| Advance care planning first 30 mins (99497) |
$52 |
$80 |
0.5× |
| Airway inhalation treatment (94640) |
$397 |
$610 |
1.8× |
| Anogenital exam, child (99170) |
$118 |
$182 |
0.6× |
| Application of heat wave therapy (97024) |
$54 |
$83.50 |
7.3× |
| Assessment of aphasia (96105) |
$228 |
$350 |
2.3× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$60 |
$92 |
1.6× |
| Behav assmt w/score & docd/stand instrument (96127) |
$30 |
$46 |
0.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$211 |
$325 |
1.9× |
| Bfb training 1st 15 min (90912) |
$97 |
$149 |
1.2× |
| Bfb training ea addl 15 min (90913) |
$54 |
$83 |
1.6× |
| Biofeedback training any modality (90901) |
$111 |
$170 |
2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$422.50 |
$650 |
1.1× |
| Canalith Repositioning (95992) |
$77 |
$119 |
1.9× |
| Car seat/bed test 60 min (94780) |
$192 |
$295 |
5.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$652 |
$1,003 |
3.0× |
| Cardiopulmonary resuscitation (92950) |
$358.50 |
$552 |
1.7× |
| Cardioversion (92960) |
$919 |
$1,414 |
1.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$40 |
$61 |
1.1× |
| Caregiver training 1st 30 min (97550) |
$79 |
$121 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$34 |
$53 |
1.3× |
| Cbt 1st hour (94644) |
$237 |
$365 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$455 |
$700 |
1.9× |
| Continuous Glucose Monitoring (95250) |
$250 |
$385 |
1.9× |
| Cpap initiation and management (94660) |
$397 |
$610 |
1.8× |
| Cpt initial (94667) |
$237 |
$365 |
1.8× |
| Critical care (99291) |
$1,648 |
$2,535 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$132 |
$202.50 |
0.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$211 |
$325 |
1.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$580.50 |
$893.50 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$582 |
$895 |
2.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$582 |
$895 |
5.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$582 |
$895 |
2.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$582 |
$895 |
5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$611 |
$940 |
5.8× |
| Duplex scan extracranial art compl bi study (93880) |
$611 |
$940 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$542 |
$834 |
2.3× |
| EEG awake drowsy (95816) |
$601 |
$925 |
2.8× |
| EKG (93005) |
$142 |
$218 |
2.4× |
| EKG rhythm strip (93041) |
$92 |
$141 |
1.6× |
| Er level 1 (99281) |
$142 |
$218.50 |
1.7× |
| Er level ii (99282) |
$302 |
$465 |
2.0× |
| Er level iii (99283) |
$530 |
$815 |
1.9× |
| Er level IV (99284) |
$676 |
$1,040 |
1.6× |
| Er level v (99285) |
$822 |
$1,265 |
1.4× |
| Evaluation of speech fluency (92521) |
$220 |
$338 |
1.7× |
| Evaluation of speech sound production (92522) |
$211 |
$325 |
1.9× |
| Evaluation of swallowing function (92610) |
$251.50 |
$387 |
3.0× |
| Evaluation with prescription of speech-generating alternative (92607) |
$278 |
$428 |
2.3× |
| Evoked auditory test,limited (92587) |
$192 |
$295 |
0.9× |
| Group Therapeutic Procedures (97150) |
$42 |
$65 |
2.3× |
| Hemodialysis (90935) |
$2,373 |
$3,650 |
3.4× |
| Holter Monitor Recording (93225) |
$237 |
$365 |
1.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$18 |
$28 |
0.2× |
| Immunization Admin (90471) |
$36 |
$55 |
0.5× |
| Immunotherapy, 2+ Injections (95117) |
$17 |
$26 |
0.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$62 |
$95.50 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$77 |
$118 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$140.50 |
$215.50 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$154.50 |
$237.50 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$68.50 |
$105.50 |
1.5× |
| IV push initial (96374) |
$133 |
$204 |
0.6× |
| Low frequency non-thermal us (97610) |
$233 |
$358 |
1.2× |
| Manual therapy 15 min (97140) |
$68 |
$105 |
2.5× |
| Massage 15 min (97124) |
$58.50 |
$89.50 |
2.0× |
| Mechanical traction (97012) |
$57 |
$87 |
4.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$296 |
$455 |
3.2× |
| Multiple sleep latency test (95805) |
$2,360 |
$3,630 |
2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$140 |
$215 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$150 |
$230 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$237 |
$365 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$289 |
