| Advance care planning first 30 mins (99497) |
$110.92 |
$147.90 |
1.0× |
| Airway inhalation treatment (94640) |
$65.91 |
$87.88 |
0.3× |
| Allergy injection single (95115) |
$20.22 |
$26.96 |
0.4× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$28.13 |
$37.50 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$48.71 |
$64.94 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$36.54 |
$48.72 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$48.71 |
$64.94 |
— |
| Assmt & care pln pt cog imp (99483) |
$414.63 |
$552.84 |
3.9× |
| Behav assmt w/score & docd/stand instrument (96127) |
$30.60 |
$40.80 |
0.8× |
| Bipap initial day (94660) |
$483.37 |
$644.49 |
2.1× |
| Breathing capacity test (94010) |
$82.80 |
$110.40 |
0.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$132.49 |
$176.65 |
0.3× |
| Canalith repositioning (95992) |
$71.18 |
$94.91 |
— |
| Cardiovascular stress test (93017) |
$355.05 |
$473.40 |
1.6× |
| Cardioversion elective external (92960) |
$351.53 |
$468.71 |
0.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$30.60 |
$40.80 |
0.8× |
| Chron care mgmt srvc 20 min (99490) |
$41.40 |
$55.20 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$535.21 |
$713.61 |
4.9× |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$122.40 |
$163.20 |
0.7× |
| Cpr (92950) |
$440.30 |
$587.06 |
1.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,021.20 |
$1,361.60 |
1.2× |
| Debridement open wound 20 sq cm< (97597) |
$244.28 |
$325.71 |
1.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$773.36 |
$1,031.15 |
3.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$743.50 |
$991.33 |
3.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$630.11 |
$840.15 |
5.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$644.16 |
$858.88 |
2.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$465.77 |
$621.03 |
4.2× |
| ECG monit/reprt up to 48 hrs (93226) |
$290 |
$386.67 |
4.7× |
| EKG 12 lead tracing only (93005) |
$103.70 |
$138.27 |
1.7× |
| Emergency department visit high mdm (99285) |
$675.81 |
$901.08 |
1.1× |
| Emergency department visit low mdm (99283) |
$191.14 |
$254.86 |
0.7× |
| Emergency department visit may not req phys/qhp (99281) |
$69.86 |
$93.15 |
0.8× |
| Emergency department visit moderate mdm (99284) |
$359 |
$478.66 |
0.8× |
| Emergency department visit straightforward mdm (99282) |
$132.70 |
$176.94 |
0.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$296.16 |
$394.88 |
— |
| Evaluate pt use of inhaler (94664) |
$36.03 |
$48.04 |
0.2× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$160.82 |
$214.42 |
1.1× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$93.16 |
$124.21 |
0.4× |
| Hot/cold pack (97010) |
$8.79 |
$11.72 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$19.35 |
$25.80 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$26.78 |
$35.70 |
0.6× |
| Immunization administration (90471) |
$26.78 |
$35.70 |
0.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$78.23 |
$104.31 |
1.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$119.51 |
$159.34 |
0.5× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$96.67 |
$128.89 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$64.16 |
$85.54 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$190.70 |
$254.27 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$53.60 |
$71.48 |
0.7× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$189.82 |
$253.10 |
0.8× |
| IV tx, each additional hour (96366) |
$64.16 |
$85.54 |
1.3× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$78.23 |
$104.31 |
0.6× |
| Mechanical traction therapy (97012) |
$36.54 |
$48.72 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$28.13 |
$37.50 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$112 |
$149.33 |
0.5× |
| Occupational therapy eval high complex 60 mins (97167) |
$139.36 |
$185.81 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$135.14 |
$180.18 |
— |
| Oral function therapy (92526) |
$193.34 |
$257.79 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$43.06 |
$57.41 |
— |
| Osteopath manj 1-2 regions (98925) |
$61.54 |
$82.05 |
2.7× |
| Osteopath manj 3-4 regions (98926) |
$79.10 |
$105.47 |
3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$93.17 |
$124.22 |
4.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$122.15 |
$162.87 |
5.4× |
| Ot manual therapy ea 15 min (97140) |
$52.58 |
$70.11 |
— |
| Ot neuromuscular re-education (97112) |
$72.07 |
$96.09 |
— |
| OT Therapeutic Activities Charges (97530) |
$72.07 |
$96.09 |
— |
| Ot wheelchair management (97542) |
$64.94 |
$86.59 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$62.10 |
$82.80 |
0.5× |
| Patch or application test(s) (specify number of tests) (95044) |
$7.96 |
$10.61 |
0.0× |
| Phlebotomy therapeutic (99195) |
$103.70 |
$138.27 |
0.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$69 |
$92 |
1.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$149.90 |
$199.87 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$149.90 |
$199.87 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$149.90 |
$199.87 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,288.48 |
$3,051.31 |
2.5× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$118.25 |
$157.66 |
2.4× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$27.24 |
$36.32 |
0.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$70.63 |
$94.17 |
— |
| Pt gait training 15 min (97116) |
$48.71 |
$64.94 |
— |
| Pt re-evaluation (97164) |
$81.18 |
$108.24 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$30.60 |
$40.80 |
0.8× |
| Pulmonary stress testing (94618) |
$142.07 |
$189.42 |
1.0× |
| Remote 30 day ECG rev/report (93270) |
$70.31 |
$93.74 |
1.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$40.59 |
$54.12 |
— |
| Speech sound lang comprehen (92523) |
$318.36 |
$424.48 |
— |
| Stress tte only (93350) |
$445.57 |
$594.09 |
0.8× |
| Temp transcutaneous pacing (92953) |
$231.13 |
$308.18 |
0.3× |
| Test for hearing various pitches using earphone (92552) |
$43.06 |
$57.41 |
0.3× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$36.54 |
$48.72 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$48.71 |
$64.94 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$33.40 |
$44.53 |
0.4× |
| Tobacco use cessation intensive >10 minutes (99407) |
$44.82 |
$59.76 |
1.1× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$21.96 |
$29.28 |
0.6× |
| Tte congenital complete (93303) |
$1,040.54 |
$1,387.38 |
1.8× |
| Tte f-up or lmtd (93308) |
$380.54 |
$507.38 |
1.5× |
| Tte w/doppler complete (93306) |
$1,080.96 |
$1,441.28 |
1.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$149.41 |
$199.21 |
— |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$54.44 |
$72.58 |
— |
| Upr/l xtremity art 2 levels (93922) |
$253.38 |
$337.84 |
1.8× |
| Ventilation ip/obs initial day (94002) |
$680.21 |
$906.95 |
1.0× |
| Ventilator subsequent day (94003) |
$680.21 |
$906.95 |
1.0× |
| Wound(s) care non-selective (97602) |
$132.49 |
$176.65 |
0.6× |