| Airway inhalation treatment (94640) |
$134.81 |
$158.60 |
0.6× |
| Allergy injection single (95115) |
$36.81 |
$43.30 |
0.8× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$83.22 |
$97.90 |
— |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$77.01 |
$90.60 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$91.04 |
$107.10 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$127.84 |
$150.40 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$88.40 |
$104 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$55.17 |
$64.90 |
— |
| Assessment of aphasia (96105) |
$393.98 |
$463.50 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$230.27 |
$270.90 |
— |
| Bipap initial day (94660) |
$416.34 |
$489.80 |
1.9× |
| Breathing capacity test (94010) |
$298.52 |
$351.20 |
1.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$613.70 |
$722 |
1.6× |
| Canalith repositioning (95992) |
$83.22 |
$97.90 |
— |
| Cardioversion elective external (92960) |
$806.36 |
$948.65 |
1.2× |
| Chemo anti-neopl sq/im (96401) |
$253.90 |
$298.70 |
3.5× |
| Chemo hormon antineopl sq/im (96402) |
$232.05 |
$273 |
3.2× |
| Chemo IV infus each addl seq (96417) |
$284.58 |
$334.80 |
3.9× |
| Chemo IV infusion addl hr (96415) |
$140.08 |
$164.80 |
1.9× |
| Chemo IV push addl drug (96411) |
$282.80 |
$332.70 |
3.8× |
| Chemother prolong infuse w/pump (96416) |
$744.18 |
$875.50 |
2.2× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$542.81 |
$638.60 |
1.6× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$492.92 |
$579.90 |
1.5× |
| Chest physiotherapy initial (94667) |
$149.69 |
$176.10 |
1.1× |
| Chron care mgmt srvc 20 min (99490) |
$105.06 |
$123.60 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$894.80 |
$1,052.70 |
3.7× |
| Color/duplex Doppler, limited (93976) |
$879.46 |
$1,034.65 |
8.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$102.90 |
$121.05 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$194.40 |
$228.70 |
1.1× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$275.83 |
$324.50 |
2.0× |
| Cpr (92950) |
$1,168.84 |
$1,375.10 |
5.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,379.38 |
$1,622.80 |
1.6× |
| Debridement open wound 20 sq cm< (97597) |
$111.18 |
$130.80 |
0.5× |
| Delivery/birthing room resuscitation (99465) |
$503.46 |
$592.30 |
0.7× |
| Duplex hemodialysis access (93990) |
$530.15 |
$623.70 |
5.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$1,037.51 |
$1,220.60 |
4.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$237.28 |
$279.15 |
1.0× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$639.12 |
$751.90 |
6.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$633.85 |
$745.70 |
2.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$429.46 |
$505.25 |
4.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$629.04 |
$740.05 |
2.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$459.18 |
$540.20 |
4.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$602.78 |
$709.15 |
2.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$439.50 |
$517.05 |
4.1× |
| ECG monit/reprt up to 48 hrs (93226) |
$199.58 |
$234.80 |
3.3× |
| Echo transesophageal (93312) |
$395.76 |
$465.60 |
0.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,234.04 |
$1,451.80 |
2.2× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,021.28 |
$1,201.50 |
4.2× |
| EKG rhythm strip (93041) |
$82.75 |
$97.35 |
1.4× |
| Emergency department visit high mdm (99285) |
$750.30 |
$882.70 |
1.2× |
| Emergency department visit low mdm (99283) |
$339.66 |
$399.60 |
1.2× |
| Emergency department visit may not req phys/qhp (99281) |
$112.54 |
$132.40 |
1.3× |
| Emergency department visit moderate mdm (99284) |
$1,099.65 |
$1,293.70 |
2.6× |
| Emergency department visit straightforward mdm (99282) |
$161.54 |
$190.05 |
1.0× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$427.21 |
$502.60 |
— |
| Evaluate pt use of inhaler (94664) |
$146.20 |
$172 |
0.7× |
| Evaluation of speech fluency (92521) |
$270.56 |
$318.30 |
— |
| Evaluation of speech sound production articulate (92522) |
$220.66 |
$259.60 |
— |
| External ECG rec>48hr<7d recording (93242) |
$372.13 |
$437.80 |
9.8× |
| Fluidotherapy (97022) |
$84.92 |
$99.90 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$402.73 |
$473.80 |
1.8× |
| Hot/cold pack (97010) |
$56.95 |
$67 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$18.46 |
$21.72 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$18.46 |
$21.72 |
0.4× |
| Immunization administration (90471) |
$18.46 |
$21.72 |
0.3× |
| Infrared therapy (97026) |
$35.02 |
$41.20 |
— |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$306.43 |
$360.50 |
2.3× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$352.84 |
$415.10 |
2.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$222.36 |
$261.60 |
4.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$146.20 |
$172 |
0.7× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$206.64 |
$243.10 |
5.4× |
| Interrog device eval heart (93289) |
$311.70 |
$366.70 |
8.2× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$148.84 |
$175.10 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$66.56 |
$78.30 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$369.50 |
$434.70 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$398.40 |
$468.70 |
5.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$388.75 |
$457.35 |
1.8× |
| IV tx, each additional hour (96366) |
$159.38 |
$187.50 |
3.3× |
| Lwr xtr vasc stdy bilat (93924) |
$521.35 |
$613.35 |
2.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$149.69 |
