| Airway inhalation treatment (94640) |
$36.19 |
$72.38 |
0.2× |
| Ambulatory Bp Recording (93786) |
$135.50 |
$271 |
1.2× |
| Analyze neurostim no prog (95970) |
$112 |
$224 |
1.0× |
| Basic vestibular evaluation (92540) |
$182.38 |
$364.75 |
1.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$86.12 |
$172.25 |
0.8× |
| Biofeedback training any modality (90901) |
$164.38 |
$328.75 |
4.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$153 |
$306 |
0.5× |
| Canalith Repositioning (95992) |
$75.62 |
$151.25 |
1.9× |
| Car seat/bed test 60 min (94780) |
$66.75 |
$133.50 |
2.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$102.38 |
$204.75 |
0.5× |
| Cardiopulmonary resuscitation (92950) |
$182.38 |
$364.75 |
1.0× |
| Cardioversion (92960) |
$1,338.50 |
$2,677 |
2.3× |
| Cbt 1st hour (94644) |
$158.50 |
$317 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$33.38 |
$66.75 |
0.5× |
| Chemother, IV infusion, 1 hr (96413) |
$522.19 |
$1,044.38 |
1.8× |
| Chemother, IV infusion, ea add hr (96415) |
$103.69 |
$207.38 |
1.6× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$72.96 |
$145.92 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$227.38 |
$454.75 |
3.6× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$34.62 |
$69.25 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$542.38 |
$1,084.75 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$90.31 |
$180.62 |
1.0× |
| Comprehensive Hearing Test (92557) |
$64.19 |
$128.38 |
0.6× |
| Conditioning Play Audiometry (92582) |
$107.38 |
$214.75 |
1.0× |
| Cpap initiation and management (94660) |
$207.88 |
$415.75 |
1.1× |
| Cpt initial (94667) |
$28.38 |
$56.75 |
0.2× |
| Critical care (99291) |
$729.38 |
$1,458.75 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$52 |
$104 |
0.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$134.56 |
$269.12 |
0.7× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$232.62 |
$465.25 |
0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$127.12 |
$254.25 |
0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$127.12 |
$254.25 |
1.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$198.75 |
$397.50 |
2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$81.44 |
$162.88 |
0.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$74.87 |
$149.75 |
0.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$127.12 |
$254.25 |
0.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$127.12 |
$254.25 |
1.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$153.06 |
$306.12 |
1.7× |
| Duplex hemodialysis access (93990) |
$43.69 |
$87.38 |
0.5× |
| Duplex scan extracranial art compl bi study (93880) |
$127.12 |
$254.25 |
0.6× |
| Echo Heart Xthoracic,Limited (93308) |
$127.12 |
$254.25 |
0.6× |
| Echo transesophageal (93312) |
$503.50 |
$1,007 |
1.1× |
| EEG awake drowsy (95816) |
$262.68 |
$525.38 |
1.4× |
| EEG cerebral death evaluation (95824) |
$279.25 |
$558.50 |
0.9× |
| EKG (93005) |
$72.50 |
$145 |
1.4× |
| EKG rhythm strip (93041) |
$26.25 |
$52.50 |
0.5× |
| Ekg Signal Averaging (93278) |
$94 |
$188 |
1.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$362.50 |
$725 |
1.9× |
| EMG cranial nerve bilat (95868) |
$98.75 |
$197.50 |
0.5× |
| EMG cranial nerve unilat (95867) |
$98.75 |
$197.50 |
0.5× |
| EMG four extremities (95864) |
$298.25 |
$596.50 |
2.6× |
| EMG one extremity (95860) |
$164.44 |
$328.88 |
1.4× |
| EMG thoracic paraspinal (95869) |
$98.75 |
$197.50 |
0.5× |
| EMG three extremities (95863) |
$242 |
$484 |
2.1× |
| EMG two extremities (95861) |
$227.06 |
$454.12 |
1.9× |
| Er level 1 (99281) |
$91.88 |
$183.75 |
1.2× |
| Er level ii (99282) |
$190 |
$380 |
1.4× |
| Er level iii (99283) |
$256.25 |
$512.50 |
1.1× |
| Er level IV (99284) |
$388 |
$776 |
1.1× |
| Evaluation of speech sound production (92522) |
$82.38 |
$164.75 |
0.7× |
| Evaluation of swallowing function (92610) |
$154.62 |
$309.25 |
1.8× |
| Evoked auditory test,limited (92587) |
$182.38 |
$364.75 |
1.0× |
| Exercise tst brncspsm (94617) |
$131.25 |
$262.50 |
1.1× |
| External ECG rec>7d<15d recording (93246) |
$88.50 |
$177 |
2.7× |
| Flow volume loop (94375) |
$146 |
$152.25 |
0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$256.75 |
$513.50 |
0.3× |
| Group Therapeutic Procedures (97150) |
$56.12 |
$112.25 |
3.1× |
| Hemodialysis (90935) |
$321.88 |
$643.75 |
0.5× |
| Icd Device Interrogate (93289) |
