| Acupunct W/Stimul 15 Min (97813) |
$23.79 |
$61 |
0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$23.79 |
$61 |
0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$35.49 |
$91 |
0.8× |
| Advncd Care Plan 30 Min (99497) |
$72.54 |
$186 |
0.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$386.10 |
$990 |
1.6× |
| Aep neurodiagnostic i&r (92653) |
$588.12 |
$1,508 |
2.5× |
| Airway Inhalation Treatment (94640) |
$113.88 |
$292 |
0.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$111.54 |
$286 |
0.8× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$32.76 |
$84 |
0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$61.62 |
$158 |
4.3× |
| Application on-body injector (96377) |
$127.92 |
$328 |
2.5× |
| Assessment of aphasia per hr (96105) |
$81.12 |
$208 |
0.8× |
| Basic vestibular evaluation (92540) |
$235.95 |
$605 |
1.0× |
| Behavral qualit analys voice (92524) |
$183.30 |
$470 |
1.7× |
| Biofeedback training any modality (90901) |
$141.96 |
$364 |
3.5× |
| Breath hydrogen/methane test (91065) |
$174.72 |
$448 |
0.7× |
| Brief Emotional/Behav Assmt (96127) |
$32.37 |
$83 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$319.02 |
$818 |
0.8× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$10.53 |
$27 |
0.0× |
| Caloric Vstblr Test W/Rec (92537) |
$184.86 |
$474 |
1.3× |
| Canalith repositioning proc (95992) |
$86.19 |
$221 |
2.1× |
| Car seat/bed test 60 min (94780) |
$116.22 |
$298 |
2.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$844.74 |
$2,166 |
3.6× |
| Cardiopulmonary resuscitation (92950) |
$499.98 |
$1,282 |
2.1× |
| Cardioversion (92960) |
$995.28 |
$2,552 |
1.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$25.35 |
$65 |
0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$22.62 |
$58 |
0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$13,679.25 |
$35,075 |
3.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$11,331.45 |
$29,055 |
3.2× |
| Cbt 1st hour (94644) |
$125.97 |
$323 |
0.9× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) |
$127.92 |
$328 |
0.9× |
| Chemo Admin Peritoneal Cavity (96446) |
$306.15 |
$785 |
0.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$150.15 |
$385 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$150.15 |
$385 |
1.9× |
| Chemo IV infusion addl hr (96415) |
$236.34 |
$606 |
3.0× |
| Chemo IV push addl drug (96411) |
$212.55 |
$545 |
2.7× |
| Chemother Prolong Infuse W/Pump (96416) |
$745.68 |
$1,912 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$245.31 |
$629 |
3.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$529.62 |
$1,358 |
1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$166.14 |
$426 |
0.5× |
| Chest Wall Manipulation (94668) |
$95.94 |
$246 |
0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$72.54 |
$186 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$793.65 |
$2,035 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$555.75 |
$1,425 |
4.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$50.31 |
$129 |
1.6× |
| Comprehensive Hearing Test (92557) |
$127.14 |
$326 |
0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$710.58 |
$1,822 |
4.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$62.40 |
$160 |
1.0× |
| Continuous Pulse Ox (94762) |
$382.98 |
$982 |
2.7× |
| Coronary Art/Grft Angio S&I (93455) |
$9,581.13 |
$24,567 |
2.7× |
| Coronary Artery Angio S&I (93454) |
$7,388.55 |
$18,945 |
2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$419.64 |
$1,076 |
1.8× |
| Cpt initial (94667) |
$145.08 |
$372 |
1.0× |
| Critical care first hour (99291) |
$1,794.78 |
$4,602 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$200.07 |
$513 |
0.9× |
| Dialysis One Evaluation (90945) |
$772.98 |
$1,982 |
1.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$789.75 |
$2,025 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$504.66 |
$1,294 |
4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$821.34 |
