| Airway inhalation treatment (94640) |
$190.50 |
$238.50 |
0.8× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$44 |
$55 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$62 |
$78 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$43 |
$54 |
— |
| Assessment of aphasia (96105) |
$293 |
$366 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$178 |
$222 |
— |
| Bipap initial day (94660) |
$508 |
$635 |
2.2× |
| Breathing capacity test (94010) |
$381 |
$476 |
1.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$680 |
$850 |
1.7× |
| Canalith repositioning (95992) |
$123 |
$153.50 |
— |
| Cardioversion elective external (92960) |
$1,264 |
$1,580 |
1.8× |
| Cardioversion elective internal (92961) |
$1,264 |
$1,580 |
1.8× |
| Chest physiotherapy initial (94667) |
$200 |
$250 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$334 |
$417 |
3.0× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$155 |
$194 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$200 |
$250 |
1.4× |
| Cpr (92950) |
$697 |
$871 |
3.1× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,775 |
$2,219 |
2.0× |
| Debridement open wound 20 sq cm< (97597) |
$478 |
$597 |
2.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$693 |
$866 |
2.8× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$334 |
$417 |
3.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$693 |
$866 |
2.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$334 |
$417 |
3.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$693 |
$866 |
2.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$334 |
$417 |
3.0× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$693 |
$866 |
2.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$334 |
$417 |
3.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$963.50 |
$1,204.50 |
1.7× |
| EKG 12 lead tracing only (93005) |
$166 |
$208 |
2.7× |
| Emergency department visit high mdm (99285) |
$1,411 |
$1,764 |
2.2× |
| Emergency department visit low mdm (99283) |
$290.50 |
$363 |
1.0× |
| Emergency department visit may not req phys/qhp (99281) |
$134 |
$167 |
1.5× |
| Emergency department visit moderate mdm (99284) |
$1,066 |
$1,333 |
2.4× |
| Emergency department visit straightforward mdm (99282) |
$246 |
$308 |
1.5× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$357.50 |
$447 |
— |
| Evaluate pt use of inhaler (94664) |
$170 |
$212 |
0.7× |
| Evaluation of speech fluency (92521) |
$382 |
$477 |
— |
| Evaluation of speech sound production articulate (92522) |
$318 |
$398 |
— |
| External ECG rec>48hr<7d recording (93242) |
$86 |
$107 |
2.2× |
| External ECG rec>7d<15d recording (93246) |
$145 |
$181 |
3.7× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$293 |
$366 |
2.1× |
| Immunization administration (90471) |
$111 |
$139 |
1.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$137 |
$171 |
2.8× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$184 |
$230 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$79 |
$99 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$189 |
$236 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$86 |
$107 |
1.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$196 |
$245 |
0.9× |
| IV tx, each additional hour (96366) |
$84 |
$105 |
1.7× |
| Lwr xtr vasc stdy bilat (93924) |
$411 |
$514 |
1.8× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$200 |
$250 |
1.4× |
| Mechanical chest wall oscillation lung function (94669) |
$170 |
$212 |
0.7× |
| Mechanical traction therapy (97012) |
$45 |
$56 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$940 |
$1,175 |
2.2× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$411 |
$514 |
1.8× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$254 |
$318 |
1.9× |
| Occupational therapy eval high complex 60 mins (97167) |
$320 |
$400 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$214 |
$267 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$267 |
$334 |
— |
| Oral function therapy (92526) |
$145 |
$181 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$160 |
$200 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$149 |
$186 |
— |
| Ot manual therapy ea 15 min (97140) |
$92 |
$115 |
— |
| Ot neuromuscular re-education (97112) |
$106 |
$132 |
— |
| Ot paraffin bath (97018) |
$18 |
$23 |
— |
| Ot re-evaluation (97168) |
$189 |
$236 |
— |
| OT Therapeutic Activities Charges (97530) |
$97 |
$121 |
— |
| Ot wheelchair management (97542) |
$99 |
$124 |
— |
| Phlebotomy therapeutic (99195) |
$170 |
$212 |
1.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$302 |
$378 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$202 |
$252 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$252 |
$315 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,125 |
$2,656 |
2.3× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$122 |
$152 |
— |
| Pt gait training 15 min (97116) |
$90 |
$113 |
— |
| Pt physical performance test (97750) |
$101 |
$126 |
— |
| Pt re-evaluation (97164) |
$198 |
$247 |
— |
| Remote 30 day ECG rev/report (93270) |
$34 |
$42 |
0.9× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$155 |
$194 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$157 |
$196 |
— |
| Speech sound lang comprehen (92523) |
$353 |
$441 |
— |
| Standardized cognitive performance testing (96125) |
$327 |
$409 |
— |
| Temp transcutaneous pacing (92953) |
$1,264 |
$1,580 |
1.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$66 |
$83 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$65 |
$81 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$117 |
$146 |
1.5× |
| Tte w/doppler complete (93306) |
$965 |
$1,206 |
1.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$115 |
$144 |
— |
| Upr/l xtremity art 2 levels (93922) |
$297 |
$371 |
2.1× |
| Ventilation ip/obs initial day (94002) |
$1,169 |
$1,461 |
1.8× |
| Ventilator subsequent day (94003) |
$1,169 |
$1,461 |
1.8× |