| Airway inhalation treatment (94640) |
$122.60 |
$306.50 |
0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$80 |
$200 |
5.6× |
| Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) |
$100.80 |
$252 |
2.9× |
| Application on-body injector (96377) |
$60.80 |
$152 |
1.3× |
| Assessment of aphasia per hr (96105) |
$187 |
$467.50 |
1.9× |
| Bedside Swallowing Eval (92610) |
$204 |
$510 |
2.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$270.60 |
$676.50 |
2.5× |
| Biofeedback training any modality (90901) |
$128.80 |
$322 |
3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$504.60 |
$1,261.50 |
1.4× |
| C motor evoked upr&lwr limbs (95939) |
$1,907.40 |
$4,768.50 |
2.2× |
| Canalith Repositioning Procedure (95992) |
$124.80 |
$312 |
3.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$692.40 |
$1,731 |
3.2× |
| Cardiopulmonary resuscitation (92950) |
$918 |
$2,295 |
4.3× |
| Cardioversion (92960) |
$1,006.80 |
$2,517 |
1.5× |
| Cardioversion elective internal (92961) |
$895.20 |
$2,238 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$20,587 |
$51,467.50 |
6.4× |
| Cbt 1st hour (94644) |
$278.40 |
$696 |
2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$325.20 |
$813 |
4.6× |
| Chemo IV push addl drug (96411) |
$644 |
$1,610 |
9.0× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$1,682.40 |
$4,206 |
5.1× |
| Chemother, IV infusion, 1 hr (96413) |
$1,564 |
$3,910 |
4.8× |
| Chemother, IV infusion, ea add hr (96415) |
$356.40 |
$891 |
5.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$468.40 |
$1,171 |
6.6× |
| Chemotherapy into cns (96450) |
$918 |
$2,295 |
2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$764.80 |
$1,912 |
10.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$1,107.60 |
$2,769 |
3.4× |
| Color/duplex Doppler, complete (93975) |
$903.20 |
$2,258 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$596.80 |
$1,492 |
5.8× |
| Coronary artery angio s&i (93454) |
$11,760 |
$29,400 |
3.7× |
| Cpap/bipap (94660) |
$369.20 |
$923 |
1.7× |
| Cpt initial (94667) |
$126.80 |
$317 |
1.0× |
| Critical care (99291) |
$2,142.40 |
$5,356 |
2.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$834 |
$2,085 |
2.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) |
$834 |
$2,085 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$511.60 |
$1,279 |
2.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$852.80 |
$2,132 |
3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$702 |
$1,755 |
6.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,388 |
$3,470 |
5.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$672.20 |
$1,680.50 |
6.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,259.60 |
$3,149 |
5.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$884.40 |
$2,211 |
8.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,163.20 |
$2,908 |
4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$744.40 |
$1,861 |
7.2× |
| Duplex penile vessels ltd (93981) |
$704.80 |
$1,762 |
6.8× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$830.60 |
$2,076.50 |
3.5× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$565 |
$1,412.50 |
5.4× |
| Duplex scan extracranial art compl bi study (93880) |
$1,111.20 |
$2,778 |
4.7× |
| Duplex Scan Hemodialysis Access (93990) |
$406.40 |
$1,016 |
3.9× |
| Echo Heart Xthoracic,Limited (93308) |
$439.80 |
$1,099.50 |
1.9× |
| Echo transesophageal (93312) |
$2,344 |
$5,860 |
4.3× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,128.60 |
$2,821.50 |
2.1× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$629.60 |
$1,574 |
1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,727.60 |
$4,319 |
3.2× |
| EEG awake and asleep (95819) |
$707.80 |
$1,769.50 |
3.3× |
| EEG awake drowsy (95816) |
$1,084.40 |
$2,711 |
5.1× |
| EEG cerebral death evaluation (95824) |
$1,002.40 |
$2,506 |
2.7× |
| EEG coma or sleep only (95822) |
$2,684 |
$6,710 |
12.5× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$397.20 |
$993 |
1.9× |
| EEG greater than 1 hour (95813) |
$997.40 |
$2,493.50 |
4.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$397.20 |
$993 |
1.9× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$397.20 |
$993 |
1.9× |
| EKG rhythm strip (93041) |
$52 |
$130 |
0.9× |
| Electrocardiogram Tracing (93005) |
$113.20 |
$283 |
1.9× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$913 |
$2,282.50 |
4.3× |
