Ablation av node (93650) likely a partial charge, not the full procedure |
$1,650 |
$5,500 |
0.2× |
| Aep Neurodiagnostic I&R (92653) |
$125.70 |
$419 |
0.6× |
| Airway inhalation treatment (94640) |
$100.80 |
$336 |
0.5× |
| Appl on-body injector for timed subq injection (96377) |
$30 |
$100 |
0.7× |
| Arrhythmia induction (93618) |
$1,224.90 |
$4,083 |
1.1× |
| Assessment of aphasia (96105) |
$54.60 |
$182 |
0.6× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$12.90 |
$43 |
0.3× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$54.60 |
$182 |
0.5× |
| Bfb training 1st 15 min (90912) |
$47.70 |
$159 |
0.6× |
| Bfb training ea addl 15 min (90913) |
$47.70 |
$159 |
1.5× |
| Blink reflex test (95933) |
$65.10 |
$217 |
1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$92.16 |
$307.19 |
0.3× |
Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,879.20 |
$6,264 |
0.3× |
| C motor evoked uppr limbs (95928) |
$270 |
$900 |
0.3× |
| C motor evoked upr&lwr limbs (95939) |
$280.35 |
$934.50 |
0.4× |
| Canalith Repositioning (95992) |
$42.60 |
$142 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$146.10 |
$487 |
0.7× |
| Cardiopulmonary resuscitation (92950) |
$180.30 |
$601 |
0.9× |
| Cardioversion (92960) |
$303.90 |
$1,013 |
0.5× |
| Caregiver training 1st 30 min (97550) |
$78.30 |
$261 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$39.60 |
$132 |
1.5× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$1,690.20 |
$5,634 |
0.6× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$2,168.40 |
$7,228 |
0.7× |
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) unusually low: confirm this is the full procedure |
$5,548.80 |
$18,496 |
0.3× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$1,808.40 |
$6,028 |
0.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$1,579.80 |
$5,266 |
0.5× |
| Cbt 1st hour (94644) |
$61.20 |
$204 |
0.5× |
| Chemo Admin Peritoneal Cavity (96446) |
$151.80 |
$506 |
0.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$43.80 |
$146 |
0.7× |
| Chemo inj subarach/intravent (96542) |
$172.20 |
$574 |
0.6× |
| Chemo IV push addl drug (96411) |
$44.70 |
$149 |
0.7× |
| Chemo Iv Push Sngl Drug (96409) |
$151.80 |
$506 |
0.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$151.80 |
$506 |
0.5× |
| Chemother, IV infusion, 1 hr (96413) |
$151.80 |
$506 |
0.5× |
| Chemother, IV infusion, ea add hr (96415) |
$33 |
$110 |
0.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$43.80 |
$146 |
0.7× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$151.80 |
$506 |
0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$38.10 |
$127 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$109.80 |
$366 |
0.5× |
| Color/duplex Doppler, limited (93976) |
$73.80 |
$246 |
0.8× |
| Coronary artery angio s&i (93454) |
$1,276.20 |
$4,254 |
0.4× |
| Cortical mapping 1st hr (95961) |
$457.80 |
$1,526 |
0.6× |
| Cpap initiation and management (94660) |
$259.80 |
$866 |
1.3× |
| Cpt initial (94667) |
$61.20 |
$204 |
0.5× |
| Critical care (99291) |
$396 |
$1,320 |
0.5× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$205.05 |
$683.50 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$92.10 |
$307 |
0.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$109.80 |
$366 |
0.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$260.70 |
$869 |
1.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$130.80 |
$436 |
1.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$249.30 |
$831 |
1.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$130.80 |
$436 |
1.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$130.80 |
$436 |
1.4× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$261.60 |
$872 |
1.2× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$130.80 |
$436 |
1.4× |
| Duplex scan extracranial art compl bi study (93880) |
$184.50 |
$615 |
0.9× |
| Echo Heart Xthoracic,Limited (93308) |
$235.50 |
$785 |
1.1× |
| Echo transesophageal (93312) |
$305.70 |
$1,019 |
0.6× |
| EEG awake asleep (95819) |
$116.40 |
$388 |
0.6× |
