| Acoustic Reflex Testing (92568) |
— |
$158 |
— |
| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$353 |
— |
| Acupunct W/Stimul 15 Min (97813) |
— |
$103 |
— |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$98 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$142 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$1,246 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$1,246 |
— |
| Airway Inhalation Treatment (94640) |
— |
$450 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$464 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$464 |
— |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
— |
$626 |
— |
| Analyze neurostim no prog (95970) |
— |
$516 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$53 |
— |
| Assessment of aphasia per hr (96105) |
— |
$331 |
— |
| Audiometry Air & Bone (92553) |
— |
$626 |
— |
| Behavral qualit analys voice (92524) |
— |
$407 |
— |
Biofeedback training any modality (90901)
range across 3 matching MRF lines |
— |
$119–$415 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$136 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$901 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$4,070 |
— |
| Canalith repositioning proc (95992) |
— |
$156 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,307 |
— |
| Cardioversion (92960) |
— |
$2,410 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$90 |
— |
| Cbt 1st hour (94644) |
— |
$258 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$352 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$352 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$352 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$320 |
— |
| Chemo IV push addl drug (96411) |
— |
$320 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,493 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,617 |
— |
| Chemotherapy Unspecified (96549) |
— |
$208 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$320 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,493 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$1,169 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$1,327 |
— |
| Chest Wall Manipulation (94668) |
— |
$258 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,683 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$830 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$97 |
— |
| Comprehensive Hearing Test (92557) |
— |
$626 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$238 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$254 |
— |
| Conditioning Play Audiometry (92582) |
— |
$626 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$450 |
— |
| Cpt initial (94667) |
— |
$258 |
— |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
— |
$1,246 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$444 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$572 |
— |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
— |
$626 |
— |
| Dialysis One Evaluation (90945) |
— |
$1,171 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,683 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$830 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$510 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,683 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$830 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,683 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$830 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,683 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$830 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$626 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$626 |
— |
| Echo Congenital Complete (93303) |
— |
$3,070 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,354 |
— |
| Echo transesophageal (93312) |
— |
$3,070 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$3,070 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$1,653 |
— |
| EEG awake and asleep (95819) |
— |
$1,868 |
— |
| EEG awake drowsy (95816) |
— |
$1,868 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$1,050 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$1,868 |
— |
| Eeg Sleep Only (95822) |
— |
$1,438 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$441 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$179 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$54 |
— |
| Electrocardiogram Tracing (93005) |
— |
$342 |
— |
| Electrocochleography (92584) |
— |
$626 |
— |
| Emg 3 Extremities (95863) |
— |
$626 |
— |
| Emg 4 Extremities (95864) |
— |
$715 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$550 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$450 |
— |
| Evaluate Speech Production (92522) |
— |
$413 |
— |
| Evaluate Swallowing Function (92610) |
— |
$315 |
— |
| Evaluation of speech fluency (92521) |
— |
$497 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$682 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$69 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$226 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,463 |
— |
| Eye exam w anesth; complete (92018) |
— |
$2,900 |
— |
| Eye exam w anesth; limited (92019) |
— |
$4,199 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$2,536 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$711 |
— |
Full Field Electroretinography W/I&R (92273)
range across 2 matching MRF lines |
— |
$796–$1,246 |
— |
| Fundus photography (92250) |
— |
$476 |
— |
| Group Therapeutic Procedures (97150) |
— |
$66 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$331 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$120 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$120 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$414 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$1,924 |
— |
| Holter monitor recording (93225) |
— |
$741 |
— |
| Hypnotherapy (90880) |
— |
$231 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$142 |
— |
| Immunization administration (90471) |
— |
$142 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$6,214 |
— |
| Iontophoresis 15 min (97033) |
— |
$75 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$252 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$196 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$895 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$302 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$196 |
— |
| IV push initial (96374) |
— |
$895 |
— |
| Low frequency non-thermal us (97610) |
— |
$444 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$450 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$101 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$120 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$335 |
— |
| Multifocal Electroretinography W/I&R (92274) |
— |
$626 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$402 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$2,551 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$560 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$295 |
— |
| Muscle Test One Limb (95860) |
— |
$560 |
— |
| Nasopharyngoscopy (92511) |
— |
$699 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$444 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$818 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$626 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$2,012 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$2,289 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$904 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$1,181 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$1,458 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,735 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$943 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$626 |
— |
| Neuromuscular Reeducation (97112) |
— |
$102 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$715 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$515 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$515 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$449 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$449 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$285 |
— |
| Oral Function Therapy (92526) |
— |
$314 |
— |
| Oral Speech Device Eval (92597) |
— |
$271 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$151 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$139 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$56 |
— |
| Ot eval high complexity (97167) |
— |
$385 |
— |
| Ot Eval Low Complex (97165) |
— |
$308 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$347 |
— |
| Ot manual therapy 15 min (97140) |
— |
$103 |
— |
| Ot paraffin bath (97018) |
— |
$22 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$123 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$261 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$125 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$426 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$450 |
— |
| Phlebotomy therapeutic (99195) |
— |
$419 |
— |
| Physical Performance Test (97750) |
— |
$110 |
— |
| Plethysmography (94726) |
— |
$856 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$450 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$715 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$400 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$200 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$643 |
— |
| Pt Eval High Complex (97163) |
— |
$381 |
— |
| Pt eval low complex 20 min (97161) |
— |
$305 |
— |
| Pt Eval Mod Complex (97162) |
— |
$343 |
— |
| Pt gait training 15 min (97116) |
— |
$89 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$206 |
— |
| Pulmonary service/procedure (94799) |
— |
$430 |
— |
| Pulmonary Stress Testing (94618) |
— |
$354 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$516 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$895 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$1,241 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$238 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$444 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$87 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$457 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$179 |
— |
| Select picture audiometry (92583) |
— |
$238 |
— |
| Self Care Mngment Training (97535) |
— |
$98 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$285 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$109 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$195 |
— |
| Somatosensory Testing (95938) |
— |
$2,123 |
— |
| Speech Audiometry Complete (92556) |
— |
$238 |
— |
| Speech audiometry threshold (92555) |
— |
$238 |
— |
| Speech sound lang comprehen (92523) |
— |
$849 |
— |
| Spirometry (94010) |
— |
$430 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$378 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$84 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$81 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$111 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$381 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$302 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$895 |
— |
| Therapeutic Activities (97530) |
— |
$130 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$1,106 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,070 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,916 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$286 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$89 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$142 |
— |
| Tympanometry (92567) |
— |
$158 |
— |
| Vasopneumatic device (97016) |
— |
$110 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$2,083 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$3,184 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,210 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,210 |
— |
| Visual Evoked Potential Test (95930) |
— |
$1,246 |
— |
| Visual Field Exam Extended (92083) |
— |
$476 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$345 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$238 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$626 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$94 |
— |