| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$776.80 |
$1,942 |
2.2× |
| Aerosol inhalation pentamidine (94642) |
$185.60 |
$464 |
0.8× |
| Airway inhalation treatment (94640) |
$148 |
$370 |
0.6× |
| Appl on-body injector for timed subq injection (96377) |
$66.24 |
$165.60 |
1.3× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$59.20 |
$148 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$58.60 |
$146.50 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$55.20 |
$138 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$70.80 |
$177 |
— |
| Assessment of aphasia (96105) |
$208 |
$520 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$189.20 |
$473 |
— |
| Bipap initial day (94660) |
$372.80 |
$932 |
1.6× |
| Breathing capacity test (94010) |
$194 |
$485 |
0.9× |
| Bronchial allergy tests (95070) |
$510.68 |
$1,276.70 |
1.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$360.40 |
$901 |
0.9× |
| C motor evoked lwr limbs (95929) |
$332.80 |
$832 |
0.8× |
| Canalith repositioning (95992) |
$65.55 |
$163.86 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$52.60 |
$131.49 |
1.3× |
| Cardiopulmonary exercise testing (94621) |
$250.80 |
$627 |
0.6× |
| Cardiovascular stress test (93017) |
$695.60 |
$1,739 |
3.1× |
| Cardioversion elective external (92960) |
$991.60 |
$2,479 |
1.4× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$11,047.60 |
$27,619 |
3.2× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$8,936.80 |
$22,342 |
2.6× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$8,994 |
$22,485 |
2.6× |
| Chemo anti-neopl sq/im (96401) |
$113.56 |
$283.90 |
1.5× |
| Chemo hormon antineopl sq/im (96402) |
$63.12 |
$157.80 |
0.8× |
| Chemo IV infus each addl seq (96417) |
$63.12 |
$157.80 |
0.8× |
| Chemo IV infusion addl hr (96415) |
$63.12 |
$157.80 |
0.8× |
| Chemo IV push addl drug (96411) |
$113.56 |
$283.90 |
1.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$277.60 |
$694 |
0.8× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$214.52 |
$536.30 |
0.6× |
| Chest physiotherapy initial (94667) |
$118.80 |
$297 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$368.80 |
$922 |
1.5× |
| Color/duplex Doppler, limited (93976) |
$246 |
$615 |
2.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$51.20 |
$128 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$167.52 |
$418.79 |
1.2× |
| Cpr (92950) |
$676.40 |
$1,691 |
3.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,115.20 |
$5,288 |
2.4× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$643.60 |
$1,609 |
0.7× |
| Debridement open wound 20 sq cm< (97597) |
$273.98 |
$684.95 |
1.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$192.80 |
$482 |
0.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$209.50 |
$523.75 |
1.9× |
| Duplex hemodialysis access (93990) |
$430.56 |
$1,076.40 |
3.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$626.40 |
$1,566 |
2.5× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$400 |
$1,000 |
3.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$460.48 |
$1,151.20 |
1.8× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$328.80 |
$822 |
3.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$800.20 |
$2,000.50 |
3.2× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$459.24 |
$1,148.10 |
4.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$846.50 |
$2,116.25 |
3.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$384.68 |
$961.68 |
3.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$700.16 |
$1,750.40 |
2.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$492.24 |
$1,230.60 |
4.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$604.76 |
$1,511.90 |
2.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$446.04 |
$1,115.10 |
4.0× |
| ECG monit/reprt up to 48 hrs (93226) |
$195 |
$487.50 |
3.1× |
| Echo transesophageal (93312) |
$1,288.40 |
$3,221 |
2.2× |
| EEG awake & asleep (95819) |
$759.20 |
$1,898 |
3.3× |
| EEG awake/drowsy (95816) |
$718.40 |
$1,796 |
3.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$983.60 |
$2,459 |
4.3× |
| EKG 12 lead tracing only (93005) |
$174.80 |
$437 |
2.8× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$238.66 |
$596.64 |
2.4× |
| Emergency department visit high mdm (99285) |
$1,156 |
$2,890 |
1.8× |
| Emergency department visit low mdm (99283) |
$544.40 |
$1,361 |
1.9× |
| Emergency department visit may not req phys/qhp (99281) |
$152.80 |
$382 |
1.7× |
| Emergency department visit moderate mdm (99284) |
$728 |
$1,820 |
1.7× |
| Emergency department visit straightforward mdm (99282) |
$284.40 |
$711 |
1.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$181.20 |
$453 |
— |
| Evaluate pt use of inhaler (94664) |
$204.66 |
$511.63 |
0.9× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$242 |
$605 |
— |
| Evaluation of speech fluency (92521) |
$162.80 |
$407 |
— |
| Evaluation of speech sound production articulate (92522) |
$189.20 |
$473 |
— |
| External ECG rec>48hr<7d recording (93242) |
$179.60 |
$449 |
4.6× |
| External ECG rec>7d<15d recording (93246) |
$179.60 |
$449 |
4.6× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$264 |
$660 |
1.9× |
| Fluidotherapy (97022) |
$68.20 |
$170.50 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$234.80 |
$587 |
1.0× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,381.91 |
$3,454.76 |
1.4× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$758.62 |
$1,896.55 |
1.0× |
| Im adm intransl/oral 1 vaccine (90473) |
$53.80 |
$134.50 |
0.7× |
| Immunization administration (90471) |
$53.60 |
$134 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$98.40 |
$246 |
2.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$160.40 |
$401 |
0.7× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$54.80 |
$137 |
1.4× |
| Interrog device eval heart (93289) |
$90.40 |
$226 |
