| Airway inhalation treatment (94640) |
$165.49 |
$214.92 |
0.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$43.40 |
$56.35 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$86.60 |
$112.46 |
6.0× |
| Application on-body injector (96377) |
$159.90 |
$207.65 |
3.3× |
| Assessment of aphasia per hr (96105) |
$188.92 |
$245.34 |
1.9× |
| Bedside Swallowing Eval (92610) |
$323.84 |
$420.56 |
3.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$289.37 |
$375.80 |
2.6× |
| Brief Emotional/Behavioral Assessment (96127) |
$22.20 |
$28.83 |
0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$218.22 |
$283.40 |
0.6× |
| Canalith Repositioning Procedure (95992) |
$127.11 |
$165.07 |
3.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$241.93 |
$314.18 |
1.1× |
| Cardiopulmonary resuscitation (92950) |
$661.70 |
$859.35 |
3.0× |
| Cardioversion (92960) |
$318.80 |
$414.03 |
0.5× |
| Care mgmt svc bhvl hlth cond (99484) |
$80.90 |
$105.06 |
2.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$11.49 |
$14.92 |
0.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$155.91 |
$202.48 |
2.1× |
| Chemo IV push addl drug (96411) |
$246.81 |
$320.52 |
3.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$529.80 |
$688.04 |
1.6× |
| Chemother, IV infusion, 1 hr (96413) |
$590.10 |
$766.36 |
1.7× |
| Chemother, IV infusion, ea add hr (96415) |
$160.63 |
$208.60 |
2.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$237.70 |
$308.69 |
3.2× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$965.24 |
$1,253.55 |
2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$224.91 |
$292.08 |
3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$405.08 |
$526.07 |
1.2× |
| Chronic care management services 1st 20 min (99490) |
$42.08 |
$54.65 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$746.88 |
$969.97 |
3.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$68.45 |
$88.88 |
0.4× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$132.65 |
$172.27 |
2.2× |
| Critical care (99291) |
$1,201.69 |
$1,560.63 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$204.65 |
$265.77 |
1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$25.01 |
$32.47 |
0.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$898.58 |
$1,166.98 |
3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$455.50 |
$591.55 |
4.2× |
| Duplex scan extracranial art compl bi study (93880) |
$1,083.06 |
$1,406.56 |
4.4× |
| Duplex Scan Hemodialysis Access (93990) |
$459.90 |
$597.27 |
4.3× |
| Echo Heart Xthoracic,Limited (93308) |
$754.38 |
$979.71 |
3.1× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$465.16 |
$604.10 |
0.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,455.22 |
$1,889.89 |
2.6× |
| Electrocardiogram Tracing (93005) |
$178.64 |
$231.99 |
2.9× |
| EMG two extremities (95861) |
$36.35 |
$47.20 |
0.3× |
| Er level 1 (99281) |
$75.51 |
$98.06 |
0.9× |
| Er level ii (99282) |
$129.88 |
$168.66 |
0.8× |
| Er level iii (99283) |
$241.36 |
$313.44 |
0.9× |
| Er level IV (99284) |
$327.72 |
$425.61 |
0.8× |
| Er level v (99285) |
$444.52 |
$577.28 |
0.7× |
| Eval speech sound production (92522) |
$300.25 |
$389.93 |
2.7× |
| Evaluate Pt Use Of Inhaler (94664) |
$126.19 |
$163.88 |
0.6× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$516.17 |
$670.35 |
4.2× |
| Evaluation of speech fluency (92521) |
$300.25 |
$389.93 |
2.3× |
| Exercise tst brncspsm (94617) |
$240.22 |
$311.97 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$163.72 |
$212.62 |
4.2× |
| External ECG rec>7d<15d recording (93246) |
$256.58 |
$333.22 |
6.7× |
| Holter Monitor (93225) |
$764.35 |
$992.65 |
5.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$53.99 |
$70.11 |
1.3× |
| Immune Admin Oral/Nasal (90473) |
$35.16 |
$45.66 |
0.5× |
| Immunization Admin (90471) |
$53.99 |
$70.11 |
0.7× |
| Inhalation bronchial challenge testing (95070) |
$1,118.58 |
$1,452.69 |
2.9× |
| Inital newborn e/m (99460) |
$377.69 |
$490.50 |
2.7× |
| Iontophoresis 15 min (97033) |
$87.74 |
$113.94 |
4.6× |
| Irrig drug delivery device (96523) |
$92.23 |
$119.77 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$140.28 |
$182.17 |
2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$330.05 |
$428.63 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$164.50 |
$213.63 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$315.94 |
$410.30 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$125.91 |
$163.51 |
2.6× |
| IV push ea addl new drug (96375) |
$152.48 |
$198.02 |
3.2× |
| IV push initial (96374) |
$158.70 |
$206.10 |
0.7× |
| Manual therapy 15 min (97140) |
$103.46 |
$134.36 |
3.7× |
| Mechanical traction (97012) |
$104.61 |
$135.85 |
7.3× |
| Methacholine challenge (94070) |
$550.86 |
