| 1St psyc collab care mgmt (99492) |
$132 |
$165 |
1.2× |
| Actigraphy testing recording analysis i&r (95803) |
$194.40 |
$243 |
3.0× |
| Airway inhalation treatment (94640) |
$310.40 |
$388 |
1.3× |
| Analyze neurostim no prog (95970) |
$228.80 |
$286 |
1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$36.80 |
$46 |
2.6× |
| Application on-body injector (96377) |
$116.80 |
$146 |
2.2× |
| Assessment of aphasia per hr (96105) |
$208 |
$260 |
2.1× |
| Bedside Swallowing Eval (92610) |
$262.40 |
$328 |
3.1× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$177.60 |
$222 |
1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$148.80 |
$186 |
1.8× |
| Bfb training ea addl 15 min (90913) |
$52 |
$65 |
1.6× |
| Biofeedback training any modality (90901) |
$71.20 |
$89 |
1.7× |
| Breathing response to hypoxia (94450) |
$220 |
$275 |
1.5× |
| Brief Emotional/Behavioral Assessment (96127) |
$8 |
$10 |
0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$1,160 |
$1,450 |
2.8× |
| Canalith Repositioning Procedure (95992) |
$83.20 |
$104 |
2.0× |
| Car seat/bed test 60 min (94780) |
$136 |
$170 |
3.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$623.20 |
$779 |
2.6× |
| Cardiopulmonary exercise testing (94621) |
$540 |
$675 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$665.60 |
$832 |
2.8× |
| Cardioversion (92960) |
$1,039.20 |
$1,299 |
1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$64.80 |
$81 |
2.5× |
| Cbt 1st hour (94644) |
$400 |
$500 |
2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$132.80 |
$166 |
1.7× |
| Chemo IV push addl drug (96411) |
$235.20 |
$294 |
2.9× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$711.20 |
$889 |
1.9× |
| Chemother, IV infusion, 1 hr (96413) |
$780 |
$975 |
2.1× |
| Chemother, IV infusion, ea add hr (96415) |
$164 |
$205 |
2.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$237.60 |
$297 |
3.0× |
| Chemotherapy into cns (96450) |
$711.20 |
$889 |
1.9× |
| Chemotherapy, unspecified procedure (96549) |
$75.20 |
$94 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$164 |
$205 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$458.40 |
$573 |
1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$412.80 |
$516 |
1.1× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$220 |
$275 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$1,228 |
$1,535 |
4.6× |
| Color/duplex Doppler, limited (93976) |
$783.20 |
$979 |
6.7× |
| Continuous Glucose Monitoring (95250) |
$404 |
$505 |
2.7× |
| Cpap/bipap (94660) |
$260 |
$325 |
1.1× |
| Cpt initial (94667) |
$220 |
$275 |
1.5× |
| Critical care (99291) |
$1,728 |
$2,160 |
1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$212 |
$265 |
0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$486.40 |
$608 |
3.4× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$175.20 |
$219 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$783.20 |
$979 |
2.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$488 |
$610 |
4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,300.80 |
$1,626 |
4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$916.80 |
$1,146 |
7.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$783.20 |
$979 |
2.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$448.80 |
$561 |
3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,239.20 |
$1,549 |
4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$709.60 |
$887 |
6.1× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,239.20 |
$1,549 |
4.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$872.80 |
$1,091 |
7.5× |
| Duplex scan extracranial art compl bi study (93880) |
$472.80 |
$591 |
1.8× |
| Duplex Scan Hemodialysis Access (93990) |
$489.60 |
$612 |
4.2× |
| Echo Heart Xthoracic,Limited (93308) |
$472 |
$590 |
1.8× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,407.20 |
$1,759 |
2.3× |
| Echo transesophageal (93312) |
$1,319.20 |
$1,649 |
2.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,114.40 |
$1,393 |
1.8× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,551.20 |
$1,939 |
2.5× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$1,169.60 |
$1,462 |
1.9× |
| EEG awake and asleep (95819) |
$656.80 |
$821 |
2.7× |
| EEG awake drowsy (95816) |
$539.20 |
$674 |
2.2× |
| EEG cerebral death evaluation (95824) |
$588 |
$735 |
1.4× |
| EEG coma or sleep only (95822) |
$796.80 |
$996 |
3.3× |
| EEG greater than 1 hour (95813) |
$860 |
$1,075 |
3.6× |
| EKG rhythm strip (93041) |
$121.60 |
$152 |
1.8× |
| Electrocardiogram Tracing (93005) |
$121.60 |
$152 |
1.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$708 |
$885 |
2.9× |
| EMG four extremities (95864) |
$332.80 |
$416 |
2.3× |
| EMG one extremity (95860) |
$273.60 |
$342 |
1.8× |
| EMG three extremities (95863) |
$312.80 |
$391 |
2.2× |
| EMG two extremities (95861) |
$308 |
$385 |
2.1× |
