| Acoustic immitance testing (92570) |
$103.20 |
$258 |
0.8× |
| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$216 |
$540 |
3.6× |
| Acupunct w/o stimul 15 min (97810) |
$43.60 |
$109 |
1.5× |
| Acupunct w/stimul 15 min (97813) |
$46 |
$115 |
1.6× |
| Administration of chemotherapy into artery using push technique (96420) |
$302.80 |
$757 |
0.9× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$317.60 |
$794 |
1.0× |
| Advance care planning first 30 mins (99497) |
$72 |
$180 |
0.7× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$504.80 |
$1,262 |
2.3× |
| Aep neurodiagnostic interpretation and report (92653) |
$956.40 |
$2,391 |
4.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$956.40 |
$2,391 |
4.4× |
| Aerosol inhalation pentamidine (94642) |
$167.60 |
$419 |
0.8× |
| Airway inhalation treatment (94640) |
$95.20 |
$238 |
0.4× |
| Allergy injection single (95115) |
$46 |
$115 |
1.0× |
| Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95018) |
$92 |
$230 |
2.5× |
| Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal),… (95017) |
$92 |
$230 |
3.2× |
| Ambulatory bp recording (93786) |
$295.60 |
$739 |
2.2× |
| Analyze pacemaker system (93724) |
$485.60 |
$1,214 |
1.6× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$702 |
$1,755 |
3.5× |
| Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis (92286) |
$337.20 |
$843 |
2.5× |
| Appl on-body injector for timed subq injection (96377) |
$146 |
$365 |
3.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$53.60 |
$134 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$57.60 |
$144 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$88.80 |
$222 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$39.60 |
$99 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$94.40 |
$236 |
— |
| Application of ultraviolet light to skin (96900) |
$61.60 |
$154 |
1.6× |
| Assessment of aphasia (96105) |
$253.20 |
$633 |
— |
| Basic vestibular evaluation (92540) |
$329.20 |
$823 |
1.5× |
| Behav assmt w/score & docd/stand instrument (96127) |
$81.60 |
$204 |
2.2× |
| Behavior identification assessment, administered by a physician or other qualified health care professional, each 15… (97151) |
$129.20 |
$323 |
1.3× |
| Behavior identification-supporting assessment, administered by one technician under the direction of a physician or… (97152) |
$129.20 |
$323 |
1.3× |
| Behavioral & qualit analysis voice and resonance (92524) |
$340.80 |
$852 |
— |
| Bfb training ea addl 15 min (90913) |
$239.20 |
$598 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$164.80 |
$412 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$239.20 |
$598 |
— |
| Biopsy of heart lining (93505) |
$2,912.80 |
$7,282 |
0.9× |
| Bipap initial day (94660) |
$938 |
$2,345 |
4.3× |
| Blink reflex test (95933) |
$257.60 |
$644 |
4.3× |
| Breathing capacity test (94010) |
$252.80 |
$632 |
1.2× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$402 |
$1,005 |
1.1× |
Bundle of his recording (93600)
unusually low — confirm this is the full procedure |
$3,398.80 |
$8,497 |
0.4× |
| C motor evoked lwr limbs (95929) |
$834.80 |
$2,087 |
2.2× |
| C motor evoked uppr limbs (95928) |
$791.20 |
$1,978 |
0.9× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$621.60 |
$1,554 |
4.8× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$621.60 |
$1,554 |
2.9× |
| Canalith repositioning (95992) |
$94.80 |
$237 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$167.60 |
$419 |
4.5× |
| Cardiovascular procedure unlisted (93799) |
$6,000.80 |
$15,002 |
46.4× |
| Cardiovascular stress test (93017) |
$863.20 |
$2,158 |
4.0× |
| Cardioversion elective external (92960) |
$1,126.40 |
$2,816 |
1.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$92.40 |
$231 |
2.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$14,750.40 |
$36,876 |
4.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$14,242.40 |
$35,606 |
4.4× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$13,185.20 |
$32,963 |
4.0× |
| Chemo anti-neopl sq/im (96401) |
$144.80 |
$362 |
2.0× |
| Chemo hormon antineopl sq/im (96402) |
$67.60 |
$169 |
0.9× |
| Chemo intralesional over 7 (96406) |
$836 |
$2,090 |
3.9× |
| Chemo intralesional up to 7 (96405) |
$255.20 |
$638 |
3.5× |
| Chemo IV infus each addl seq (96417) |
$190.80 |
$477 |
2.6× |
| Chemo IV infusion addl hr (96415) |
$87.20 |
$218 |
1.2× |
