| Advance care planning first 30 mins (99497) |
$124.20 |
$138 |
1.2× |
| Airway inhalation treatment (94640) |
$216.45 |
$240.50 |
0.9× |
| Allergy injection single (95115) |
$46.80 |
$52 |
0.9× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed (99170) |
$243.90 |
$271 |
1.1× |
| Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed (91125) |
$422.10 |
$469 |
1.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$41.40 |
$46 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$60.30 |
$67 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$86.40 |
$96 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$39.15 |
$43.50 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$55.35 |
$61.50 |
— |
| Assessment of aphasia (96105) |
$269.10 |
$299 |
— |
| Assmt & care pln pt cog imp (99483) |
$412.20 |
$458 |
3.8× |
| Behav assmt w/score & docd/stand instrument (96127) |
$26.10 |
$29 |
0.7× |
| Behavioral & qualit analysis voice and resonance (92524) |
$345.15 |
$383.50 |
— |
| Bfb training ea addl 15 min (90913) |
$47.70 |
$53 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$61.20 |
$68 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$121.50 |
$135 |
— |
| Bipap initial day (94660) |
$414 |
$460 |
1.8× |
| Breath hydrogen/methane test (91065) |
$141.30 |
$157 |
0.6× |
| Breathing capacity test (94010) |
$311.40 |
$346 |
1.4× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$569.70 |
$633 |
1.4× |
| Cardiovascular procedure unlisted (93799) |
$127.80 |
$142 |
0.9× |
| Cardiovascular stress test (93017) |
$806.40 |
$896 |
3.5× |
| Cardioversion elective external (92960) |
$891.90 |
$991 |
1.3× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$65.70 |
$73 |
1.7× |
| Chemo anti-neopl sq/im (96401) |
$195.30 |
$217 |
2.6× |
| Chest physiotherapy initial (94667) |
$245.70 |
$273 |
1.8× |
| Chron care mgmt srvc 20 min (99490) |
$109.80 |
$122 |
1.0× |
| Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal,… (91117) |
$198.90 |
$221 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$669.60 |
$744 |
2.7× |
| Color/duplex Doppler, limited (93976) |
$322.20 |
$358 |
2.9× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$74.70 |
$83 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$109.80 |
$122 |
0.6× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$245.70 |
$273 |
1.8× |
| Cpr (92950) |
$422.10 |
$469 |
1.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$761.40 |
$846 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$249.30 |
$277 |
1.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$669.60 |
$744 |
2.7× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$252.90 |
$281 |
2.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$669.60 |
$744 |
2.7× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$252.90 |
$281 |
2.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$669.60 |
$744 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$322.20 |
$358 |
2.9× |
| ECG monit/reprt up to 48 hrs (93226) |
$307.80 |
$342 |
4.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,380.60 |
$1,534 |
2.4× |
| EEG awake/drowsy (95816) |
$814.50 |
$905 |
3.6× |
| EKG 12 lead tracing only (93005) |
$186.30 |
$207 |
3.0× |
| EKG rhythm strip (93041) |
$139.50 |
$155 |
2.2× |
| Electroconvulsive therapy (90870) |
$258.30 |
$287 |
0.3× |
| Emergency department visit high mdm (99285) |
$748.80 |
$832 |
1.2× |
| Emergency department visit low mdm (99283) |
$306 |
$340 |
1.1× |
| Emergency department visit may not req phys/qhp (99281) |
$96.30 |
$107 |
1.1× |
| Emergency department visit moderate mdm (99284) |
$515.70 |
$573 |
1.2× |
| Emergency department visit straightforward mdm (99282) |
$185.40 |
$206 |
1.1× |
| Esoph balloon distension tst (91040) |
$848.70 |
$943 |
2.2× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$656.10 |
$729 |
1.7× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$264.60 |
$294 |
1.2× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$347.40 |
$386 |
0.9× |
| Esophagus, acid perfusion (Bernstein) test for esophagitis (91030) |
$224.10 |
$249 |
0.6× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$321.30 |
$357 |
— |
| Evaluate pt use of inhaler (94664) |
$414 |
$460 |
1.8× |
| Evaluation of speech fluency (92521) |
$269.10 |
$299 |
— |
| Evaluation of speech sound production articulate (92522) |
$252.90 |
$281 |
— |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$531.90 |
$591 |
3.8× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$299.70 |
$333 |
0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$740.70 |
$823 |
0.8× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,215 |
$1,350 |
1.3× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report Age… (91111) |
$1,454.40 |
$1,616 |
1.5× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$2,685.60 |
$2,984 |
2.8× |
| Hot/cold pack (97010) |
$88.20 |
$98 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$19.51 |
$21.68 |
0.3× |
| Imm admn sarscov2 vaccine single dose (90480) |
$46.20 |
$51.34 |
1.1× |
| Immunization administration (90471) |
$72.90 |
$81 |
1.0× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$132.30 |
$147 |
0.9× |
| Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) |
$225 |
$250 |
2.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$135.90 |
$151 |
2.8× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$414 |
