| Airway inhalation treatment (94640) |
$302 |
$603 |
1.3× |
| Allergy injection single (95115) |
$63 |
$125 |
1.3× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$228 |
$456 |
1.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$23 |
$45 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$23 |
$45 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$22 |
$43 |
— |
| Assessment of aphasia (96105) |
$131 |
$261 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$143 |
$286 |
— |
| Bipap initial day (94660) |
$331 |
$661 |
1.4× |
| Breathing capacity test (94010) |
$171 |
$341 |
0.8× |
| Bronchial allergy tests (95070) |
$499 |
$997 |
1.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$367.50 |
$735 |
0.9× |
| Canalith repositioning (95992) |
$73 |
$145 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$45 |
$90 |
1.1× |
| Cardiovascular stress test (93017) |
$561 |
$1,122 |
2.5× |
| Cardioversion elective external (92960) |
$1,023 |
$2,045 |
1.5× |
| Chemo anti-neopl sq/im (96401) |
$216 |
$432 |
2.8× |
| Chemo hormon antineopl sq/im (96402) |
$216 |
$432 |
2.8× |
| Chemo IV infus each addl seq (96417) |
$268 |
$535 |
3.5× |
| Chemo IV infusion addl hr (96415) |
$148 |
$295 |
1.9× |
| Chemo IV push addl drug (96411) |
$224 |
$447 |
2.9× |
| Chemother prolong infuse w/pump (96416) |
$594 |
$1,187 |
1.7× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$594 |
$1,187 |
1.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$390 |
$779 |
1.1× |
| Chest physiotherapy initial (94667) |
$118 |
$235 |
0.8× |
| Color/duplex Doppler, limited (93976) |
$569 |
$1,137 |
5.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$36 |
$72 |
— |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$112 |
$224 |
0.8× |
| Cont gluc mntr pt prov eqp (95249) |
$97 |
$193 |
1.6× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$205 |
$409 |
1.5× |
| Cpr (92950) |
$531.50 |
$1,063 |
2.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,115 |
$2,230 |
1.3× |
| Debridement open wound 20 sq cm< (97597) |
$115 |
$229 |
0.5× |
| Duplex hemodialysis access (93990) |
$550 |
$1,099 |
5.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$444 |
$888 |
4.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$692 |
$1,383 |
2.7× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$453 |
$906 |
4.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$840 |
$1,680 |
3.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$560 |
$1,119 |
5.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$851 |
$1,702 |
3.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$534 |
$1,068 |
4.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$713 |
$1,426 |
2.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$540 |
$1,080 |
4.9× |
| ECG/monitoring and analysis (93271) |
$140 |
$279 |
1.4× |
| EKG 12 lead tracing only (93005) |
$157 |
$313.50 |
2.5× |
| Emergency department visit high mdm (99285) |
$844.50 |
$1,688.50 |
1.3× |
| Emergency department visit low mdm (99283) |
$338.50 |
$677 |
1.2× |
| Emergency department visit may not req phys/qhp (99281) |
$174 |
$348 |
2.0× |
| Emergency department visit moderate mdm (99284) |
$515.50 |
$1,030.50 |
1.2× |
| Emergency department visit straightforward mdm (99282) |
$131 |
$262 |
0.8× |
| Endoscopy swallow (fees) vid (92612) |
$87 |
$174 |
— |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$653 |
$1,306 |
1.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$116 |
$231 |
— |
| Evaluate pt use of inhaler (94664) |
$209 |
$418 |
0.9× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$63 |
$126 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$154 |
$307 |
— |
| Evaluation of speech fluency (92521) |
$135 |
$269 |
— |
| Evaluation of speech sound production articulate (92522) |
$112 |
$224 |
— |
| External ECG rec>48hr<7d recording (93242) |
$192.50 |
$384.50 |
4.9× |
| External ECG rec>7d<15d recording (93246) |
$407 |
$814 |
10.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$337 |
$673 |
2.4× |
| Fluidotherapy (97022) |
$29 |
$57 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$287.50 |
$574.50 |
1.3× |
| Hot/cold pack (97010) |
$9 |
$17 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$89 |
$177 |
2.1× |
| Immunization administration (90471) |
$43 |
$86 |
0.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$109 |
$218 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$149 |
$297 |
0.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$92 |