| Chemo IV push addl drug (96411) |
$226 |
$565 |
3.1× |
| Chemother prolong infuse w/pump (96416) |
$414.40 |
$1,036 |
1.2× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis (96440) |
$1,301.60 |
$3,254 |
3.9× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$393.20 |
$983 |
1.2× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$162 |
$405 |
3.4× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$836 |
$2,090 |
2.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$377.60 |
$944 |
1.1× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$399.60 |
$999 |
1.2× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$255.60 |
$639 |
0.8× |
| Chest physiotherapy initial (94667) |
$68.80 |
$172 |
0.5× |
| Color vision examination, extended, eg, anomaloscope or equivalent (92283) |
$72.80 |
$182 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$759.60 |
$1,899 |
3.2× |
| Color/duplex Doppler, limited (93976) |
$436.80 |
$1,092 |
4.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$53.60 |
$134 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$6,402.40 |
$16,006 |
0.8× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$37,749.20 |
$94,373 |
1.4× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$7,984.40 |
$19,961 |
1.0× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$37,749.20 |
$94,373 |
1.4× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$37,749.20 |
$94,373 |
1.4× |
| Comprehensive hearing test (92557) |
$215.20 |
$538 |
1.7× |
| Concurrent chemotherapy (96549) |
$60.40 |
$151 |
1.3× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$248.40 |
$621 |
1.9× |
| Cont gluc mntr pt prov eqp (95249) |
$199.20 |
$498 |
3.4× |
| Coronary art/grft angio s&i (93455) |
$7,721.20 |
$19,303 |
2.4× |
| Coronary artery angio s&i (93454) |
$5,672.40 |
$14,181 |
1.7× |
| Corticapted neurological or neuromuscular diagnostic procedure (95999) |
$240.80 |
$602 |
1.9× |
| Cpr (92950) |
$628.40 |
$1,571 |
2.9× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$92.40 |
$231 |
1.6× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$136 |
$340 |
2.3× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$136 |
$340 |
2.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,716 |
$4,290 |
2.1× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$477.20 |
$1,193 |
0.6× |
| Debridement open wound 20 sq cm< (97597) |
$180.60 |
$451.50 |
0.9× |
| Delivery/birthing room resuscitation (99465) |
$420.40 |
$1,051 |
0.6× |
| Dialysis one evaluation (90945) |
$510 |
$1,275 |
1.2× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$700 |
$1,750 |
6.7× |
| Duplex hemodialysis access (93990) |
$374 |
$935 |
3.6× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$845.60 |
$2,114 |
3.5× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$406.40 |
$1,016 |
3.9× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$648 |
$1,620 |
2.7× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$451.20 |
$1,128 |
4.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$933.20 |
$2,333 |
3.9× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$622.40 |
$1,556 |
5.9× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$973.20 |
$2,433 |
4.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$638.40 |
$1,596 |
6.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$989.20 |
$2,473 |
4.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$639.20 |
$1,598 |
6.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$973.20 |
$2,433 |
4.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$655.60 |
$1,639 |
6.2× |
| ECG monit/reprt up to 48 hrs (93226) |
$612 |
$1,530 |
10.3× |
| ECG/monitoring and analysis (93271) |
$585.60 |
$1,464 |
6.1× |
| Echo transesophageal (93312) |
$1,581.60 |
$3,954 |
2.9× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$446.80 |
$1,117 |
0.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$649.60 |
$1,624 |
2.7× |
| EEG 41-60 minutes (95812) |
$986 |
$2,465 |
4.5× |
| EEG awake & asleep (95819) |
$608 |
$1,520 |
2.8× |
| EEG awake/drowsy (95816) |
$538 |
$1,345 |
2.5× |
| EEG coma or sleep only (95822) |
$559.60 |
$1,399 |
2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$918 |
$2,295 |
4.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,184.80 |
$2,962 |
5.5× |
| EKG 12 lead tracing only (93005) |
$180.80 |
$452 |
3.1× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$176.40 |
