| Aerosol inhalation pentamidine (94642) |
$220.48 |
$551.18 |
1.0× |
| Airway inhalation treatment (94640) |
$142.10 |
$355.22 |
0.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$21.97 |
$54.92 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$171.60 |
$428.98 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$110.84 |
$277.10 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$113.13 |
$282.82 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$80.53 |
$201.32 |
— |
| Bfb training ea addl 15 min (90913) |
$87.13 |
$217.82 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$128.22 |
$320.55 |
— |
| Bipap initial day (94660) |
$729.24 |
$1,823.10 |
3.2× |
| Breathing capacity test (94010) |
$209.29 |
$523.21 |
0.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$294.53 |
$736.32 |
0.7× |
| Cardiovascular stress test (93017) |
$1,375.61 |
$3,439.02 |
6.0× |
| Cardioversion elective external (92960) |
$2,024.84 |
$5,062.09 |
2.9× |
| Caregiver training 1st 30 min (97550) |
$45.10 |
$112.74 |
— |
| Caregiver training ea addl 15 (97551) |
$20.63 |
$51.56 |
— |
| Chemo anti-neopl sq/im (96401) |
$328.96 |
$822.40 |
4.3× |
| Chemo hormon antineopl sq/im (96402) |
$440.20 |
$1,100.49 |
5.8× |
| Chemo IV infus each addl seq (96417) |
$575.70 |
$1,439.23 |
7.6× |
| Chemo IV infusion addl hr (96415) |
$575.70 |
$1,439.23 |
7.6× |
| Chemo IV push addl drug (96411) |
$468.83 |
$1,172.07 |
6.2× |
| Chemother prolong infuse w/pump (96416) |
$4,141.82 |
$10,354.55 |
11.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,906.47 |
$4,766.17 |
5.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$2,303.42 |
$5,758.54 |
6.6× |
| Chest physiotherapy initial (94667) |
$142.95 |
$357.37 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$921.62 |
$2,304.05 |
3.7× |
| Color/duplex Doppler, limited (93976) |
$648.02 |
$1,620.03 |
5.9× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$417.94 |
$1,044.84 |
3.0× |
| Cpr (92950) |
$2,234.08 |
$5,585.19 |
9.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,881.90 |
$7,204.73 |
3.3× |
| Debridement open wound 20 sq cm< (97597) |
$337.47 |
$843.66 |
1.6× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$921.62 |
$2,304.05 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$921.62 |
$2,304.05 |
3.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$648.02 |
$1,620.03 |
5.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$921.62 |
$2,304.05 |
3.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$648.02 |
$1,620.03 |
5.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$648.02 |
$1,620.03 |
5.9× |
| ECG monit/reprt up to 48 hrs (93226) |
$207.60 |
$518.99 |
3.3× |
| ECG/monitoring and analysis (93271) |
$1,118.33 |
$2,795.81 |
11.2× |
| Echo transesophageal (93312) |
$1,872.04 |
$4,680.10 |
3.2× |
| EEG awake & asleep (95819) |
$983.45 |
$2,458.62 |
4.3× |
| EEG awake/drowsy (95816) |
$830.15 |
$2,075.36 |
3.6× |
| EKG 12 lead tracing only (93005) |
$331.21 |
$828.02 |
5.3× |
| EKG rhythm strip (93041) |
$45.61 |
$114.02 |
0.7× |
| Emergency department visit high mdm (99285) |
$2,292.46 |
$5,731.13 |
3.6× |
| Emergency department visit low mdm (99283) |
$676.58 |
$1,691.43 |
2.3× |
| Emergency department visit may not req phys/qhp (99281) |
$205.56 |
$513.90 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$897.12 |
$2,242.78 |
2.0× |
| Emergency department visit straightforward mdm (99282) |
$331.48 |
$828.70 |
2.0× |
| Endoscopy swallow (fees) vid (92612) |
$227.32 |
$568.29 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$336.47 |
$841.16 |
— |
| Evaluate pt use of inhaler (94664) |
$311.93 |
$779.81 |
1.4× |
| Evaluation of speech fluency (92521) |
$98.12 |
$245.30 |
— |
| Evaluation of speech sound production articulate (92522) |
$79.62 |
$199.03 |
— |
| External ECG rec>48hr<7d recording (93242) |
$782.07 |
$1,955.16 |
19.8× |
| External ECG rec>7d<15d recording (93246) |
$1,446.20 |
$3,615.49 |
36.7× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$782.07 |
$1,955.16 |
5.6× |
| Fluidotherapy (97022) |
$143.20 |
$358 |
— |
| Group caregiver training strategies & technique (97552) |
$19.26 |
$48.15 |
— |
| Immunization administration (90471) |
$314.30 |
$785.73 |
4.1× |
| Infrared therapy (97026) |
$11.97 |
$29.92 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$291.80 |
$729.48 |
5.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$292.22 |
$730.55 |
1.3× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$234.73 |
$586.82 |
3.8× |
| IV infusion hydration each additional hour (96361) |
