| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
— |
$237 |
— |
| Ablate Heart Dysrhythm Focus (93650) |
— |
$17,826 |
— |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
— |
$419 |
— |
| Acoustic Reflex Testing (92568) |
— |
$101 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$109 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$212 |
— |
Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
— |
$557–$574 |
— |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
— |
$101 |
— |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
— |
$69 |
— |
| Analyze neurostim complex (95972) |
— |
$343 |
— |
| Analyze Neurostim Simple (95971) |
— |
$343 |
— |
| Analyze Pacemaker System (93724) |
— |
$820 |
— |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
— |
$330 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$42 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$21 |
— |
| Application on-body injector (96377) |
— |
$115 |
— |
| Arrhythmia Induction (93618) |
— |
$2,991 |
— |
| Assessment of aphasia per hr (96105) |
— |
$298 |
— |
| Audiometry Air & Bone (92553) |
— |
$419 |
— |
| Auditory Function, 60 Min (92620) |
— |
$419 |
— |
| Biofeedback training any modality (90901) |
— |
$57 |
— |
| Bioimpedance Cv Analysis (93701) |
— |
$330 |
— |
| Blink reflex test (95933) |
— |
$1,400 |
— |
| Breath hydrogen/methane test (91065) |
— |
$419 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$101 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
— |
$747–$766 |
— |
| Bundle of his recording (93600) |
— |
$28,270 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$766 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$766 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$766 |
— |
| Cardioversion (92960) |
— |
$1,624 |
— |
| Cardioversion elective internal (92961) |
— |
$1,624 |
— |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
— |
$54 |
— |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
— |
$88 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$8,631 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$8,631 |
— |
| Cbt 1st hour (94644) |
— |
$330 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$937 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$183 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$183 |
— |
| Chemo Ia Push (96420) |
— |
$937 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$556 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$183 |
— |
| Chemo IV push addl drug (96411) |
— |
$183 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$937 |
— |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
— |
$556 |
— |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
— |
$115 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$937 |
— |
| Chemotherapy Unspecified (96549) |
— |
$127 |
— |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
— |
$937 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$183 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$937 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$556 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$556 |
— |
| Chest Wall Manipulation (94668) |
— |
$396 |
— |
Cmptr ophth dx img ant segmt (92132) range across 7 matching MRF lines |
— |
$166–$174 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$166 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$705 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$339 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$95 |
— |
| Comprehensive Hearing Test (92557) |
— |
$419 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$172 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$172 |
— |
| Conditioning Play Audiometry (92582) |
— |
$419 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$351 |
— |
| Continuous Pulse Ox (94762) |
— |
$155 |
— |
| Corneal Topography (92025) |
— |
$330 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$8,631 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$8,631 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$557 |
— |
| Cpt initial (94667) |
— |
$330 |
— |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
— |
$921 |
— |
| Critical care first hour (99291) |
— |
$2,019 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$529 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$419 |
— |
| Dialysis One Evaluation (90945) |
— |
$1,065 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$766 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$705 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$339 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$339 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$705 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$339 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$705 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$339 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$692 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$692 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$339 |
— |
| Duplex up extrem art bilat (93930) |
— |
$705 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$339 |
— |
| Ear Protector Evaluation (92596) |
— |
$101 |
— |
| ECG/monitoring and analysis (93271) |
— |
$343 |
— |
| Echo Congenital Complete (93303) |
— |
$1,488 |
— |
Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
— |
$705–$817 |
— |
| Echo transesophag montr cardiac pump functj (93318) |
— |
$1,458 |
— |
| Echo transesophageal (93312) |
— |
$1,458 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$766 |
— |
| EEG awake and asleep (95819) |
— |
$766 |
— |
| EEG awake drowsy (95816) |
— |
$766 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,470 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$766 |
— |
| Eeg Sleep Only (95822) |
— |
$766 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$814 |
— |
| EEG w/o vid 2-12hr cont mntr (95707) |
— |
$766 |
— |
| EEG w/o vid ea 12-26hr intmt (95709) |
— |
$1,470 |
— |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
— |
$1,502 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$766 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,470 |
— |
| EKG signal averaged (93278) |
— |
$166 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$42 |
— |
| Electrocardiogram Tracing (93005) |
— |
$166 |
— |
| Electrocochleography (92584) |
— |
$419 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$28,270 |
— |
| Electrophysiology Evaluation (93642) |
— |
$2,991 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$979 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,246 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,885 |
— |
| Endomyocardial Biopsy (93505) |
— |
$8,393 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$61,893 |
— |
| Ep & ablate ventric tachy (93654) |
— |
$61,893 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$17,826 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$17,826 |
— |
| Ep Esophageal Recording Atria+Pacing (93616) |
— |
$2,991 |
— |
Er level 1 (99281) range across 2 matching MRF lines |
— |
$712–$979 |
— |
| Er level v (99285) |
— |
$3,480 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$2,991 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$557 |
— |
| Evaluate Speech Production (92522) |
— |
$211 |
— |
| Evaluate Swallowing Function (92610) |
— |
$209 |
— |
| Evaluation of speech fluency (92521) |
— |
$211 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$766 |
— |
| Exercise test for bronchospasm (94617) |
