| Airway inhalation treatment (94640) |
$106.15 |
$193 |
0.5× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$58.85 |
$107 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$44 |
$80 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$29.70 |
$54 |
— |
| Bipap initial day (94660) |
$921.25 |
$1,675 |
4.0× |
| Canalith repositioning (95992) |
$50.60 |
$92 |
— |
| Color/duplex Doppler, complete (93975) |
$689.70 |
$1,254 |
2.7× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$113.85 |
$207 |
0.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,488.30 |
$2,706 |
1.7× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$481.80 |
$876 |
1.9× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$573.65 |
$1,043 |
2.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$349.80 |
$636 |
3.2× |
| ECG monit/reprt up to 48 hrs (93226) |
$168.30 |
$306 |
2.7× |
| EKG 12 lead tracing only (93005) |
$146.85 |
$267 |
2.4× |
| Emergency department visit high mdm (99285) |
$940.50 |
$1,710 |
1.5× |
| Emergency department visit low mdm (99283) |
$343.75 |
$625 |
1.2× |
| Emergency department visit may not req phys/qhp (99281) |
$71.50 |
$130 |
0.8× |
| Emergency department visit moderate mdm (99284) |
$605.55 |
$1,101 |
1.4× |
| Emergency department visit straightforward mdm (99282) |
$208.45 |
$379 |
1.3× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$260.15 |
$473 |
— |
| Evaluate pt use of inhaler (94664) |
$80.30 |
$146 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$24.75 |
$45 |
0.6× |
| Immunization administration (90471) |
$26.95 |
$49 |
0.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$102.85 |
$187 |
2.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$276.65 |
$503 |
1.2× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$96.80 |
$176 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$68.20 |
$124 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$197.45 |
$359 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$102.85 |
$187 |
1.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$362.72 |
$659.50 |
1.6× |
| IV tx, each additional hour (96366) |
$70.95 |
$129 |
1.4× |
| Mechanical traction therapy (97012) |
$39.60 |
$72 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$55.55 |
$101 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$42.90 |
$78 |
— |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$184.25 |
$335 |
1.4× |
| Occupational therapy eval high complex 60 mins (97167) |
$131.45 |
$239 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$163.90 |
$298 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$163.90 |
$298 |
— |
| Oral function therapy (92526) |
$144.65 |
$263 |
— |
| Osteopath manj 1-2 regions (98925) |
$15.40 |
$28 |
0.7× |
| Ot manual therapy ea 15 min (97140) |
$111.65 |
$203 |
— |
| Ot neuromuscular re-education (97112) |
$80.85 |
$147 |
— |
| OT Therapeutic Activities Charges (97530) |
$64.90 |
$118 |
— |
| Phlebotomy therapeutic (99195) |
$171.05 |
$311 |
1.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$169.40 |
$308 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$169.95 |
$309 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$169.40 |
$308 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,940.95 |
$3,529 |
2.1× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,185.15 |
$3,973 |
2.4× |
| Pt gait training 15 min (97116) |
$52.80 |
$96 |
— |
| Pt re-evaluation (97164) |
$92.40 |
$168 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$58.85 |
$107 |
— |
| Standardized cognitive performance testing (96125) |
$188.10 |
$342 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$42.90 |
$78 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$95.70 |
$174 |
1.3× |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$50.60 |
$92 |
— |