) |
$11.61 |
$43 |
1.0× |
| Vital capacity total (94150) |
$37.80 |
$140 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$29.97 |
$111 |
1.0× |