$2,106 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$596.31 |
$1,529 |
5.2× |
| Duplex up extrem art bilat (93930) |
$637.65 |
$1,635 |
2.4× |
| Duplex up extrem art unilat/ltd (93931) |
$419.25 |
$1,075 |
3.7× |
| Echo Congenital Complete (93303) |
$468.39 |
$1,201 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$586.95 |
$1,505 |
2.3× |
| Echo transesophag montr cardiac pump functj (93318) |
$464.10 |
$1,190 |
0.8× |
| Echo transesophageal (93312) |
$1,671.54 |
$4,286 |
2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,233.18 |
$3,162 |
2.1× |
| Eeg 41-60 Minutes (95812) |
$809.64 |
$2,076 |
3.4× |
| EEG awake and asleep (95819) |
$762.84 |
$1,956 |
3.2× |
| EEG awake drowsy (95816) |
$658.32 |
$1,688 |
2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$134.16 |
$344 |
0.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,115.01 |
$2,859 |
4.7× |
| Eeg Sleep Only (95822) |
$695.76 |
$1,784 |
2.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$60.84 |
$156 |
4.1× |
| Electrocardiogram Tracing (93005) |
$132.60 |
$340 |
2.1× |
| Emergency Dept Visit Level 2 (99282) |
$224.25 |
$575 |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$435.24 |
$1,116 |
1.5× |
| Emergency Dept Visit Level 4 (99284) |
$860.34 |
$2,206 |
1.9× |
| Er level 1 (99281) |
$178.62 |
$458 |
1.9× |
| Er level v (99285) |
$1,290.12 |
$3,308 |
2.0× |
| Esophageal Capsule Endoscopy (91111) |
$418.08 |
$1,072 |
0.4× |
| Evaluate pt use of inhaler (94664) |
$50.70 |
$130 |
0.2× |
| Evaluate Speech Production (92522) |
$183.30 |
$470 |
1.6× |
| Evaluate Swallowing Function (92610) |
$202.80 |
$520 |
2.4× |
| Evaluation of speech fluency (92521) |
$183.30 |
$470 |
1.4× |
| External ECG rec>48hr<7d recording (93242) |
$162.63 |
$417 |
4.0× |
| External ECG rec>7d<15d recording (93246) |
$162.63 |
$417 |
4.0× |
| Extracranial Bilat Study (93880) |
$805.74 |
$2,066 |
3.1× |
| Extracranial Uni/Ltd Study (93882) |
$402.48 |
$1,032 |
3.5× |
| Gi tract capsule endoscopy (91110) |
$765.96 |
$1,964 |
0.8× |
| Group Therapeutic Procedures (97150) |
$16.77 |
$43 |
0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$2,520.18 |
$6,462 |
0.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$772.98 |
$1,982 |
1.0× |
| Holter monitor recording (93225) |
$228.54 |
$586 |
1.6× |
| Icd Device Interrogate (93289) |
$30.81 |
$79 |
0.8× |
| Icd device progr eval dual (93283) |
$30.81 |
$79 |
0.8× |
| Icd Device Progr Eval Mult (93284) |
$30.81 |
$79 |
0.8× |
| Ilr Device Eval Progr (93285) |
$30.81 |
$79 |
0.8× |
| Ilr Device Interrogate (93291) |
$30.81 |
$79 |
1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$34.71 |
$89 |
0.4× |
| Immunization administration (90471) |
$120.12 |
$308 |
1.5× |
| Insert/Place Heart Catheter (93503) |
$2,229.24 |
$5,716 |
1.3× |
| Interrogate Subq Defib (93261) |
$30.81 |
$79 |
0.8× |
| Iontophoresis 15 min (97033) |
$61.62 |
$158 |
3.2× |
| Irrig Drug Delivery Device (96523) |
$54.21 |
$139 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$140.79 |
$361 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$191.49 |
$491 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$128.70 |
$330 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$160.68 |
$412 |
3.1× |
| IV push initial (96374) |
$137.67 |
$353 |
0.6× |
| L Hrt Art/Grft Angio (93459) |
$12,505.74 |
$32,066 |
3.5× |
| Liver Elastography W/O Imag W/I&R (91200) |
$160.68 |
$412 |
1.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$174.72 |
$448 |
2.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$294.84 |
$756 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$276.51 |
$709 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$35.88 |
$92 |
1.0× |
| Methacholine challenge (94070) |
$422.37 |
$1,083 |
1.0× |
| Motion Fluoroscopy/Swallow (92611) |
$351.78 |
$902 |
3.8× |
| Multiple Sleep Latency Test (95805) |
$2,224.17 |
$5,703 |
2.4× |
| Muscle Test Nonparaspinal (95870) |
$119.73 |
