| Administration of chemotherapy into artery using push technique (96420) |
$81.60 |
$108.80 |
0.2× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$142.28 |
$189.70 |
0.4× |
| Advance care planning first 30 mins (99497) |
$292.95 |
$390.60 |
2.8× |
| Airway inhalation treatment (94640) |
$308.30 |
$411.06 |
1.4× |
| Allergy injection single (95115) |
$18.11 |
$24.15 |
0.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$60.84 |
$81.12 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$72.23 |
$96.30 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$59.28 |
$79.04 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$31.94 |
$42.59 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$95.82 |
$127.76 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$11.03 |
$14.70 |
0.3× |
| Bipap initial day (94660) |
$540.54 |
$720.72 |
2.4× |
| Breathing capacity test (94010) |
$309.35 |
$412.46 |
1.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$328.54 |
$438.06 |
0.9× |
| Canalith repositioning (95992) |
$108.42 |
$144.56 |
— |
| Cardioversion elective external (92960) |
$316.13 |
$421.51 |
0.5× |
| Caregiver training 1st 30 min (97550) |
$84 |
$112 |
— |
| Chemo anti-neopl sq/im (96401) |
$57.66 |
$76.88 |
0.8× |
| Chemo hormon antineopl sq/im (96402) |
$24.87 |
$33.16 |
0.3× |
| Chemo intralesional over 7 (96406) |
$88.59 |
$118.12 |
0.4× |
| Chemo intralesional up to 7 (96405) |
$63.44 |
$84.59 |
0.9× |
| Chemo IV infus each addl seq (96417) |
$48.41 |
$64.54 |
0.7× |
| Chemo IV infusion addl hr (96415) |
$21.80 |
$29.07 |
0.3× |
| Chemo IV push addl drug (96411) |
$47.84 |
$63.79 |
0.7× |
| Chemother prolong infuse w/pump (96416) |
$108.57 |
$144.76 |
0.3× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis (96440) |
$668.24 |
$890.98 |
2.0× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$150.92 |
$201.23 |
0.4× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$60.45 |
$80.60 |
1.3× |
| Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) |
$141.09 |
$188.12 |
0.4× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$130.92 |
$174.56 |
0.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$103.98 |
$138.64 |
0.3× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$85.04 |
$113.38 |
0.3× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$92.49 |
$123.32 |
0.3× |
| Chron care mgmt srvc 20 min (99490) |
$346.50 |
$462 |
3.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$82.72 |
$110.29 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$98.74 |
$131.65 |
0.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$496.08 |
$661.44 |
3.6× |
| Cpr (92950) |
$562.24 |
$749.66 |
2.5× |
| Critical care ill/injured patient init 30-74 min (99291) |
$630.63 |
$840.84 |
0.7× |
| Debridement open wound 20 sq cm< (97597) |
$212.78 |
$283.71 |
1.0× |
| Delivery/birthing room resuscitation (99465) |
$865.72 |
$1,154.30 |
1.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$930.13 |
$1,240.18 |
3.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$508.70 |
$678.27 |
4.8× |
| ECG monit/reprt up to 48 hrs (93226) |
$262.08 |
$349.44 |
4.3× |
| EKG 12 lead tracing only (93005) |
$208.26 |
$277.68 |
3.5× |
| Emergency department visit high mdm (99285) |
$821.62 |
$1,095.48 |
1.4× |
| Emergency department visit low mdm (99283) |
$215.14 |
$286.84 |
0.8× |
| Emergency department visit may not req phys/qhp (99281) |
$48.32 |
$64.43 |
0.6× |
| Emergency department visit moderate mdm (99284) |
$272.87 |
$363.83 |
0.6× |
| Emergency department visit straightforward mdm (99282) |
$94.64 |
$126.18 |
0.6× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$368.16 |
$490.88 |
2.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$249.60 |
$332.80 |
— |
| Evaluate pt use of inhaler (94664) |
$349.44 |
$465.92 |
1.6× |
| Evaluation of speech sound production articulate (92522) |
$253.50 |
$338 |
— |
| Evoked auditory test limited (92587) |
$219.18 |
$292.24 |
1.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$376.74 |
$502.32 |
2.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$288.60 |
$384.80 |
2.1× |
| Fluidotherapy (97022) |
$45.86 |
$61.15 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$409.50 |
$546 |
1.9× |
| Hast w/oxygen titrate (94453) |
$98.28 |
$131.04 |
0.7× |
| Hot/cold pack (97010) |
$8.19 |
$10.92 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$19.58 |
$26.10 |
0.3× |
| Immunization administration (90471) |
$48.87 |
$65.16 |
0.7× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$226.86 |
$302.48 |
1.7× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$198.20 |
$264.26 |
1.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$83.94 |
$111.92 |
1.8× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$146.62 |
$195.50 |
0.7× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$12.29 |
$16.38 |
0.4× |
| IV infusion hydration each additional hour (96361) |
$186.46 |
$248.60 |
3.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$131.86 |
$175.81 |
0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$118.60 |
$158.12 |
1.6× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$174.25 |
$232.33 |
0.8× |
