| Advance care planning first 30 mins (99497) |
$108.50 |
$155 |
1.1× |
| Airway inhalation treatment (94640) |
$81.90 |
$117 |
0.4× |
| Application of heat wave therapy (97024) |
$18.20 |
$26 |
2.5× |
| Assessment of aphasia (96105) |
$625.80 |
$894 |
6.4× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$247.10 |
$353 |
6.5× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$140 |
$200 |
1.4× |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
$105 |
$150 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$280 |
$400 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$256.90 |
$367 |
0.7× |
| Canalith Repositioning (95992) |
$175 |
$250 |
4.3× |
| Capsule endoscopy (91110) |
$1,372 |
$1,960 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$793.10 |
$1,133 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$591.85 |
$845.50 |
2.7× |
| Cardioversion (92960) |
$372.40 |
$532 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$238 |
$340 |
3.3× |
| Chemo IV push addl drug (96411) |
$189 |
$270 |
2.6× |
| Chemo Iv Push Sngl Drug (96409) |
$223.30 |
$319 |
0.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$289.10 |
$413 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$524.30 |
$749 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$119.70 |
$171 |
1.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$154.70 |
$221 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$149.10 |
$213 |
2.1× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$153.30 |
$219 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$643.30 |
$919 |
2.7× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$80.50 |
$115 |
0.5× |
| Continuous Glucose Monitoring (95250) |
$245 |
$350 |
1.8× |
| Cpap initiation and management (94660) |
$380.10 |
$543 |
1.7× |
| Cpt initial (94667) |
$105 |
$150 |
0.8× |
| Critical care (99291) |
$1,036 |
$1,480 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$191.29 |
$273.27 |
1.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$74.90 |
$107 |
0.3× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$493.50 |
$705 |
2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$655.20 |
$936 |
2.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$474.60 |
$678 |
4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$474.60 |
$678 |
2.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$499.42 |
$713.45 |
4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$514.50 |
$735 |
4.9× |
| Duplex scan extracranial art compl bi study (93880) |
$615.30 |
$879 |
2.6× |
| Ear and throat examination (92502) |
$189 |
$270 |
0.3× |
| Echo Heart Xthoracic,Limited (93308) |
$560 |
$800 |
2.3× |
| Echo r-t 2d w/probe placement only (93313) |
$1,995.70 |
$2,851 |
3.6× |
| Echo transesophageal (93312) |
$1,288 |
$1,840 |
2.4× |
| EKG (93005) |
$207.20 |
$296 |
3.5× |
| EKG rhythm strip (93041) |
$129.50 |
$185 |
2.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$209.30 |
$299 |
2.2× |
| EMG four extremities (95864) |
$1,288 |
$1,840 |
10.0× |
| EMG one extremity (95860) |
$454.20 |
$648.86 |
3.4× |
| EMG three extremities (95863) |
$1,150.10 |
$1,643 |
8.9× |
| EMG two extremities (95861) |
$1,501.50 |
$2,145 |
11.3× |
| Er level 1 (99281) |
$156.10 |
$223 |
1.8× |
| Er level ii (99282) |
$269.50 |
$385 |
1.8× |
| Er level iii (99283) |
$396.90 |
$567 |
1.5× |
| Er level IV (99284) |
$589.40 |
$842 |
1.4× |
| Er level v (99285) |
$727.30 |
$1,039 |
1.2× |
| Evaluation of speech fluency (92521) |
$280 |
$400 |
2.1× |
| Evaluation of speech sound production (92522) |
$280 |
$400 |
2.5× |
| Evaluation of swallowing function (92610) |
$349.13 |
$498.75 |
4.1× |
| Evoked Auditory Test,Comprehsv (92588) |
$85.29 |
$121.84 |
0.2× |
| Evoked auditory test,limited (92587) |
$80.06 |
$114.38 |
0.4× |
| Exam of visual field with extended testing (92083) |
$156.32 |
$223.32 |
1.2× |
| External ECG rec>48hr<7d recording (93242) |
$84 |
$120 |
2.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$1,470 |
$2,100 |
11.0× |
| External ECG rec>7d<15d recording (93246) |
$57.05 |
$81.50 |
1.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$1,540 |
$2,200 |
11.6× |
| External Ecg Scanning Analysis Report (93226) |
$609 |
$870 |
10.3× |
| Fluorescein angiography (92235) |
$393.46 |
$562.08 |
1.8× |
| Fundus photography w/interpretation & report (92250) |
$92.79 |
$132.56 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$206.50 |
$295 |
0.2× |
| Group Therapeutic Procedures (97150) |
$70 |
$100 |
3.9× |
| Holter Monitor Recording (93225) |
$38.50 |
$55 |
0.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$42 |
$60 |
1.0× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$10.50 |
$15 |
0.1× |
| Immunization Admin (90471) |
$35 |
$50 |
0.5× |
| Immunotherapy, 2+ Injections (95117) |
$49 |
$70 |
1.0× |
| Inital newborn e/m (99460) |
$115.50 |
$165 |
0.9× |
| Initial normal newborn care, same day discharge (99463) |
$140 |
$200 |
1.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$49 |
$70 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$104.37 |
$149.10 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$329.10 |
$470.14 |
1.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$143.50 |
$205 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$324.98 |
$464.26 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$100.10 |
$143 |
2.1× |
| IV push initial (96374) |
$175 |
$250 |
0.8× |
| Manual therapy 15 min (97140) |
$95.55 |
$136.50 |
3.4× |
| Massage 15 min (97124) |
$68.95 |
$98.50 |
2.3× |
| Maximum voluntary ventilation (94200) |
$91 |
$130 |
1.5× |
| Mechanical traction (97012) |
$66.50 |
$95 |
4.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$83.30 |
$119 |
2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$38.50 |
$55 |
1.0× |
| Mnt Group Ea 30 Min (97804) |
$40.60 |
$58 |