2.3× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$50 |
$125 |
1.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$68.64 |
$171.60 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$89.20 |
$223 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$262.40 |
$656 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$107.20 |
$268 |
1.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$291.20 |
$728 |
1.3× |
| IV tx, each additional hour (96366) |
$92.80 |
$232 |
1.9× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$82 |
$205 |
0.6× |
| Maximum voluntary ventilation (94200) |
$62.28 |
$155.70 |
1.0× |
| Mechanical chest wall oscillation lung function (94669) |
$279.72 |
$699.30 |
1.2× |
| Mechanical traction therapy (97012) |
$51.04 |
$127.60 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$31.60 |
$79 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$26 |
$65 |
— |
| Methacholine challenge (94070) |
$446.40 |
$1,116 |
1.1× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$270.80 |
$677 |
— |
| Multiple sleep latency (95805) |
$1,061.20 |
$2,653 |
1.2× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$255.60 |
$639 |
1.8× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$330.80 |
$827 |
0.8× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$562.28 |
$1,405.70 |
1.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$221.20 |
$553 |
1.0× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$257.20 |
$643 |
0.6× |
| Nerve conduction studies 1-2 studies (95907) |
$156 |
$390 |
0.7× |
| Nerve conduction studies 11-12 studies (95912) |
$360.40 |
$901 |
0.9× |
| Nerve conduction studies 13/> studies (95913) |
$406 |
$1,015 |
1.0× |
| Nerve conduction studies 3-4 studies (95908) |
$184.44 |
$461.10 |
0.8× |
| Nerve conduction studies 5-6 studies (95909) |
$474.08 |
$1,185.18 |
2.1× |
| Nerve conduction studies 7-8 studies (95910) |
$749.82 |
$1,874.54 |
1.9× |
| Nerve conduction studies 9-10 studies (95911) |
$771.82 |
$1,929.54 |
2.0× |
| Neuromuscular junction test (95937) |
$154 |
$385 |
1.1× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$318 |
$795 |
2.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$157.60 |
$394 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$109.20 |
$273 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$134.80 |
$337 |
— |
| Oral function therapy (92526) |
$158 |
$395 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$53.20 |
$133 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$66 |
$165 |
— |
| Ot manual therapy ea 15 min (97140) |
$65.80 |
$164.50 |
— |
| Ot neuromuscular re-education (97112) |
$60.80 |
$152 |
— |
| Ot paraffin bath (97018) |
$38.64 |
$96.60 |
— |
| Ot re-evaluation (97168) |
$88.80 |
$222 |
— |
| OT Therapeutic Activities Charges (97530) |
$65.20 |
$163 |
— |
| Ot wheelchair management (97542) |
$57.60 |
$144 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$168 |
$420 |
1.2× |
| Phlebotomy therapeutic (99195) |
$129.60 |
$324 |
0.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$93.84 |
$234.60 |
1.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$148.80 |
$372 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$89.60 |
$224 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$116 |
$290 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,034.78 |
$5,086.95 |
2.2× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,034.78 |
$5,086.95 |
2.2× |
| Prgrmg dev eval pm/ldls pm (93279) |
$51.60 |
$129 |
1.3× |
| Program eval implantable in persn dual ld pacer (93280) |
$78.40 |
$196 |
2.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$66 |
$165 |
1.7× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$86.80 |
$217 |
2.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$77.60 |
$194 |
2.0× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$56.08 |
$140.20 |
— |
| Pt gait training 15 min (97116) |
$62 |
$155 |
— |
| Pt physical performance test (97750) |
$59.60 |
$149 |
— |
| Pt re-evaluation (97164) |
$81.60 |
$204 |
— |
| Pulm funct tst plethysmograp (94726) |
$321.20 |
$803 |
0.8× |
| Pulmonary stress testing (94618) |
$121.72 |
$304.28 |
0.9× |
| R&l hrt art/ventricle angio (93461) |
$9,726.20 |
$24,315.50 |
2.8× |
| R&l hrt cath w/ventriclgrphy (93453) |
$8,072.30 |
$20,180.75 |
2.4× |
| Refilling and maintenance of portable pump (96521) |
$240.20 |
$600.50 |
1.1× |
| Right heart cath o2 saturation & cardiac output (93451) |
$4,713.20 |
$11,783 |
1.4× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$60.40 |
$151 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$50.80 |
$127 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$432.40 |
$1,081 |
0.5× |
| Sleep study unattended (95806) |
$312.92 |
$782.30 |
1.4× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$312.92 |
$782.30 |
1.4× |
| Speech sound lang comprehen (92523) |
$196.80 |
$492 |
— |
| Standardized cognitive performance testing (96125) |
$164.80 |
$412 |
— |
| Stress tte only (93350) |
$910.80 |
$2,277 |
1.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$63.80 |
$159.50 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$64.34 |
$160.85 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$77.60 |
$194 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$51.52 |
$128.80 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$85.20 |
$213 |
1.1× |
| Tte congenital complete (93303) |
$723.49 |
$1,808.71 |
1.3× |
| Tte f-up or lmtd (93308) |
$456.40 |
$1,141 |
1.8× |
| Tte w/doppler complete (93306) |
$1,455.32 |
$3,638.30 |
2.5× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$151.20 |
$378 |
— |
| Ventilation ip/obs initial day (94002) |
$1,278.40 |
$3,196 |
2.0× |
| Ventilator subsequent day (94003) |
$1,140.74 |
$2,851.85 |
1.8× |
| Vital capacity total (94150) |
$131.20 |
$328 |
1.0× |
| Wound(s) care non-selective (97602) |
$129 |
$322.50 |
0.6× |