| Er level 1 (99281) |
$312.80 |
$391 |
3.3× |
| Er level ii (99282) |
$417.60 |
$522 |
2.4× |
| Er level iii (99283) |
$730.40 |
$913 |
2.4× |
| Er level IV (99284) |
$1,032.80 |
$1,291 |
2.2× |
| Er level v (99285) |
$1,330.40 |
$1,663 |
2.0× |
| Eval speech sound production (92522) |
$172 |
$215 |
1.5× |
| Eval to use/fit voice prosth (92597) |
$180.80 |
$226 |
2.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$312 |
$390 |
2.6× |
| Evaluation of speech fluency (92521) |
$208.80 |
$261 |
1.6× |
| Exercise tst brncspsm (94617) |
$400 |
$500 |
2.7× |
| Exhaled Air Analysis (94690) |
$640 |
$800 |
9.7× |
| Exhaled air analysis o2 (94680) |
$400 |
$500 |
2.8× |
| External ECG rec>48hr<7d recording (93242) |
$200 |
$250 |
4.8× |
| External ECG rec>7d<15d recording (93246) |
$200 |
$250 |
4.8× |
| External Ecg Scanning Analysis Report (93226) |
$198.40 |
$248 |
3.0× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$443.20 |
$554 |
2.2× |
| High altitude simulation test (94452) |
$268 |
$335 |
1.8× |
| High altitude simulation test (94453) |
$268 |
$335 |
1.8× |
| Holter Monitor (93225) |
$198.40 |
$248 |
1.3× |
| Ilr Device Eval Progr (93285) |
$101.60 |
$127 |
2.4× |
| Immunization Admin (90471) |
$63.20 |
$79 |
0.8× |
| Inhalation bronchial challenge testing (95070) |
$220 |
$275 |
0.5× |
| Injection intra arterial (96373) |
$420.80 |
$526 |
1.8× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$88 |
$110 |
2.7× |
| Interrog device eval heart (93289) |
$120.80 |
$151 |
2.9× |
| Interrogate subq defib (93261) |
$132.80 |
$166 |
3.2× |
| Iontophoresis 15 min (97033) |
$43.20 |
$54 |
2.3× |
| Irrig drug delivery device (96523) |
$125.60 |
$157 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$80.80 |
$101 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$445.60 |
$557 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$108 |
$135 |
1.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$504 |
$630 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$108 |
$135 |
2.1× |
| IV push ea addl new drug (96375) |
$104 |
$130 |
2.0× |
| IV push initial (96374) |
$424 |
$530 |
1.8× |
| Manual therapy 15 min (97140) |
$84 |
$105 |
3.0× |
| Massage 15 min (97124) |
$72 |
$90 |
2.4× |
| Maximum voluntary ventilation (94200) |
$540 |
$675 |
8.2× |
| Mechanical traction (97012) |
$131.20 |
$164 |
9.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$60 |
$75 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$60 |
$75 |
1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$44.80 |
$56 |
2.6× |
| Methacholine challenge (94070) |
$400 |
$500 |
1.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$747.20 |
$934 |
8.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$630.40 |
$788 |
1.3× |
| Multiple Sleep Latency Test (95805) |
$2,663.20 |
$3,329 |
2.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$652 |
$815 |
2.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$500 |
$625 |
2.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$164 |
$205 |
1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$252 |
$315 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$841.60 |
$1,052 |
1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$683.20 |
$854 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$320 |
$400 |
1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$480 |
$600 |
1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$924 |
$1,155 |
2.2× |
| Nerve conduction studies 13/> studies (95913) |
$1,008 |
$1,260 |
2.4× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$500 |
$625 |
2.1× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$512.80 |
$641 |
2.1× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$588 |
$735 |
1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$860.80 |
$1,076 |
2.1× |
| Nerve conduction studies; 1-2 studies (95907) |
$272.80 |
$341 |
1.1× |
| Newborn resuscitation (99465) |
$1,156.80 |
$1,446 |
1.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$264 |
$330 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$185.60 |
$232 |
1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$84 |
$105 |
1.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$81.60 |
$102 |
2.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$43.20 |
$54 |
3.1× |
| Ot eval high complex 60 min (97167) |
$363.20 |
$454 |
3.6× |
| Ot eval low complex 30 min (97165) |
$253.60 |
$317 |
2.5× |
| Ot eval mod complex 45 min (97166) |
$302.40 |
$378 |
3.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$122.40 |
$153 |
2.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$85.60 |
$107 |
2.1× |
| Ot Range Motion Measure,Each Extrem (95851) |
$57.60 |
$72 |
2.2× |
| Ot re-evaluation (97168) |
$210.40 |
$263 |
3.1× |
| Ot therapeutic activity 15 min (97530) |
$92 |
$115 |
2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$226.40 |
$283 |