$184 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$71 |
$141 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$357 |
$714 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$144 |
$287.50 |
1.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$430.50 |
$860 |
1.9× |
| IV tx, each additional hour (96366) |
$108 |
$216 |
2.2× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$163 |
$326 |
1.2× |
| Mechanical chest wall oscillation lung function (94669) |
$209 |
$418 |
0.9× |
| Mechanical traction therapy (97012) |
$20 |
$40 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$27 |
$54 |
— |
| Medical nutrition group (97804) |
$14 |
$27 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$24 |
$48 |
— |
| Methacholine challenge (94070) |
$1,141 |
$2,281 |
2.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$141 |
$281 |
— |
| Multiple sleep latency (95805) |
$903 |
$1,805 |
1.0× |
| Nasopharyngoscopy (92511) |
$70 |
$140 |
0.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$422 |
$844 |
1.0× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$422 |
$844 |
1.0× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$250 |
$499 |
1.2× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$349 |
$698 |
0.8× |
| Occupational therapy eval high complex 60 mins (97167) |
$104 |
$207 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$104 |
$207 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$104 |
$207 |
— |
| Oral function therapy (92526) |
$105 |
$210 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$83 |
$166 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$76 |
$151 |
— |
| Osteopath manj 1-2 regions (98925) |
$36 |
$71 |
1.6× |
| Ot manual therapy ea 15 min (97140) |
$37.50 |
$74 |
— |
| Ot neuromuscular re-education (97112) |
$41.50 |
$82 |
— |
| Ot paraffin bath (97018) |
$13 |
$25 |
— |
| Ot re-evaluation (97168) |
$63 |
$126 |
— |
| OT Therapeutic Activities Charges (97530) |
$50.50 |
$100 |
— |
| Ot wheelchair management (97542) |
$37 |
$74 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$55 |
$110 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$131 |
$262 |
1.0× |
| Phlebotomy therapeutic (99195) |
$99 |
$197 |
0.7× |
| Physical therapy evaluation high complex 45 mins (97163) |
$91 |
$182 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$93 |
$186 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$93 |
$186 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,615 |
$5,229 |
2.9× |
| Pr unlisted therapeutic procedure specify (97139) |
$11 |
$22 |
— |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$43 |
$86 |
0.9× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$51 |
$101 |
— |
| Psychiatric diagnostic evaluation (90791) |
$138 |
$276 |
0.7× |
| Pt gait training 15 min (97116) |
$35 |
$70 |
— |
| Pt physical performance test (97750) |
$39 |
$78 |
— |
| Pt re-evaluation (97164) |
$51 |
$102 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$95 |
$190 |
— |
| Pulmonary stress testing (94618) |
$138 |
$275 |
1.0× |
| Refilling and maintenance of portable pump (96521) |
$264 |
$527 |
1.2× |
| Respiratory flow volume loop (94375) |
$279 |
$558 |
1.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$44 |
$88 |
— |
| Sleep study unattended (95806) |
$409 |
$818 |
1.8× |
| Speech sound lang comprehen (92523) |
$235 |
$470 |
— |
| Standardized cognitive performance testing (96125) |
$147 |
$293 |
— |
| Stress tte only (93350) |
$1,423 |
$2,846 |
2.5× |
| Temp transcutaneous pacing (92953) |
$437.50 |
$875 |
0.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$33 |
$66 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$33 |
$66 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$28 |
$56 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$32 |
$63 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$100 |
$199 |
1.3× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$134 |
$268 |
— |
| Tilt table evaluation (93660) |
$470 |
$939 |
1.2× |
| Tobacco use cessation intensive >10 minutes (99407) |
$52 |
$104 |
1.3× |
| Tte f-up or lmtd (93308) |
$477 |
$953 |
1.9× |
| Tte w/doppler complete (93306) |
$780 |
$1,559 |
1.4× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$98 |
$196 |
— |
| Upr/l xtremity art 2 levels (93922) |
$251 |
$502 |
1.8× |
| Ventilation ip/obs initial day (94002) |
$1,358 |
$2,716 |
2.1× |
| Ventilator subsequent day (94003) |
$652 |
$1,303 |
1.0× |
| Wound(s) care non-selective (97602) |
$115 |
$229 |
0.5× |