| Airway inhalation treatment (94640) |
$92 |
$92 |
0.4× |
| Allergy injection single (95115) |
$55 |
$55 |
1.1× |
| Appl modality 1+lllt po pain (97037) |
$79 |
$79 |
2.0× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$133.50 |
$133.50 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$141.50 |
$141.50 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$151 |
$151 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$133.50 |
$133.50 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$90 |
$90 |
— |
| Assessment of aphasia (96105) |
$331 |
$331 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$331 |
$331 |
— |
| Breathing capacity test (94010) |
$141 |
$141 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$250 |
$250 |
0.6× |
| Canalith repositioning (95992) |
$165 |
$165 |
— |
| Cardiovascular stress test (93017) |
$170 |
$170 |
0.7× |
| Cardioversion elective external (92960) |
$1,282 |
$1,282 |
1.8× |
| Caregiver training 1st 30 min (97550) |
$228 |
$228 |
— |
| Caregiver training ea addl 15 (97551) |
$153 |
$153 |
— |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$154.50 |
$154.50 |
— |
| Cpr (92950) |
$2,053 |
$2,053 |
9.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$942 |
$942 |
1.1× |
| Debridement open wound 20 sq cm< (97597) |
$153 |
$153 |
0.7× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$921 |
$921 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$921 |
$921 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$813 |
$813 |
7.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$563.50 |
$563.50 |
2.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$813 |
$813 |
7.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$921 |
$921 |
3.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$732 |
$732 |
6.6× |
| EKG 12 lead tracing only (93005) |
$297 |
$297 |
4.8× |
| EKG rhythm strip (93041) |
$95 |
$95 |
1.5× |
| Emergency department visit high mdm (99285) |
$640 |
$640 |
1.0× |
| Emergency department visit low mdm (99283) |
$310 |
$310 |
1.1× |
| Emergency department visit may not req phys/qhp (99281) |
$80 |
$80 |
0.9× |
| Emergency department visit moderate mdm (99284) |
$430 |
$430 |
1.0× |
| Emergency department visit straightforward mdm (99282) |
$161 |
$161 |
1.0× |
| Endoscopy swallow (fees) vid (92612) |
$306 |
$306 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$439 |
$439 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$331 |
$331 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$439 |
$439 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$439 |
$439 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$331 |
$331 |
— |
| Evaluation of speech fluency (92521) |
$439 |
$439 |
— |
| Evaluation of speech sound production articulate (92522) |
$439 |
$439 |
— |
| External ECG rec>48hr<7d recording (93242) |
$101 |
$101 |
2.6× |
| External ECG rec>7d<15d recording (93246) |
$101 |
$101 |
2.6× |
| Group caregiver training strategies & technique (97552) |
$153 |
$153 |
— |
| Hot/cold pack (97010) |
$141 |
$141 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$15 |
$15 |
0.2× |
| Imm admn sarscov2 vaccine single dose (90480) |
$33 |
$33 |
0.8× |
| Immunization administration (90471) |
$22 |
$22 |
0.3× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$71 |
$71 |
1.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$71 |
$71 |
0.3× |
| IV infusion hydration each additional hour (96361) |
$77 |
$77 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$328 |
$328 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$71 |
$71 |
0.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$328 |
$328 |
1.5× |
| IV tx, each additional hour (96366) |
$77 |
$77 |
1.6× |
| Mechanical traction therapy (97012) |
$109 |
$109 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$69 |
$69 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$54 |
$54 |
— |
| Multi-family group psychotherapy - psychologist (90849) |
$48 |
$48 |
0.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$399 |
$399 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$212 |
$212 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$306 |
$306 |
— |
| Oral function therapy (92526) |
$331 |
$331 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$158 |
$158 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$161.50 |
$161.50 |
— |
| Osteopath manj 1-2 regions (98925) |
$82 |
$82 |
3.6× |
| Osteopath manj 3-4 regions (98926) |
$118 |
$118 |
5.2× |
| Osteopath manj 9-10 regions (98929) |
$231 |
$231 |
10.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$157 |
$157 |
6.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$197 |
$197 |
8.6× |
| Ot manual therapy ea 15 min (97140) |
$154.50 |
$154.50 |
— |
| Ot neuromuscular re-education (97112) |
$140 |
$140 |
— |
| Ot paraffin bath (97018) |
$133.50 |
$133.50 |
— |
| Ot re-evaluation (97168) |
$157 |
$157 |
— |
| OT Therapeutic Activities Charges (97530) |
$161.50 |
$161.50 |
— |
| Ot wheelchair management (97542) |
$155.50 |
$155.50 |
— |
| Phlebotomy therapeutic (99195) |
$161 |
$161 |
1.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$399 |
$399 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$212 |
$212 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$306 |
$306 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,747 |
$3,747 |
4.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$80 |
$80 |
1.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$71 |
$71 |
— |
| Psych diag eval w/med srvcs (90792) |
$202 |
$202 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$412 |
$412 |
2.2× |
| Psychoanalysis (90845) |
$125 |
$125 |
0.7× |
| Psytx crisis initial 60 min (90839) |
$180 |
$180 |
1.0× |
| Pt gait training 15 min (97116) |
$109 |
$109 |
— |
| Pt physical performance test (97750) |
$151 |
$151 |
— |
| Pt re-evaluation (97164) |
$157 |
$157 |
— |
| Remote 30 day ECG rev/report (93270) |
$101 |
$101 |
2.6× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$158 |
$158 |
— |
| Speech sound lang comprehen (92523) |
$331 |
$331 |
— |
| Standardized cognitive performance testing (96125) |
$331 |
$331 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$158 |
$158 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$43 |
$43 |
— |
| Ther/proph/diag inj ia (96373) |
$228 |
$228 |
1.0× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$42 |
$42 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$133.50 |
$133.50 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$53.50 |
$53.50 |
0.7× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$331 |
$331 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$331 |
$331 |
— |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$743 |
$743 |
1.3× |
| Tte f-up or lmtd (93308) |
$269.50 |
$269.50 |
1.1× |
| Tte w/doppler complete (93306) |
$1,712.50 |
$1,712.50 |
3.0× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$331 |
$331 |
— |
| Upr/l xtremity art 2 levels (93922) |
$260 |
$260 |
1.9× |
| Wound(s) care non-selective (97602) |
$138 |
$138 |
0.7× |