| Aerosol inhalation pentamidine (94642) |
$113.68 |
$284.19 |
0.5× |
| Airway inhalation treatment (94640) |
$113.68 |
$284.19 |
0.5× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$394.53 |
$986.31 |
2.8× |
| Ambulatory bp recording (93786) |
$424.65 |
$1,061.62 |
3.0× |
| Appl on-body injector for timed subq injection (96377) |
$78.66 |
$196.65 |
1.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$37.71 |
$94.26 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$43.35 |
$108.37 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$32.88 |
$82.18 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$50.25 |
$125.62 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$96.92 |
$242.28 |
— |
| Assessment of aphasia (96105) |
$89.29 |
$223.22 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$152.86 |
$382.15 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$178.80 |
$446.98 |
— |
| Bipap initial day (94660) |
$435.47 |
$1,088.67 |
1.9× |
| Breathing capacity test (94010) |
$131.82 |
$329.53 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$200.01 |
$500.02 |
0.5× |
| C motor evoked lwr limbs (95929) |
$1,064.26 |
$2,660.65 |
2.7× |
| C motor evoked uppr limbs (95928) |
$1,064.26 |
$2,660.65 |
1.2× |
| Canalith repositioning (95992) |
$28.30 |
$70.74 |
— |
| Cardiovascular stress test (93017) |
$482.60 |
$1,206.48 |
2.1× |
| Cardioversion elective external (92960) |
$766.80 |
$1,916.98 |
1.1× |
| Caregiver training 1st 30 min (97550) |
$45.12 |
$112.78 |
— |
| Caregiver training ea addl 15 (97551) |
$20.64 |
$51.58 |
— |
| Chemo anti-neopl sq/im (96401) |
$235.84 |
$589.60 |
3.1× |
| Chemo hormon antineopl sq/im (96402) |
$381.74 |
$954.35 |
5.0× |
| Chemo IV infus each addl seq (96417) |
$217.91 |
$544.77 |
2.9× |
| Chemo IV infusion addl hr (96415) |
$272.82 |
$682.03 |
3.6× |
| Chemo IV push addl drug (96411) |
$509.12 |
$1,272.80 |
6.7× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$290.41 |
$726.01 |
0.8× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$509.12 |
$1,272.80 |
1.5× |
| Chest physiotherapy initial (94667) |
$68.30 |
$170.75 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$646.63 |
$1,616.56 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$532.74 |
$1,331.83 |
4.8× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$71.99 |
$179.96 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$132.28 |
$330.68 |
0.9× |
| Cpr (92950) |
$1,716.76 |
$4,291.89 |
7.5× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,742.60 |
$9,356.50 |
4.3× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,596.39 |
$3,990.97 |
1.8× |
| Debridement open wound 20 sq cm< (97597) |
$333.40 |
$833.50 |
1.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$870.12 |
$2,175.30 |
3.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$711.26 |
$1,778.15 |
6.4× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$545.75 |
$1,364.37 |
2.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,050.84 |
$2,627.10 |
4.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$700.54 |
$1,751.35 |
6.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$213.76 |
$534.39 |
3.4× |
| ECG/monitoring and analysis (93271) |
$430.09 |
$1,075.22 |
4.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,430.15 |
$3,575.37 |
2.5× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$580.90 |
$1,452.23 |
2.3× |
| EEG 41-60 minutes (95812) |
$355.90 |
$889.73 |
1.6× |
| EEG awake & asleep (95819) |
$684.80 |
$1,711.98 |
3.0× |
| EEG awake/drowsy (95816) |
$684.80 |
$1,711.98 |
3.0× |
| EEG coma or sleep only (95822) |
$684.80 |
$1,711.98 |
3.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,310.56 |
$3,276.40 |
5.8× |
| EKG 12 lead tracing only (93005) |
$60.32 |
$150.78 |
1.0× |
| EKG rhythm strip (93041) |
$90.67 |
$226.67 |
1.5× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$1,618.10 |
$4,045.24 |
16.1× |
| Electrode stimulation brain (95961) |
$1,596.39 |
$3,990.97 |
1.8× |
| Emergency department visit high mdm (99285) |
$2,267.30 |
$5,668.25 |
3.6× |
| Emergency department visit low mdm (99283) |
$650.92 |
$1,627.30 |
2.3× |
