| Advance care planning first 30 mins (99497) |
$121 |
$121 |
1.3× |
| Airway inhalation treatment (94640) |
$95 |
$95 |
0.5× |
| Application of heat wave therapy (97024) |
$31.10 |
$31.10 |
4.2× |
| Assessment of aphasia (96105) |
$126 |
$126 |
1.3× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$63.40 |
$63.40 |
1.7× |
| Basic vestibular evaluation (92540) |
$178 |
$178 |
0.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$266 |
$266 |
2.4× |
| Bfb training 1st 15 min (90912) |
$50 |
$50 |
0.6× |
| Bfb training ea addl 15 min (90913) |
$25 |
$25 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$447.26 |
$447.26 |
1.3× |
| Canalith Repositioning (95992) |
$57.20 |
$57.20 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$469.38 |
$469.38 |
2.4× |
| Cardiopulmonary exercise testing (94621) |
$185 |
$185 |
0.5× |
| Cardiopulmonary resuscitation (92950) |
$579.50 |
$579.50 |
2.9× |
| Cardioversion (92960) |
$585 |
$585 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$86 |
$86 |
1.3× |
| Chemo Iv Push Sngl Drug (96409) |
$170 |
$170 |
0.6× |
| Chemother, IV infusion, 1 hr (96413) |
$486.26 |
$486.26 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$265.99 |
$265.99 |
4.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$145 |
$145 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$203.90 |
$203.90 |
3.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$75.29 |
$75.29 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$717.89 |
$717.89 |
3.3× |
| Color/duplex Doppler, limited (93976) |
$650 |
$650 |
6.8× |
| Comprehensive Hearing Test (92557) |
$178 |
$178 |
1.5× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$128 |
$128 |
2.4× |
| Continuous Glucose Monitoring (95250) |
$309 |
$309 |
2.5× |
| Cpap initiation and management (94660) |
$550 |
$550 |
2.7× |
| Cpt initial (94667) |
$225 |
$225 |
1.8× |
| Critical care (99291) |
$459 |
$459 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$379 |
$379 |
2.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$224.50 |
$224.50 |
1.1× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$258 |
$258 |
2.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$727 |
$727 |
3.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$717.89 |
$717.89 |
7.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$717.89 |
$717.89 |
3.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$717.89 |
$717.89 |
7.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$620 |
$620 |
2.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$717.89 |
$717.89 |
7.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$717.89 |
$717.89 |
7.5× |
| Duplex scan extracranial art compl bi study (93880) |
$675 |
$675 |
3.1× |
| Echo Heart Xthoracic,Limited (93308) |
$730 |
$730 |
3.3× |
| EKG (93005) |
$245.61 |
$245.61 |
4.5× |
| EKG rhythm strip (93041) |
$11 |
$11 |
0.2× |
| EMG two extremities (95861) |
$328 |
$328 |
2.7× |
| Er level 1 (99281) |
$57 |
$57 |
0.7× |
| Er level ii (99282) |
$108 |
$108 |
0.8× |
| Er level iii (99283) |
$182 |
$182 |
0.7× |
| Er level IV (99284) |
$309 |
$309 |
0.8× |
| Er level v (99285) |
$428.42 |
$428.42 |
0.8× |
| Evaluation of speech fluency (92521) |
$160.50 |
$160.50 |
1.2× |
| Evaluation of speech sound production (92522) |
$266 |
$266 |
2.4× |
| Evaluation of swallowing function (92610) |
$276 |
$276 |
3.3× |
| Evoked auditory test,limited (92587) |
$98.88 |
$98.88 |
0.5× |
| External ECG rec>48hr<7d recording (93242) |
$280 |
$280 |
8.2× |
| External Ecg Scanning Analysis Report (93226) |
$311 |
$311 |
5.7× |
| Holter Monitor Recording (93225) |
$241 |
$241 |
2.0× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$18.50 |
$18.50 |
0.3× |
| Immunization Admin (90471) |
$15.60 |
$15.60 |
0.2× |
| Immunotherapy, 2+ Injections (95117) |
$34.50 |
$34.50 |
0.8× |
| Inital newborn e/m (99460) |
$186 |
$186 |
1.5× |
| Initial normal newborn care, same day discharge (99463) |
$230 |
$230 |
1.9× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$74.04 |
$74.04 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$180.98 |
$180.98 |
4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$311.98 |
$311.98 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$172.50 |
$172.50 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$241.99 |
$241.99 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$175.49 |
$175.49 |
4.1× |
| IV push initial (96374) |
$185.49 |
$185.49 |
0.9× |
| Manual therapy 15 min (97140) |
$72 |
$72 |
2.6× |
| Massage 15 min (97124) |
$59 |
$59 |
2.0× |
| Maximum voluntary ventilation (94200) |
$135 |
$135 |
2.5× |
| Mechanical traction (97012) |
$55.30 |
$55.30 |
3.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$20.50 |
$20.50 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$21.50 |
$21.50 |
