| Airway inhalation treatment (94640) |
$80 |
$100 |
0.4× |
| Analyze neurostim no prog (95970) |
$240 |
$300 |
1.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$220 |
$275 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$382.40 |
$478 |
1.0× |
| Canalith Repositioning (95992) |
$81.60 |
$102 |
2.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$583.20 |
$729 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$384 |
$480 |
1.8× |
| Cardioversion (92960) |
$384 |
$480 |
0.6× |
| Cbt 1st hour (94644) |
$176 |
$220 |
1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$37.60 |
$47 |
0.5× |
| Chemo IV push addl drug (96411) |
$53.60 |
$67 |
0.7× |
| Chemo Iv Push Sngl Drug (96409) |
$96.80 |
$121 |
0.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$123.20 |
$154 |
0.4× |
| Chemother, IV infusion, 1 hr (96413) |
$434.40 |
$543 |
1.3× |
| Chemother, IV infusion, ea add hr (96415) |
$84 |
$105 |
1.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$70.40 |
$88 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$62.40 |
$78 |
0.9× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$96.10 |
$120.12 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$457.60 |
$572 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$326.40 |
$408 |
3.1× |
| Comprehensive Hearing Test (92557) |
$64 |
$80 |
0.5× |
| Cpap initiation and management (94660) |
$659.20 |
$824 |
3.0× |
| Cpt initial (94667) |
$204.80 |
$256 |
1.5× |
| Critical care (99291) |
$705.60 |
$882 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$50.40 |
$63 |
0.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$47.20 |
$59 |
0.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$457.60 |
$572 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$247.20 |
$309 |
1.0× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$244.80 |
$306 |
2.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$572 |
$715 |
2.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$340 |
$425 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$244.80 |
$306 |
2.3× |
| Duplex scan extracranial art compl bi study (93880) |
$395.20 |
$494 |
1.7× |
| Echo Heart Xthoracic,Limited (93308) |
$395.20 |
$494 |
1.7× |
| EKG (93005) |
$148 |
$185 |
2.5× |
| EKG rhythm strip (93041) |
$53.60 |
$67 |
0.9× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$480 |
$600 |
5.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$272 |
$340 |
7.3× |
| EMG one extremity (95860) |
$104 |
$130 |
0.8× |
| EMG two extremities (95861) |
$576.80 |
$721 |
4.3× |
| Er level 1 (99281) |
$140 |
$175 |
1.7× |
| Er level ii (99282) |
$240 |
$300 |
1.6× |
| Er level iii (99283) |
$360 |
$450 |
1.3× |
| Er level IV (99284) |
$520 |
$650 |
1.2× |
| Er level v (99285) |
$680 |
$850 |
1.1× |
| Evaluation of swallowing function (92610) |
$301.60 |
$377 |
3.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$320 |
$400 |
2.6× |
| External ECG rec>48hr<7d recording (93242) |
$351.20 |
$439 |
9.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$351.20 |
$439 |
2.6× |
| External ECG rec>7d<15d recording (93246) |
$351.20 |
$439 |
9.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$351.20 |
$439 |
2.6× |
| External Ecg Scanning Analysis Report (93226) |
$413.60 |
$517 |
7.0× |
| Flow volume loop (94375) |
$140.80 |
$176 |
0.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$128 |
$160 |
1.3× |
| Holter Monitor Recording (93225) |
$351.20 |
$439 |
2.6× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$32 |
$40 |
0.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$24 |
$30 |
0.3× |
| Immunization Admin (90471) |
$76.80 |
$96 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
$28.80 |
$36 |
0.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$88 |
$110 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$44 |
$55 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$177.60 |
$222 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$40.80 |
$51 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$204 |
$255 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$40.80 |
$51 |
0.9× |
| IV push initial (96374) |
$204 |
$255 |
1.0× |
| Manual therapy 15 min (97140) |
$88 |
$110 |
3.2× |
| Massage 15 min (97124) |
$81.60 |
$102 |
2.7× |
| Mechanical traction (97012) |
$60 |
$75 |
4.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$216 |
$270 |
2.4× |
| Multiple Family Group Psychotherapy (90849) |
$42.40 |
$53 |
0.2× |
| Nasopharyngoscopy (92511) |
$248.80 |
$311 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$104.40 |
$130.50 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$84 |
$105 |
0.2× |
| Nerve conduction studies 13/> studies (95913) |
$2,496 |
$3,120 |
6.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$864 |
$1,080 |
4.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,920 |
$2,400 |
5.1× |
| Nerve conduction studies; 1-2 studies (95907) |
$81.60 |
$102 |
0.4× |
| Nerve conduction studies; 11-12 studies (95912) |
$2,304 |
$2,880 |
6.2× |
