| Acoustic reflex testing (92568) |
$36.40 |
$51.50 |
0.9× |
| Advance care planning first 30 mins (99497) |
$189.35 |
$270.50 |
1.8× |
| Airway inhalation treatment (94640) |
$127.40 |
$182 |
0.6× |
| Analyze neurostim complex (95972) |
$137.20 |
$166.50 |
1.4× |
| Analyze neurostim no prog (95970) |
$45.50 |
$64 |
0.3× |
| Analyze neurostim simple (95971) |
— |
$33 |
— |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) |
$202.30 |
$289 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$93.80 |
$134 |
6.5× |
| Assessment of aphasia per hr (96105) |
$371 |
$530 |
3.8× |
| Basic vestibular evaluation (92540) |
$166.25 |
$237.50 |
0.7× |
| Bedside Swallowing Eval (92610) |
$126 |
$180 |
1.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$317.10 |
$453 |
2.9× |
| Brief Emotional/Behavioral Assessment (96127) |
$11.90 |
$17 |
0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$81.20 |
$116 |
0.2× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$23.10 |
$33 |
0.2× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$16.10 |
$23 |
0.1× |
| Canalith Repositioning Procedure (95992) |
$159.60 |
$228 |
3.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$856.80 |
$1,224 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$741.30 |
$1,059 |
3.3× |
| Cardioversion (92960) |
$369.60 |
$447 |
0.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$7.70 |
$11 |
0.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$85.40 |
$122 |
1.1× |
| Chemo IV push addl drug (96411) |
$131.60 |
$188 |
1.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$308 |
$440 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$312.90 |
$447 |
0.9× |
| Chemother, IV infusion, ea add hr (96415) |
$67.20 |
$96 |
0.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$258.30 |
$369 |
3.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$154 |
$220 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$241.50 |
$345 |
0.7× |
| Chronic care management services 1st 20 min (99490) |
$136.15 |
$194.50 |
1.3× |
| Color Vision Examination (92283) |
$111.30 |
$159 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$1,004.50 |
$1,435 |
4.0× |
| Color/duplex Doppler, limited (93976) |
$730.10 |
$1,043 |
6.7× |
| Comprehensive Hearing Test (92557) |
$88.20 |
$117.50 |
0.7× |
| Computerized dynamic posturography (92548) |
$34.30 |
$49 |
0.2× |
| Conditioning Play Audiometry (92582) |
$209.30 |
$299 |
1.6× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$158.20 |
$226 |
2.6× |
| Continuous Glucose Monitoring (95250) |
$357 |
$510 |
2.6× |
| Cpap/bipap (94660) |
$493.15 |
$704.50 |
2.2× |
| Critical care (99291) |
$658.70 |
$941 |
0.8× |
| Dbrdmt prmlg les w/pdt (96574) |
$670.60 |
$958 |
3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$228.90 |
$273 |
1.1× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$9.10 |
$13 |
0.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$12.60 |
$18 |
0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$497.70 |
$711 |
4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$680.40 |
$972 |
6.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$333.20 |
$476 |
3.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,124.20 |
$1,606 |
4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$873.60 |
$1,248 |
8.0× |
| Duplex scan extracranial art compl bi study (93880) |
$781.20 |
$1,116 |
3.1× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$191.10 |
$273 |
1.4× |
| Ear and throat examination (92502) |
$229.60 |
$328 |
0.4× |
| Echo Heart Xthoracic,Limited (93308) |
$388.15 |
$554.50 |
1.6× |
| EEG awake and asleep (95819) |
$549.85 |
$785.50 |
2.4× |
| EEG awake drowsy (95816) |
$819.70 |
$1,171 |
3.6× |
| EEG coma or sleep only (95822) |
$931 |
$1,330 |
4.1× |
| EEG greater than 1 hour (95813) |
$868 |
$1,240 |
3.8× |
| Electrocardiogram Tracing (93005) |
$152.60 |
$218 |
2.5× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$712.60 |
$1,018 |
3.2× |
| EMG one extremity (95860) |
$136.15 |
$194.50 |
1.0× |
| EMG three extremities (95863) |
$367.15 |
$381 |
2.7× |
| EMG two extremities (95861) |
$385 |
$550 |
2.8× |
| Er level 1 (99281) |
$28 |
$40 |
0.3× |
| Er level ii (99282) |
$100.10 |
$143 |
0.6× |
| Er level iii (99283) |
$170.10 |
$243 |
0.6× |
| Er level IV (99284) |
$289.10 |
$413 |
0.7× |
| Er level v (99285) |
$418.60 |
$598 |
0.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$907.20 |