— |
$330 |
— |
| Exhaled Air Analysis O2 (94680) |
— |
$421 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$101 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$348 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$172 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$348 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$330 |
— |
| Extracranial Bilat Study (93880) |
— |
$705 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$339 |
— |
| Eye exam w anesth; complete (92018) |
— |
$5,861 |
— |
| Eye Exam With Photos (92230) |
— |
$1,470 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,458 |
— |
| Filtered Speech Test (92571) |
— |
$101 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$194 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$198 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$289 |
— |
| Fluorescein angiography (92235) |
— |
$766 |
— |
| Fundus photography (92250) |
— |
$330 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,470 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,470 |
— |
| Gonioscopy (92020) |
— |
$330 |
— |
| Group Therapeutic Procedures (97150) |
— |
$52 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$8,631 |
— |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
— |
$1,891–$1,938 |
— |
| Holter monitor recording (93225) |
— |
$330 |
— |
| Hubbard tank 15 min (97036) |
— |
$104 |
— |
| Icd Device Interrogate (93289) |
— |
$109 |
— |
| Icd device progr eval dual (93283) |
— |
$109 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$109 |
— |
| Icm Device Eval (93290) |
— |
$109 |
— |
| Ilr Device Eval Progr (93285) |
— |
$109 |
— |
Ilr Device Interrogate (93291) range across 7 matching MRF lines |
— |
$69–$109 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$183 |
— |
| Immunization administration (90471) |
— |
$183 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$1,470 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$1,470 |
— |
| Inital newborn e/m (99460) |
— |
$423 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$4,940 |
— |
Interrogate Subq Defib (93261) range across 4 matching MRF lines |
— |
$122–$146 |
— |
| Interrogation eval in person wr defibrillator (93292) |
— |
$109 |
— |
| Interrogation vad in person (93750) |
— |
$419 |
— |
| Intra-atrial pacing (93610) |
— |
$28,270 |
— |
| Intra-atrial recording (93602) |
— |
$28,270 |
— |
| Intracranial Complete Study (93886) |
— |
$705 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$166 |
— |
| Intraventricular pacing (93612) |
— |
$28,270 |
— |
| Iontophoresis 15 min (97033) |
— |
$60 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$166 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$115 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$556 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$183 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$115 |
— |
| IV push initial (96374) |
— |
$556 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$8,631 |
— |
| Loudness balance test (92562) |
— |
$419 |
— |
Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
— |
$145–$166 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$419 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$82 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$97 |
— |
| Methacholine challenge (94070) |
— |
$766 |
— |
| Microvolt T-Wave Assess (93025) |
— |
$419 |
— |
| Motility study esophagus (91010) |
— |
$1,470 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$270 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$330 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$397 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$1,470 |
— |
| Muscle Test One Limb (95860) |
— |
$330 |
— |
| Nasal function studies (92512) |
— |
$766 |
— |
| Nasopharyngoscopy (92511) |
— |
$474 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$419 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$967 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$967 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$529 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$967 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$419 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$1,470 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,470 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$766 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$766 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$766 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,470 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$766 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$419 |
— |
| Neuromuscular Reeducation (97112) |
— |
$102 |
— |
| Newborn resuscitation (99465) |
— |
$1,763 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$419 |
— |
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
— |
$766–$839 |
— |
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 4 matching MRF lines |
— |
$330–$348 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$358 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$358 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$503 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$395 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$166 |
— |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
— |
$166 |
— |
| Oral Function Therapy (92526) |
— |
$252 |
— |
| Oral Speech Device Eval (92597) |
— |
$211 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$156 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$145 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$74 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$113 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$140 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$164 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$189 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$44 |
— |
| Ot eval high complexity (97167) |
— |
$264 |
— |
| Ot Eval Low Complex (97165) |
— |
$265 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$264 |
— |
| Ot manual therapy 15 min (97140) |
— |
$81 |
— |
| Ot paraffin bath (97018) |
— |
$18 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$122 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$183 |
— |
| Ot rom hand (95852) |
— |
$17 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$333 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$2,752 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$339 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$2,802 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$15,004 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$30,010 |
— |
| Phlebotomy therapeutic (99195) |
— |
$330 |
— |
| Physical Performance Test (97750) |
— |
$102 |
— |
| Plethysmography (94726) |
— |
$766 |
— |
| Pm device eval in person (93288) |
— |
$109 |
— |
Pm device progr eval dual (93280) range across 6 matching MRF lines |
— |
$109–$122 |
— |
| Pm device progr eval multi (93281) |
— |
$109 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$109 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$109 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$2,752 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$2,752 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$2,752 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$2,752 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$115 |
— |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
— |
$115 |