$441 |
1.8× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$174.40 |
$436 |
1.3× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$811.60 |
$2,029 |
8.5× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$144 |
$360 |
3.8× |
| Electrocochleography (92584) |
$246.40 |
$616 |
1.9× |
| Electroconvulsive therapy (90870) |
$424.80 |
$1,062 |
0.5× |
| Electrode stimulation brain (95961) |
$477.20 |
$1,193 |
0.6× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$3,217.20 |
$8,043 |
2.6× |
| Emergency department visit high mdm (99285) |
$1,331.60 |
$3,329 |
2.2× |
| Emergency department visit low mdm (99283) |
$590 |
$1,475 |
2.2× |
| Emergency department visit may not req phys/qhp (99281) |
$216.40 |
$541 |
2.6× |
| Emergency department visit moderate mdm (99284) |
$923.20 |
$2,308 |
2.2× |
| Emergency department visit straightforward mdm (99282) |
$269.20 |
$673 |
1.7× |
| EMG thoracic paraspinal (95869) |
$184.40 |
$461 |
0.9× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$70.40 |
$176 |
0.5× |
| Endoscopy swallow (fees) vid (92612) |
$240.40 |
$601 |
— |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$744.40 |
$1,861 |
2.0× |
| Esophageal recording (93615) |
$1,479.60 |
$3,699 |
1.2× |
| Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) |
$1,824 |
$4,560 |
1.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$515.60 |
$1,289 |
4.0× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$279.60 |
$699 |
— |
| Evaluate pt use of inhaler (94664) |
$102 |
$255 |
0.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$121.20 |
$303 |
— |
| Evaluation of speech fluency (92521) |
$402 |
$1,005 |
— |
| Evaluation of speech sound production articulate (92522) |
$327.20 |
$818 |
— |
| Evoked auditory test limited (92587) |
$196.40 |
$491 |
0.9× |
| Exam of retinal blood vessels using an endoscope after injection of a dye (92230) |
$806.80 |
$2,017 |
2.2× |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$404.40 |
$1,011 |
3.0× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$578.40 |
$1,446 |
4.3× |
| External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data… (93229) |
$922 |
$2,305 |
2.5× |
| External ocular photography with interpretation and report for documentation of medical progress (eg, close-up… (92285) |
$105.60 |
$264 |
2.8× |
| Facial nerve function studies (eg, electroneuronography) (92516) |
$989.60 |
$2,474 |
4.6× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$102 |
$255 |
3.5× |
| Fluidotherapy (97022) |
$213.60 |
$534 |
— |
| Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92235) |
$325.20 |
$813 |
1.5× |
| Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient… (92242) |
$852 |
$2,130 |
3.9× |
| Fundus photography with interpretation and report (92250) |
$184.40 |
$461 |
1.4× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$190.80 |
$477 |
0.9× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$878.40 |
$2,196 |
2.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,556 |
$6,390 |
3.0× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,779.60 |
$4,449 |
2.0× |
| Gonioscopy (92020) |
$104 |
$260 |
0.8× |
| Health behavior assessment/re-assessment (96156) |
$141.20 |
$353 |
1.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$99.60 |
$249 |
2.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$68.40 |
$171 |
1.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$152.80 |
$382 |
0.9× |
| Hot/cold pack (97010) |
$94.80 |
$237 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$109.60 |
$274 |
1.5× |
| Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or… (92227) |
$57.20 |
$143 |
1.0× |
| Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care… (92228) |
$122.40 |
$306 |
3.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$68.80 |
$172 |
1.7× |
| Immunization administration (90471) |
$52.80 |
$132 |
0.7× |
| Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92240) |
$402.80 |
$1,007 |
1.9× |
| Ingestion challenge test initial 120 minutes (95076) |
$1,118.80 |
$2,797 |
3.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$100.40 |
$251 |
2.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$232 |
$580 |
1.1× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$1,602 |
$4,005 |
1.0× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$57.20 |
$143 |
1.5× |
| Interrog device eval heart (93289) |
$87.20 |
$218 |