$176.10 |
1.1× |
| Maximum voluntary ventilation (94200) |
$99.79 |
$117.40 |
1.7× |
| Mechanical chest wall oscillation lung function (94669) |
$163.71 |
$192.60 |
0.7× |
| Mechanical traction therapy (97012) |
$91.97 |
$108.20 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$57.80 |
$68 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$57.80 |
$68 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$427.21 |
$502.60 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$241.19 |
$283.75 |
0.6× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$227.20 |
$267.30 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$379.10 |
$446 |
0.9× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$353.26 |
$415.60 |
1.6× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$368.14 |
$433.10 |
2.8× |
| Occupational therapy eval high complex 60 mins (97167) |
$166.35 |
$195.70 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$166.35 |
$195.70 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$166.35 |
$195.70 |
— |
| Oral function therapy (92526) |
$155.81 |
$183.30 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$105.06 |
$123.60 |
— |
| Osteopath manj 1-2 regions (98925) |
$115.60 |
$136 |
5.2× |
| Osteopath manj 3-4 regions (98926) |
$151.47 |
$178.20 |
6.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$149.69 |
$176.10 |
6.8× |
| Ot manual therapy ea 15 min (97140) |
$93.67 |
$110.20 |
— |
| Ot neuromuscular re-education (97112) |
$84.50 |
$99.40 |
— |
| Ot paraffin bath (97018) |
$84.92 |
$99.90 |
— |
| OT Therapeutic Activities Charges (97530) |
$94.56 |
$111.25 |
— |
| Ot wheelchair management (97542) |
$105.53 |
$124.15 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$180.37 |
$212.20 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$120.79 |
$142.10 |
0.9× |
| Phlebotomy therapeutic (99195) |
$173.32 |
$203.90 |
1.3× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$177.74 |
$209.10 |
2.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$123.42 |
$145.20 |
2.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$157.59 |
$185.40 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$157.59 |
$185.40 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$157.59 |
$185.40 |
— |
| Pr unlisted therapeutic procedure specify (97139) |
$81.43 |
$95.80 |
— |
| Prgrmg dev eval pm/ldls pm (93279) |
$262.65 |
$309 |
6.9× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$49.05 |
$57.70 |
1.0× |
| Program eval implantable in persn dual ld pacer (93280) |
$228.48 |
$268.80 |
6.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$248.63 |
$292.50 |
6.5× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$157.59 |
$185.40 |
— |
| Psych diag eval w/med srvcs (90792) |
$379.95 |
$447 |
2.1× |
| Psychiatric diagnostic evaluation (90791) |
$344.93 |
$405.80 |
1.9× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$173.32 |
$203.90 |
0.8× |
| Psytx crisis initial 60 min (90839) |
$341.45 |
$401.70 |
1.9× |
| Pt gait training 15 min (97116) |
$97.16 |
$114.30 |
— |
| Pt physical performance test (97750) |
$94.14 |
$110.75 |
— |
| Pulm funct tst plethysmograp (94726) |
$402.73 |
$473.80 |
1.1× |
| Pulmonary stress testing (94618) |
$315.18 |
$370.80 |
2.3× |
| Refilling and maintenance of portable pump (96521) |
$278.38 |
$327.50 |
1.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$124.36 |
$146.30 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$85.77 |
$100.90 |
— |
| Sleep study unattended (95806) |
$907.89 |
$1,068.10 |
4.1× |
| Speech sound lang comprehen (92523) |
$477.19 |
$561.40 |
— |
| Standardized cognitive performance testing (96125) |
$147.99 |
$174.10 |
— |
| Stress tte only (93350) |
$1,141.26 |
$1,342.65 |
2.0× |
| Surfactant administration (94610) |
$270.56 |
$318.30 |
1.2× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$65.71 |
$77.30 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$69.19 |
$81.40 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$65.71 |
$77.30 |
— |
| Test for hearing various pitches using earphone (92552) |
$53.38 |
$62.80 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$103.28 |
$121.50 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$99.79 |
$117.40 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$84.92 |
$99.90 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$86.24 |
$101.45 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$45.56 |
$53.60 |
0.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$39.87 |
$46.90 |
1.0× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$30.18 |
$35.50 |
0.8× |
| Trans care mgmt 14 day disch (99495) |
$334.48 |
$393.50 |
2.5× |
| Trans care mgmt 7 day disch (99496) |
$478.89 |
$563.40 |
3.5× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,269.48 |
$1,493.50 |
2.3× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$280.16 |
$329.60 |
7.3× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$429 |
$504.70 |
0.8× |
| Tte f-up or lmtd (93308) |
$395.76 |
$465.60 |
1.6× |
| Tte w/doppler complete (93306) |
$1,334.29 |
$1,569.75 |
2.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$335.33 |
$394.50 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$100.73 |
$118.50 |
— |
| Tympanometry (92567) |
$42.93 |
$50.50 |
1.1× |
| Upr/l xtremity art 2 levels (93922) |
$263.08 |
$309.50 |
1.9× |
| Ventilation ip/obs initial day (94002) |
$3,526.10 |
$4,148.35 |
5.6× |
| Ventilator subsequent day (94003) |
$3,041.05 |
$3,577.70 |
4.8× |
| Wound(s) care non-selective (97602) |
$84.92 |
$99.90 |
0.4× |