| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$35.50 |
$71 |
1.3× |
| Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) |
$35.50 |
$71 |
1.3× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$314 |
$628 |
1.5× |
| Airway inhalation treatment (94640) |
$230 |
$460 |
1.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$59.50 |
$119 |
1.7× |
| Analyze neurostim complex (95972) |
$106.25 |
$212.50 |
1.2× |
| Analyze neurostim no prog (95970) |
$127.50 |
$255 |
1.0× |
| Analyze neurostim simple (95971) |
$91 |
$182 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$55 |
$110 |
3.8× |
| Application on-body injector (96377) |
$61.75 |
$123.50 |
1.4× |
| Assessment of aphasia per hr (96105) |
$112.50 |
$225 |
1.2× |
| Bedside Swallowing Eval (92610) |
$123 |
$246 |
1.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$330 |
$660 |
3.0× |
| Brief Emotional/Behavioral Assessment (96127) |
$37 |
$74 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$341.50 |
$683 |
1.0× |
| Canalith Repositioning Procedure (95992) |
$103.50 |
$207 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$711.50 |
$1,423 |
3.4× |
| Cardiopulmonary resuscitation (92950) |
$338.50 |
$677 |
1.6× |
| Cardioversion (92960) |
$898 |
$1,796 |
1.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$36 |
$72 |
1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$21.50 |
$43 |
0.8× |
| Cbt 1st hour (94644) |
$167 |
$334 |
1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$77.25 |
$154.50 |
1.1× |
| Chemo IV push addl drug (96411) |
$116.50 |
$233 |
1.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$447 |
$894 |
1.4× |
| Chemother, IV infusion, 1 hr (96413) |
$308.75 |
$617.50 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$92 |
$184 |
1.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$101.75 |
$203.50 |
1.5× |
| Chemotherapy, unspecified procedure (96549) |
$60 |
$120 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$504 |
$1,008 |
7.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$362.25 |
$724.50 |
1.1× |
| Chronic care management services 1st 20 min (99490) |
$97.50 |
$195 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$696.50 |
$1,393 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$530.25 |
$1,060.50 |
5.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$170 |
$340 |
1.0× |
| Comprehensive Hearing Test (92557) |
$86.50 |
$173 |
0.7× |
| Conditioning Play Audiometry (92582) |
$83.50 |
$167 |
0.7× |
| Corneal Topography (92025) |
$83.50 |
$167 |
1.5× |
| Cpap/bipap (94660) |
$209.50 |
$419 |
1.0× |
| Cpt initial (94667) |
$129.75 |
$259.50 |
1.0× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$378.25 |
$756.50 |
6.7× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$188.75 |
$377.50 |
3.3× |
| Critical care (99291) |
$628.25 |
$1,256.50 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$197.50 |
$395 |
1.0× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$314 |
$628 |
1.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$311.50 |
$623 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$570.50 |
$1,141 |
5.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$492 |
$984 |
4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$616.50 |
$1,233 |
2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$376 |
$752 |
3.7× |
| Duplex scan extracranial art compl bi study (93880) |
$561 |
$1,122 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$639.50 |
$1,279 |
2.8× |
| Echo transesophageal (93312) |
$1,582 |
$3,164 |
3.0× |
| Electrocardiogram Tracing (93005) |
$115.50 |
$231 |
2.0× |
| Er level 1 (99281) |
$106.75 |
$213.50 |
1.3× |
| Er level ii (99282) |
$171 |
$342 |
1.2× |
| Er level iii (99283) |
$330 |
$660 |
1.3× |
| Er level IV (99284) |
$412.50 |
$825 |
1.0× |
| Er level v (99285) |
$474.25 |
$948.50 |
0.8× |
| Evaluate Pt Use Of Inhaler (94664) |
$158.25 |
$316.50 |
0.8× |
| External ECG rec>48hr<7d recording (93242) |
$53 |
$106 |
1.5× |
| External ECG rec>7d<15d recording (93246) |
$86 |
$172 |
2.4× |
| Fundus photography w/interpretation & report (92250) |
$127.50 |
$255 |
1.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$300.67 |
$601.33 |
0.4× |
| Gi tract capsule endoscopy (91110) |
$1,280.25 |
$2,560.50 |
1.5× |
| Gonioscopy (92020) |
$188 |
$376 |
1.5× |
| Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) |
$56.50 |
$113 |
1.0× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$29.50 |
$59 |
0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$19.50 |
$39 |
0.5× |
| Immune Admin Oral/Nasal (90473) |
$53 |
$106 |
0.8× |
| Immunization Admin (90471) |
$36 |
$72 |
0.5× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$66.75 |
$133.50 |
2.4× |
| Interrog device eval heart (93289) |
$107.50 |
$215 |
3.0× |
| Interrogate subq defib (93261) |
$77.75 |
$155.50 |
2.2× |
| Irrig drug delivery device (96523) |
$75 |
$150 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$82 |
$164 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$203.50 |
$407 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$202.50 |
$405 |
2.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$204 |
$408 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$64.50 |
$129 |
1.4× |
| IV push ea addl new drug (96375) |