| EMG four extremities (95864) |
$1,187.60 |
$2,969 |
9.3× |
| EMG one extremity (95860) |
$334 |
$835 |
2.5× |
| EMG three extremities (95863) |
$953.20 |
$2,383 |
7.5× |
| EMG two extremities (95861) |
$660.60 |
$1,651.50 |
5.0× |
| Er level 1 (99281) |
$252.40 |
$631 |
3.0× |
| Er level ii (99282) |
$381.60 |
$954 |
2.5× |
| Er level iii (99283) |
$569.60 |
$1,424 |
2.1× |
| Er level IV (99284) |
$979.20 |
$2,448 |
2.4× |
| Er level v (99285) |
$1,715.20 |
$4,288 |
2.9× |
| Eval speech sound production (92522) |
$270.60 |
$676.50 |
2.4× |
| Eval to use/fit voice prosth (92597) |
$152.60 |
$381.50 |
2.1× |
| Evaluate Pt Use Of Inhaler (94664) |
$126.40 |
$316 |
0.6× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$191.60 |
$479 |
1.6× |
| Evaluation of speech fluency (92521) |
$270.60 |
$676.50 |
2.0× |
| Exhaled Air Analysis (94690) |
$70 |
$175 |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$502.80 |
$1,257 |
8.6× |
| Group Therapeutic Procedures (97150) |
$85.80 |
$214.50 |
4.8× |
| Hemodialysis (90935) |
$1,712.80 |
$4,282 |
2.5× |
| Holter Monitor (93225) |
$138 |
$345 |
1.0× |
| Immune Admin Oral/Nasal (90473) |
$77.20 |
$193 |
1.1× |
| Immunization Admin (90471) |
$81.60 |
$204 |
1.1× |
| Injection intra arterial (96373) |
$48 |
$120 |
0.2× |
| Iontophoresis 15 min (97033) |
$128.40 |
$321 |
6.7× |
| Irrig drug delivery device (96523) |
$177.60 |
$444 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$128.40 |
$321 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$422.40 |
$1,056 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$265.60 |
$664 |
3.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$484 |
$1,210 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$162.40 |
$406 |
3.5× |
| IV push ea addl new drug (96375) |
$190 |
$475 |
4.1× |
| IV push initial (96374) |
$401.60 |
$1,004 |
1.9× |
| L hrt art/grft angio (93459) |
$19,879.20 |
$49,698 |
6.2× |
| Low frequency non-thermal us (97610) |
$607.20 |
$1,518 |
3.1× |
| Manual therapy 15 min (97140) |
$124.80 |
$312 |
4.5× |
| Massage 15 min (97124) |
$114.40 |
$286 |
3.8× |
| Mechanical traction (97012) |
$105.60 |
$264 |
7.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$42 |
$105 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$42 |
$105 |
1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$42 |
$105 |
2.5× |
| Methacholine challenge (94070) |
$524.20 |
$1,310.50 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$289.20 |
$723 |
3.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$313.60 |
$784 |
1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$160.20 |
$400.50 |
0.7× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$90 |
$225 |
0.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$149.40 |
$373.50 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$295.60 |
$739 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$364.80 |
$912 |
0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$3,263.40 |
$8,158.50 |
8.8× |
| Nerve conduction studies 13/> studies (95913) |
$3,534.20 |
$8,835.50 |
9.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$774.20 |
$1,935.50 |
3.6× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$1,160.40 |
$2,901 |
5.4× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$1,550.40 |
$3,876 |
4.2× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,719.20 |
$6,798 |
7.3× |
| Nerve conduction studies; 1-2 studies (95907) |
$388.40 |
$971 |
1.8× |
| Neurobehavioral Status Exam (96116) |
$168.60 |
$421.50 |
0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$237.60 |
$594 |
1.9× |
| Newborn resuscitation (99465) |
$316 |
$790 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$216.60 |
$541.50 |
1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$335.20 |
$838 |
2.6× |
| Orbicularis Oculi Reflx Electrodiagnostic Test (95933) |
$196.60 |
$491.50 |
3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$73.20 |
$183 |
1.6× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$112.80 |
$282 |
3.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$89.20 |
$223 |
6.4× |
| Ot eval high complex 60 min (97167) |
$211.20 |
$528 |
2.1× |
| Ot eval low complex 30 min (97165) |
$211.20 |
$528 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$286 |
$715 |
2.8× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$75.40 |
$188.50 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$74.40 |