| EEG awake drowsy (95816) |
$104.70 |
$349 |
0.5× |
| EEG cerebral death evaluation (95824) |
$133.95 |
$446.50 |
0.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$121.50 |
$405 |
0.6× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$134.70 |
$449 |
0.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$262.50 |
$875 |
1.3× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$262.50 |
$875 |
0.8× |
| EKG (93005) |
$47.10 |
$157 |
0.9× |
| Electroconvulsive Therapy (90870) |
$394.80 |
$1,316 |
0.5× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$210.30 |
$701 |
1.1× |
| EMG cranial nerve bilat (95868) |
$117.60 |
$392 |
0.6× |
| EMG cranial nerve unilat (95867) |
$99 |
$330 |
0.5× |
| EMG four extremities (95864) |
$223.50 |
$745 |
1.9× |
| EMG one extremity (95860) |
$69.45 |
$231.50 |
0.6× |
| EMG thoracic paraspinal (95869) |
$98.85 |
$329.50 |
0.5× |
| EMG three extremities (95863) |
$130.05 |
$433.50 |
1.1× |
| EMG two extremities (95861) |
$91.95 |
$306.50 |
0.8× |
| Endomyocardial biopsy (93505) |
$886.20 |
$2,954 |
0.3× |
Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$4,734.30 |
$15,781 |
0.2× |
Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$4,734.30 |
$15,781 |
0.2× |
Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$1,879.20 |
$6,264 |
0.3× |
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$1,719.30 |
$5,731 |
0.2× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$439.80 |
$1,466 |
0.4× |
| Ep Right Ventricular Recording (93603) |
$266.10 |
$887 |
0.2× |
| Er level 1 (99281) |
$97.50 |
$325 |
1.3× |
| Er level ii (99282) |
$175.80 |
$586 |
1.3× |
| Er level iii (99283) |
$225 |
$750 |
0.9× |
| Er level IV (99284) |
$300 |
$1,000 |
0.8× |
| Er level v (99285) |
$343.20 |
$1,144 |
0.6× |
| Esophageal recording (93615) |
$300 |
$1,000 |
0.3× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$54.60 |
$182 |
0.8× |
| Evaluation of speech fluency (92521) |
$54.60 |
$182 |
0.4× |
| Evaluation of speech sound production (92522) |
$54.60 |
$182 |
0.5× |
| Evaluation of swallowing function (92610) |
$54.60 |
$182 |
0.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$85.20 |
$284 |
0.7× |
| External Ecg Scanning Analysis Report (93226) |
$104.10 |
$347 |
1.9× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$87.30 |
$291 |
0.4× |
| Group Therapeutic Procedures (97150) |
$10.80 |
$36 |
0.6× |
| Hemodialysis (90935) |
$595.20 |
$1,984 |
1.0× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$30.90 |
$103 |
0.8× |
| Immunization Admin (90471) |
$33 |
$110 |
0.5× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$238.80 |
$796 |
0.7× |
| Injection intra arterial (96373) |
$97.80 |
$326 |
0.5× |
| Ins swan ganz bedside (93503) |
$256.80 |
$856 |
0.2× |
Intra Atrial Recording (93602) likely a partial charge, not the full procedure |
$1,879.20 |
$6,264 |
0.3× |
Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,879.20 |
$6,264 |
0.3× |
Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,879.20 |
$6,264 |
0.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$27 |
$90 |
0.5× |
| IV infusion hydration each additional hour (96361) |
$21.60 |
$72 |
0.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$97.80 |
$326 |
0.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$33 |
$110 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$97.80 |
$326 |
0.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$21.60 |
$72 |
0.5× |
| IV push initial (96374) |
$97.80 |
$326 |
0.5× |
| Manual therapy 15 min (97140) |
$15 |
$50 |
0.5× |
| Massage 15 min (97124) |
$10.20 |
$34 |
0.3× |
| Maximum voluntary ventilation (94200) |
$39.90 |
$133 |
0.7× |
| Mechanical chest wall oscillation (94669) |
$100.80 |
$336 |
0.5× |
| Mechanical traction (97012) |
$10.80 |
$36 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$12.90 |
$43 |
0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$12.90 |
$43 |
0.4× |
| Methacholine challenge (94070) |
$94.95 |
$316.50 |
0.3× |
| Mnt Group Ea 30 Min (97804) |
$14.10 |
$47 |
0.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$90.30 |