$113.75 |
$227.50 |
2.5× |
| IV push initial (96374) |
$203.50 |
$407 |
1.0× |
| Manual therapy 15 min (97140) |
$96.25 |
$192.50 |
3.5× |
| Massage 15 min (97124) |
$74 |
$148 |
2.5× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$1,360 |
$2,720 |
1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39 |
$78 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$131.25 |
$262.50 |
3.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$38.50 |
$77 |
2.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$133.25 |
$266.50 |
1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$880 |
$1,760 |
2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$192 |
$384 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$505.50 |
$1,011 |
1.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$541.75 |
$1,083.50 |
4.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$194 |
$388 |
1.6× |
| Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) |
$133.25 |
$266.50 |
1.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$70.50 |
$141 |
1.2× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) |
$200 |
$400 |
1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$92.25 |
$184.50 |
2.0× |
| Oscillating Tracking Test (92545) |
$402 |
$804 |
1.9× |
| Ot eval high complex 60 min (97167) |
$147 |
$294 |
1.5× |
| Ot eval low complex 30 min (97165) |
$107.75 |
$215.50 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$124 |
$248 |
1.2× |
| Ot re-evaluation (97168) |
$92.50 |
$185 |
1.4× |
| Ot therapeutic activity 15 min (97530) |
$90 |
$180 |
2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$206.50 |
$413 |
1.7× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$329 |
$658 |
1.7× |
| Phlebotomy therapeutic (99195) |
$152 |
$304 |
1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$76.50 |
$153 |
1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$73.75 |
$147.50 |
1.3× |
| Pm device eval in person (93288) |
$47.75 |
$95.50 |
1.3× |
| Pm device progr eval dual (93280) |
$75.75 |
$151.50 |
2.1× |
| Pm device progr eval multi (93281) |
$57.50 |
$115 |
1.6× |
| Pm device progr eval sngl (93279) |
$36.50 |
$73 |
1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$51 |
$102 |
1.1× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$49.25 |
$98.50 |
1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$45 |
$90 |
1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$45 |
$90 |
1.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$80 |
$160 |
2.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$137.25 |
$274.50 |
3.8× |
| Psych diag eval w/med srvcs (90792) |
$547 |
$1,094 |
3.2× |
| Pt Electrical Stimulation (97032) |
$78.75 |
$157.50 |
5.4× |
| Pt eval high complex 45 min (97163) |
$137.75 |
$275.50 |
1.4× |
| Pt eval low complex 20 min (97161) |
$97.50 |
$195 |
1.0× |
| Pt eval mod complex 30 min (97162) |
$118.50 |
$237 |
1.2× |
| Pt gait training 15 min (97116) |
$80.50 |
$161 |
2.8× |
| Pt group caregiver training (97552) |
$21.50 |
$43 |
1.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$94.50 |
$189 |
2.9× |
| Pt re-evaluation (97164) |
$75 |
$150 |
1.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$102 |
$204 |
3.1× |
| Pulm function test by gas (94727) |
$143.50 |
$287 |
0.7× |
| Pulmonary stress test simple (94618) |
$177.25 |
$354.50 |
1.4× |
| Pure Tone Audiometry Air & Bone (92553) |
$157.50 |
$315 |
1.3× |
| Pure Tone Audiometry Air Only (92552) |
$130 |
$260 |
1.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$317.50 |
$635 |
1.0× |
| Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) |
$35.50 |
$71 |
1.0× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$294 |
$588 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$210.50 |
$421 |
1.1× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$114.25 |
$228.50 |
0.9× |
| Sensory Integration Ea 15 Min (97533) |
$58.50 |
$117 |
1.0× |
| Slp caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Speech Audiometry Complete (92556) |
$76.50 |
$153 |
1.4× |
| Speech sound lang comprehen (92523) |
$158.25 |
$316.50 |
0.7× |
| Spirometry (94010) |
$253.75 |
$507.50 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$12.75 |
$25.50 |
0.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$12.75 |
$25.50 |
0.6× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$53.75 |
$107.50 |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$39.50 |
$79 |
1.1× |
| Tte w/doppler, complete (93306) |
$1,023 |
$2,046 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$123 |
$246 |
1.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$123 |
$246 |
1.5× |
| Tympanometry (92567) |
$42.50 |
$85 |
1.2× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$196.50 |
$393 |
0.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$316.50 |
$633 |
3.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$943.50 |
$1,887 |
2.6× |
| Vent mgmt inpat init day (94002) |
$810.25 |
$1,620.50 |
1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$787.50 |
$1,575 |
1.3× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$164.50 |
$329 |
2.9× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$192 |
$384 |
3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67 |
$134 |
2.2× |