$1,296 |
2.3× |
| Eval speech sound production (92522) |
$329 |
$470 |
2.9× |
| Evaluate Pt Use Of Inhaler (94664) |
$44.10 |
$63 |
0.2× |
| External ECG rec>48hr<7d recording (93242) |
$208.60 |
$298 |
5.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$540.40 |
$772 |
3.9× |
| External ECG rec>7d<15d recording (93246) |
$208.60 |
$298 |
5.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$567 |
$810 |
4.1× |
| External Ecg Scanning Analysis Report (93226) |
$86.80 |
$124 |
1.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$345.10 |
$493 |
0.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$292.60 |
$418 |
1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$192.50 |
$275 |
0.2× |
| Gastrointestinal Tract Imaging Esophagus W/I&R (91111) |
$2,059.05 |
$2,941.50 |
2.2× |
| Gi tract capsule endoscopy (91110) |
$1,497.30 |
$2,139 |
1.6× |
| Holter Monitor (93225) |
$44.80 |
$64 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$27.38 |
$39.11 |
0.6× |
| Immune Admin Oral/Nasal (90473) |
$40.60 |
$58 |
0.5× |
| Immunization Admin (90471) |
$50.40 |
$72 |
0.7× |
| Inhalation bronchial challenge testing (95070) |
$84.70 |
$121 |
0.2× |
| Inital newborn e/m (99460) |
$221.90 |
$317 |
1.6× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$259 |
$370 |
1.9× |
| Injection intra arterial (96373) |
$45.50 |
$65 |
0.2× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
— |
$24 |
— |
| Iontophoresis 15 min (97033) |
$149.10 |
$213 |
7.8× |
| Irrig drug delivery device (96523) |
$129.50 |
$185 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$116.20 |
$166 |
2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$831.60 |
$1,188 |
3.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$158.20 |
$226 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$831.60 |
$1,188 |
3.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$128.10 |
$183 |
2.6× |
| IV push ea addl new drug (96375) |
$138.60 |
$198 |
2.8× |
| IV push initial (96374) |
$169.40 |
$242 |
0.8× |
| Liver Elastography W/O Imag W/I&R (91200) |
$37.45 |
$53.50 |
0.3× |
| Manual therapy 15 min (97140) |
$127.40 |
$182 |
4.6× |
| Maximum voluntary ventilation (94200) |
$30.10 |
$43 |
0.5× |
| Mechanical traction (97012) |
$97.30 |
$139 |
6.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$77 |
$102 |
2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$88.20 |
$118 |
2.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$40.60 |
$55.50 |
2.4× |
| Methacholine challenge (94070) |
$87.50 |
$125 |
0.2× |
| Motility study esophagus (91010) |
$380.80 |
$544 |
1.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$222.60 |
$318 |
2.4× |
| Multiple Sleep Latency Test (95805) |
$522.20 |
$746 |
0.6× |
| Nasopharyngoscopy (92511) |
$283.50 |
$202.50 |
1.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$207.90 |
$297 |
0.9× |
| Neg press wound tx >50 cm (97608) |
$60.20 |
$86 |
0.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$51.10 |
$73 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$58.10 |
$83 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$63.70 |
$91 |
0.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$224.70 |
$321 |
0.6× |
| Nerve conduction studies 13/> studies (95913) |
$249.20 |
$356 |
0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$114.10 |
$163 |
0.5× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$137.20 |
$196 |
0.6× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$174.30 |
$249 |
0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$199.50 |
$285 |
0.5× |
| Nerve conduction studies; 1-2 studies (95907) |
$155.40 |
$222 |
0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$170.10 |
$243 |
1.3× |
| Newborn resuscitation (99465) |
$339.50 |
$485 |
0.5× |
| Nitric oxide expired gas determination (95012) |
$46.20 |
$66 |
1.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$232.40 |
$332 |
1.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$310.10 |
$362 |
0.8× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) |
$9.10 |
$13 |
0.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$114.10 |
$163 |
2.5× |
| Oscillating Tracking Test (92545) |
$9.10 |
$13 |
0.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$76.30 |
$94 |
3.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$109.20 |
$137.50 |
4.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$142.10 |