$301 |
1.0× |
| Multiple sleep latency test (95805) |
$547.20 |
$1,824 |
0.7× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$52.65 |
$175.50 |
0.4× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$109.50 |
$365 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$92.10 |
$307 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$186.90 |
$623 |
0.5× |
| Nerve conduction studies 13/> studies (95913) |
$603.60 |
$2,012 |
1.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$142.05 |
$473.50 |
0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$389.70 |
$1,299 |
1.2× |
| Nerve conduction studies; 1-2 studies (95907) |
$70.80 |
$236 |
0.4× |
| Nerve conduction studies; 11-12 studies (95912) |
$455.85 |
$1,519.50 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$203.85 |
$679.50 |
1.0× |
| Nerve conduction studies; 7-8 studies (95910) |
$296.55 |
$988.50 |
0.9× |
| Neuromuscular junction test (95937) |
$48.30 |
$161 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$79.50 |
$265 |
0.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$141.30 |
$471 |
0.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$15 |
$50 |
0.3× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$15 |
$50 |
0.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$10.20 |
$34 |
0.7× |
| Ot eval high complex 60 min (97167) |
$54.60 |
$182 |
0.5× |
| Ot eval low complex 30 min (97165) |
$54.60 |
$182 |
0.5× |
| Ot eval mod complex 45 min (97166) |
$54.60 |
$182 |
0.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$20.40 |
$68 |
0.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$15 |
$50 |
0.4× |
| Ot re-eval est plan care (97168) |
$23.40 |
$78 |
0.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$79.50 |
$265 |
0.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$79.50 |
$265 |
0.7× |
| Paraffin bath (97018) |
$10.80 |
$36 |
1.8× |
Perq Transcath Cls Mitral (93590) unusually low: confirm this is the full procedure |
$6,393.90 |
$21,313 |
0.4× |
Perq transcath cls paravalvr leak 1 aortic valve (93591) unusually low: confirm this is the full procedure |
$6,393.90 |
$21,313 |
0.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$36.30 |
$121 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,015.80 |
$3,386 |
1.3× |
| Prq balloon valvuloplasty aortic valve (92986) |
$2,931.60 |
$9,772 |
0.6× |
Prq Balloon Valvuloplasty Mitral Valve (92987) likely a partial charge, not the full procedure |
$2,931.60 |
$9,772 |
0.3× |
Prq card revasc chronic 1vsl (92943) unusually low: confirm this is the full procedure |
$5,047.80 |
$16,826 |
0.5× |
Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$5,047.80 |
$16,826 |
0.5× |
Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$8,015.70 |
$26,719 |
0.5× |
Prq revasc byp graft 1 vsl (92937) unusually low: confirm this is the full procedure |
$5,047.80 |
$16,826 |
0.5× |
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$5,548.80 |
$18,496 |
0.3× |
Prq tcat plmt ntrac st 2+les (92930) unusually low: confirm this is the full procedure |
$8,015.70 |
$26,719 |
0.5× |
Prq trluml coronary angio/atherect one art/brnch (92924) unusually low: confirm this is the full procedure |
$5,047.80 |
$16,826 |
0.5× |
Prq trluml coronary angioplasty one art/branch (92920) unusually low: confirm this is the full procedure |
$2,488.80 |
$8,296 |
0.5× |
| Psych diag eval w/med srvcs (90792) |
$90 |
$300 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$75 |
$250 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$15 |
$50 |
0.4× |
| Pt Electric Current Therapy (97033) |
$20.40 |
$68 |
1.1× |
| Pt Electrical Stimulation (97032) |
$15 |
$50 |
1.0× |
| Pt eval high complex 45 min (97163) |
$54.60 |
$182 |
0.6× |
| Pt eval low complex 20 min (97161) |
$54.60 |
$182 |
0.6× |
| Pt Gait Training Therapy (97116) |
$15 |
$50 |
0.5× |
| Pt group caregiver training (97552) |
$78.30 |
$261 |
3.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$15 |
$50 |
0.5× |
| Pt Physical Performance Test (97750) |
$18.90 |
$63 |
