| Advance care planning first 30 mins (99497) |
$98 |
$196 |
1.0× |
| Airway inhalation treatment (94640) |
$54.50 |
$109 |
0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$69.62 |
$139.25 |
4.8× |
| Application on-body injector (96377) |
$30.75 |
$61.50 |
0.7× |
| Assessment of aphasia per hr (96105) |
$98 |
$196 |
1.0× |
| Bedside Swallowing Eval (92610) |
$231.12 |
$462.25 |
2.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$382.56 |
$765.12 |
3.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$57.12 |
$114.25 |
0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$236.88 |
$473.75 |
0.7× |
| Canalith Repositioning Procedure (95992) |
$48.94 |
$97.88 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$641.75 |
$1,283.50 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$478.75 |
$957.50 |
2.3× |
| Cardioversion (92960) |
$722.75 |
$1,445.50 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$66.75 |
$133.50 |
1.0× |
| Chemo IV push addl drug (96411) |
$92 |
$184 |
1.3× |
| Chemother, IV infusion, 1 hr (96413) |
$304.88 |
$609.75 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$122.62 |
$245.25 |
1.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$155.44 |
$310.88 |
2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$194.31 |
$388.62 |
2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$199.88 |
$399.75 |
0.6× |
| Chronic care management services 1st 20 min (99490) |
$20.88 |
$41.75 |
0.2× |
| Color/duplex Doppler, complete (93975) |
$452 |
$904 |
2.0× |
| Color/duplex Doppler, limited (93976) |
$250.62 |
$501.25 |
2.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$65.12 |
$130.25 |
0.4× |
| Cpap/bipap (94660) |
$113.62 |
$227.25 |
0.5× |
| Cpt initial (94667) |
$105.75 |
$211.50 |
0.8× |
| Critical care (99291) |
$1,041.88 |
$2,083.75 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$32.75 |
$65.50 |
0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$175.50 |
$351 |
1.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$723.69 |
$1,447.38 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$331 |
$662 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,041.75 |
$2,083.50 |
4.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$654.25 |
$1,308.50 |
6.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$831.50 |
$1,663 |
3.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$548.88 |
$1,097.75 |
5.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$761.50 |
$1,523 |
3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$532.88 |
$1,065.75 |
5.3× |
| Duplex scan extracranial art compl bi study (93880) |
$782.12 |
$1,564.25 |
3.4× |
| Echo Heart Xthoracic,Limited (93308) |
$377.25 |
$754.50 |
1.6× |
| EEG awake and asleep (95819) |
$470.69 |
$941.38 |
2.3× |
| EEG awake drowsy (95816) |
$365.88 |
$731.75 |
1.8× |
| EEG greater than 1 hour (95813) |
$560.88 |
$1,121.75 |
2.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$673.12 |
$1,346.25 |
3.2× |
| EKG rhythm strip (93041) |
$35.38 |
$70.75 |
0.6× |
| Electrocardiogram Tracing (93005) |
$87.50 |
$175 |
1.5× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$470.12 |
$940.25 |
2.3× |
| EMG four extremities (95864) |
$158.62 |
$317.25 |
1.3× |
| EMG one extremity (95860) |
$158.62 |
$317.25 |
1.2× |
| EMG three extremities (95863) |
$158.62 |
$317.25 |
1.3× |
| EMG two extremities (95861) |
$158.62 |
$317.25 |
1.2× |
| Er level 1 (99281) |
$96.88 |
$193.75 |
1.2× |
| Er level ii (99282) |
$150.75 |
$301.50 |
1.0× |
| Er level iii (99283) |
$249.12 |
$498.25 |
1.0× |
| Er level IV (99284) |
$392 |
$784 |
1.0× |
| Er level v (99285) |
$622.75 |
$1,245.50 |
1.1× |
| Eval speech sound production (92522) |
$333.62 |
$667.25 |
3.0× |
| Evaluate Pt Use Of Inhaler (94664) |
$57.50 |
$115 |
0.3× |
| Evaluation of speech fluency (92521) |
$396.38 |
$792.75 |
3.0× |
| External ECG rec>48hr<7d recording (93242) |
$27 |
$54 |
0.8× |
| External ECG rec>7d<15d recording (93246) |
$27 |
$54 |
0.8× |
| External Ecg Scanning Analysis Report (93226) |
$346.88 |
$693.75 |
6.1× |
| Fundus photography w/interpretation & report (92250) |
$31 |
$62 |
0.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,343.75 |
$2,687.50 |
1.6× |
| Group Therapeutic Procedures (97150) |
$46.75 |
$93.50 |
2.6× |
| Holter Monitor (93225) |
$327.25 |
$654.50 |
2.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$35.75 |
$71.50 |
0.9× |
| Immune Admin Oral/Nasal (90473) |
$14.12 |
$28.25 |
0.2× |
| Immunization Admin (90471) |
$26.50 |
$53 |
0.4× |
| Inhalation bronchial challenge testing (95070) |
$46.62 |
$93.25 |
0.1× |
| Injection intra arterial (96373) |
$34.12 |
$68.25 |
0.2× |
| Iontophoresis 15 min (97033) |
$62 |
$124 |
3.3× |
| Irrig drug delivery device (96523) |
$62 |
$124 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$71.75 |
$143.50 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$184 |
$368 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$108.62 |
$217.25 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$187.62 |
$375.25 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$92.25 |
$184.50 |
2.1× |
| IV push ea addl new drug (96375) |
$75 |
$150 |
1.7× |
| IV push initial (96374) |
$100 |
$200 |
0.5× |
| Manual therapy 15 min (97140) |
$68.12 |
$136.25 |
2.5× |
| Massage 15 min (97124) |
$60.62 |
$121.25 |
2.0× |
| Mechanical chest wall oscillation (94669) |
$123 |
$246 |
0.6× |
| Mechanical traction (97012) |
$38 |
$76 |