1.6× |
| Paraffin bath pt (97018) |
$21.60 |
$27 |
3.6× |
| Phlebotomy therapeutic (99195) |
$200 |
$250 |
1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$148 |
$185 |
2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$132 |
$165 |
2.0× |
| Pm device eval in person (93288) |
$120.80 |
$151 |
2.9× |
| Pm device progr eval dual (93280) |
$124.80 |
$156 |
3.0× |
| Pm device progr eval multi (93281) |
$136 |
$170 |
3.3× |
| Pm device progr eval sngl (93279) |
$97.60 |
$122 |
2.3× |
| Pm/Icd Remote Tech Serv (93296) |
$104.80 |
$131 |
2.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,344.80 |
$4,181 |
3.5× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,952 |
$3,690 |
3.1× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$132.80 |
$166 |
3.2× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$229.60 |
$287 |
5.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$119.20 |
$149 |
2.9× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$177.60 |
$222 |
4.3× |
| Psych diag eval w/med srvcs (90792) |
$164 |
$205 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$164 |
$205 |
0.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$88.80 |
$111 |
2.4× |
| Pt Electrical Stimulation (97032) |
$48.80 |
$61 |
3.3× |
| Pt eval high complex 45 min (97163) |
$320.80 |
$401 |
3.3× |
| Pt eval low complex 20 min (97161) |
$235.20 |
$294 |
2.4× |
| Pt eval mod complex 30 min (97162) |
$268 |
$335 |
2.7× |
| Pt gait training 15 min (97116) |
$78.40 |
$98 |
2.7× |
| Pt group caregiver training (97552) |
$256.80 |
$321 |
11.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$92 |
$115 |
2.8× |
| Pt Physical Performance Test (97750) |
$84.80 |
$106 |
2.5× |
| Pt re-evaluation (97164) |
$195.20 |
$244 |
2.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$97.60 |
$122 |
3.0× |
| Pt Whirlpool Therapy (97022) |
$41.60 |
$52 |
2.6× |
| Pt-focused hlth risk assmt (96160) |
$54.40 |
$68 |
1.3× |
| Pulm function test by gas (94727) |
$268 |
$335 |
1.1× |
| Pulmonary stress test simple (94618) |
$268 |
$335 |
1.8× |
| Refill/Maint Portable Pump (96521) |
$432.80 |
$541 |
1.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$432.80 |
$541 |
1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$126.40 |
$158 |
3.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$126.40 |
$158 |
3.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$156.80 |
$196 |
3.8× |
| Respiratory flow volume loop (94375) |
$268 |
$335 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$286 |
$357.50 |
1.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$220 |
$275 |
1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$87.20 |
$109 |
1.8× |
| Sbsq psyc collab care mgmt (99493) |
$124.80 |
$156 |
1.1× |
| Sensory Integration Ea 15 Min (97533) |
$84 |
$105 |
1.4× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$847.20 |
$1,059 |
3.5× |
| Short-latency somatosens ep std upr limbs (95925) |
$651.20 |
$814 |
2.7× |
| Sleep study attended (95807) |
$1,489.60 |
$1,862 |
3.6× |
| Sleep study unattended (95806) |
$291.20 |
$364 |
1.2× |
| Slp caregiver training 1st 30 min (97550) |
$128.80 |
$161 |
2.4× |
| Speech sound lang comprehen (92523) |
$373.60 |
$467 |
1.6× |
| Spirometry (94010) |
$780 |
$975 |
3.2× |
| Ssep lower limbs (95926) |
$651.20 |
$814 |
2.7× |
| Standardized Cognitive Performance Testing (96125) |
$281.60 |
$352 |
2.7× |
| Stress echo (93350) |
$1,236 |
$1,545 |
2.0× |
| Temp transcutaneous pacing (92953) |
$870.40 |
$1,088 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$144.80 |
$181 |
6.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$52 |
$65 |
2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$177.60 |
$222 |
1.7× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$120 |
$150 |
1.5× |
| Transtelephonic rhythm strip pacemaker eval (93293) |
$124 |
$155 |
3.0× |
| Tte w/doppler, complete (93306) |
$1,580.80 |
$1,976 |
2.6× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$596 |
$745 |
2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$126.40 |
$158 |
1.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$58.40 |
$73 |
2.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$168.80 |
$211 |
2.0× |
| Ultraviolet Light Therapy (96900) |
$294.40 |
$368 |
7.1× |
| Unlis neurological/neuromuscular dx px (95999) |
$2,796 |
$3,495 |
19.5× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$847.20 |
$1,059 |
3.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$771.20 |
$964 |
6.6× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$587.20 |
$734 |
2.4× |
| Vasopneumatic device (97016) |
$20.80 |
$26 |
1.7× |
| Vent mgmt inpat init day (94002) |
$400 |
$500 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$400 |
$500 |
0.6× |
| Vital capacity, total (94150) |
$220 |
$275 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$85.60 |
$107 |
2.8× |