| Airway inhalation treatment (94640) |
$142.40 |
$178 |
0.6× |
| Appl modality 1+lllt po pain (97037) |
$65.60 |
$82 |
1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$62.40 |
$78 |
4.3× |
| Bedside Swallowing Eval (92610) |
$370.40 |
$463 |
4.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$368.80 |
$461 |
3.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$141.60 |
$177 |
1.7× |
| Bfb training ea addl 15 min (90913) |
$104 |
$130 |
3.2× |
| Biofeedback training any modality (90901) |
$122.40 |
$153 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$450.40 |
$563 |
1.2× |
| Canalith Repositioning Procedure (95992) |
$144 |
$180 |
3.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,016 |
$1,270 |
4.6× |
| Cardiopulmonary resuscitation (92950) |
$1,277.60 |
$1,597 |
5.7× |
| Cardioversion (92960) |
$1,544 |
$1,930 |
2.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$61.60 |
$77 |
2.4× |
| Cbt 1st hour (94644) |
$257.60 |
$322 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$239.20 |
$299 |
3.2× |
| Chemo IV push addl drug (96411) |
$331.20 |
$414 |
4.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$805.60 |
$1,007 |
2.4× |
| Chemother, IV infusion, 1 hr (96413) |
$717.60 |
$897 |
2.1× |
| Chemother, IV infusion, ea add hr (96415) |
$319.20 |
$399 |
4.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$346.40 |
$433 |
4.7× |
| Chemotherapy, unspecified procedure (96549) |
$187.20 |
$234 |
3.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$991.20 |
$1,239 |
2.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$353.60 |
$442 |
4.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$546.40 |
$683 |
1.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$552 |
$690 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$1,468.80 |
$1,836 |
6.0× |
| Color/duplex Doppler, limited (93976) |
$867.20 |
$1,084 |
8.0× |
| Cpap/bipap (94660) |
$300.80 |
$376 |
1.3× |
| Cpt initial (94667) |
$187.20 |
$234 |
1.4× |
| Critical care (99291) |
$2,088.80 |
$2,611 |
2.5× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$151.20 |
$189 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,052.80 |
$1,316 |
4.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$754.40 |
$943 |
7.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,441.60 |
$1,802 |
5.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$888.80 |
$1,111 |
8.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,203.20 |
$1,504 |
4.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$812 |
$1,015 |
7.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,322.40 |
$1,653 |
5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$893.60 |
$1,117 |
8.3× |
| Duplex scan extracranial art compl bi study (93880) |
$1,244.80 |
$1,556 |
5.1× |
| Echo Heart Xthoracic,Limited (93308) |
$979.20 |
$1,224 |
4.0× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$2,082.40 |
$2,603 |
3.7× |
| EEG awake and asleep (95819) |
$1,259.20 |
$1,574 |
5.7× |
| EEG awake drowsy (95816) |
$1,126.40 |
$1,408 |
5.1× |
| Electrocardiogram Tracing (93005) |
$180.80 |
$226 |
3.0× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,256.80 |
$1,571 |
5.6× |
| Er level 1 (99281) |
$230.40 |
$288 |
2.6× |
| Er level ii (99282) |
$430.40 |
$538 |
2.7× |
| Er level iii (99283) |
$658.40 |
$823 |
2.3× |
| Er level IV (99284) |
$1,190.40 |
$1,488 |
2.8× |
| Er level v (99285) |
$1,766.40 |
$2,208 |
2.9× |
| Eval speech sound production (92522) |
$351.20 |
$439 |
3.1× |
| Eval to use/fit voice prosth (92597) |
$328 |
$410 |
4.6× |
| Evaluate Pt Use Of Inhaler (94664) |
$149.60 |
$187 |
0.7× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$450.40 |
$563 |
3.7× |
| Evaluation of speech fluency (92521) |
$391.20 |
$489 |
2.9× |
| Exercise tst brncspsm (94617) |
$377.60 |
$472 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$182.40 |
$228 |
4.7× |
| External ECG rec>7d<15d recording (93246) |
$224 |
$280 |
5.8× |
| External Ecg Scanning Analysis Report (93226) |
$671.20 |
$839 |
11.0× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$513.60 |
$642 |
2.6× |
| Group Therapeutic Procedures (97150) |
$81.60 |
$102 |
4.5× |
| Holter Monitor (93225) |
$512.80 |
$641 |
3.7× |
| Imm admn sarscov2 vaccine single dose (90480) |
$71.20 |
$89 |
1.7× |
| Immune Admin Oral/Nasal (90473) |
$56 |
$70 |
0.8× |
| Immunization Admin (90471) |
$85.60 |
$107 |
1.2× |
| Iontophoresis 15 min (97033) |
$86.40 |
$108 |
4.5× |
| Irrig drug delivery device (96523) |
$171.20 |
$214 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$145.20 |
$181.50 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$327.20 |
$409 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$266 |
$332.50 |
3.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$504.80 |
$631 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$220 |
$275 |
4.6× |
| IV push ea addl new drug (96375) |
$170.40 |
$213 |
3.5× |
| IV push initial (96374) |
$323.20 |
$404 |
1.5× |
| Manual therapy 15 min (97140) |
$109.60 |
$137 |
4.0× |
| Mechanical traction (97012) |
$68 |
$85 |
4.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$47.20 |
$59 |
