| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$44 |
$110 |
1.6× |
| Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) |
$47.20 |
$118 |
1.7× |
| Airway inhalation treatment (94640) |
$324.80 |
$812 |
1.6× |
| Analyze Neurostim Complex (95972) |
$268 |
$670 |
3.0× |
| Analyze neurostim no prog (95970) |
$99.40 |
$248.50 |
0.8× |
| Behav assmt w/score & docd/stand instrument (96127) |
$6.80 |
$17 |
0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$435 |
$1,102 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$840 |
$2,100 |
4.2× |
| Cardiopulmonary resuscitation (92950) |
$209.60 |
$524 |
1.0× |
| Cbt 1st hour (94644) |
$488 |
$1,220 |
3.9× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$95.40 |
$238.50 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$497 |
$1,242.50 |
2.2× |
| Cpap initiation and management (94660) |
$307.40 |
$768.50 |
1.5× |
| Cpt initial (94667) |
$340.80 |
$852 |
2.7× |
| Critical care (99291) |
$320 |
$800 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$35.20 |
$88 |
0.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$324.80 |
$812 |
1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$934 |
$2,335 |
4.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$419.20 |
$1,048 |
4.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$480.80 |
$1,202 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$95.20 |
$238 |
1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$660 |
$547 |
6.8× |
| Duplex scan extracranial art compl bi study (93880) |
$840 |
$1,199 |
3.8× |
| Echo Heart Xthoracic,Limited (93308) |
$934 |
$2,335 |
4.2× |
| EEG awake asleep (95819) |
$542 |
$1,355 |
2.7× |
| EEG awake drowsy (95816) |
$65.60 |
$164 |
0.3× |
| EEG coma or sleep only (95822) |
$542 |
$1,355 |
2.7× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$338.80 |
$847 |
1.7× |
| EKG (93005) |
$125 |
$416 |
2.3× |
| EKG rhythm strip (93041) |
$164 |
$410 |
3.0× |
| Electroconvulsive Therapy (90870) |
$136 |
$340 |
0.2× |
| EMG four extremities (95864) |
$204 |
$510 |
1.7× |
| EMG one extremity (95860) |
$188 |
$470 |
1.5× |
| EMG thoracic paraspinal (95869) |
$147.40 |
$368.50 |
0.7× |
| EMG three extremities (95863) |
$220.80 |
$552 |
1.8× |
| EMG two extremities (95861) |
$205.80 |
$514.50 |
1.7× |
| Er level 1 (99281) |
$300 |
$350 |
3.8× |
| Er level ii (99282) |
$400 |
$630 |
2.8× |
| Er level iii (99283) |
$500 |
$1,100 |
2.0× |
| Er level IV (99284) |
$600 |
$1,700 |
1.5× |
| Er level v (99285) |
$700 |
$2,550 |
1.3× |
| Evaluation of speech fluency (92521) |
$230 |
$474 |
1.7× |
| Evaluation of speech sound production (92522) |
$230 |
$386 |
2.1× |
| Evaluation of swallowing function (92610) |
$230 |
$463 |
2.7× |
| External Ecg Scanning Analysis Report (93226) |
$305 |
$366 |
5.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$122 |
$305 |
0.6× |
| Flow volume loop (94375) |
$132.80 |
$332 |
0.7× |
| Fluorescein angioscopy (92230) |
$38.80 |
$97 |
0.1× |
| Group Therapeutic Procedures (97150) |
$34.80 |
$87 |
1.9× |
| Holter Monitor Recording (93225) |
$305 |
$246 |
2.5× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$32.80 |
$82 |
0.5× |
| Immunization Admin (90471) |
$63.20 |
$158 |
0.9× |
| Immunotherapy, 2+ Injections (95117) |
$38.20 |
$95.50 |
0.9× |
| Ingestion challenge test initial 120 minutes (95076) |
$84.80 |
$212 |
0.2× |
| Inital newborn e/m (99460) |
$121.20 |
$303 |
1.0× |
| Injection intra arterial (96373) |
$298.60 |
$746.50 |
1.5× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$148.80 |
$372 |
2.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$62 |
$155 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$60 |
$150 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$256.40 |
$641 |
1.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$116 |
$290 |
1.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$165 |
$412.50 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$77.80 |
$194.50 |
1.8× |
| IV push initial (96374) |
$268 |
$670 |
1.3× |
| Liver elastography w/o imag w/i&r (91200) |
$115.20 |
$288 |
1.0× |
| Manual therapy 15 min (97140) |
$115 |
$90 |
4.1× |
| Massage 15 min (97124) |
$54 |
$135 |
1.8× |
| Maximum voluntary ventilation (94200) |
$11.60 |
$29 |
0.2× |
| Measurement of heart blood flow and respiration (93701) |
$67.60 |
$169 |
0.5× |
| Mechanical traction (97012) |
$25.20 |
$63 |
1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$36.80 |
$92 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$38.40 |
$96 |
1.0× |
| Mnt Group Ea 30 Min (97804) |
$20.80 |
$52 |
1.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$230 |
$417 |
2.5× |
| Multiple sleep latency test (95805) |
$370 |
$925 |
0.5× |
| Nasopharyngoscopy (92511) |
$272.80 |
$682 |
1.5× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$102.20 |
$255.50 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$375 |
$620 |
2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$375 |
$2,660 |
1.0× |
| Neurobehavioral Status Exam (96116) |
$155 |
$580.50 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$249 |
