| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$171.29 |
$428.21 |
2.8× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,233.59 |
$3,083.96 |
3.5× |
| Aerosol inhalation pentamidine (94642) |
$375.82 |
$939.55 |
1.6× |
| Airway inhalation treatment (94640) |
$113.85 |
$284.62 |
0.5× |
| Appl on-body injector for timed subq injection (96377) |
$95.83 |
$239.57 |
1.9× |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$79.02 |
$197.55 |
— |
| Assessment of aphasia (96105) |
$182.87 |
$457.16 |
— |
| Bipap initial day (94660) |
$229.28 |
$573.20 |
1.0× |
| Breathing capacity test (94010) |
$309.71 |
$774.26 |
1.4× |
| Bronchial allergy tests (95070) |
$290.68 |
$726.69 |
0.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$309.71 |
$774.26 |
0.8× |
| C motor evoked lwr limbs (95929) |
$851.15 |
$2,127.87 |
2.2× |
| C motor evoked uppr limbs (95928) |
$1,007.20 |
$2,517.99 |
1.1× |
| Cardiopulmonary exercise testing (94621) |
$568.74 |
$1,421.84 |
1.4× |
| Cardiovascular stress test (93017) |
$629.60 |
$1,573.99 |
2.8× |
| Cardioversion elective external (92960) |
$1,209.38 |
$3,023.44 |
1.7× |
| Caregiver training 1st 30 min (97550) |
$45.12 |
$112.80 |
— |
| Caregiver training ea addl 15 (97551) |
$20.64 |
$51.59 |
— |
| Chemo anti-neopl sq/im (96401) |
$166.18 |
$415.44 |
2.2× |
| Chemo hormon antineopl sq/im (96402) |
$178.90 |
$447.25 |
2.4× |
| Chemo IV infus each addl seq (96417) |
$175.72 |
$439.28 |
2.3× |
| Chemo IV infusion addl hr (96415) |
$165.36 |
$413.38 |
2.2× |
| Chemo IV push addl drug (96411) |
$329.05 |
$822.62 |
4.3× |
| Chemother prolong infuse w/pump (96416) |
$516.92 |
$1,292.28 |
1.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$771.37 |
$1,928.42 |
2.2× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$445.63 |
$1,114.06 |
1.3× |
| Chest physiotherapy initial (94667) |
$110.76 |
$276.90 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$786.69 |
$1,966.72 |
3.1× |
| Color/duplex Doppler, limited (93976) |
$691.59 |
$1,728.97 |
6.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$49.94 |
$124.86 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$328.91 |
$822.26 |
2.3× |
| Cpr (92950) |
$414.80 |
$1,036.98 |
1.8× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$84.64 |
$211.59 |
1.4× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$84.64 |
$211.59 |
1.4× |
| Critical care ill/injured patient init 30-74 min (99291) |
$6,769.70 |
$16,924.24 |
7.8× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,140.70 |
$2,851.72 |
1.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$691.59 |
$1,728.97 |
2.7× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$691.59 |
$1,728.97 |
6.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$866.48 |
$2,166.20 |
3.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$438.91 |
$1,097.26 |
4.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$603.41 |
$1,508.51 |
2.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$642.69 |
$1,606.72 |
5.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$691.59 |
$1,728.97 |
2.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$691.59 |
$1,728.97 |
6.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$461.42 |
$1,153.54 |
4.2× |
| Echo transesophageal (93312) |
$1,135.95 |
$2,839.87 |
2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,307.62 |
$3,269.05 |
2.3× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$1,300.84 |
$3,252.10 |
2.3× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$647.02 |
$1,617.55 |
2.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$641.12 |
$1,602.79 |
2.8× |
| EKG 12 lead tracing only (93005) |
$93.62 |
$234.04 |
1.5× |
| EKG rhythm strip (93041) |
$66.80 |
$167 |
1.1× |
| Electrode stimulation brain (95961) |
$1,510.80 |
$3,776.99 |
1.7× |
| Emergency department visit high mdm (99285) |
$6,684.22 |
$16,710.55 |
10.6× |
| Emergency department visit low mdm (99283) |
$1,482.06 |
$3,705.14 |
5.1× |
| Emergency department visit may not req phys/qhp (99281) |
$344.45 |
$861.12 |
3.9× |
| Emergency department visit moderate mdm (99284) |
$3,180.27 |
$7,950.67 |
7.2× |
| Emergency department visit straightforward mdm (99282) |
$663.31 |
$1,658.26 |
4.1× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$133.68 |
$334.19 |
— |
| Evaluate pt use of inhaler (94664) |
$112.29 |
$280.72 |
0.5× |
| Evaluation of speech fluency (92521) |
$69.14 |
$172.84 |
— |
| Evaluation of speech sound production articulate (92522) |
$56.12 |
$140.30 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$270.18 |
$675.43 |
1.9× |
| Ext ECG>48hr<7d scan a/r (93243) |
$93.62 |
$234.04 |
0.7× |
| External ECG rec>48hr<7d recording (93242) |
$82.35 |
$205.86 |
2.1× |
| External ECG rec>7d<15d recording (93246) |
$93.62 |
$234.04 |
2.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$90.75 |
$226.86 |
0.6× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$263.06 |
$657.63 |
1.2× |
| Group caregiver training strategies & technique (97552) |
$19.27 |
$48.17 |
— |
| Hot/cold pack (97010) |
$9.18 |
$22.93 |
— |
| Immunization administration (90471) |
$50.11 |
$125.27 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$231.44 |
$578.58 |
4.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$231.44 |
$578.58 |
1.0× |
| Io anal gast n-stim subsq (95981) |
$167.23 |
$418.07 |
2.7× |
| Io ga n-stim subsq w/reprog (95982) |
$100.87 |
$252.16 |
2.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$99.23 |
$248.06 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$116.78 |
$291.94 |