| Emergency department visit may not req phys/qhp (99281) |
$216.05 |
$540.11 |
2.4× |
| Emergency department visit moderate mdm (99284) |
$1,175.73 |
$2,939.32 |
2.7× |
| Emergency department visit straightforward mdm (99282) |
$324.17 |
$810.41 |
2.0× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$243.30 |
$608.24 |
1.8× |
| Endoscopy swallow (fees) vid (92612) |
$230.13 |
$575.31 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$114.77 |
$286.92 |
— |
| Evaluate pt use of inhaler (94664) |
$296.99 |
$742.46 |
1.3× |
| Evaluation of speech sound production articulate (92522) |
$146.67 |
$366.67 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$434.76 |
$1,086.89 |
3.1× |
| Ext ECG>48hr<7d scan a/r (93243) |
$60.83 |
$152.06 |
0.4× |
| External ECG rec>48hr<7d recording (93242) |
$41.49 |
$103.72 |
1.1× |
| External ECG rec>7d<15d recording (93246) |
$60.83 |
$152.06 |
1.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$89.01 |
$222.51 |
0.6× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$175.66 |
$439.15 |
1.3× |
| Fluidotherapy (97022) |
$77.42 |
$193.53 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$249.94 |
$624.84 |
1.1× |
| Group caregiver training strategies & technique (97552) |
$19.27 |
$48.16 |
— |
| Hot/cold pack (97010) |
$9.69 |
$24.22 |
— |
| Immunization administration (90471) |
$68.84 |
$172.08 |
0.9× |
| Infrared therapy (97026) |
$54.61 |
$136.51 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$151.86 |
$379.64 |
3.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$151.86 |
$379.64 |
0.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$78.75 |
$196.87 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$88.99 |
$222.46 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$212.48 |
$531.20 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$185.06 |
$462.64 |
2.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$212.48 |
$531.20 |
0.9× |
| IV tx, each additional hour (96366) |
$167.90 |
$419.74 |
3.4× |
| Low frequency non-thermal us (97610) |
$250.95 |
$627.37 |
1.2× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$58.88 |
$147.20 |
0.4× |
| Mechanical chest wall oscillation lung function (94669) |
$310.24 |
$775.60 |
1.3× |
| Mechanical traction therapy (97012) |
$53.80 |
$134.50 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26.91 |
$67.26 |
— |
| Medical nutrition group (97804) |
$38.69 |
$96.71 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$26.91 |
$67.26 |
— |
| Methacholine challenge (94070) |
$508.26 |
$1,270.65 |
1.3× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$200.84 |
$502.08 |
— |
| Multiple sleep latency (95805) |
$1,455.32 |
$3,638.29 |
1.6× |
| Muscle test 3 limbs (95863) |
$748.39 |
$1,870.97 |
5.5× |
| Muscle test larynx (95865) |
$748.39 |
$1,870.97 |
5.3× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$997.65 |
$2,494.11 |
7.3× |
| Needle electromyography cranial nrv muscle uni (95867) |
$234.70 |
$586.75 |
1.0× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$352.05 |
$880.12 |
1.5× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$399.30 |
$998.23 |
1.9× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$370.38 |
$925.95 |
0.9× |
| Nerve conduction studies 3-4 studies (95908) |
$967.08 |
$2,417.69 |
4.2× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$291.40 |
$728.50 |
1.3× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$411.03 |
$1,027.56 |
3.0× |
| Occupational therapy eval high complex 60 mins (97167) |
$157.81 |
$394.52 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$129.13 |
$322.82 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$143.47 |
$358.67 |
— |
| Oral function therapy (92526) |
$89.76 |
$224.38 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$30.96 |
$77.39 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$43.35 |
$108.37 |
— |
| Ot manual therapy ea 15 min (97140) |
$61.38 |
$153.44 |
— |
| Ot neuromuscular re-education (97112) |
$59.09 |
$147.71 |
— |
| Ot paraffin bath (97018) |
$26.06 |
$65.13 |
— |
| Ot re-evaluation (97168) |
$118.76 |
$296.89 |
— |
| OT Therapeutic Activities Charges (97530) |