$622.50 |
2.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$225.60 |
$564 |
1.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$35.60 |
$89 |
1.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$58 |
$145 |
1.3× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$50 |
$151 |
2.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$70 |
$179.50 |
3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$95 |
$169 |
4.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$115 |
$248 |
3.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$91.20 |
$228 |
6.5× |
| Ot eval high complex 60 min (97167) |
$230 |
$414 |
2.3× |
| Ot eval low complex 30 min (97165) |
$230 |
$417 |
2.3× |
| Ot eval mod complex 45 min (97166) |
$230 |
$414 |
2.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$102.80 |
$257 |
2.1× |
| Ot Range Motion Measure,Each Extrem (95851) |
$37.40 |
$93.50 |
1.4× |
| Ot re-eval est plan care (97168) |
$114.80 |
$287 |
1.7× |
| Paraffin bath (97018) |
$8 |
$20 |
1.3× |
| Patient-initiated spirometric phys/qhp r&i only (94016) |
$30.40 |
$76 |
1.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$660.80 |
$1,652 |
0.8× |
| Plethysmography (94726) |
$195 |
$615 |
0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$731 |
$1,827.50 |
0.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$100 |
$250 |
0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$19.40 |
$48.50 |
0.4× |
| Prepj& antigen prv allergen immunotherapy 1 do (95144) |
$136 |
$340 |
3.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$51.80 |
$129.50 |
1.2× |
| Psych diag eval w/med srvcs (90792) |
$100 |
$707 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$100 |
$684 |
0.6× |
| Psycl tst eval phys/qhp 1st (96130) |
$237.60 |
$594 |
1.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$233.80 |
$584.50 |
1.9× |
| Psytx crisis initial 60 min (90839) |
$100 |
$708.50 |
0.6× |
| Pt Electric Current Therapy (97033) |
$59.60 |
$149 |
3.1× |
| Pt Electrical Stimulation (97032) |
$28.40 |
$71 |
1.9× |
| Pt eval high complex 45 min (97163) |
$230 |
$519 |
2.4× |
| Pt eval low complex 20 min (97161) |
$230 |
$395 |
2.4× |
| Pt Gait Training Therapy (97116) |
$115 |
$141 |
4.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$115 |
$164 |
3.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$230 |
$395 |
2.4× |
| Pt re-evaluation (97164) |
$108.40 |
$271 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$115 |
$90 |
3.5× |
| Pt Ultrasound Therapy (97035) |
$27.60 |
$69 |
1.9× |
| Pt-focused hlth risk assmt (96160) |
$69.20 |
$173 |
2.0× |
| Pulm function test by gas (94727) |
$265 |
$50 |
1.3× |
| Pulmonary stress testing (94618) |
$190.80 |
$477 |
1.5× |
| Pure Tone Audiometry, Air (92552) |
$53.60 |
$134 |
0.4× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$361.60 |
$904 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$375 |
$337.50 |
2.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$340.80 |
$852 |
2.7× |
| Sbsq psychiatric collab care mgmt 1st 60 mins (99493) |
$20.80 |
$52 |
0.2× |
| Sc Ther Infusion Reset Pump (96371) |
$188 |
$470 |
2.8× |
| Sleep study attended (95807) |
$60 |
$150 |
0.2× |
| Sleep study unattended (95806) |
$60 |
$150 |
0.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$320.40 |
$801 |
1.6× |
| Smoking cessation > 10 min (99407) |
$57.40 |
$143.50 |
1.6× |
| Speech group therapy (92508) |
$44.40 |
$111 |
1.8× |
| Speech sound lang comprehen (92523) |
$230 |
$899 |
1.0× |
| Spirometry (94010) |
$241.20 |
$603 |
1.2× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$126.80 |
$317 |
2.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$572 |
$1,430 |
2.9× |
| Tensilon test (95857) |
$153.40 |
$383.50 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$54.80 |
$137 |
2.4× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$50.80 |
$127 |
2.4× |
| Ther/prop/diag inj/inf proc (96379) |
$80.80 |
$202 |
1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$45 |
$220 |
0.7× |
| Therapeutic Activities (97530) |
$115 |
$180 |
3.3× |
| Therapeutic phlebotomy (99195) |
$487.20 |
$1,218 |
3.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$26 |
$65 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$150.80 |
$377 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$188 |
$470 |
1.5× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,810 |
$2,729 |
3.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$57.20 |
$143 |
0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$115 |
$371 |
1.5× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$115 |
$404 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$78.40 |
$196 |
1.8× |
| Tympanometry (92567) |
$42.60 |
$106.50 |
1.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,040 |
$1,203 |
4.7× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$224.80 |
$562 |
2.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$896.40 |
$2,241 |
1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$955.20 |
$2,388 |
1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$115 |
$100 |
3.7× |