2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$528.08 |
$1,320.21 |
2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$116.78 |
$291.94 |
1.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$528.08 |
$1,320.21 |
2.4× |
| IV tx, each additional hour (96366) |
$116.78 |
$291.94 |
2.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$110.76 |
$276.90 |
0.8× |
| Mechanical chest wall oscillation lung function (94669) |
$309.71 |
$774.27 |
1.3× |
| Methacholine challenge (94070) |
$917.31 |
$2,293.27 |
2.3× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$123.81 |
$309.52 |
— |
| Multiple sleep latency (95805) |
$1,161.99 |
$2,904.96 |
1.3× |
| Muscle test 3 limbs (95863) |
$708.26 |
$1,770.65 |
5.2× |
| Muscle test larynx (95865) |
$708.26 |
$1,770.65 |
5.0× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$944.15 |
$2,360.37 |
7.0× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$304.85 |
$762.12 |
2.2× |
| Needle electromyography cranial nrv muscle uni (95867) |
$198.73 |
$496.81 |
0.9× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$425.92 |
$1,064.78 |
3.0× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$333.18 |
$832.94 |
1.5× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$178.04 |
$445.08 |
0.8× |
| Nerve conduction studies 3-4 studies (95908) |
$915.22 |
$2,288.05 |
4.0× |
| Neuromuscular junction test (95937) |
$210.94 |
$527.35 |
1.6× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$334.16 |
$835.38 |
2.5× |
| Occupational therapy eval high complex 60 mins (97167) |
$205.25 |
$513.12 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$125.06 |
$312.63 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$137.61 |
$344.02 |
— |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) |
$165.44 |
$413.60 |
1.2× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92014) |
$165.42 |
$413.54 |
1.2× |
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and… (92012) |
$165.42 |
$413.54 |
1.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$103.38 |
$258.44 |
1.7× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$103.38 |
$258.44 |
1.7× |
| Oral function therapy (92526) |
$93.37 |
$233.41 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$58.69 |
$146.72 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$69.66 |
$174.13 |
— |
| Ot manual therapy ea 15 min (97140) |
$72.28 |
$180.70 |
— |
| Ot neuromuscular re-education (97112) |
$81.82 |
$204.54 |
— |
| Ot re-evaluation (97168) |
$96.06 |
$240.14 |
— |
| OT Therapeutic Activities Charges (97530) |
$91.77 |
$229.42 |
— |
| Ot wheelchair management (97542) |
$104.83 |
$262.06 |
— |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$340.44 |
$851.10 |
0.9× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$51.60 |
$128.99 |
0.8× |
| Phlebotomy therapeutic (99195) |
$184.09 |
$460.22 |
1.3× |
| Physical therapy evaluation high complex 45 mins (97163) |
$205.25 |
$513.12 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$125.06 |
$312.63 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$137.61 |
$344.02 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,249.10 |
$8,122.73 |
3.6× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,298.50 |
$5,746.24 |
2.5× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$848.19 |
$2,120.46 |
0.9× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$2,629.71 |
$6,574.26 |
2.9× |
| Pt gait training 15 min (97116) |
$65.95 |
$164.87 |
— |
| Pt re-evaluation (97164) |
$96.06 |
$240.14 |
— |
| Pulm funct tst plethysmograp (94726) |
$309.71 |
$774.26 |
0.8× |
| Pulmonary stress testing (94618) |
$270.18 |
$675.43 |
1.9× |
| Refilling and maintenance of portable pump (96521) |
$423.42 |
$1,058.54 |
1.9× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$69.86 |
$174.64 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$148.08 |
$370.19 |
0.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$435.54 |
$1,088.85 |
0.5× |
| Sleep study unattended (95806) |
$263.36 |
$658.39 |
1.2× |
| Speech sound lang comprehen (92523) |
$116.59 |
$291.47 |
— |
| Standardized cognitive performance testing (96125) |
$123.45 |
$308.62 |
— |
| Stress tte only (93350) |
$1,603.35 |
$4,008.36 |
2.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$213.74 |
$534.33 |
4.3× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$229.92 |
$574.78 |
1.0× |
| Surfactant administration (94610) |
$113.56 |
$283.90 |
0.5× |
| Temp transcutaneous pacing (92953) |
$587.78 |
$1,469.45 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$84.05 |
$210.12 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$84 |
$210 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$70.72 |
$176.80 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$142.41 |
$356.01 |
1.9× |
| Transcranial doppler stdy intracranial art compl (93886) |
$579.09 |
$1,447.72 |
2.3× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$402.98 |
$1,007.43 |
3.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$489.79 |
$1,224.47 |
0.8× |
| Tte congenital complete (93303) |
$647.02 |
$1,617.55 |
1.1× |
| Tte f-up or lmtd (93308) |
$332.36 |
$830.90 |
1.3× |
| Tte w/doppler complete (93306) |
$1,166 |
$2,915 |
2.0× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$112.14 |
$280.34 |
— |
| Upr/l xtremity art 2 levels (93922) |
$390.24 |
$975.60 |
2.8× |
| Ventilation ip/obs initial day (94002) |
$424.55 |
$1,061.37 |
0.7× |
| Ventilator subsequent day (94003) |
$424.55 |
$1,061.37 |
0.7× |
| Vital capacity total (94150) |
$190.17 |
$475.41 |
1.4× |