| Nerve conduction studies; 5-6 studies (95909) |
$1,296 |
$1,620 |
6.0× |
| Nerve conduction studies; 7-8 studies (95910) |
$1,728 |
$2,160 |
4.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$470.40 |
$588 |
3.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$370.40 |
$463 |
1.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$148 |
$185 |
1.1× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$41.60 |
$52 |
1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$58.40 |
$73 |
2.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$63.20 |
$79 |
2.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$76 |
$95 |
3.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$79.20 |
$99 |
3.7× |
| Ot eval high complex 60 min (97167) |
$200 |
$250 |
2.0× |
| Ot eval low complex 30 min (97165) |
$172 |
$215 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$177.60 |
$222 |
1.8× |
| Ot re-eval est plan care (97168) |
$96 |
$120 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$176.80 |
$221 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$124 |
$155 |
1.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$5.60 |
$7 |
0.0× |
| Plethysmography (94726) |
$185.60 |
$232 |
0.5× |
| Pm device progr eval dual (93280) |
$39.20 |
$49 |
1.0× |
| Pm device progr eval sngl (93279) |
$39.20 |
$49 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,099.20 |
$2,624 |
2.4× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$52 |
$65 |
1.4× |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
$162 |
$202.50 |
1.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$20 |
$25 |
0.4× |
| Programming of dual lead implantable defibrillator system (93283) |
$52 |
$65 |
1.4× |
| Programming of single lead implantable defibrillator system (93282) |
$52 |
$65 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$158.40 |
$198 |
0.9× |
| Psychiatric diagnostic evaluation (90791) |
$264 |
$330 |
1.5× |
| Psycl tst eval phys/qhp 1st (96130) |
$200 |
$250 |
0.9× |
| Psytx crisis initial 60 min (90839) |
$140 |
$175 |
0.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$128.80 |
$161 |
3.5× |
| Pt Electric Current Therapy (97033) |
$76 |
$95 |
4.0× |
| Pt Electrical Stimulation (97032) |
$95.20 |
$119 |
6.5× |
| Pt eval high complex 45 min (97163) |
$191.20 |
$239 |
2.0× |
| Pt eval low complex 20 min (97161) |
$163.20 |
$204 |
1.7× |
| Pt Gait Training Therapy (97116) |
$87.20 |
$109 |
3.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$85.60 |
$107 |
2.6× |
| Pt Physical Performance Test (97750) |
$268 |
$335 |
7.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$172 |
$215 |
1.8× |
| Pt re-evaluation (97164) |
$96 |
$120 |
1.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$88 |
$110 |
2.7× |
| Pt Ultrasound Therapy (97035) |
$62.40 |
$78 |
4.3× |
| Pulmonary stress testing (94618) |
$132 |
$165 |
1.0× |
| Pure Tone Audiometry, Air (92552) |
$32 |
$40 |
0.2× |
| Refill/maint, portable pump (96521) |
$120 |
$150 |
0.6× |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
$112.80 |
$141 |
3.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$51.74 |
$64.68 |
0.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$387.20 |
$484 |
10.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$840 |
$1,050 |
4.2× |
| Sensory Integration Ea 15 Min (97533) |
$81.60 |
$102 |
1.3× |
| Sleep study unattended (95806) |
$741.60 |
$927 |
3.4× |
| Speech sound lang comprehen (92523) |
$480 |
$600 |
2.1× |
| Spirometry (94010) |
$207.20 |
$259 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$304 |
$380 |
3.0× |
| Stress echo (93350) |
$1,469.60 |
$1,837 |
2.7× |
| Stress Tte Complete (93351) |
$1,120 |
$1,400 |
2.0× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$16.80 |
$21 |
0.4× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$140 |
$175 |
0.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$280 |
$350 |
2.7× |
| Ther/prop/diag inj/inf proc (96379) |
$89 |
$111.25 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$96.80 |
$121 |
1.3× |
| Therapeutic Activities (97530) |
$88 |
$110 |
2.5× |
| Therapeutic phlebotomy (99195) |
$668.80 |
$836 |
5.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$108 |
$135 |
0.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$132 |
$165 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,469.60 |
$1,837 |
2.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$300.80 |
$376 |
4.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$300.80 |
$376 |
3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$88.80 |
$111 |
1.9× |
| Tympanometry (92567) |
$37.60 |
$47 |
1.0× |
| Unlisted pulmonary service/procedure (94799) |
$76 |
$95 |
0.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$425.60 |
$532 |
1.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$608 |
$760 |
2.8× |
| Vasopneumatic device (97016) |
$50.40 |
$63 |
4.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$744.80 |
$931 |
1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$60 |
$75 |
1.9× |