$715.40 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$323.84 |
$420.56 |
3.5× |
| Neg press wound tx >50 cm (97608) |
$174.90 |
$227.13 |
0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$164.36 |
$213.45 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$158.70 |
$206.10 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$262.02 |
$340.28 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$442.25 |
$574.35 |
1.1× |
| Nerve conduction studies 13/> studies (95913) |
$501.64 |
$651.48 |
1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$211.47 |
$274.63 |
0.9× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$250.82 |
$325.74 |
1.1× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$333.11 |
$432.61 |
0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$396.26 |
$514.62 |
1.0× |
| Nerve conduction studies; 1-2 studies (95907) |
$164.73 |
$213.93 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$388.62 |
$504.69 |
2.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$222.84 |
$289.39 |
1.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$72.24 |
$93.81 |
2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$110.25 |
$143.17 |
2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$30.46 |
$39.54 |
1.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$43.78 |
$56.85 |
2.0× |
| Ot eval high complex 60 min (97167) |
$353 |
$458.44 |
3.5× |
| Ot eval low complex 30 min (97165) |
$176.99 |
$229.85 |
1.8× |
| Ot eval mod complex 45 min (97166) |
$265.49 |
$344.79 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$83.22 |
$108.07 |
1.7× |
| Ot re-evaluation (97168) |
$122.25 |
$158.76 |
1.8× |
| Ot therapeutic activity 15 min (97530) |
$119.33 |
$154.97 |
3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$177.72 |
$230.80 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$171 |
$222.07 |
1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$215.44 |
$279.78 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$233.38 |
$303.08 |
3.8× |
| Phlebotomy therapeutic (99195) |
$198.43 |
$257.70 |
1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$193.54 |
$251.34 |
3.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$193.54 |
$251.34 |
3.2× |
| Plethysmography (94726) |
$454.10 |
$589.73 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$393.01 |
$510.40 |
0.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$122.80 |
$159.48 |
1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$53.13 |
$69 |
1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$89.93 |
$116.79 |
1.9× |
| Pt Electrical Stimulation (97032) |
$83.22 |
$108.07 |
5.7× |
| Pt eval high complex 45 min (97163) |
$398.26 |
$517.22 |
4.1× |
| Pt eval low complex 20 min (97161) |
$176.99 |
$229.85 |
1.8× |
| Pt eval mod complex 30 min (97162) |
$265.49 |
$344.79 |
2.7× |
| Pt gait training 15 min (97116) |
$104.61 |
$135.85 |
3.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$106.80 |
$138.70 |
3.3× |
| Pt re-evaluation (97164) |
$129.93 |
$168.74 |
1.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$119.33 |
$154.97 |
3.7× |
| Pulmonary stress test simple (94618) |
$240.22 |
$311.97 |
1.7× |
| Pure Tone Audiometry Air Only (92552) |
$65.67 |
$85.28 |
0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$102.57 |
$133.20 |
0.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$113.53 |
$147.43 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$110.19 |
$143.10 |
1.8× |
| Smoking cessation > 10 min (99407) |
$63.51 |
$82.47 |
1.6× |
| Speech sound lang comprehen (92523) |
$300.25 |
$389.93 |
1.3× |
| Spirometry (94010) |
$158.83 |
$206.27 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$309.26 |
$401.63 |
3.0× |
| Stress echo (93350) |
$864.70 |
$1,122.98 |
1.5× |
| Testing Autonomic Nervous System Function (95923) |
$594.70 |
$772.33 |
4.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$136.56 |
$177.35 |
6.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$136.56 |
$177.35 |
6.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$279.95 |
$363.56 |
2.7× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$87.74 |
$113.94 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$36.03 |
$46.79 |
0.9× |
| Tte w/doppler, complete (93306) |
$1,002.04 |
$1,301.35 |
1.8× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$864.70 |
$1,122.98 |
3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$295.76 |
$384.10 |
3.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$307.05 |
$398.76 |
3.6× |
| Tympanometry (92567) |
$73.39 |
$95.31 |
1.9× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$572.45 |
$743.44 |
2.6× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$502.92 |
$653.14 |
2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$104.61 |
$135.85 |
3.4× |