| Aep threshold estimation mlt frequencies i&r (92652) |
$394.35 |
$717 |
1.7× |
| Aerosol inhalation pentamidine (94642) |
$142.45 |
$259 |
0.6× |
| Airway inhalation treatment (94640) |
$106.15 |
$193 |
0.5× |
| Allergy injection single (95115) |
$28.60 |
$52 |
0.6× |
| Appl on-body injector for timed subq injection (96377) |
$41.25 |
$75 |
0.8× |
| 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; iontophoresis, each 15 minutes Other Outpatient (97033) |
$40.70 |
$74 |
— |
| 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 |
— |
| Application of ultraviolet light to skin (96900) |
$65.45 |
$119 |
1.7× |
| Behav assmt w/score & docd/stand instrument (96127) |
$3.85 |
$7 |
0.1× |
| Bipap initial day (94660) |
$921.25 |
$1,675 |
4.0× |
| Breathing capacity test (94010) |
$135.85 |
$247 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$319.55 |
$581 |
0.8× |
| Canalith repositioning (95992) |
$50.60 |
$92 |
— |
| Cardiovascular stress test (93017) |
$652.30 |
$1,186 |
2.9× |
| Cardioversion elective external (92960) |
$218.35 |
$397 |
0.3× |
| Chemo anti-neopl sq/im (96401) |
$178.75 |
$325 |
2.4× |
| Chemo hormon antineopl sq/im (96402) |
$133.65 |
$243 |
1.8× |
| Chemo IV infus each addl seq (96417) |
$234.85 |
$427 |
3.1× |
| Chemo IV infusion addl hr (96415) |
$190.30 |
$346 |
2.5× |
| Chemo IV push addl drug (96411) |
$200.20 |
$364 |
2.6× |
| Chemother prolong infuse w/pump (96416) |
$568.15 |
$1,033 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$480.42 |
$873.50 |
1.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$373.45 |
$679 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$689.70 |
$1,254 |
2.7× |
| Concurrent chemotherapy (96549) |
$222.20 |
$404 |
4.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$113.85 |
$207 |
0.8× |
| Cpr (92950) |
$270.05 |
$491 |
1.2× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,488.30 |
$2,706 |
1.7× |
| Debridement open wound 20 sq cm< (97597) |
$26.95 |
$49 |
0.1× |
| Delivery/birthing room resuscitation (99465) |
$572 |
$1,040 |
0.8× |
| 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× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$1,505.90 |
$2,738 |
2.6× |
| EEG awake & asleep (95819) |
$681.45 |
$1,239 |
3.0× |
| 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× |
| Endoscopy swallow (fees) vid (92612) |
$112.20 |
$204 |
— |
| 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× |
| Evaluation of speech sound production articulate (92522) |
$207.90 |
$378 |
— |
| External ECG rec>7d<15d recording (93246) |
$138.05 |
$251 |
3.5× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$348.15 |
$633 |
2.5× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$135.85 |
$247 |
0.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$24.75 |
$45 |
0.6× |
| Immunization administration (90471) |
$26.95 |
$49 |
0.4× |
| Infrared therapy (97026) |
$25.85 |
$47 |
— |
| 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 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$234.02 |
$425.50 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$175.45 |
$319 |
0.8× |
| 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 |
— |
| Ot manual therapy ea 15 min (97140) |
$111.65 |
$203 |
— |
| Ot neuromuscular re-education (97112) |
$80.85 |
$147 |
— |
| Ot paraffin bath (97018) |
$25.85 |
$47 |
— |
| Ot re-evaluation (97168) |
$88.55 |
$161 |
— |
| OT Therapeutic Activities Charges (97530) |
$64.90 |
$118 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$165 |
$300 |
1.2× |
| 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) |
$152.90 |
$278 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$169.68 |
$308.50 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,940.95 |
$3,529 |
2.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$6.60 |
$12 |
0.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$28.05 |
$51 |
0.6× |
| Pt gait training 15 min (97116) |
$52.80 |
$96 |
— |
| Pt re-evaluation (97164) |
$92.40 |
$168 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$26.40 |
$48 |
0.7× |
| Pulmonary stress testing (94618) |
$48.40 |
$88 |
0.3× |
| Refill/maint pump/resvr syst (96522) |
$215.60 |
$392 |
1.0× |
| Refilling and maintenance of portable pump (96521) |
$350.90 |
$638 |
1.6× |
| Remote 30 day ECG rev/report (93270) |
$290.40 |
$528 |
7.4× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$58.85 |
$107 |
— |
| Sleep study unattended (95806) |
$72.60 |
$132 |
0.3× |
| Speech sound lang comprehen (92523) |
$260.15 |
$473 |
— |
| Standardized cognitive performance testing (96125) |
$169.95 |
$309 |
— |
| Stress tte only (93350) |
$1,208.35 |
$2,197 |
2.1× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$38.50 |
$70 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$59.95 |
$109 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$19.80 |
$36 |
— |
| Test for hearing various pitches using earphone (92552) |
$113.85 |
$207 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$52.25 |
$95 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$52.25 |
$95 |
— |
| 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× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$13.20 |
$24 |
0.3× |
| Tte f-up or lmtd (93308) |
$570.90 |
$1,038 |
2.3× |
| Tte w/doppler complete (93306) |
$1,383.80 |
$2,516 |
2.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$144.65 |
$263 |
— |
| Tympanometry (92567) |
$59.95 |
$109 |
1.5× |
| Unlisted allergy/clinical immunologic service or procedure (95199) |
$10.45 |
$19 |
0.3× |
| Upr/l xtremity art 2 levels (93922) |
$287.10 |
$522 |
2.0× |
| Ventilation ip/obs initial day (94002) |
$1,208.35 |
$2,197 |
1.9× |
| Ventilator subsequent day (94003) |
$974.60 |
$1,772 |
1.5× |