2.3× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$42.40 |
$106 |
1.1× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$54.40 |
$136 |
1.9× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$97.20 |
$243 |
2.6× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) |
$48.80 |
$122 |
1.3× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$95.20 |
$238 |
2.5× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$9,628 |
$24,070 |
1.2× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$36.80 |
$92 |
0.6× |
| Io anal gast n-stim subsq (95981) |
$316.80 |
$792 |
5.3× |
| Io ga n-stim subsq w/reprog (95982) |
$645.60 |
$1,614 |
17.2× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$134.80 |
$337 |
2.3× |
| Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) 95875 (95875) |
$70.40 |
$176 |
0.5× |
| IV infusion hydration each additional hour (96361) |
$92.40 |
$231 |
2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$319.60 |
$799 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$173.60 |
$434 |
2.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$356 |
$890 |
1.7× |
| IV tx, each additional hour (96366) |
$112.80 |
$282 |
2.4× |
| Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) |
$221.60 |
$554 |
1.7× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$10,262 |
$25,655 |
3.2× |
| Liver elastography (91200) |
$526 |
$1,315 |
4.1× |
| Low frequency non-thermal us (97610) |
$561.20 |
$1,403 |
2.8× |
| Lwr xtr vasc stdy bilat (93924) |
$684 |
$1,710 |
3.2× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$66 |
$165 |
0.5× |
| Maximum voluntary ventilation (94200) |
$136 |
$340 |
2.3× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$374.80 |
$937 |
1.0× |
| Mechanical chest wall oscillation lung function (94669) |
$680.80 |
$1,702 |
3.1× |
| Mechanical traction therapy (97012) |
$252.80 |
$632 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$43.60 |
$109 |
— |
| Medical nutrition group (97804) |
$16.40 |
$41 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$37.20 |
$93 |
— |
| Methacholine challenge (94070) |
$956.40 |
$2,391 |
2.6× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation (92325) |
$192 |
$480 |
1.4× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$336 |
$840 |
— |
| Multi-family group psychotherapy - psychologist (90849) |
$483.20 |
$1,208 |
2.7× |
| Multiple sleep latency (95805) |
$2,629.20 |
$6,573 |
3.0× |
| Muscle test 3 limbs (95863) |
$515.20 |
$1,288 |
4.0× |
| Nasopharyngoscopy (92511) |
$88.80 |
$222 |
0.4× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$569.20 |
$1,423 |
4.4× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$436.80 |
$1,092 |
3.3× |
| Needle electromyography cranial nrv muscle uni (95867) |
$262.80 |
$657 |
1.2× |
| Needle electromyography hemidiaphragm (95866) |
$263.60 |
$659 |
2.0× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$342 |
$855 |
1.6× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$285.60 |
$714 |
2.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$180.40 |
$451 |
1.3× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$360.40 |
$901 |
1.7× |
| Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report (92265) |
$134.40 |
$336 |
2.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$1,158.80 |
$2,897 |
2.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$1,158.80 |
$2,897 |
2.8× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$178.80 |
$447 |
0.9× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$196.40 |
$491 |
0.5× |
| Nerve conduction studies 1-2 studies (95907) |
$158.80 |
$397 |
0.7× |
| Nerve conduction studies 11-12 studies (95912) |
$295.20 |
$738 |
0.8× |
| Nerve conduction studies 13/> studies (95913) |
$295.20 |
$738 |
0.8× |
| Nerve conduction studies 3-4 studies (95908) |
$158.80 |
$397 |
0.7× |
| Nerve conduction studies 5-6 studies (95909) |
$158.80 |
$397 |
0.7× |
| Nerve conduction studies 7-8 studies (95910) |
$158.80 |
$397 |
0.4× |
| Nerve conduction studies 9-10 studies (95911) |
$295.20 |
$738 |
0.8× |
| Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) |
$304.80 |
$762 |
1.4× |
| Neuromuscular junction test (95937) |
$167.20 |
$418 |
1.3× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$526 |
$1,315 |
1.4× |
| Nitric oxide expired gas determination (95012) |
$125.20 |
$313 |
3.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$654.40 |