$445 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$68 |
$105 |
1.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$68 |
$105 |
2.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
$52.50 |
$81 |
3.7× |
| Ot eval high complex 60 min (97167) |
$207 |
$318 |
2.1× |
| Ot eval low complex 30 min (97165) |
$164 |
$253 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$186 |
$286 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$64 |
$98 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$67 |
$102.50 |
1.7× |
| Ot Range Motion Measure,Each Extrem (95851) |
$52 |
$80 |
2.0× |
| Ot re-eval est plan care (97168) |
$98 |
$150 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$163 |
$250 |
1.3× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$91 |
$140 |
0.7× |
| Paraffin bath (97018) |
$58.50 |
$89.50 |
9.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$397 |
$610 |
1.8× |
| Peripheral arterial disease rehab per session (93668) |
$110.50 |
$170 |
1.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$127 |
$195 |
2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,646 |
$4,070 |
3.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,360 |
$3,630 |
2.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$16 |
$24 |
0.3× |
| Psych diag eval w/med srvcs (90792) |
$129 |
$198 |
0.7× |
| Psychiatric diagnostic evaluation (90791) |
$159 |
$244 |
0.9× |
| Psytx crisis initial 60 min (90839) |
$156 |
$240 |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$64.50 |
$98.50 |
1.7× |
| Pt Electric Current Therapy (97033) |
$58.50 |
$90 |
3.1× |
| Pt Electrical Stimulation (97032) |
$68 |
$105 |
4.6× |
| Pt eval high complex 45 min (97163) |
$182 |
$280 |
1.9× |
| Pt eval low complex 20 min (97161) |
$140 |
$215 |
1.4× |
| Pt Gait Training Therapy (97116) |
$71 |
$108.50 |
2.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$82.50 |
$126.50 |
2.5× |
| Pt Physical Performance Test (97750) |
$100 |
$153.50 |
3.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$161 |
$247 |
1.6× |
| Pt re-evaluation (97164) |
$79 |
$121 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$67 |
$102.50 |
2.1× |
| Pt Ultrasound Therapy (97035) |
$57 |
$87 |
4.0× |
| Pt Whirlpool Therapy (97022) |
$83 |
$128 |
5.3× |
| Pulm function test by gas (94727) |
$144 |
$222 |
0.7× |
| Pulmonary stress testing (94618) |
$237 |
$365 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$148 |
$228 |
0.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$237 |
$365 |
1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$127 |
$195 |
2.7× |
| Sensory Integration Ea 15 Min (97533) |
$64 |
$98 |
1.1× |
| Smoking cessation > 10 min (99407) |
$20 |
$30 |
0.5× |
| Speech sound lang comprehen (92523) |
$253.50 |
$390 |
1.1× |
| Spirometry (94010) |
$184 |
$283.50 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$233 |
$358 |
2.3× |
| Temp transcutaneous pacing (92953) |
$264 |
$406 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$64 |
$98 |
2.9× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$52 |
$80 |
2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$203 |
$312 |
2.0× |
| Ther/prop/diag inj/inf proc (96379) |
$88 |
$135 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$49 |
$75 |
0.7× |
| Therapeutic Activities (97530) |
$68 |
$105 |
1.9× |
| Therapeutic phlebotomy (99195) |
$164.50 |
$253.50 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$16 |
$24 |
0.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$828.50 |
$1,274.50 |
1.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$795 |
$1,223 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$164 |
$253 |
2.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$152.50 |
$235 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$88 |
$135 |
1.9× |
| Unlisted pulmonary service/procedure (94799) |
$49 |
$75 |
0.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$611 |
$940 |
2.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$611 |
$940 |
5.8× |
| Vasopneumatic device (97016) |
$57 |
$87 |
4.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,167 |
$1,795 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,167 |
$1,795 |
1.9× |
| Vital capacity total (94150) |
$157 |
$242 |
1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$68 |
$105 |
2.2× |