$307 |
0.8× |
| Nasopharyngoscopy (92511) |
$88.14 |
$226 |
0.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$267.15 |
$685 |
1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$492.96 |
$1,264 |
1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$391.56 |
$1,004 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$118.95 |
$305 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$213.72 |
$548 |
0.5× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$200.85 |
$515 |
0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,306.89 |
$3,351 |
3.2× |
| Nerve conduction studies 13 or more studies (95913) |
$1,349.40 |
$3,460 |
3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$400.92 |
$1,028 |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$684.06 |
$1,754 |
2.9× |
| Nerve conduction studies 7-8 studies (95910) |
$748.80 |
$1,920 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,349.40 |
$3,460 |
3.3× |
| Neuromuscular Reeducation (97112) |
$65.13 |
$167 |
2.0× |
| Newborn resuscitation (99465) |
$436.02 |
$1,118 |
0.6× |
| Nitric oxide expired gas determination (95012) |
$86.19 |
$221 |
2.1× |
| Oral Function Therapy (92526) |
$136.11 |
$349 |
1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$66.30 |
$170 |
1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$68.64 |
$176 |
1.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$21.06 |
$54 |
0.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$21.06 |
$54 |
0.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$21.06 |
$54 |
0.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$21.06 |
$54 |
0.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$21.06 |
$54 |
0.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$39.78 |
$102 |
2.8× |
| Ot eval high complexity (97167) |
$200.85 |
$515 |
2.0× |
| Ot Eval Low Complex (97165) |
$101.40 |
$260 |
1.0× |
| Ot Eval Moderate Complexity (97166) |
$150.93 |
$387 |
1.5× |
| Ot manual therapy 15 min (97140) |
$61.62 |
$158 |
2.2× |
| Ot paraffin bath (97018) |
$39.78 |
$102 |
6.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$63.18 |
$162 |
1.6× |
| Ot Re-Eval Est Plan Care (97168) |
$101.40 |
$260 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$158.73 |
$407 |
1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$155.61 |
$399 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$180.96 |
$464 |
0.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$16,115.58 |
$41,322 |
0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$13,222.17 |
$33,903 |
2.1× |
| Phlebotomy therapeutic (99195) |
$129.87 |
$333 |
0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$55.38 |
$142 |
0.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$55.38 |
$142 |
0.9× |
| Physical Performance Test (97750) |
$68.64 |
$176 |
2.0× |
| Plethysmography (94726) |
$330.33 |
$847 |
0.8× |
| Pm device eval in person (93288) |
$30.81 |
$79 |
0.8× |
| Pm device progr eval dual (93280) |
$70.20 |
$180 |
1.7× |
| Pm device progr eval multi (93281) |
$30.81 |
$79 |
0.8× |
| Pm Device Progr Eval Sngl (93279) |
$30.81 |
$79 |
0.8× |
| Pm/Icd Remote Tech Serv (93296) |
$32.76 |
$84 |
0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,720.64 |
$6,976 |
2.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$30.81 |
$79 |
0.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$84.24 |
$216 |
0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$42.51 |
$109 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$10,210.59 |
$26,181 |
0.8× |
| Psych diag eval w/med srvcs (90792) |
$124.41 |
$319 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$124.41 |
$319 |
0.6× |
| Pt Eval High Complex (97163) |
$233.61 |
$599 |
2.4× |
| Pt eval low complex 20 min (97161) |
$117.39 |
$301 |
1.2× |
| Pt Eval Mod Complex (97162) |
$176.28 |
$452 |
1.8× |
| Pt gait training 15 min (97116) |
$61.62 |
$158 |
2.1× |
| Pt group caregiver training (97552) |
$20.67 |
$53 |