$1,636 |
3.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$282 |
$705 |
2.2× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) |
$19.20 |
$48 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) |
$37.60 |
$94 |
— |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$46.40 |
$116 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$321.60 |
$804 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$182 |
$455 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$241.60 |
$604 |
— |
| Ophthalmic biometry (92136) |
$214.40 |
$536 |
1.6× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$308.40 |
$771 |
2.3× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$146.40 |
$366 |
1.1× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$143.20 |
$358 |
1.1× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$94.40 |
$236 |
0.7× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$199.20 |
$498 |
3.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$199.20 |
$498 |
3.4× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording (92544) |
$167.20 |
$418 |
1.3× |
| Oral function therapy (92526) |
$154.40 |
$386 |
— |
| Oral speech device eval (92597) |
$434 |
$1,085 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$82.80 |
$207 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$112.80 |
$282 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$96 |
$240 |
4.4× |
| Ot manual therapy ea 15 min (97140) |
$88.80 |
$222 |
— |
| Ot neuromuscular re-education (97112) |
$95.20 |
$238 |
— |
| Ot paraffin bath (97018) |
$65.60 |
$164 |
— |
| Ot re-evaluation (97168) |
$126 |
$315 |
— |
| OT Therapeutic Activities Charges (97530) |
$88.80 |
$222 |
— |
| Ot wheelchair management (97542) |
$62.40 |
$156 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$360.40 |
$901 |
2.8× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$439.20 |
$1,098 |
7.4× |
| Patch or application test(s) (specify number of tests) (95044) |
$506 |
$1,265 |
0.6× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
$978 |
$2,445 |
2.2× |
| Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education,… (94015) |
$956.40 |
$2,391 |
4.4× |
Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990)
unusually low — confirm this is the full procedure |
$5,556.80 |
$13,892 |
0.5× |
| Percutaneous tests w/allergenic extracts (95004) |
$506 |
$1,265 |
0.6× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$12,949.20 |
$32,373 |
0.7× |
| Peripheral vascular rehab (93668) |
$244.80 |
$612 |
4.1× |
| Perq transcath closure pda (93582) |
$16,291.60 |
$40,729 |
0.9× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$21,081.20 |
$52,703 |
1.1× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$19,556 |
$48,890 |
1.1× |
| Pharmacological or physical activation requiring physician or other qualified health care professional attendance… (95954) |
$229.60 |
$574 |
0.6× |
| Phlebotomy therapeutic (99195) |
$119.60 |
$299 |
0.9× |
| Photochemotherapy; psoralens and ultraviolet A (PUVA) (96912) |
$185.60 |
$464 |
3.1× |
| Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B (96910) |
$145.60 |
$364 |
2.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$278.40 |
$696 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$157.20 |
$393 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$209.20 |
$523 |
— |
| Pm device progr eval multi (93281) |
$76 |
$190 |
2.0× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,354 |
$3,385 |
1.6× |
| Positional nystagmus test, minimum of 4 positions, with recording (92542) |
$174.40 |
$436 |
1.3× |
| Pr cholinesterase inhibitor challenge test for myasthenia gravis (95857) |
$180.80 |
$452 |
0.8× |
| Pr corneal topography (92025) |
$329.60 |
$824 |
5.6× |
| Pr replacement of contact lens (92326) |
$72.80 |
$182 |
1.2× |
| Pr tympanometry and reflex threshold measurements (92550) |
$102.80 |
$257 |
0.5× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) |
$143.20 |
$358 |
1.1× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) |
$110 |
$275 |
0.8× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$599.60 |
$1,499 |
1.3× |
| Prgrmg dev eval pm/ldls pm (93279) |
$57.20 |
$143 |
1.5× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$58 |
$145 |
1.2× |
| Program eval implantable in persn dual ld pacer (93280) |
$63.60 |
$159 |
1.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$71.20 |