0.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$276 |
$276 |
3.0× |
| Neg press wnd tx </=50 sq cm (97607) |
$319.50 |
$319.50 |
0.9× |
| Neg press wound tx >50 cm (97608) |
$342.50 |
$342.50 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$304 |
$304 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$304 |
$304 |
0.8× |
| Newborn resuscitation (99465) |
$295 |
$295 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$717.89 |
$717.89 |
5.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$168 |
$168 |
1.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$72.50 |
$72.50 |
1.6× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$54.60 |
$54.60 |
1.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$63.80 |
$63.80 |
4.5× |
| Ot eval high complex 60 min (97167) |
$215 |
$215 |
2.1× |
| Ot eval low complex 30 min (97165) |
$180 |
$180 |
1.8× |
| Ot eval mod complex 45 min (97166) |
$180 |
$180 |
1.8× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$65 |
$65 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$71.50 |
$71.50 |
1.8× |
| Ot re-eval est plan care (97168) |
$103 |
$103 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$375 |
$375 |
3.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$265 |
$265 |
2.2× |
| Paraffin bath (97018) |
$39.50 |
$39.50 |
6.6× |
| Patient-initiated spirometric phys/qhp r&i only (94016) |
$48 |
$48 |
1.9× |
| Peripheral arterial disease rehab per session (93668) |
$125 |
$125 |
2.3× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$906.08 |
$906.08 |
16.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$634.73 |
$634.73 |
11.7× |
| Positional Nystagmus Test (92542) |
$145 |
$145 |
1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$22 |
$22 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$73 |
$73 |
2.0× |
| Pt Electric Current Therapy (97033) |
$59.50 |
$59.50 |
3.1× |
| Pt Electrical Stimulation (97032) |
$55.40 |
$55.40 |
3.8× |
| Pt eval high complex 45 min (97163) |
$185 |
$185 |
1.9× |
| Pt eval low complex 20 min (97161) |
$162.50 |
$162.50 |
1.7× |
| Pt Gait Training Therapy (97116) |
$64 |
$64 |
2.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$84.50 |
$84.50 |
2.6× |
| Pt Physical Performance Test (97750) |
$73 |
$73 |
2.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$170 |
$170 |
1.7× |
| Pt re-evaluation (97164) |
$111 |
$111 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$66 |
$66 |
2.0× |
| Pt Ultrasound Therapy (97035) |
$58.50 |
$58.50 |
4.1× |
| Pt Whirlpool Therapy (97022) |
$50 |
$50 |
3.2× |
| Pulm function test by gas (94727) |
$239 |
$239 |
1.2× |
| Pulmonary stress testing (94618) |
$185 |
$185 |
1.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$180 |
$180 |
5.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$272 |
$272 |
1.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$185 |
$185 |
1.5× |
| Sensory Integration Ea 15 Min (97533) |
$72.45 |
$72.45 |
1.2× |
| Sinusoidal Rotational Test (92546) |
$178 |
$178 |
1.5× |
| Sleep study unattended (95806) |
$500 |
$500 |
2.5× |
| Speech sound lang comprehen (92523) |
$266 |
$266 |
1.2× |
| Spirometry (94010) |
$386 |
$386 |
1.9× |
| Spontaneous Nystagmus Test (92541) |
$145 |
$145 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$168.40 |
$168.40 |
1.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$85.69 |
$85.69 |
3.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$85.69 |
$85.69 |
4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$45 |
$45 |
0.7× |
| Therapeutic Activities (97530) |
$68 |
$68 |
1.9× |
| Therapeutic phlebotomy (99195) |
$107.50 |
$107.50 |
0.9× |
| Tinnitus assessment (92625) |
$178 |
$178 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$89 |
$89 |
2.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$328 |
$328 |
2.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$462 |
$462 |
3.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,143.46 |
$2,143.46 |
4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$155 |
$155 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$155 |
$155 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$64 |
$64 |
1.5× |
| Tympanometry (92567) |
$45 |
$45 |
1.3× |
| Ultraviolet Therapy (97028) |
$29.30 |
$29.30 |
3.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$1,007.74 |
$1,007.74 |
8.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$655 |
$655 |
3.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$630 |
$630 |
6.6× |
| Vasopneumatic device (97016) |
$45 |
$45 |
3.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$900 |
$900 |
1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$600 |
$600 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$38.75 |
$38.75 |
1.2× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$290 |
$290 |
0.8× |