| Airway inhalation treatment (94640) |
$79 |
$158 |
0.4× |
| Assessment of aphasia (96105) |
$524 |
$1,048 |
5.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$85.50 |
$171 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$403 |
$806 |
1.2× |
| Canalith Repositioning (95992) |
$83 |
$166 |
2.0× |
| Car seat/bed test 60 min (94780) |
$33.50 |
$67 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$355 |
$710 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$360.50 |
$721 |
1.8× |
| Cardioversion (92960) |
$1,495 |
$2,990 |
2.5× |
| Cbt 1st hour (94644) |
$120 |
$240 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$86 |
$172 |
1.3× |
| Chemo IV push addl drug (96411) |
$125 |
$250 |
1.9× |
| Chemo Iv Push Sngl Drug (96409) |
$156.50 |
$313 |
0.5× |
| Chemother, IV infusion, 1 hr (96413) |
$317.50 |
$635 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$80 |
$160 |
1.2× |
| Chemother,Ia Push Technique (96420) |
$217.50 |
$435 |
0.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$140.50 |
$281 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$74.50 |
$149 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$549 |
$1,098 |
2.5× |
| Color/duplex Doppler, limited (93976) |
$262 |
$524 |
2.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$76.50 |
$153 |
1.4× |
| Corneal Topography (92025) |
$58.50 |
$117 |
1.1× |
| Cpap initiation and management (94660) |
$503.50 |
$1,007 |
2.5× |
| Cpt initial (94667) |
$153.50 |
$307 |
1.3× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$76.50 |
$153 |
1.4× |
| Critical care (99291) |
$1,036.50 |
$2,073 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$241.50 |
$483 |
1.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$235 |
$470 |
1.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$328 |
$656 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$131.50 |
$263 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$688.50 |
$1,377 |
3.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$532 |
$1,064 |
5.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$981 |
$1,962 |
4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$410.50 |
$821 |
4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$532 |
$1,064 |
5.6× |
| Duplex scan extracranial art compl bi study (93880) |
$538 |
$1,076 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$456 |
$912 |
2.1× |
| Echo transesophageal (93312) |
$994.50 |
$1,989 |
2.0× |
| EEG awake asleep (95819) |
$478 |
$956 |
2.4× |
| EEG cerebral death evaluation (95824) |
$604.50 |
$1,209 |
1.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$923.50 |
$1,847 |
4.7× |
| EKG (93005) |
$83 |
$166 |
1.6× |
| EKG rhythm strip (93041) |
$83 |
$166 |
1.6× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$338 |
$676 |
1.7× |
| EMG one extremity (95860) |
$215.50 |
$431 |
1.8× |
| EMG two extremities (95861) |
$254.50 |
$509 |
2.1× |
| Er level 1 (99281) |
$125.50 |
$251 |
1.6× |
| Er level ii (99282) |
$215 |
$430 |
1.5× |
| Er level iii (99283) |
$314 |
$628 |
1.3× |
| Er level IV (99284) |
$544 |
$1,088 |
1.4× |
| Er level v (99285) |
$843 |
$1,686 |
1.6× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$122 |
$244 |
1.7× |
| Evaluation of speech fluency (92521) |
$179 |
$358 |
1.3× |
| Evaluation of speech sound production (92522) |
$146 |
$292 |
1.3× |
| Evaluation of swallowing function (92610) |
$137.50 |
$275 |
1.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$256 |
$512 |
2.1× |
| Evoked auditory test,limited (92587) |
$264.50 |
$529 |
1.4× |
| Exam of visual field with extended testing (92083) |
$120 |
$240 |
1.0× |
| Exam of visual field with intermediate testing (92082) |
$92 |
$184 |
1.7× |
| Exercise tst brncspsm (94617) |
$54 |
$108 |
0.4× |
| External ECG rec>48hr<7d recording (93242) |
$62.50 |
$125 |
1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$126.50 |
$253 |
1.0× |
| External ECG rec>7d<15d recording (93246) |
$79 |
$158 |
2.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$142 |
$284 |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$345.50 |
$691 |
6.5× |
| External ocular photography (92285) |
$173.50 |
$347 |
5.1× |
| Eye exam, new patient,comprehesv (92004) |
$120.50 |
$241 |
1.0× |
| Flow volume loop (94375) |
$264.50 |
$529 |
1.4× |
| Fundus photography w/interpretation & report (92250) |
$114.50 |
$229 |
0.9× |
| Gonioscopy (92020) |
$114.50 |
$229 |
0.9× |
| Hemodialysis (90935) |
$628.50 |
$1,257 |
1.0× |
| Holter Monitor Recording (93225) |
$154 |
$308 |
1.3× |
| Icd Device Interrogate (93289) |
$39 |
$78 |
1.2× |
| Img retina detcj/mntr ds poc auto a/r uni/bi (92229) |
$108 |
$216 |
2.0× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$25 |
$50 |
0.7× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$14 |
$28 |
0.2× |
| Immunization Admin (90471) |
$11.32 |
$22.65 |
0.2× |
| Immunotherapy, 2+ Injections (95117) |
$40.50 |
$81 |
1.0× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$33.50 |
$67 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$90.50 |
$181 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$50 |
$100 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$154 |
$308 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$73 |
$146 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$263 |
$526 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$73 |
$146 |