$234.69 |
$586.72 |
4.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$312.33 |
$780.82 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$309.83 |
$774.56 |
4.1× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$541.70 |
$1,354.24 |
2.4× |
| IV tx, each additional hour (96366) |
$340.65 |
$851.61 |
6.9× |
| Low frequency non-thermal us (97610) |
$304.72 |
$761.79 |
1.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$96.19 |
$240.46 |
0.7× |
| Mechanical chest wall oscillation lung function (94669) |
$292.88 |
$732.19 |
1.3× |
| Mechanical traction therapy (97012) |
$67.23 |
$168.06 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26.06 |
$65.13 |
— |
| Medical nutrition group (97804) |
$28.80 |
$72 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$18.60 |
$46.50 |
— |
| Methacholine challenge (94070) |
$1,033.07 |
$2,582.67 |
2.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$403.76 |
$1,009.40 |
— |
| Multiple sleep latency (95805) |
$3,223.94 |
$8,059.84 |
3.6× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$345.74 |
$864.32 |
1.6× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$458.86 |
$1,147.16 |
1.1× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$1,399.31 |
$3,498.26 |
6.1× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$181.46 |
$453.63 |
1.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$371.54 |
$928.85 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$303.99 |
$759.97 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$337.76 |
$844.39 |
— |
| Oral function therapy (92526) |
$235.02 |
$587.55 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$47.92 |
$119.80 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$143.46 |
$358.64 |
— |
| Ot manual therapy ea 15 min (97140) |
$115.40 |
$288.50 |
— |
| Ot neuromuscular re-education (97112) |
$119.95 |
$299.86 |
— |
| Ot paraffin bath (97018) |
$85.89 |
$214.72 |
— |
| Ot re-evaluation (97168) |
$228.52 |
$571.29 |
— |
| OT Therapeutic Activities Charges (97530) |
$102.04 |
$255.09 |
— |
| Ot wheelchair management (97542) |
$118.95 |
$297.36 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$229.01 |
$572.52 |
1.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$238.55 |
$596.37 |
1.8× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$185.20 |
$463 |
0.5× |
| Phlebotomy therapeutic (99195) |
$94.18 |
$235.44 |
0.7× |
| Physical therapy evaluation high complex 45 mins (97163) |
$371.54 |
$928.85 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$303.99 |
$759.97 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$337.76 |
$844.39 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,229.50 |
$5,573.73 |
2.5× |
| Psychiatric diagnostic evaluation (90791) |
$236 |
$590 |
1.3× |
| Pt gait training 15 min (97116) |
$76.85 |
$192.12 |
— |
| Pt re-evaluation (97164) |
$228.52 |
$571.29 |
— |
| Pulm funct tst plethysmograp (94726) |
$414.12 |
$1,035.30 |
1.1× |
| Pulmonary stress testing (94618) |
$726.46 |
$1,816.14 |
5.2× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$172.79 |
$431.96 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$19.26 |
$48.15 |
— |
| Remote 30 day ECG rev/report (93270) |
$223.94 |
$559.84 |
5.7× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$127.95 |
$319.86 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$183.96 |
$459.88 |
— |
| Sleep study unattended (95806) |
$217.03 |
$542.56 |
1.0× |
| Speech sound lang comprehen (92523) |
$135.46 |
$338.63 |
— |
| Standardized cognitive performance testing (96125) |
$214.12 |
$535.28 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$153.43 |
$383.57 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$153.43 |
$383.57 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$62.44 |
$156.09 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$76.34 |
$190.82 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$130.01 |
$325.01 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$193.67 |
$484.17 |
2.5× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$93.51 |
$233.77 |
2.4× |
| Tte f-up or lmtd (93308) |
$922 |
$2,304.98 |
3.7× |
| Tte w/doppler complete (93306) |
$1,872.04 |
$4,680.10 |
3.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$194.68 |
$486.69 |
— |
| Upr/l xtremity art 2 levels (93922) |
$263.89 |
$659.71 |
1.9× |
| Ventilation ip/obs initial day (94002) |
$1,620.22 |
$4,050.53 |
2.5× |
| Ventilator subsequent day (94003) |
$708.01 |
$1,770.01 |
1.1× |
| Wound(s) care non-selective (97602) |
$133.56 |
$333.89 |
0.6× |