| Advance care planning first 30 mins (99497) |
$65.89 |
$101.37 |
0.6× |
| Airway inhalation treatment (94640) |
$86.14 |
$132.52 |
0.4× |
| Allergy injection single (95115) |
$22.60 |
$34.77 |
0.5× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$22.78 |
$35.05 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$66.12 |
$101.73 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$73.22 |
$112.65 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$66.22 |
$101.88 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$46.63 |
$71.74 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$115.59 |
$177.82 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$107.10 |
$164.78 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$37.68 |
$57.97 |
— |
| Bipap initial day (94660) |
$496.02 |
$763.10 |
2.1× |
| Breathing capacity test (94010) |
$173.15 |
$266.39 |
0.8× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$303.47 |
$466.88 |
0.8× |
| Canalith repositioning (95992) |
$115.76 |
$178.09 |
— |
| Cardioversion elective external (92960) |
$233.26 |
$358.86 |
0.3× |
| Chemo anti-neopl sq/im (96401) |
$115.56 |
$177.79 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$50.46 |
$77.63 |
0.7× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$147.30 |
$226.61 |
0.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$122.07 |
$187.80 |
0.4× |
| Chest physiotherapy initial (94667) |
$59.45 |
$91.46 |
0.4× |
| Chron care mgmt srvc 20 min (99490) |
$32.39 |
$49.83 |
0.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$114.61 |
$176.32 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$70.82 |
$108.96 |
0.4× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$229.82 |
$353.57 |
1.6× |
| Cpr (92950) |
$433.76 |
$667.32 |
1.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,484.86 |
$2,284.40 |
1.7× |
| Debridement open wound 20 sq cm< (97597) |
$273.12 |
$420.20 |
1.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$645.98 |
$993.81 |
2.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$452.97 |
$696.87 |
4.1× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,017.20 |
$1,564.93 |
4.0× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$626.83 |
$964.36 |
5.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,187.63 |
$1,827.13 |
4.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$782.70 |
$1,204.15 |
7.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$565.07 |
$869.34 |
5.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$674.68 |
$1,037.97 |
2.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$656.64 |
$1,010.21 |
6.0× |
| ECG/monitoring and analysis (93271) |
$648.28 |
$997.36 |
6.5× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$432.52 |
$665.41 |
1.7× |
| EEG 41-60 minutes (95812) |
$545.64 |
$839.45 |
2.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$562.38 |
$865.20 |
2.5× |
| EKG 12 lead tracing only (93005) |
$139.97 |
$215.34 |
2.2× |
| EKG rhythm strip (93041) |
$59.34 |
$91.29 |
1.0× |
| Emergency department visit high mdm (99285) |
$262.48 |
$403.82 |
0.4× |
| Emergency department visit low mdm (99283) |
$94.31 |
$145.09 |
0.3× |
| Emergency department visit may not req phys/qhp (99281) |
$103.88 |
$159.82 |
1.2× |
| Emergency department visit moderate mdm (99284) |
$178.09 |
$273.99 |
0.4× |
| Emergency department visit straightforward mdm (99282) |
$62.06 |
$95.47 |
0.4× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$40.22 |
$61.87 |
0.3× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$148.61 |
$228.63 |
— |
| Evaluate pt use of inhaler (94664) |
$62.39 |
$95.98 |
0.3× |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$164.78 |
$253.51 |
1.2× |
| External ECG rec>48hr<7d recording (93242) |
$577.19 |
$887.99 |
14.6× |
| External ECG rec>7d<15d recording (93246) |
$1,039.11 |
$1,598.63 |
26.4× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$248.76 |
$382.71 |
1.8× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$39.07 |
$60.10 |
1.3× |
| Hot/cold pack (97010) |
$25.90 |
$39.84 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$11.84 |
$18.21 |
0.2× |
| Imm admn sarscov2 vaccine single dose (90480) |
$28.63 |
$44.04 |
0.7× |
| Immunization administration (90471) |
$26.52 |
$40.80 |
0.3× |
| Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) |
$109.25 |
$168.08 |
1.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$79.48 |
$122.26 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$113.47 |
$174.57 |
0.5× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$37.39 |
$57.52 |
0.6× |
| IV infusion hydration each additional hour (96361) |