$178 |
1.9× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$46.40 |
$116 |
1.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$101.60 |
$254 |
2.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$84.80 |
$212 |
2.3× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$94.40 |
$236 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$12,285.60 |
$30,714 |
1.1× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$14,878.40 |
$37,196 |
2.6× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$22,595.60 |
$56,489 |
1.9× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$22,595.60 |
$56,489 |
1.9× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$22,595.60 |
$56,489 |
1.9× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$22,595.60 |
$56,489 |
1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$16,554.80 |
$41,387 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$408.40 |
$1,021 |
2.3× |
| Psychiatric diagnostic evaluation (90791) |
$324.20 |
$810.50 |
1.8× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$526 |
$1,315 |
2.4× |
| Psycl/nrpsycl tst elec platform auto result (96146) |
$66.40 |
$166 |
2.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$613.20 |
$1,533 |
1.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$66.40 |
$166 |
0.5× |
| Psytx crisis initial 60 min (90839) |
$408.40 |
$1,021 |
2.3× |
| Pt gait training 15 min (97116) |
$81.60 |
$204 |
— |
| Pt physical performance test (97750) |
$83.60 |
$209 |
— |
| Pt re-evaluation (97164) |
$119.60 |
$299 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$21.20 |
$53 |
0.6× |
| Pulm funct tst plethysmograp (94726) |
$190.80 |
$477 |
0.5× |
| Pulmonary stress testing (94618) |
$460 |
$1,150 |
3.4× |
| R hrt art/grft angio (93457) |
$12,060.40 |
$30,151 |
3.7× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$10,262 |
$25,655 |
3.2× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$10,262 |
$25,655 |
3.2× |
| R hrt coronary artery angio (93456) |
$6,323.20 |
$15,808 |
1.9× |
| R&l hrt art/ventricle angio (93461) |
$21,161.20 |
$52,903 |
6.5× |
| R&l hrt cath w/ventriclgrphy (93453) |
$8,571.60 |
$21,429 |
2.6× |
| Refill/maint pump/resvr syst (96522) |
$288 |
$720 |
1.3× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$279.60 |
$699 |
0.8× |
| Refilling and maintenance of portable pump (96521) |
$457.60 |
$1,144 |
2.1× |
| Remote 30 day ECG rev/report (93270) |
$309.60 |
$774 |
8.3× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$420.80 |
$1,052 |
3.1× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$131.60 |
$329 |
3.5× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98976) |
$131.60 |
$329 |
3.5× |
| Respiratory flow volume loop (94375) |
$216.80 |
$542 |
1.0× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$145.60 |
$364 |
0.5× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$10,262 |
$25,655 |
3.2× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$10,262 |
$25,655 |
3.2× |
| Right heart cath o2 saturation & cardiac output (93451) |
$4,339.60 |
$10,849 |
1.3× |
| Select picture audiometry (92583) |
$69.60 |
$174 |
1.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$84.80 |
$212 |
— |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$134.40 |
$336 |
2.3× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$791.60 |
$1,979 |
3.6× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$680.40 |
$1,701 |
0.8× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$769.60 |
$1,924 |
3.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$788.40 |
$1,971 |
3.6× |
| Sleep study unattended (95806) |
$511.60 |
$1,279 |
2.4× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$526 |
$1,315 |
2.4× |
| Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis… (95801) |
$412 |
$1,030 |
7.0× |
| Speech audiometry threshold (92555) |
$58 |
$145 |
1.0× |
| Speech sound lang comprehen (92523) |
$678.80 |
$1,697 |
— |
| Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording (92541) |
$193.20 |
$483 |
1.4× |
| Standardized cognitive performance testing (96125) |
$146 |
$365 |
— |
| Stenger test pure tone (92565) |
$52.80 |
$132 |
0.9× |
| Stenger test speech (92577) |
$272.40 |
$681 |
0.7× |
| Stress tte only (93350) |
$1,508.40 |
$3,771 |
2.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$48.40 |
$121 |
1.0× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$180 |