$57.43 |
$143.56 |
— |
| Ot wheelchair management (97542) |
$49.92 |
$124.79 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$174.07 |
$435.16 |
1.3× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$509.65 |
$1,274.11 |
1.3× |
| Peripheral vascular rehab (93668) |
$240.02 |
$600.02 |
3.9× |
| Phlebotomy therapeutic (99195) |
$64.69 |
$161.71 |
0.5× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$248.29 |
$620.71 |
4.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$248.29 |
$620.71 |
4.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$143.47 |
$358.66 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$129.13 |
$322.82 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$143.47 |
$358.67 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,664.32 |
$6,660.78 |
2.9× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,182.98 |
$5,457.45 |
2.4× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$2,057.08 |
$5,142.68 |
2.3× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$1,681.56 |
$4,203.88 |
1.9× |
| Pr unlisted therapeutic procedure specify (97139) |
$57.70 |
$144.23 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$43.35 |
$108.37 |
— |
| Pt gait training 15 min (97116) |
$47.75 |
$119.37 |
— |
| Pt physical performance test (97750) |
$53.26 |
$133.15 |
— |
| Pt re-evaluation (97164) |
$119 |
$297.48 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$239.03 |
$597.56 |
— |
| Pulm funct tst plethysmograp (94726) |
$147.22 |
$368.05 |
0.4× |
| Pulmonary stress testing (94618) |
$435.34 |
$1,088.34 |
3.1× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$54.27 |
$135.67 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$54.27 |
$135.67 |
— |
| Remote 30 day ECG rev/report (93270) |
$105.17 |
$262.92 |
2.7× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$41.44 |
$103.60 |
— |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$33.72 |
$84.31 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$16.96 |
$42.40 |
0.1× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$48.75 |
$121.87 |
1.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$69.19 |
$172.96 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$58.29 |
$145.71 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$156.47 |
$391.16 |
0.7× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$443.77 |
$1,109.42 |
0.5× |
| Sleep study unattended (95806) |
$223.96 |
$559.90 |
1.0× |
| Speech sound lang comprehen (92523) |
$304.73 |
$761.81 |
— |
| Standardized cognitive performance testing (96125) |
$91.24 |
$228.10 |
— |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$213.60 |
$534 |
4.3× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$229.77 |
$574.42 |
1.0× |
| Surfactant administration (94610) |
$103.96 |
$259.89 |
0.5× |
| Temp transcutaneous pacing (92953) |
$383.02 |
$957.53 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$89.96 |
$224.90 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$87.18 |
$217.95 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$66.45 |
$166.12 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$49.27 |
$123.17 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$49.27 |
$123.17 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$155.60 |
$388.97 |
2.0× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$132.65 |
$331.62 |
— |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$450.38 |
$1,125.94 |
0.8× |
| Tte congenital complete (93303) |
$878.13 |
$2,195.31 |
1.5× |
| Tte f-up or lmtd (93308) |
$362.15 |
$905.36 |
1.4× |
| Tte w/doppler complete (93306) |
$1,110.10 |
$2,775.25 |
1.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$112.19 |
$280.47 |
— |
| Upr/l xtremity art 2 levels (93922) |
$145.04 |
$362.60 |
1.0× |
| Ventilation ip/obs initial day (94002) |
$903.28 |
$2,258.19 |
1.4× |
| Ventilator subsequent day (94003) |
$725.12 |
$1,812.78 |
1.1× |
| Vital capacity total (94150) |
$136.68 |
$341.70 |
1.0× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$119.49 |
$298.72 |
— |
| Wound(s) care non-selective (97602) |
$104.08 |
$260.18 |
0.5× |