$54.52 |
$83.88 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$97.28 |
$149.65 |
1.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$218.08 |
$335.50 |
1.0× |
| IV tx, each additional hour (96366) |
$85.83 |
$132.05 |
1.7× |
| Lwr xtr vasc stdy bilat (93924) |
$806.91 |
$1,241.40 |
3.5× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$66.57 |
$102.42 |
0.5× |
| Mechanical traction therapy (97012) |
$73.85 |
$113.61 |
— |
| Methacholine challenge (94070) |
$114.89 |
$176.75 |
0.3× |
| Multiple sleep latency (95805) |
$3,259.61 |
$5,014.78 |
3.6× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$381.94 |
$587.60 |
1.8× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$185.25 |
$285 |
0.5× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$540.46 |
$831.48 |
2.4× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$311.95 |
$479.93 |
2.3× |
| Oral function therapy (92526) |
$149.23 |
$229.58 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$86.55 |
$133.15 |
— |
| Osteopath manj 1-2 regions (98925) |
$43.70 |
$67.23 |
1.9× |
| Osteopath manj 3-4 regions (98926) |
$60.37 |
$92.87 |
2.7× |
| Osteopath manj 9-10 regions (98929) |
$160.31 |
$246.63 |
7.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$112.57 |
$173.18 |
4.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$101.73 |
$156.50 |
4.5× |
| Ot manual therapy ea 15 min (97140) |
$84.88 |
$130.58 |
— |
| Ot neuromuscular re-education (97112) |
$83.92 |
$129.10 |
— |
| Ot paraffin bath (97018) |
$50.16 |
$77.17 |
— |
| OT Therapeutic Activities Charges (97530) |
$84.10 |
$129.38 |
— |
| Ot wheelchair management (97542) |
$79.87 |
$122.88 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$63.32 |
$97.42 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$189.64 |
$291.75 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$206.88 |
$318.27 |
1.5× |
| Phlebotomy therapeutic (99195) |
$132.78 |
$204.28 |
0.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$158.61 |
$244.01 |
2.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$279.28 |
$429.66 |
4.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$244.90 |
$376.77 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$244.90 |
$376.77 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$244.90 |
$376.77 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,361.12 |
$5,170.96 |
3.7× |
| Pr unlisted therapeutic procedure specify (97139) |
$60.71 |
$93.40 |
— |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$27.87 |
$42.87 |
0.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$99.76 |
$153.47 |
— |
| Psych diag eval w/med srvcs (90792) |
$201.71 |
$310.32 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$182.73 |
$281.13 |
1.0× |
| Psytx crisis initial 60 min (90839) |
$130 |
$200 |
0.7× |
| Pt gait training 15 min (97116) |
$83.38 |
$128.28 |
— |
| Pt physical performance test (97750) |
$38.83 |
$59.74 |
— |
| Pt re-evaluation (97164) |
$160.47 |
$246.87 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$96.84 |
$148.99 |
— |
| Pulmonary stress testing (94618) |
$61.17 |
$94.11 |
0.4× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$81.41 |
$125.25 |
— |
| Remote 30 day ECG rev/report (93270) |
$248.60 |
$382.46 |
6.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$97.84 |
$150.53 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$61.76 |
$95.01 |
— |
| Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis… (95801) |
$133.89 |
$205.98 |
2.2× |
| Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) |
$109.25 |
$168.08 |
1.0× |
| Ther/proph/diag inj ia (96373) |
$107.40 |
$165.22 |
0.5× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$99.27 |
$152.72 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$101.06 |
$155.48 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$57.40 |
$88.31 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$49 |
$75.38 |
0.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$39.56 |
$60.86 |
1.0× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$20.33 |
$31.28 |
0.5× |
| Trans care mgmt 14 day disch (99495) |
$169.53 |
$260.82 |
1.2× |
| Trans care mgmt 7 day disch (99496) |
$204.20 |
$314.15 |
1.5× |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$70.96 |
$109.17 |
— |
| Upr/l xtremity art 2 levels (93922) |
$237.33 |
$365.12 |
1.7× |
| Ventilation ip/obs initial day (94002) |
$1,493.13 |
$2,297.13 |
2.3× |
| Ventilator subsequent day (94003) |
$982.80 |
$1,512 |
1.5× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$43.52 |
$66.96 |
— |
| Wound(s) care non-selective (97602) |
$116.51 |
$179.25 |
0.6× |