$47 |
$94 |
1.4× |
| Ilr Device Eval Progr (93285) |
$27.88 |
$55.75 |
0.9× |
| Immunization Admin (90471) |
$71.50 |
$143 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
$24.39 |
$48.78 |
0.6× |
| Injection intra arterial (96373) |
$325 |
$650 |
1.7× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$46.75 |
$93.50 |
1.4× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$66.12 |
$132.25 |
2.6× |
| Interrogate subq defib (93261) |
$36.50 |
$73 |
1.1× |
| Interrogation eval in person wr defibrillator (93292) |
$26.55 |
$53.09 |
0.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$133.75 |
$267.50 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$11.25 |
$22.50 |
0.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$131.75 |
$263.50 |
0.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$132.38 |
$264.75 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$132.38 |
$264.75 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$14.88 |
$29.75 |
0.4× |
| IV push initial (96374) |
$47.50 |
$95 |
0.3× |
| Manual therapy 15 min (97140) |
$70.88 |
$141.75 |
2.6× |
| Mechanical chest wall oscillation (94669) |
$22.25 |
$44.50 |
0.1× |
| Mechanical traction (97012) |
$64.62 |
$129.25 |
4.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$14.75 |
$29.50 |
0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$20.50 |
$41 |
0.6× |
| Methacholine challenge (94070) |
$164.88 |
$329.75 |
0.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$88.75 |
$177.50 |
0.2× |
| Multiple Family Group Psychotherapy (90849) |
$43 |
$86 |
0.3× |
| Nasopharyngoscopy (92511) |
$117 |
$234 |
0.7× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$193.56 |
$387.12 |
1.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$300 |
$600 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$90.25 |
$180.50 |
0.3× |
| Nerve conduction studies 13/> studies (95913) |
$413.75 |
$827.50 |
1.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$277.69 |
$555.38 |
0.8× |
| Nerve conduction studies; 1-2 studies (95907) |
$89.75 |
$179.50 |
0.5× |
| Nerve conduction studies; 11-12 studies (95912) |
$328 |
$656 |
1.0× |
| Nerve conduction studies; 5-6 studies (95909) |
$166.25 |
$332.50 |
0.9× |
| Nerve conduction studies; 7-8 studies (95910) |
$173.62 |
$347.25 |
0.5× |
| Neuromuscular junction test (95937) |
$151.75 |
$303.50 |
1.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$110.50 |
$221 |
0.9× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$107.38 |
$214.75 |
0.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$121.75 |
$243.50 |
1.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$37.88 |
$75.75 |
0.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$61.38 |
$122.75 |
1.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$32 |
$64 |
2.3× |
| Ot eval high complex 60 min (97167) |
$253.62 |
$507.25 |
2.5× |
| Ot eval low complex 30 min (97165) |
$97.12 |
$194.25 |
1.0× |
| Ot eval mod complex 45 min (97166) |
$193.75 |
$387.50 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$67.50 |
$135 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$38.50 |
$77 |
1.0× |
| Ot Range Motion Measure,Each Extrem (95851) |
$35.75 |
$71.50 |
1.4× |
| Ot re-eval est plan care (97168) |
$86.62 |
$173.25 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$99.75 |
$199.50 |
0.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$99.75 |
$199.50 |
0.9× |
| Paraffin bath (97018) |
$46.87 |
$93.75 |
7.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$131.75 |
$263.50 |
0.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$103 |
$206 |
2.0× |
| Plethysmography (94726) |
$195.88 |
$391.75 |
0.6× |
| Pm device eval in person (93288) |
$47 |
$94 |
1.4× |
| Pm device progr eval dual (93280) |
$33.88 |
$67.75 |
1.0× |
| Pm device progr eval multi (93281) |
$27.88 |
$55.75 |
0.9× |
| Pm device progr eval sngl (93279) |
$33.88 |
$67.75 |
1.0× |
| Pm/Icd Remote Tech Serv (93296) |
$66.12 |
$132.25 |
2.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$24.39 |
$48.78 |
0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$36.50 |
$73 |
1.1× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$47 |
$94 |
1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$24.39 |
$48.78 |
0.6× |
| Programming of dual lead implantable defibrillator system (93283) |
$47 |
$94 |
1.4× |
| Programming of single lead implantable defibrillator system (93282) |