$450 |
0.8× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$89.60 |
$224 |
1.2× |
| Surfactant administration (94610) |
$102.40 |
$256 |
0.5× |
| Test for ability to detect and repeat spoken words with speech recognition (92556) |
$92.40 |
$231 |
1.6× |
| Test for abnormal eye movement using a moving target that moves back and forth with recording (92545) |
$472.40 |
$1,181 |
2.2× |
| Test for abnormal eye movement using a rotating chair (92546) |
$236.40 |
$591 |
1.8× |
| Test for hearing various pitches using earphone (92552) |
$95.20 |
$238 |
0.7× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$121.60 |
$304 |
0.9× |
| Test to assess defects in adaption to sounds (92563) |
$61.20 |
$153 |
1.6× |
| Test to assess middle ear muscle reflex (92568) |
$61.60 |
$154 |
1.6× |
| Test to measure exhaled air for evaluation of lung function during rest and exercise (94680) |
$212.40 |
$531 |
1.6× |
| Testing autonomic nervous system function (95923) |
$483.60 |
$1,209 |
3.6× |
| Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more… (95921) |
$318 |
$795 |
2.5× |
| Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) |
$390.40 |
$976 |
2.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$66 |
$165 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$66 |
$165 |
— |
| Ther/proph/diag inj ia (96373) |
$76 |
$190 |
0.4× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$78.80 |
$197 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$74.80 |
$187 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$94.40 |
$236 |
1.3× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$217.60 |
$544 |
— |
| Tilt table evaluation (93660) |
$1,853.20 |
$4,633 |
4.9× |
| Tobacco use cessation intensive >10 minutes (99407) |
$52.80 |
$132 |
1.4× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$24.80 |
$62 |
0.7× |
| Trans care mgmt 14 day disch (99495) |
$138.80 |
$347 |
1.0× |
| Trans care mgmt 7 day disch (99496) |
$188.80 |
$472 |
1.4× |
| Transcath closure of asd (93580) |
$12,074.80 |
$30,187 |
0.7× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,490.40 |
$3,726 |
2.7× |
| Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) |
$589.60 |
$1,474 |
1.1× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$121.60 |
$304 |
3.2× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$747.60 |
$1,869 |
1.4× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$295.20 |
$738 |
1.4× |
| Tte congenital complete (93303) |
$589.60 |
$1,474 |
1.1× |
| Tte f-up or lmtd (93308) |
$551.20 |
$1,378 |
2.3× |
| Tte w/doppler complete (93306) |
$1,047.60 |
$2,619 |
1.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$194 |
$485 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$57.60 |
$144 |
— |
| Tympanometry (92567) |
$82.40 |
$206 |
2.2× |
| Ultraviolet therapy (97028) |
$42 |
$105 |
— |
| Unlisted allergy/clinical immunologic service or procedure (95199) |
$43.60 |
$109 |
1.5× |
| Unlisted diagnostic gastroenterology procedure (91299) |
$864 |
$2,160 |
6.7× |
| Unlisted ophthalmological service or procedure (92499) |
$92.40 |
$231 |
3.2× |
| Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) |
$149.20 |
$373 |
3.2× |
| Upr/l xtremity art 2 levels (93922) |
$492.40 |
$1,231 |
3.7× |
| Valvuloplasty aortic valve (92986) |
$7,009.20 |
$17,523 |
1.2× |
| Valvuloplasty mitral valve (92987) |
$7,256.80 |
$18,142 |
0.6× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,761.20 |
$4,403 |
4.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$918 |
$2,295 |
2.4× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$3,296.40 |
$8,241 |
3.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,761.20 |
$4,403 |
4.7× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$1,761.20 |
$4,403 |
4.7× |
| Ventilation ip/obs initial day (94002) |
$1,473.20 |
$3,683 |
2.4× |
| Ventilator subsequent day (94003) |
$1,619.20 |
$4,048 |
2.6× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$653.60 |
$1,634 |
3.0× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$188.80 |
$472 |
1.4× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$165.60 |
$414 |
2.8× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$122 |
$305 |
2.1× |
| Vital capacity total (94150) |
$74.80 |
$187 |
0.6× |
| Wada activation test (95958) |
$878 |
$2,195 |
1.0× |
| Wound(s) care non-selective (97602) |
$116.40 |
$291 |
0.6× |