2.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$310.56 |
$443.65 |
3.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$182 |
$260 |
0.4× |
| Neg press wnd tx </=50 sq cm (97607) |
$28 |
$40 |
0.1× |
| Neg press wound tx >50 cm (97608) |
$32.20 |
$46 |
0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$302.40 |
$432 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$478.10 |
$683 |
1.2× |
| Nerve conduction studies 13/> studies (95913) |
$606.20 |
$866 |
1.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$241.50 |
$345 |
1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$467.60 |
$668 |
1.3× |
| Nerve conduction studies; 1-2 studies (95907) |
$136.50 |
$195 |
0.6× |
| Nerve conduction studies; 11-12 studies (95912) |
$530.60 |
$758 |
1.4× |
| Nerve conduction studies; 5-6 studies (95909) |
$312.20 |
$446 |
1.4× |
| Nerve conduction studies; 7-8 studies (95910) |
$389.90 |
$557 |
1.0× |
| Newborn resuscitation (99465) |
$353.50 |
$505 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$206.50 |
$295 |
1.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$319.20 |
$456 |
1.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$208.25 |
$297.50 |
1.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$88.20 |
$126 |
1.9× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$42 |
$60 |
1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$54.25 |
$77.50 |
2.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$103.60 |
$148 |
4.8× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$108.50 |
$155 |
5.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$147 |
$210 |
6.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$102.90 |
$147 |
3.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$109.90 |
$157 |
7.8× |
| Ot eval high complex 60 min (97167) |
$449.40 |
$642 |
4.5× |
| Ot eval low complex 30 min (97165) |
$186.90 |
$267 |
1.9× |
| Ot eval mod complex 45 min (97166) |
$261.80 |
$374 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$324.80 |
$464 |
6.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$262.50 |
$375 |
6.5× |
| Ot re-eval est plan care (97168) |
$172.20 |
$246 |
2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$161.70 |
$231 |
1.3× |
| Paraffin bath (97018) |
$34.65 |
$49.50 |
5.8× |
| Percutaneous tests w/allergenic extracts (95004) |
$7 |
$10 |
0.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$252.70 |
$361 |
4.3× |
| Plethysmography (94726) |
$165.90 |
$237 |
0.4× |
| Pm device eval in person (93288) |
$63 |
$90 |
1.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$10.50 |
$15 |
0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$35 |
$50 |
0.7× |
| Pt Electric Current Therapy (97033) |
$77.70 |
$111 |
4.1× |
| Pt Electrical Stimulation (97032) |
$69.60 |
$99.43 |
4.7× |
| Pt eval high complex 45 min (97163) |
$332.50 |
$475 |
3.4× |
| Pt eval low complex 20 min (97161) |
$182.70 |
$261 |
1.9× |
| Pt Gait Training Therapy (97116) |
$57.40 |
$82 |
2.0× |
| Pt Infrared Therapy (97026) |
$72.80 |
$104 |
10.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$113.40 |
$162 |
3.5× |
| Pt Physical Performance Test (97750) |
$70 |
$100 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$205.75 |
$293.93 |
2.1× |
| Pt re-evaluation (97164) |
$158.20 |
$226 |
2.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$85.35 |
$121.93 |
2.6× |
| Pt Ultrasound Therapy (97035) |
$77 |
$110 |
5.4× |
| Pt Whirlpool Therapy (97022) |
$126 |
$180 |
8.0× |
| Pulm Funct Test Oscillometry (94728) |
$462 |
$660 |
3.6× |
| Pulm function test by gas (94727) |
$175 |
$250 |
0.8× |
| Pulmonary stress testing (94618) |
$133.35 |
$190.50 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$155.40 |
$222 |
4.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$79.10 |
$113 |
0.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$70 |
$100 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$102.90 |
$147 |
1.7× |
| Smoking cessation > 10 min (99407) |
$71.46 |
$102.08 |
1.9× |
| Speech sound lang comprehen (92523) |
$360.50 |
$515 |
1.6× |
| Spirometry (94010) |
$193.90 |
$277 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$660.80 |
$944 |
6.4× |
| Stress echo (93350) |
$1,260 |
$1,800 |
2.3× |
| Test for allergy using allergenic extract injected into skin (95024) |
$10.50 |
$15 |
0.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$70 |
$100 |
3.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$70 |
$100 |
3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$122.50 |
$175 |
1.7× |
| Therapeutic Activities (97530) |
$74.20 |
$106 |
2.1× |
| Therapeutic phlebotomy (99195) |
$54.60 |
$78 |
0.4× |
| Tilt Table Eval (93660) |
$378 |
$540 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24.50 |
$35 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$232.40 |
$332 |
1.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$287 |
$410 |
2.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,175.60 |
$3,108 |
4.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$593.60 |
$848 |
2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$140 |
$200 |
1.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$210 |
$300 |
2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$87.50 |
$125 |
1.9× |
| Tympanometry (92567) |
$28 |
$40 |
0.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$514.50 |
$735 |
2.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$390.60 |
$558 |
3.7× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$478.10 |
$683 |
2.2× |
| Vasopneumatic device (97016) |
$48.30 |
$69 |
4.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$906.50 |
$1,295 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$487.90 |
$697 |
0.8× |
| Vital capacity total (94150) |
$65.80 |
$94 |
0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$42.70 |
$61 |
1.4× |