0.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$54.60 |
$182 |
0.6× |
| Pt re-evaluation (97164) |
$23.40 |
$78 |
0.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$15 |
$50 |
0.5× |
| Pt Ultrasound Therapy (97035) |
$10.20 |
$34 |
0.7× |
| Pt Whirlpool Therapy (97022) |
$25.80 |
$86 |
1.6× |
| Pulm function test by gas (94727) |
$53.77 |
$179.23 |
0.3× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$1,642.20 |
$5,474 |
0.6× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$2,025.90 |
$6,753 |
0.7× |
| R hrt art/grft angio (93457) |
$2,397 |
$7,990 |
0.8× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$2,254.50 |
$7,515 |
0.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$3,143.70 |
$10,479 |
1.1× |
| Refill/maint, portable pump (96521) |
$97.80 |
$326 |
0.5× |
| Right heart cath (93451) |
$1,184.70 |
$3,949 |
0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$92.10 |
$307 |
0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$61.20 |
$204 |
0.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$42.60 |
$142 |
0.9× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$238.80 |
$796 |
0.7× |
| Sc Ther Infusion Reset Pump (96371) |
$33 |
$110 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$15 |
$50 |
0.2× |
| Short-latency somatosens ep std lwr limbs (95926) |
$212.25 |
$707.50 |
1.1× |
| Short-latency somatosens ep std upr limbs (95925) |
$210 |
$700 |
1.1× |
| Sleep study unattended (95806) |
$99.30 |
$331 |
0.5× |
| Somatosensory testing (95938) |
$422.25 |
$1,407.50 |
0.5× |
| Speech group therapy (92508) |
$25.20 |
$84 |
1.0× |
| Speech sound lang comprehen (92523) |
$54.60 |
$182 |
0.2× |
| Spirometry (94010) |
$55.05 |
$183.50 |
0.3× |
| Standardized Cognitive Performance Testing (96125) |
$40.50 |
$135 |
0.4× |
| Stress echo (93350) |
$26.86 |
$89.54 |
0.1× |
| Stress Tte Complete (93351) |
$403.50 |
$1,345 |
0.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$21.60 |
$72 |
0.5× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$97.80 |
$326 |
0.5× |
| Temp transcutaneous pacing (92953) |
$303.90 |
$1,013 |
0.5× |
| Tensilon test (95857) |
$140.10 |
$467 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$15 |
$50 |
0.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$15 |
$50 |
0.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$50.10 |
$167 |
0.5× |
| Ther/prop/diag inj/inf proc (96379) |
$30 |
$100 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$33 |
$110 |
0.5× |
| Therapeutic Activities (97530) |
$15 |
$50 |
0.4× |
| Therapeutic phlebotomy (99195) |
$60 |
$200 |
0.5× |
| Tilt Table Eval (93660) |
$218.49 |
$728.30 |
0.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$223.35 |
$744.50 |
0.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$141 |
$470 |
0.7× |
Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$4,734.30 |
$15,781 |
0.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$50.10 |
$167 |
0.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$57.90 |
$193 |
0.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$22.50 |
$75 |
0.5× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$251.10 |
$837 |
0.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$1,261.80 |
$4,206 |
10.8× |
| Unlisted pulmonary service/procedure (94799) |
$70.50 |
$235 |
0.6× |
Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$4,840.80 |
$16,136 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$226.80 |
$756 |
1.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$58.50 |
$195 |
0.6× |
| Vasopneumatic device (97016) |
$10.80 |
$36 |
0.9× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$326.70 |
$1,089 |
1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$326.70 |
$1,089 |
1.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$343.50 |
$1,145 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$312 |
$1,040 |
0.6× |
| Visual Evoked Potential Test (95930) |
$148.20 |
$494 |
0.8× |
| Vital capacity total (94150) |
$70.50 |
$235 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$15 |
$50 |
0.5× |