$180.50 |
6.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$173.60 |
$223.50 |
7.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$203.70 |
$265 |
9.0× |
| Ot eval high complex 60 min (97167) |
$320.60 |
$458 |
3.2× |
| Ot eval low complex 30 min (97165) |
$248.50 |
$355 |
2.5× |
| Ot eval mod complex 45 min (97166) |
$222.60 |
$318 |
2.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$102.20 |
$146 |
2.0× |
| Ot re-evaluation (97168) |
$189 |
$270 |
2.8× |
| Ot therapeutic activity 15 min (97530) |
$97.30 |
$139 |
2.8× |
| Paraffin bath pt (97018) |
$74.20 |
$106 |
12.3× |
| Patch/Application Test Specify Number Tests (95044) |
$12.60 |
$18 |
0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$331.10 |
$473 |
1.6× |
| Percutaneous tests w/allergenic extracts (95004) |
$9.10 |
$13 |
0.0× |
| Phlebotomy therapeutic (99195) |
$231.70 |
$331 |
1.7× |
| Photo patch test(s) (specify number of tests) Facility (95052) |
$15.40 |
$22 |
0.2× |
| Plethysmography (94726) |
$107.10 |
$153 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$788.20 |
$1,126 |
0.9× |
| Positional Nystagmus Test (92542) |
$10.50 |
$15 |
0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$35.70 |
$31.50 |
0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$25.20 |
$36 |
0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$30.10 |
$43 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$409.50 |
$585 |
2.2× |
| Psychiatric diagnostic evaluation (90791) |
$416.50 |
$510 |
2.2× |
| Psycl tst eval phys/qhp 1st (96130) |
$261.80 |
$374 |
1.2× |
| Psytx crisis initial 60 min (90839) |
$354.20 |
$446 |
1.9× |
| Pt Electrical Stimulation (97032) |
$119.70 |
$171 |
8.1× |
| Pt eval high complex 45 min (97163) |
$165.90 |
$237 |
1.7× |
| Pt eval low complex 20 min (97161) |
$161.70 |
$231 |
1.7× |
| Pt eval mod complex 30 min (97162) |
$161.70 |
$231 |
1.7× |
| Pt gait training 15 min (97116) |
$98 |
$140 |
3.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$120.40 |
$172 |
3.7× |
| Pt re-evaluation (97164) |
$155.40 |
$222 |
2.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$100.80 |
$144 |
3.1× |
| Pt-focused hlth risk assmt (96160) |
$7.70 |
$11 |
0.2× |
| Pulmonary Service/Procedure (94799) |
$56.70 |
$81 |
0.4× |
| Pure Tone Audiometry Air & Bone (92553) |
$111.30 |
$159 |
0.8× |
| Pure Tone Audiometry Air Only (92552) |
$92.40 |
$132 |
0.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$48.30 |
$69 |
0.3× |
| Rem mntr physiol param dev (99454) |
$114.80 |
$164 |
2.9× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$20.30 |
$29 |
0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$277.90 |
$397 |
1.3× |
| Sleep study attended (95807) |
$850.50 |
$1,215 |
2.2× |
| Sleep study unattended (95806) |
$124.60 |
$178 |
0.6× |
| Smoking cessation > 10 min (99407) |
$66.50 |
$86 |
1.7× |
| Speech Audiometry Complete (92556) |
$109.20 |
$156 |
1.8× |
| Speech audiometry threshold (92555) |
$70.70 |
$101 |
1.1× |
| Speech sound lang comprehen (92523) |
$329 |
$470 |
1.5× |
| Spirometry (94010) |
$46.90 |
$67 |
0.2× |
| Spontaneous nystagmus test (92541) |
$10.50 |
$15 |
0.1× |
| Standardized Cognitive Performance Testing (96125) |
$364.70 |
$521 |
3.5× |
| Temp transcutaneous pacing (92953) |
$2.80 |
$4 |
0.0× |
| Ther/prop/diag inj/inf proc (96379) |
$1,011.50 |
$1,445 |
20.6× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$133 |
$190 |
1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$35.70 |
$41 |
0.9× |
| Trans Care Mgmt 14 Day Disch (99495) |
$500.50 |
$475.50 |
3.6× |
| Trans Care Mgmt 7 Day Disch (99496) |
$455 |
$483 |
3.3× |
| Tte w/doppler, complete (93306) |
$1,836.80 |
$2,624 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$305.90 |
$437 |
4.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$109.20 |
$156 |
1.3× |
| Tympanometry (92567) |
$39.90 |
$47 |
1.0× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$52.50 |
$75 |
0.2× |
| Ultraviolet Light Therapy (96900) |
$60.90 |
$87 |
1.6× |
| Unlisted otorhinolaryngological service (92700) |
$369.60 |
$528 |
12.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$245 |
$350 |
2.2× |
| Vasopneumatic device (97016) |
$114.80 |
$164 |
9.6× |
| Vent mgmt inpat init day (94002) |
$681.10 |
$973 |
1.1× |
| Visual reinforcement audiometry (vra) (92579) |
$106.40 |
$139 |
0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$90.30 |
$129 |
2.9× |