| Airway inhalation treatment (94640) |
$91.80 |
$102 |
0.5× |
| Assessment of aphasia (96105) |
$153 |
$170 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$148.50 |
$165 |
0.4× |
| Canalith Repositioning (95992) |
$81 |
$90 |
2.0× |
| Cardiopulmonary resuscitation (92950) |
$315 |
$350 |
1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$58.50 |
$65 |
0.9× |
| Chemo Iv Push Sngl Drug (96409) |
$153 |
$170 |
0.5× |
| Chemother, IV infusion, 1 hr (96413) |
$229.50 |
$255 |
0.8× |
| Chemother, IV infusion, ea add hr (96415) |
$229.50 |
$255 |
3.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$58.50 |
$65 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$562.50 |
$625 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$562.50 |
$625 |
5.9× |
| Critical care (99291) |
$693 |
$770 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$153 |
$170 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$562.50 |
$625 |
2.6× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$562.50 |
$625 |
5.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$562.50 |
$625 |
2.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$562.50 |
$625 |
5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$562.50 |
$625 |
5.9× |
| Duplex scan extracranial art compl bi study (93880) |
$562.50 |
$625 |
2.6× |
| EKG (93005) |
$166.50 |
$185 |
3.1× |
| Er level 1 (99281) |
$103.05 |
$114.50 |
1.3× |
| Er level ii (99282) |
$116.78 |
$129.75 |
0.8× |
| Er level iii (99283) |
$157.95 |
$175.50 |
0.6× |
| Er level IV (99284) |
$301.95 |
$335.50 |
0.8× |
| Er level v (99285) |
$292.50 |
$325 |
0.5× |
| Evaluation of swallowing function (92610) |
$153 |
$170 |
1.8× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$711 |
$790 |
3.6× |
| Group Therapeutic Procedures (97150) |
$81 |
$90 |
4.5× |
| Holter Monitor Recording (93225) |
$130.50 |
$145 |
1.1× |
| Immunization Admin (90471) |
$42.75 |
$47.50 |
0.6× |
| Immunotherapy, 2+ Injections (95117) |
$99 |
$110 |
2.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$67.50 |
$75 |
1.2× |
| IV infusion hydration each additional hour (96361) |
$153 |
$170 |
3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$153 |
$170 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$153 |
$170 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$153 |
$170 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$153 |
$170 |
3.6× |
| IV push initial (96374) |
$67.50 |
$75 |
0.3× |
| Manual therapy 15 min (97140) |
$81 |
$90 |
2.9× |
| Massage 15 min (97124) |
$81 |
$90 |
2.7× |
| Maximum voluntary ventilation (94200) |
$76.50 |
$85 |
1.4× |
| Mechanical traction (97012) |
$81 |
$90 |
5.6× |
| Multiple sleep latency test (95805) |
$1,836 |
$2,040 |
2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$171 |
$190 |
0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$177.75 |
$197.50 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$562.50 |
$625 |
4.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$103.50 |
$115 |
2.2× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$54 |
$60 |
2.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$81 |
$90 |
2.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$81 |
$90 |
5.8× |
| Ot eval high complex 60 min (97167) |
$153 |
$170 |
1.5× |
| Ot eval low complex 30 min (97165) |
$153 |
$170 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$153 |
$170 |
1.5× |
| Ot re-eval est plan care (97168) |
$108 |
$120 |
1.6× |
| Paraffin bath (97018) |
$81 |
$90 |
13.5× |
| Plethysmography (94726) |
$139.50 |
$155 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,836 |
$2,040 |
2.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$36 |
$40 |
0.8× |
| Pt Electric Current Therapy (97033) |
$81 |
$90 |
4.3× |
| Pt Electrical Stimulation (97032) |
$81 |
$90 |
5.5× |
| Pt eval high complex 45 min (97163) |
$153 |
$170 |
1.6× |
| Pt eval low complex 20 min (97161) |
$153 |
$170 |
1.6× |
| Pt Gait Training Therapy (97116) |
$81 |
$90 |
2.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$81 |
$90 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$153 |
$170 |
1.6× |
| Pt re-evaluation (97164) |
$108 |
$120 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$81 |
$90 |
2.5× |
| Pt Ultrasound Therapy (97035) |
$81 |
$90 |
5.6× |
| Pt Whirlpool Therapy (97022) |
$81 |
$90 |
5.2× |
| Pulmonary stress testing (94618) |
$47.25 |
$52.50 |
0.4× |
| Sensory Integration Ea 15 Min (97533) |
$81 |
$90 |
1.3× |
| Smoking cessation > 10 min (99407) |
$49.50 |
$55 |
1.4× |
| Speech sound lang comprehen (92523) |
$153 |
$170 |
0.7× |
| Spirometry (94010) |
$200.25 |
$222.50 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$171 |
$190 |
1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$40.50 |
$45 |
0.6× |
| Therapeutic Activities (97530) |
$81 |
$90 |
2.3× |
| Therapeutic phlebotomy (99195) |
$127.80 |
$142 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$22.50 |
$25 |
0.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,795.50 |
$1,995 |
3.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$108 |
$120 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$108 |
$120 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$67.50 |
$75 |
1.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$562.50 |
$625 |
2.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$81 |
$90 |
2.6× |