$186 |
1.8× |
| Ot Range Motion Measure,Each Extrem (95851) |
$93.80 |
$234.50 |
3.6× |
| Ot re-evaluation (97168) |
$200 |
$500 |
2.9× |
| Ot therapeutic activity 15 min (97530) |
$132 |
$330 |
3.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$178.40 |
$446 |
1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$22.80 |
$57 |
0.2× |
| Paraffin bath pt (97018) |
$128.80 |
$322 |
21.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$81.20 |
$203 |
0.4× |
| Peritoneal Dialysis (90945) |
$900.40 |
$2,251 |
2.2× |
| Phlebotomy therapeutic (99195) |
$132 |
$330 |
1.0× |
| Plethysmography (94726) |
$707 |
$1,767.50 |
1.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$26,000.40 |
$65,001 |
2.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$128.80 |
$322 |
3.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$178.20 |
$445.50 |
4.7× |
| Pt diathermy (97024) |
$31.40 |
$78.50 |
4.3× |
| Pt Electrical Stimulation (97032) |
$112 |
$280 |
7.6× |
| Pt eval high complex 45 min (97163) |
$307.40 |
$768.50 |
3.1× |
| Pt eval low complex 20 min (97161) |
$307.40 |
$768.50 |
3.1× |
| Pt eval mod complex 30 min (97162) |
$307.40 |
$768.50 |
3.1× |
| Pt gait training 15 min (97116) |
$118 |
$295 |
4.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$138.40 |
$346 |
4.2× |
| Pt Physical Performance Test (97750) |
$92.40 |
$231 |
2.7× |
| Pt re-evaluation (97164) |
$200.80 |
$502 |
3.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$77 |
$192.50 |
2.4× |
| Pt Whirlpool Therapy (97022) |
$160.20 |
$400.50 |
10.2× |
| Pulm function test by gas (94727) |
$100.80 |
$252 |
0.5× |
| Pulmonary Service/Procedure (94799) |
$248 |
$620 |
1.9× |
| Pulmonary stress test simple (94618) |
$304.80 |
$762 |
2.3× |
| R hrt art/grft angio (93457) |
$14,380 |
$35,950 |
4.5× |
| R hrt coronary artery angio (93456) |
$15,471.20 |
$38,678 |
4.8× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$29,913.20 |
$74,783 |
9.3× |
| R&l hrt art/ventricle angio (93460) |
$25,236.40 |
$58,807 |
7.8× |
| Respiratory flow volume loop (94375) |
$105.80 |
$264.50 |
0.5× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$146.40 |
$366 |
0.5× |
| Right heart cath (93451) |
$13,355.20 |
$32,842.50 |
4.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$135.60 |
$339 |
0.7× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$70 |
$175 |
3.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$73.60 |
$184 |
0.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$114.60 |
$286.50 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$100.40 |
$251 |
1.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$875 |
$2,187.50 |
4.1× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,139.20 |
$2,848 |
5.3× |
| Smoking cessation > 10 min (99407) |
$172.80 |
$432 |
4.7× |
| Somatosensory testing (95938) |
$1,380.80 |
$3,452 |
1.6× |
| Speech sound lang comprehen (92523) |
$270.60 |
$676.50 |
1.2× |
| Spirometry (94010) |
$476.20 |
$1,190.50 |
2.2× |
| Ssep lower limbs (95926) |
$834 |
$2,085 |
3.9× |
| Stress echo (93350) |
$1,723.60 |
$4,309 |
3.2× |
| Temp transcutaneous pacing (92953) |
$1,158 |
$2,895 |
1.8× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$120 |
$300 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$89.20 |
$223 |
2.4× |
| Tte w/doppler, complete (93306) |
$1,237.80 |
$3,094.50 |
2.3× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$995 |
$2,487.50 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$186.40 |
$466 |
2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$126.40 |
$316 |
5.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$187.60 |
$469 |
2.2× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$600.80 |
$1,502 |
4.7× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$570.80 |
$1,427 |
2.7× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$771.20 |
$1,928 |
7.4× |
| Vasopneumatic device (97016) |
$107.60 |
$269 |
9.0× |
| Veeg 2-12 hr unmonitored (95711) |
$397.20 |
$993 |
1.9× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$686.40 |
$1,716 |
1.9× |
| Vent mgmt inpat init day (94002) |
$1,052.80 |
$2,632 |
1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,096.40 |
$2,741 |
1.8× |
| Visual Evoked Potential Test (95930) |
$1,544.20 |
$3,860.50 |
7.2× |
| Vital capacity, total (94150) |
$54.80 |
$137 |
0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$64.40 |
$161 |
2.1× |