| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$38.50 |
$55 |
1.5× |
| Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) |
$46.55 |
$66.50 |
1.8× |
| Airway inhalation treatment (94640) |
$268.76 |
$383.94 |
1.3× |
| Appl on-body injector for timed subq injection (96377) |
$122.50 |
$175 |
2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$378.41 |
$540.58 |
1.1× |
| Cardiopulmonary resuscitation (92950) |
$284.55 |
$406.50 |
1.4× |
| Cardioversion (92960) |
$508.71 |
$726.73 |
0.8× |
| Cbt 1st hour (94644) |
$30.80 |
$44 |
0.3× |
| Chemo IV push addl drug (96411) |
$70 |
$100 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$983.50 |
$1,405 |
3.3× |
| Chemother, IV infusion, ea add hr (96415) |
$150.50 |
$215 |
2.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$140 |
$200 |
2.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$56 |
$80 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$477.40 |
$682 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$268.80 |
$384 |
2.8× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$105 |
$150 |
0.6× |
| Cpap initiation and management (94660) |
$268.76 |
$383.94 |
1.3× |
| Cpt initial (94667) |
$26.60 |
$38 |
0.2× |
| Critical care (99291) |
$210 |
$300 |
0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$296.10 |
$423 |
1.6× |
| Demo &/or eval,pt use,aerosol device (94664) |
$30.80 |
$44 |
0.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$225.40 |
$322 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$272.30 |
$389 |
2.9× |
| Duplex scan extracranial art compl bi study (93880) |
$469 |
$670 |
2.2× |
| Echo Heart Xthoracic,Limited (93308) |
$234.50 |
$335 |
1.1× |
| EKG (93005) |
$79.59 |
$113.70 |
1.5× |
| Er level 1 (99281) |
$31.50 |
$45 |
0.4× |
| Er level ii (99282) |
$49 |
$70 |
0.4× |
| Er level iii (99283) |
$63 |
$90 |
0.3× |
| Er level IV (99284) |
$126 |
$180 |
0.3× |
| Er level v (99285) |
$154 |
$220 |
0.3× |
| Evaluation of speech sound production (92522) |
$112 |
$160 |
1.0× |
| Evaluation of swallowing function (92610) |
$112 |
$160 |
1.3× |
| External Ecg Scanning Analysis Report (93226) |
$137.90 |
$197 |
2.6× |
| Holter Monitor Recording (93225) |
$133.70 |
$191 |
1.1× |
| Immunization Admin (90471) |
$24.50 |
$35 |
0.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$196 |
$280 |
3.6× |
| IV infusion hydration each additional hour (96361) |
$35 |
$50 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$154 |
$220 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$52.50 |
$75 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$292.50 |
$417.86 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$57.22 |
$81.74 |
1.3× |
| IV push initial (96374) |
$154 |
$220 |
0.8× |
| Manual therapy 15 min (97140) |
$31.50 |
$45 |
1.1× |
| Massage 15 min (97124) |
$31.50 |
$45 |
1.1× |
| Multiple sleep latency test (95805) |
$1,668.60 |
$2,383.71 |
2.1× |
| Neg press wnd tx </=50 sq cm (97607) |
$303.80 |
$434 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$303.80 |
$434 |
1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$522.20 |
$746 |
1.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$555.80 |
$794 |
4.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$199.63 |
$285.18 |
1.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$33.60 |
$48 |
1.0× |
| Ot eval high complex 60 min (97167) |
$166.60 |
$238 |
1.7× |
| Ot eval low complex 30 min (97165) |
$166.60 |
$238 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$166.60 |
$238 |
1.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$35 |
$50 |
0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,668.60 |
$2,383.71 |
2.1× |
| Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) |
$210 |
$300 |
6.2× |
| Psych diag eval w/med srvcs (90792) |
$122.50 |
$175 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$105 |
$150 |
0.6× |
| Pt Electrical Stimulation (97032) |
$21 |
$30 |
1.4× |
| Pt eval high complex 45 min (97163) |
$192.50 |
$275 |
2.0× |
| Pt eval low complex 20 min (97161) |
$140.70 |
$201 |
1.4× |
| Pt Gait Training Therapy (97116) |
$31.50 |
$45 |
1.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$35 |
$50 |
1.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$157.50 |
$225 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$41.30 |
$59 |
1.3× |
| Pt Ultrasound Therapy (97035) |
$26.60 |
$38 |
1.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$40.60 |
$58 |
0.3× |
| Sensory Integration Ea 15 Min (97533) |
$33.60 |
$48 |
0.6× |
| Sleep study unattended (95806) |
$175 |
$250 |
0.9× |
| Smoking cessation > 10 min (99407) |
$35 |
$50 |
1.0× |
| Speech sound lang comprehen (92523) |
$245 |
$350 |
1.1× |
| Spirometry (94010) |
$63.70 |
$91 |
0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$53.42 |
$76.32 |
0.8× |
| Therapeutic Activities (97530) |
$49 |
$70 |
1.4× |
| Therapeutic phlebotomy (99195) |
$161.22 |
$230.32 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$15.75 |
$22.50 |
0.5× |
| Trans Care Mgmt 14 Day Disch (99495) |
$157.50 |
$225 |
1.3× |
| Trans Care Mgmt 7 Day Disch (99496) |
$157.50 |
$225 |
1.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$442.75 |
$632.50 |
0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$112 |
$160 |
1.5× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$112 |
$160 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$57.22 |
$81.74 |
1.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$428.40 |
$612 |
2.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$154 |
$220 |
0.3× |