2.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$457.60 |
$572 |
5.0× |
| Multiple Sleep Latency Test (95805) |
$2,748.80 |
$3,436 |
3.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$313.60 |
$392 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$398.40 |
$498 |
0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$915.20 |
$1,144 |
2.4× |
| Nerve conduction studies 13/> studies (95913) |
$1,000 |
$1,250 |
2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$452.80 |
$566 |
2.0× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$627.20 |
$784 |
2.8× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$701.60 |
$877 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$920.80 |
$1,151 |
2.4× |
| Nerve conduction studies; 1-2 studies (95907) |
$340 |
$425 |
1.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$557.60 |
$697 |
4.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$368 |
$460 |
2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$133.60 |
$167 |
2.9× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$116 |
$145 |
3.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$75.20 |
$94 |
5.4× |
| Ot eval high complex 60 min (97167) |
$264.80 |
$331 |
2.6× |
| Ot eval low complex 30 min (97165) |
$236 |
$295 |
2.3× |
| Ot eval mod complex 45 min (97166) |
$260 |
$325 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$75.20 |
$94 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$121.60 |
$152 |
3.0× |
| Ot re-evaluation (97168) |
$188.80 |
$236 |
2.8× |
| Ot therapeutic activity 15 min (97530) |
$124.80 |
$156 |
3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$248.80 |
$311 |
1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$208 |
$260 |
1.6× |
| Paraffin bath pt (97018) |
$32 |
$40 |
5.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$233.60 |
$292 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$196.80 |
$246 |
3.2× |
| Phlebotomy therapeutic (99195) |
$248 |
$310 |
1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$298.40 |
$373 |
4.9× |
| Plethysmography (94726) |
$380.80 |
$476 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,698.40 |
$5,873 |
5.3× |
| Psychiatric diagnostic evaluation (90791) |
$346.40 |
$433 |
1.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$124.80 |
$156 |
3.4× |
| Pt Electrical Stimulation (97032) |
$69.60 |
$87 |
4.7× |
| Pt eval high complex 45 min (97163) |
$229.60 |
$287 |
2.3× |
| Pt eval low complex 20 min (97161) |
$219.20 |
$274 |
2.2× |
| Pt eval mod complex 30 min (97162) |
$224.80 |
$281 |
2.3× |
| Pt gait training 15 min (97116) |
$112 |
$140 |
3.9× |
| Pt group caregiver training (97552) |
$52 |
$65 |
2.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$124.80 |
$156 |
3.8× |
| Pt re-evaluation (97164) |
$164 |
$205 |
2.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$119.20 |
$149 |
3.7× |
| Pt Whirlpool Therapy (97022) |
$101.60 |
$127 |
6.5× |
| Pulmonary Service/Procedure (94799) |
$358.40 |
$448 |
2.7× |
| Pulmonary stress test simple (94618) |
$332 |
$415 |
2.4× |
| Refill/Maint Portable Pump (96521) |
$522.40 |
$653 |
2.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$305.60 |
$382 |
7.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$154.40 |
$193 |
1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$170.40 |
$213 |
3.6× |
| Sensory Integration Ea 15 Min (97533) |
$121.60 |
$152 |
2.0× |
| Slp caregiver training 1st 30 min (97550) |
$123.20 |
$154 |
2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$660.80 |
$826 |
3.0× |
| Smoking cessation > 10 min (99407) |
$67.20 |
$84 |
1.7× |
| Speech sound lang comprehen (92523) |
$461.60 |
$577 |
2.0× |
| Spirometry (94010) |
$260 |
$325 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$349.60 |
$437 |
3.4× |
| Stress echo (93350) |
$2,052.80 |
$2,566 |
3.6× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$248.80 |
$311 |
1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$151.20 |
$189 |
3.1× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$308.80 |
$386 |
4.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$129.60 |
$162 |
5.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$127.20 |
$159 |
6.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$301.60 |
$377 |
2.9× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$86 |
$107.50 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$38.40 |
$48 |
1.0× |
| Tte w/doppler, complete (93306) |
$2,258.40 |
$2,823 |
4.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,604.80 |
$2,006 |
6.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$302.40 |
$378 |
4.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$284 |
$355 |
3.4× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$900.80 |
$1,126 |
4.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$796 |
$995 |
7.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$974.40 |
$1,218 |
4.4× |
| Vasopneumatic device (97016) |
$63.20 |
$79 |
5.3× |
| Vent mgmt inpat init day (94002) |
$1,508.80 |
$1,886 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,148 |
$1,435 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$115.20 |
$144 |
3.7× |