$33.88 |
$67.75 |
1.0× |
| Psych diag eval w/med srvcs (90792) |
$103.50 |
$207 |
0.7× |
| Psychiatric diagnostic evaluation (90791) |
$103.50 |
$207 |
0.7× |
| Psytx crisis initial 60 min (90839) |
$88.25 |
$176.50 |
0.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$118.12 |
$236.25 |
3.2× |
| Pt Electric Current Therapy (97033) |
$89.75 |
$179.50 |
4.7× |
| Pt Electrical Stimulation (97032) |
$24.12 |
$48.25 |
1.6× |
| Pt eval high complex 45 min (97163) |
$253.62 |
$507.25 |
2.6× |
| Pt eval low complex 20 min (97161) |
$97.12 |
$194.25 |
1.0× |
| Pt Gait Training Therapy (97116) |
$61.38 |
$122.75 |
2.1× |
| Pt Infrared Therapy (97026) |
$20 |
$40 |
3.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$70.88 |
$141.75 |
2.2× |
| Pt Physical Performance Test (97750) |
$61.38 |
$122.75 |
1.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$193.75 |
$387.50 |
2.0× |
| Pt re-evaluation (97164) |
$86.62 |
$173.25 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$61.38 |
$122.75 |
1.9× |
| Pt Ultrasound Therapy (97035) |
$64.62 |
$129.25 |
4.5× |
| Pt Whirlpool Therapy (97022) |
$70.88 |
$141.75 |
4.5× |
| Pulm function test by gas (94727) |
$118.06 |
$236.12 |
0.6× |
| Pulmonary stress testing (94618) |
$203.19 |
$406.38 |
1.7× |
| Pure Tone Audiometry Air & Bone (92553) |
$43.75 |
$87.50 |
0.4× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$35.12 |
$70.25 |
1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$42.12 |
$84.25 |
1.3× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$38.69 |
$77.38 |
1.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$182.38 |
$364.75 |
1.0× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$182.38 |
$364.75 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$64 |
$128 |
0.4× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$39.88 |
$79.75 |
1.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$27.12 |
$54.25 |
0.2× |
| Sensory Integration Ea 15 Min (97533) |
$47.50 |
$95 |
0.8× |
| Short-latency somatosens ep std lwr limbs (95926) |
$389.50 |
$779 |
2.1× |
| Short-latency somatosens ep std upr limbs (95925) |
$350.75 |
$701.50 |
1.9× |
| Smoking cessation > 10 min (99407) |
$134 |
$268 |
4.1× |
| Speech Audiometry Threshold (92555) |
$33.12 |
$66.25 |
0.6× |
| Speech Audiometry, Complete (92556) |
$25.38 |
$50.75 |
0.5× |
| Speech sound lang comprehen (92523) |
$171.12 |
$342.25 |
0.8× |
| Spirometry (94010) |
$11.50 |
$23 |
0.1× |
| Stress echo (93350) |
$390.12 |
$780.25 |
0.8× |
| Test for allergy using allergenic extract injected into skin (95024) |
$46.38 |
$92.75 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$46.88 |
$93.75 |
0.7× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$182.38 |
$364.75 |
1.0× |
| Therapeutic Activities (97530) |
$61.38 |
$122.75 |
1.8× |
| Therapeutic phlebotomy (99195) |
$159.38 |
$318.75 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$64.50 |
$129 |
2.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$84.62 |
$169.25 |
0.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$80.50 |
$161 |
0.7× |
| Transcranial Doppler Limited (93888) |
$76.62 |
$153.25 |
0.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$54.63 |
$109.25 |
1.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$390.12 |
$780.25 |
1.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$94.69 |
$189.38 |
1.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$94.69 |
$189.38 |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$47.50 |
$95 |
1.2× |
| Tympanometry (92567) |
$19.19 |
$38.38 |
0.6× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$390.12 |
$780.25 |
0.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$219.62 |
$439.25 |
1.1× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$127.12 |
$254.25 |
1.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$64.69 |
$129.38 |
0.3× |
| Vasopneumatic device (97016) |
$64.62 |
$129.25 |
5.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$252 |
$504 |
0.5× |
| Visual Evoked Potential Test (95930) |
$244 |
$488 |
1.3× |
| Visual reinforcement audiometry (vra) (92579) |
$56.94 |
$113.88 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$68.25 |
$136.50 |
2.2× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$182.38 |
$364.75 |
0.6× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$88.12 |
$176.25 |
1.1× |