$460 |
1.8× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$162.90 |
$181 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$124.20 |
$138 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$414 |
$460 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$188.10 |
$209 |
2.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$444.60 |
$494 |
2.0× |
| IV tx, each additional hour (96366) |
$124.20 |
$138 |
2.5× |
| Liver elastography (91200) |
$47.70 |
$53 |
0.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$245.70 |
$273 |
1.8× |
| Mechanical chest wall oscillation lung function (94669) |
$414 |
$460 |
1.8× |
| Mechanical traction therapy (97012) |
$46.80 |
$52 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$99 |
$110 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$85.50 |
$95 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$368.10 |
$409 |
— |
| Multi-family group psychotherapy - psychologist (90849) |
$53.10 |
$59 |
0.3× |
| Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview) (90865) |
$244.80 |
$272 |
1.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$162 |
$180 |
0.8× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$429.75 |
$477.50 |
1.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$330.30 |
$367 |
2.4× |
| Occupational therapy eval high complex 60 mins (97167) |
$207.90 |
$231 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$156.60 |
$174 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$182.70 |
$203 |
— |
| Oral function therapy (92526) |
$195.75 |
$217.50 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$102.15 |
$113.50 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$102.15 |
$113.50 |
— |
| Ot manual therapy ea 15 min (97140) |
$92.70 |
$103 |
— |
| Ot neuromuscular re-education (97112) |
$104.85 |
$116.50 |
— |
| Ot paraffin bath (97018) |
$36.90 |
$41 |
— |
| Ot re-evaluation (97168) |
$179.55 |
$199.50 |
— |
| OT Therapeutic Activities Charges (97530) |
$100.80 |
$112 |
— |
| Ot wheelchair management (97542) |
$95.40 |
$106 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$268.20 |
$298 |
2.0× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$316.80 |
$352 |
2.3× |
| Phlebotomy therapeutic (99195) |
$248.40 |
$276 |
1.8× |
| Physical therapy evaluation high complex 45 mins (97163) |
$207.90 |
$231 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$156.60 |
$174 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$182.70 |
$203 |
— |
| Pr gastric motility manometric studies (91020) |
$434.70 |
$483 |
1.1× |
| Pr hypnotherapy (90880) |
$154.80 |
$172 |
1.4× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$69.30 |
$77 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$288.90 |
$321 |
1.5× |
| Psychiatric diagnostic evaluation (90791) |
$258.30 |
$287 |
1.4× |
| Psychoanalysis (90845) |
$140.40 |
$156 |
0.7× |
| Psytx crisis initial 60 min (90839) |
$207.90 |
$231 |
1.1× |
| Pt gait training 15 min (97116) |
$87.75 |
$97.50 |
— |
| Pt physical performance test (97750) |
$94.50 |
$105 |
— |
| Pt re-evaluation (97164) |
$163.80 |
$182 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$152.10 |
$169 |
— |
| Pulm funct tst plethysmograp (94726) |
$569.70 |
$633 |
1.4× |
| Recording and interpretation of stomach electrical activity (91132) |
$728.10 |
$809 |
3.2× |
| Recording and interpretation of stomach electrical activity with drug administration (91133) |
$760.50 |
$845 |
5.4× |
| Rectal sensation, tone, and compliance study (eg, barostat) (91124) |
$821.70 |
$913 |
3.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$83.70 |
$93 |
2.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$28.80 |
$32 |
0.2× |
| Remote 30 day ECG rev/report (93270) |
$117 |
$130 |
3.0× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$101.70 |
$113 |
— |
| Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) |
$18.90 |
$21 |
0.6× |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$72 |
$80 |
— |
| Speech sound lang comprehen (92523) |
$291.15 |
$323.50 |
— |
| Standardized cognitive performance testing (96125) |
$251.10 |
$279 |
— |
| Study of upper small bowel to assess movement (91022) |
$264.60 |
$294 |
0.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$86.40 |
$96 |
1.7× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$414 |
$460 |
1.8× |
| Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) |
$216.90 |
$241 |
2.0× |
| Temp transcutaneous pacing (92953) |
$1,207.80 |
$1,342 |
1.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$77.40 |
$86 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$97.20 |
$108 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$43.20 |
$48 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$140.40 |
$156 |
1.8× |
| Tobacco use cessation intensive >10 minutes (99407) |
$41.40 |
$46 |
1.0× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$23.40 |
$26 |
0.6× |
| Trans care mgmt 14 day disch (99495) |
$305.10 |
$339 |
2.2× |
| Trans care mgmt 7 day disch (99496) |
$410.40 |
$456 |
2.9× |
| Tte w/doppler complete (93306) |
$1,546.20 |
$1,718 |
2.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$206.10 |
$229 |
— |
| Upr/l xtremity art 2 levels (93922) |
$314.10 |
$349 |
2.2× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$128.70 |
$143 |
— |
| Wound(s) care non-selective (97602) |
$170.10 |
$189 |
0.8× |