1.7× |
| IV push initial (96374) |
$110.50 |
$221 |
0.6× |
| Manual therapy 15 min (97140) |
$60 |
$120 |
2.2× |
| Massage 15 min (97124) |
$51 |
$102 |
1.7× |
| Maximum voluntary ventilation (94200) |
$114.50 |
$229 |
2.1× |
| Mechanical traction (97012) |
$32 |
$64 |
2.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$24 |
$48 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29 |
$58 |
0.8× |
| Methacholine challenge (94070) |
$326.50 |
$653 |
1.0× |
| Mnt Group Ea 30 Min (97804) |
$28 |
$56 |
1.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$142 |
$284 |
1.6× |
| Multiple sleep latency test (95805) |
$1,712.50 |
$3,425 |
2.2× |
| Nasopharyngoscopy (92511) |
$198.50 |
$397 |
1.1× |
| Neg press wnd tx </=50 sq cm (97607) |
$459 |
$918 |
1.2× |
| Neg press wound tx >50 cm (97608) |
$509 |
$1,018 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$253 |
$506 |
1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$447 |
$894 |
1.2× |
| Nerve conduction studies 13/> studies (95913) |
$562.50 |
$1,125 |
1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$562.50 |
$1,125 |
1.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$184 |
$368 |
0.9× |
| Nerve conduction studies; 11-12 studies (95912) |
$562.50 |
$1,125 |
1.7× |
| Nerve conduction studies; 5-6 studies (95909) |
$313 |
$626 |
1.6× |
| Nerve conduction studies; 7-8 studies (95910) |
$313 |
$626 |
0.9× |
| New patient problem focused exam of visual system (92002) |
$97 |
$194 |
0.8× |
| Newborn resuscitation (99465) |
$575.50 |
$1,151 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$222.50 |
$445 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$151.50 |
$303 |
1.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$97 |
$194 |
0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$77.50 |
$155 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$66.50 |
$133 |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$50 |
$100 |
1.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$74 |
$148 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$139 |
$278 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$51.50 |
$103 |
0.4× |
| Paraffin bath (97018) |
$21.50 |
$43 |
3.6× |
| Plethysmography (94726) |
$209 |
$418 |
0.6× |
| Pm device eval in person (93288) |
$39 |
$78 |
1.2× |
| Pm device progr eval dual (93280) |
$50 |
$100 |
1.5× |
| Pm device progr eval sngl (93279) |
$50 |
$100 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,966 |
$5,932 |
3.8× |
| Programming of dual lead implantable defibrillator system (93283) |
$56.50 |
$113 |
1.7× |
| Programming of single lead implantable defibrillator system (93282) |
$52 |
$104 |
1.5× |
| Psychiatric diagnostic evaluation (90791) |
$235 |
$470 |
1.5× |
| Pt Electric Current Therapy (97033) |
$63 |
$126 |
3.3× |
| Pt Electrical Stimulation (97032) |
$68.50 |
$137 |
4.7× |
| Pt eval high complex 45 min (97163) |
$170 |
$340 |
1.7× |
| Pt eval low complex 20 min (97161) |
$96 |
$192 |
1.0× |
| Pt Gait Training Therapy (97116) |
$56.50 |
$113 |
1.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$56 |
$112 |
1.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$131.50 |
$263 |
1.3× |
| Pt re-evaluation (97164) |
$86 |
$172 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$68.50 |
$137 |
2.1× |
| Pt Ultrasound Therapy (97035) |
$26 |
$52 |
1.8× |
| Pt-focused hlth risk assmt (96160) |
$31 |
$62 |
0.9× |
| Pulm function test by gas (94727) |
$151.50 |
$303 |
0.8× |
| Pulmonary stress testing (94618) |
$191 |
$382 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$322.50 |
$645 |
9.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$241.50 |
$483 |
1.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$83 |
$166 |
0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$66.50 |
$133 |
1.4× |
| Short-latency somatosens ep std lwr limbs (95926) |
$313 |
$626 |
1.6× |
| Speech group therapy (92508) |
$72 |
$144 |
3.0× |
| Speech sound lang comprehen (92523) |
$336.50 |
$673 |
1.5× |
| Spirometry (94010) |
$179.50 |
$359 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$156 |
$312 |
1.5× |
| Stress echo (93350) |
$455.50 |
$911 |
0.9× |
| Stress Tte Complete (93351) |
$1,080.50 |
$2,161 |
2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$182 |
$364 |
1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$45.50 |
$91 |
0.7× |
| Therapeutic Activities (97530) |
$56 |
$112 |
1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$25 |
$50 |
0.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,314.50 |
$2,629 |
2.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$456 |
$912 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$142 |
$284 |
1.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$135.50 |
$271 |
1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$110.50 |
$221 |
2.6× |
| Tympanometry (92567) |
$35 |
$70 |
1.0× |
| Ultraviolet Light Therapy (96900) |
$98.50 |
$197 |
2.9× |
| Unlisted pulmonary service/procedure (94799) |
$222 |
$444 |
1.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$698.50 |
$1,397 |
3.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,260 |
$2,520 |
2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$654 |
$1,308 |
1.2× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$125.50 |
$251 |
0.4× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$219.50 |
$439 |
2.5× |