— |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
— |
$166 |
— |
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 5 matching MRF lines |
— |
$122–$146 |
— |
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 6 matching MRF lines |
— |
$109–$159 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$115 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$115 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
— |
$183 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$7,671 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$30,010 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$48,278 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$30,010 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$30,010 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$397 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$397 |
— |
| Psychoanalysis (90845) |
— |
$397 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$419 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$69 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$209 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$209 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$397 |
— |
| Pt Eval High Complex (97163) |
— |
$249 |
— |
| Pt eval low complex 20 min (97161) |
— |
$249 |
— |
| Pt Eval Mod Complex (97162) |
— |
$249 |
— |
| Pt gait training 15 min (97116) |
— |
$88 |
— |
| Pt mechanical traction (97012) |
— |
$43 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$171 |
— |
| Pulm function test by gas (94727) |
— |
$419 |
— |
| Pulmonary service/procedure (94799) |
— |
$421 |
— |
| Pulmonary Stress Testing (94618) |
— |
$330 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$330 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$8,631 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
— |
$8,926 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$8,926 |
— |
| R hrt coronary artery angio (93456) |
— |
$8,631 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
— |
$8,926 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$8,926 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$8,631 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$556 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$556 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$71 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$84 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$112 |
— |
| Replacement of contact lens (92326) |
— |
$168 |
— |
| Respiratory flow volume loop (94375) |
— |
$766 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$166 |
— |
| Right Heart Cath (93451) |
— |
$8,631 |
— |
| Right ventricular recording (93603) |
— |
$28,270 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$529 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$23 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$375 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$151 |
— |
| Same day nb discharge (99463) |
— |
$423 |
— |
| Sbsq Psyc Collab Care Mgmt (99493) |
— |
$237 |
— |
| Select picture audiometry (92583) |
— |
$101 |
— |
| Self Care Mngment Training (97535) |
— |
$99 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$153 |
— |
| Sleep study attended (95807) |
— |
$1,470 |
— |
| Sleep study unattended (95806) |
— |
$419 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$419 |
— |
| Speech Audiometry Complete (92556) |
— |
$101 |
— |
| Speech audiometry threshold (92555) |
— |
$101 |
— |
| Speech sound lang comprehen (92523) |
— |
$211 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$792 |
— |
| Spirometry (94010) |
— |
$419 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$330 |
— |
| Staggered Spondaic Word Test (92572) |
— |
$419 |
— |
| Stenger Test Speech (92577) |
— |
$1,470 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$101 |
— |
| Stress Tte Only (93350) |
— |
$1,458 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$115 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$556 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$183 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$557 |
— |
| Synthetic Sentence Identification Test (92576) |
— |
$101 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
— |
$339 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,624 |
— |
| Tensilon Test (95857) |
— |
$766 |
— |
| Test to assess hearing loss using different tone pitches (92575) |
— |
$101 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$153 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$61 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$85 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$315 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$115 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$556 |
— |
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
— |
$172–$183 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$556 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
— |
$980 |
— |
| Therapeutic Activities (97530) |
— |
$116 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$1,470 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$82 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$82 |
— |
| Tone Decay Test (92563) |
— |
$101 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
— |
$339 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$339 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$109 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,458 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$705 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$61,893 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$228 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$69 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
— |
$98–$115 |
— |
| Tympanometry (92567) |
— |
$101 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$419 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$419 |
— |
| Unlisted ophthalmological service/procedure (92499) |
— |
$69 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$69 |
— |
| Unlisted Psychiatric Service/Procedure (90899) |
— |
$82 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$339 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$419 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$44,573 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$44,573 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$44,573 |
— |
| Vasopneumatic device (97016) |
— |
$35 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$1,470 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$766 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$766 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$1,502 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$1,470 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$2,831 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,483 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,483 |
— |
| Visual Field Exam Extended (92083) |
— |
$348 |
— |
Visual field xm uni/bi w/interp intermed exam (92082) range across 6 matching MRF lines |
— |
$166–$172 |
— |
Visual field xm uni/bi w/interpretj limited exam (92081) range across 9 matching MRF lines |
— |
$166–$174 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$419 |
— |
Vital capacity, total (94150) range across 2 matching MRF lines |
— |
$419–$436 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$96 |
— |
| Whirlpool Therapy (97022) |
— |
$53 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$166 |
— |