2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39.25 |
$78.50 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$43.88 |
$87.75 |
1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$20.38 |
$40.75 |
1.2× |
| Methacholine challenge (94070) |
$487.62 |
$975.25 |
1.4× |
| Motility study esophagus (91010) |
$346.88 |
$693.75 |
1.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$348.12 |
$696.25 |
3.8× |
| Multiple Sleep Latency Test (95805) |
$1,217 |
$2,434 |
1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$596.38 |
$1,192.75 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$11.62 |
$23.25 |
0.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$25.38 |
$50.75 |
0.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$176.12 |
$352.25 |
0.5× |
| Nerve conduction studies 13/> studies (95913) |
$176.12 |
$352.25 |
0.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$95.50 |
$191 |
0.5× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$95.50 |
$191 |
0.5× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$95.50 |
$191 |
0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$175.88 |
$351.75 |
0.5× |
| Nerve conduction studies; 1-2 studies (95907) |
$95.50 |
$191 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$411.38 |
$822.75 |
3.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$120.50 |
$241 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$83.62 |
$167.25 |
1.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$70.25 |
$140.50 |
2.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$37.38 |
$74.75 |
2.7× |
| Ot eval high complex 60 min (97167) |
$238.19 |
$476.38 |
2.4× |
| Ot eval low complex 30 min (97165) |
$159.19 |
$318.38 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$198.38 |
$396.75 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$84.12 |
$168.25 |
1.7× |
| Ot re-evaluation (97168) |
$118.75 |
$237.50 |
1.7× |
| Ot therapeutic activity 15 min (97530) |
$77.25 |
$154.50 |
2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$160.88 |
$321.75 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$160.88 |
$321.75 |
1.3× |
| Paraffin bath pt (97018) |
$77.38 |
$154.75 |
12.9× |
| Phlebotomy therapeutic (99195) |
$51.38 |
$102.75 |
0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$160.88 |
$321.75 |
2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$160.88 |
$321.75 |
2.8× |
| Plethysmography (94726) |
$53.50 |
$107 |
0.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,800.75 |
$3,601.50 |
2.2× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,768 |
$3,536 |
2.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$24.12 |
$48.25 |
0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$31 |
$62 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$200.50 |
$401 |
1.2× |
| Psychiatric diagnostic evaluation (90791) |
$154.25 |
$308.50 |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$88.25 |
$176.50 |
2.4× |
| Pt Electrical Stimulation (97032) |
$42.75 |
$85.50 |
2.9× |
| Pt eval high complex 45 min (97163) |
$221.88 |
$443.75 |
2.3× |
| Pt eval low complex 20 min (97161) |
$147.88 |
$295.75 |
1.5× |
| Pt eval mod complex 30 min (97162) |
$184.75 |
$369.50 |
1.9× |
| Pt gait training 15 min (97116) |
$63.75 |
$127.50 |
2.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$75.88 |
$151.75 |
2.3× |
| Pt Physical Performance Test (97750) |
$33.62 |
$67.25 |
1.0× |
| Pt re-evaluation (97164) |
$99.75 |
$199.50 |
1.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$78.12 |
$156.25 |
2.4× |
| Pulm function test by gas (94727) |
$102.06 |
$204.12 |
0.5× |
| Pulmonary Service/Procedure (94799) |
$356.62 |
$713.25 |
2.9× |
| Pulmonary stress test simple (94618) |
$100.12 |
$200.25 |
0.8× |
| Pure Tone Audiometry Air Only (92552) |
$30.25 |
$60.50 |
0.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$122.62 |
$245.25 |
3.4× |
| Respiratory flow volume loop (94375) |
$69.12 |
$138.25 |
0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$11.62 |
$23.25 |
0.1× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$81.88 |
$163.75 |
0.6× |
| Sensory Integration Ea 15 Min (97533) |
$67 |
$134 |
1.1× |
| Sleep study unattended (95806) |
$208.62 |
$417.25 |
1.0× |
| Speech sound lang comprehen (92523) |
$494.50 |
$989 |
2.2× |
| Spirometry (94010) |
$77.50 |
$155 |
0.4× |
| Standardized Cognitive Performance Testing (96125) |
$117.88 |
$235.75 |
1.1× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$205.88 |
$411.75 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$23.50 |
$47 |
1.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$22.38 |
$44.75 |
1.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$82.62 |
$165.25 |
0.8× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$29.62 |
$59.25 |
0.4× |
| Tte w/doppler, complete (93306) |
$1,173.50 |
$2,347 |
2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$231.12 |
$462.25 |
3.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$226.25 |
$452.50 |
2.7× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$509.38 |
$1,018.75 |
5.1× |
| Vasopneumatic device (97016) |
$39.25 |
$78.50 |
3.3× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$807.62 |
$1,615.25 |
2.3× |
| Vent mgmt inpat init day (94002) |
$209.50 |
$419 |
0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$306.75 |
$613.50 |
0.5× |
| Visual Evoked Potential Test (95930) |
$68.12 |
$136.25 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$71 |
$142 |
2.3× |