| Administration of prolonged chemotherapy into artery (96425) |
— |
$240 |
— |
| Airway inhalation treatment (94640) |
— |
$132 |
— |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
— |
$19 |
— |
| Assessment of aphasia (96105) |
— |
$343 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$511 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
— |
$226 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$443 |
— |
| Canalith Repositioning (95992) |
— |
$191 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$721 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$678 |
— |
| Cardioversion (92960) |
— |
$1,088 |
— |
| Cbt 1st hour (94644) |
— |
$311 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$167 |
— |
| Chemo IV push addl drug (96411) |
— |
$246 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$411 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$862 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$372 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$174 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$125 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,063 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,063 |
— |
| Comprehensive Hearing Test (92557) |
— |
$147 |
— |
| Conditioning Play Audiometry (92582) |
— |
$398 |
— |
| Cpap initiation and management (94660) |
— |
$478 |
— |
| Cpt initial (94667) |
— |
$188 |
— |
| Critical care (99291) |
— |
$1,807 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$339 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$132 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$764 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$764 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$1,063 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$1,063 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$1,063 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$1,063 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,058 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$1,063 |
— |
| Ear and throat examination (92502) |
— |
$307 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,274 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$1,278 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$1,278 |
— |
| EEG awake asleep (95819) |
— |
$620 |
— |
| EEG awake drowsy (95816) |
— |
$688 |
— |
| EKG (93005) |
— |
$240 |
— |
| EKG rhythm strip (93041) |
— |
$119 |
— |
| Elec alys implt cplx cn npgt prgrmg (95977) |
— |
$139 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$186 |
— |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$182 |
— |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
— |
$732 |
— |
| EMG four extremities (95864) |
— |
$426 |
— |
| EMG one extremity (95860) |
— |
$312 |
— |
| EMG three extremities (95863) |
— |
$401 |
— |
| EMG two extremities (95861) |
— |
$353 |
— |
| Er level 1 (99281) |
— |
$302 |
— |
| Er level ii (99282) |
— |
$469 |
— |
| Er level iii (99283) |
— |
$721 |
— |
| Er level IV (99284) |
— |
$1,230 |
— |
| Er level v (99285) |
— |
$1,910 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$228 |
— |
| Evaluation of speech fluency (92521) |
— |
$257 |
— |
| Evaluation of speech sound production (92522) |
— |
$257 |
— |
| Evaluation of swallowing function (92610) |
— |
$384 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$192 |
— |
| Evoked auditory test,limited (92587) |
— |
$261.50 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$459 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$455 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$417 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$412 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$412 |
— |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
— |
$384 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$318 |
— |
| Holter Monitor Recording (93225) |
— |
$417 |
— |
| Immunization Admin (90471) |
— |
$37.50 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$49 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$365 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$184 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$237 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$298 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$298 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$459 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$298 |
— |
| IV push initial (96374) |
— |
$167 |
— |
| Laryngoscopic Sensory Test (92614) |
— |
$223 |
— |
| Manual therapy 15 min (97140) |
— |
$122 |
— |
| Massage 15 min (97124) |
— |
$110 |
— |
| Mechanical traction (97012) |
— |
$88 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$56 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$54 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$348 |
— |
| Multiple sleep latency test (95805) |
— |
$2,212 |
— |
| Nasopharyngoscopy (92511) |
— |
$2,419 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$998 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$486 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$352.50 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$663 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$1,514 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$459 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$233 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$684 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$908 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$63 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$525 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$134 |
— |
| Ot eval high complex 60 min (97167) |
— |
$338 |
— |
| Ot eval low complex 30 min (97165) |
— |
$338 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$338 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$60 |
— |
| Ot re-eval est plan care (97168) |
— |
$182 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$286 |
— |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
— |
$159 |
— |
| Paraffin bath (97018) |
— |
$67 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$332 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$18 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$76 |
— |
| Phy/qhp op pulm rhb w/mntr (94626) |
— |
$693 |
— |
| Phy/qhp op pulm rhb w/o mntr (94625) |
— |
$693 |
— |
| Plethysmography (94726) |
— |
$740 |
— |
| Pm device eval in person (93288) |
— |
$85 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$2,212 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$2,212 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$2,212 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$27 |
— |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
— |
$84 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$44 |
— |
| Pt Electric Current Therapy (97033) |
— |
$89 |
— |
| Pt Electrical Stimulation (97032) |
— |
$97 |
— |
| Pt eval high complex 45 min (97163) |
— |
$270 |
— |
| Pt eval low complex 20 min (97161) |
— |
$270 |
— |
| Pt Gait Training Therapy (97116) |
— |
$112 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$132 |
— |
| Pt Physical Performance Test (97750) |
— |
$95 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$270 |
— |
| Pt re-evaluation (97164) |
— |
$181 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$128 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$72.50 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$73 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$85 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$183 |
— |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
— |
$57 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$26 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$320 |
— |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
— |
$61 |
— |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
— |
$40 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
— |
$26 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
— |
$570 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$301.50 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$188 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$81 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$296 |
— |
| Speech group therapy (92508) |
— |
$102 |
— |
| Speech sound lang comprehen (92523) |
— |
$433 |
— |
| Spirometry (94010) |
— |
$665 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$240 |
— |
| Test for allergy using allergenic extract injected into skin (95024) |
— |
$20 |
— |
| Test for allergy using combination of methods with drug or biological (95018) |
— |
$45 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$111 |
— |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
— |
$160 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$168 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$167 |
— |
| Therapeutic Activities (97530) |
— |
$134 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$45 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$3,387 |
— |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$1,274 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$206 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$248 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$167 |
— |
| Tympanometry (92567) |
— |
$57 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$1,063 |
— |
| Vasopneumatic device (97016) |
— |
$197 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$2,547 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,899 |
— |
| Vital capacity total (94150) |
— |
$243 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$116 |
— |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
— |
$475 |
— |