| IV tx, each additional hour (96366) |
$110.76 |
$147.68 |
2.3× |
| Low frequency non-thermal us (97610) |
$565.93 |
$754.57 |
2.8× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$270.66 |
$360.88 |
2.0× |
| Maximum voluntary ventilation (94200) |
$262.08 |
$349.44 |
4.3× |
| Mechanical chest wall oscillation lung function (94669) |
$511.88 |
$682.50 |
2.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$79.44 |
$105.92 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$38.91 |
$51.88 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$515.97 |
$687.96 |
1.2× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$515.97 |
$687.96 |
1.2× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$429.16 |
$572.21 |
2.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$784.61 |
$1,046.14 |
1.9× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$363.48 |
$484.64 |
2.8× |
| Occupational therapy eval high complex 60 mins (97167) |
$287.82 |
$383.76 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$230.10 |
$306.80 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$290.94 |
$387.92 |
— |
| Oral function therapy (92526) |
$216.22 |
$288.29 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$126.95 |
$169.26 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$119.57 |
$159.43 |
— |
| Osteopath manj 1-2 regions (98925) |
$50.77 |
$67.69 |
2.3× |
| Osteopath manj 3-4 regions (98926) |
$71.25 |
$95 |
3.2× |
| Ot manual therapy ea 15 min (97140) |
$99.84 |
$133.12 |
— |
| Ot neuromuscular re-education (97112) |
$101.79 |
$135.72 |
— |
| Ot paraffin bath (97018) |
$35.22 |
$46.96 |
— |
| Ot re-evaluation (97168) |
$156.43 |
$208.57 |
— |
| OT Therapeutic Activities Charges (97530) |
$99.92 |
$133.22 |
— |
| Ot wheelchair management (97542) |
$80.68 |
$107.56 |
— |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$297.18 |
$396.24 |
0.8× |
| Phlebotomy therapeutic (99195) |
$208.26 |
$277.68 |
1.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$256.62 |
$342.16 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$195.74 |
$260.99 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$269.10 |
$358.80 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$13.10 |
$17.47 |
0.3× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$17.06 |
$22.74 |
0.4× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$21.29 |
$28.39 |
0.4× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95149) |
$54.68 |
$72.90 |
0.7× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) |
$30.44 |
$40.58 |
0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
$41.02 |
$54.69 |
0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
$9.82 |
$13.09 |
0.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
$7.59 |
$10.12 |
0.2× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$103.19 |
$137.59 |
— |
| Pt gait training 15 min (97116) |
$99.06 |
$132.08 |
— |
| Pt physical performance test (97750) |
$87.63 |
$116.84 |
— |
| Pt re-evaluation (97164) |
$173.94 |
$231.92 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$491.40 |
$655.20 |
— |
| Pulm funct tst plethysmograp (94726) |
$682.50 |
$910 |
1.8× |
| Pulmonary stress testing (94618) |
$86.37 |
$115.16 |
0.6× |
| Refilling and maintenance of portable pump (96521) |
$105.37 |
$140.49 |
0.5× |
| Respiratory flow volume loop (94375) |
$682.50 |
$910 |
3.1× |
| Review patient spirometry (94016) |
$44.23 |
$58.97 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$103.45 |
$137.93 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$108.24 |
$144.32 |
— |
| Sleep study unattended (95806) |
$128.58 |
$171.44 |
0.6× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$12.05 |
$16.07 |
0.3× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$151.78 |
$202.37 |
0.7× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$70.85 |
$94.46 |
1.0× |
| Surfactant administration (94610) |
$470.93 |
$627.90 |
2.1× |
| Temp transcutaneous pacing (92953) |
$716.04 |
$954.72 |
1.1× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$619.98 |
$826.64 |
4.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$77.81 |
$103.74 |
— |
| Ther/proph/diag inj ia (96373) |
$15.11 |
$20.14 |
0.1× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$46.68 |
$62.24 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$77.81 |
$103.74 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$45.48 |
$60.64 |
0.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$72.81 |
$97.08 |
1.9× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$29.14 |
$38.85 |
0.8× |
| Trans care mgmt 14 day disch (99495) |
$128.47 |
$171.29 |
0.9× |
| Trans care mgmt 7 day disch (99496) |
$181.52 |
$242.03 |
1.3× |
| Tte f-up or lmtd (93308) |
$407.46 |
$543.28 |
1.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$217.62 |
$290.16 |
— |
| Ventilation ip/obs initial day (94002) |
$1,352.32 |
$1,803.10 |
2.1× |
| Ventilator subsequent day (94003) |
$1,059.38 |
$1,412.50 |
1.7× |
| Vital capacity total (94150) |
$274.33 |
$365.77 |
2.1× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$311.22 |
$414.96 |
— |
| Wound(s) care non-selective (97602) |
$141.18 |
$188.24 |
0.7× |