0.9× |
| Pt mechanical traction (97012) |
$87.36 |
$224 |
6.1× |
| Pt Re-Eval Est Plan Care (97164) |
$117 |
$300 |
1.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$25.35 |
$65 |
0.6× |
| Pulm function test by gas (94727) |
$255.06 |
$654 |
1.1× |
| Pulmonary service/procedure (94799) |
$96.72 |
$248 |
0.7× |
| Pulmonary Stress Testing (94618) |
$133.38 |
$342 |
0.9× |
| Pure Tone Audiometry Air (92552) |
$22.62 |
$58 |
0.2× |
| R hrt coronary artery angio (93456) |
$7,329.66 |
$18,794 |
2.1× |
| Refill/Maint Portable Pump (96521) |
$295.23 |
$757 |
1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$32.37 |
$83 |
0.8× |
| Remote 30 Day Ecg Rev/Report (93270) |
$306.15 |
$785 |
7.5× |
| Respiratory flow volume loop (94375) |
$285.48 |
$732 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$48.75 |
$125 |
0.8× |
| Right Heart Cath (93451) |
$4,760.73 |
$12,207 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$78.78 |
$202 |
0.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$223.47 |
$573 |
1.8× |
| Self Care Mngment Training (97535) |
$77.22 |
$198 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$62.79 |
$161 |
1.0× |
| Short-latency somatosens ep std upr limbs (95925) |
$625.17 |
$1,603 |
2.7× |
| Sleep study unattended (95806) |
$587.73 |
$1,507 |
2.5× |
| Slp caregiver training 1st 30 min (97550) |
$41.73 |
$107 |
0.8× |
| Somatosensory Testing (95938) |
$1,131.39 |
$2,901 |
1.2× |
| Speech sound lang comprehen (92523) |
$183.30 |
$470 |
0.8× |
| Spirometry (94010) |
$136.89 |
$351 |
0.6× |
| Ssep lower limbs (95926) |
$745.29 |
$1,911 |
3.2× |
| Standardized Cognitive Performance Testing (96125) |
$161.07 |
$413 |
1.6× |
| Stress Tte Only (93350) |
$966.81 |
$2,479 |
1.6× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$40.17 |
$103 |
0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$182.13 |
$467 |
0.8× |
| Surfactant Admin Thru Tube (94610) |
$180.57 |
$463 |
0.8× |
| Temp transcutaneous pacing (92953) |
$1,206.66 |
$3,094 |
1.7× |
| Tensilon Test (95857) |
$59.67 |
$153 |
0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$58.11 |
$149 |
2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$97.89 |
$251 |
4.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$61.62 |
$158 |
1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$12.87 |
$33 |
0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$70.20 |
$180 |
0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$235.95 |
$605 |
1.0× |
| Therapeutic Activities (97530) |
$79.56 |
$204 |
2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$60.45 |
$155 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$32.37 |
$83 |
0.8× |
| Trans Care Mgmt 14 Day Disch (99495) |
$70.20 |
$180 |
0.5× |
| Trans Care Mgmt 7 Day Disch (99496) |
$97.50 |
$250 |
0.7× |
| Tte w/doppler, complete (93306) |
$1,446.51 |
$3,709 |
2.4× |
| Tte W/O Doppler Complete (93307) |
$137.67 |
$353 |
0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$142.35 |
$365 |
1.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$133.38 |
$342 |
5.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$137.67 |
$353 |
2.7× |
| Unlisted cardiovascular service/procedure (93799) |
$102.57 |
$263 |
0.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$328.77 |
$843 |
2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$542.49 |
$1,391 |
2.3× |
| Veeg 2-12 hr intmt mntr (95712) |
$267.15 |
$685 |
0.7× |
| Veeg 2-12 hr unmonitored (95711) |
$257.40 |
$660 |
1.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,532.31 |
$3,929 |
3.8× |
| Vent Mgmt Inpat Init Day (94002) |
$610.35 |
$1,565 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$610.35 |
$1,565 |
0.9× |
| Visual Evoked Potential Test (95930) |
$485.16 |
$1,244 |
2.1× |
| Vital capacity, total (94150) |
$127.14 |
$326 |
0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65.13 |
$167 |
2.1× |
| Whirlpool Therapy (97022) |
$15.60 |
$40 |
1.0× |