| Advance care planning first 30 mins (99497) |
$14.70 |
$21 |
0.1× |
| Aerosol inhalation pentamidine (94642) |
$276.50 |
$395 |
1.2× |
| Airway inhalation treatment (94640) |
$123.90 |
$177 |
0.6× |
| Allergy injection single (95115) |
$12.25 |
$17.50 |
0.3× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$57.40 |
$82 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$140 |
$200 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$49.70 |
$71 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$53.20 |
$76 |
— |
| Assessment of aphasia (96105) |
$148.40 |
$212 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$121.80 |
$174 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$448 |
$640 |
— |
| Bipap initial day (94660) |
$682.15 |
$974.50 |
3.0× |
| Breath hydrogen/methane test (91065) |
$660.80 |
$944 |
3.0× |
| Breathing capacity test (94010) |
$165.20 |
$236 |
0.7× |
| Bronchial allergy tests (95070) |
$717.50 |
$1,025 |
1.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$406.70 |
$581 |
1.1× |
| Canalith repositioning (95992) |
$121.10 |
$173 |
— |
| Cardiovascular stress test (93017) |
$820.75 |
$1,172.50 |
3.7× |
| Cardioversion elective external (92960) |
$550.90 |
$787 |
0.8× |
| Chemo anti-neopl sq/im (96401) |
$195.30 |
$279 |
2.7× |
| Chemo hormon antineopl sq/im (96402) |
$233.80 |
$334 |
3.2× |
| Chemo IV infus each addl seq (96417) |
$301.70 |
$431 |
4.1× |
| Chemo IV infusion addl hr (96415) |
$427.70 |
$611 |
5.8× |
| Chemo IV push addl drug (96411) |
$266.70 |
$381 |
3.6× |
| Chemother prolong infuse w/pump (96416) |
$641.20 |
$916 |
1.9× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$457.10 |
$653 |
1.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$468.30 |
$669 |
1.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$343.70 |
$491 |
1.0× |
| Chest physiotherapy initial (94667) |
$352.80 |
$504 |
2.6× |
| Color/duplex Doppler, complete (93975) |
$531.30 |
$759 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$358.40 |
$512 |
3.4× |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$133.70 |
$191 |
0.7× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$346.50 |
$495 |
2.5× |
| Cpr (92950) |
$704.90 |
$1,007 |
3.2× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,333.45 |
$3,333.50 |
2.8× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$748.30 |
$1,069 |
0.9× |
| Debridement open wound 20 sq cm< (97597) |
$257.60 |
$368 |
1.3× |
| Duplex hemodialysis access (93990) |
$343.70 |
$491 |
3.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$340.90 |
$487 |
1.4× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$316.40 |
$452 |
3.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$813.75 |
$1,162.50 |
3.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,072.40 |
$1,532 |
4.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$378 |
$540 |
3.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$766.50 |
$1,095 |
3.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$606.90 |
$867 |
5.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$632.80 |
$904 |
2.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$343.70 |
$491 |
3.2× |
| ECG monit/reprt up to 48 hrs (93226) |
$291.90 |
$417 |
4.8× |
| ECG/monitoring and analysis (93271) |
$209.30 |
$299 |
2.2× |
| EEG awake/drowsy (95816) |
$875 |
$1,250 |
4.0× |
| EKG 12 lead tracing only (93005) |
$201.25 |
$287.50 |
3.3× |
| Emergency department visit high mdm (99285) |
$1,749.65 |
$2,499.50 |
2.9× |
| Emergency department visit low mdm (99283) |
$762.30 |
$1,089 |
2.7× |
| Emergency department visit may not req phys/qhp (99281) |
$248.15 |
$354.50 |
2.9× |
| Emergency department visit moderate mdm (99284) |
$1,248.80 |
$1,784 |
2.9× |
| Emergency department visit straightforward mdm (99282) |
$465.85 |
$665.50 |
3.0× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$303.80 |
$434 |
— |
| Evaluate pt use of inhaler (94664) |
$226.10 |
$323 |
1.0× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$74.90 |
$107 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$257.60 |
$368 |
— |
| Evaluation of speech fluency (92521) |
$430.50 |
$615 |
— |
| Evaluation of speech sound production articulate (92522) |
$359.10 |
$513 |
— |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$217.35 |
$310.50 |
1.6× |
| Fluidotherapy (97022) |
$56.70 |
$81 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$205.10 |
$293 |
0.9× |
| Hast w/oxygen titrate (94453) |
$164.50 |
$235 |
1.2× |
| Health behavior assessment/re-assessment (96156) |
$145.60 |
$208 |
1.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$38.50 |
$55 |
1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$38.50 |
$55 |
1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$151.20 |
$216 |
0.8× |
| High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) |
$164.50 |
$235 |
1.2× |
| Imm admn sarscov2 vaccine single dose (90480) |
$37.10 |
$53 |
0.9× |
| Immunization administration (90471) |
$79.45 |
$113.50 |
1.1× |
| Infrared therapy (97026) |
$9.80 |
$14 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$219.80 |
$314 |
4.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$212.10 |
$303 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$219.80 |
$314 |
3.6× |
| IV infusion hydration each additional hour (96361) |
$176.05 |
$251.50 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$316.05 |
$451.50 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$219.80 |
$314 |
3.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$592.90 |
$847 |
2.7× |
| IV tx, each additional hour (96366) |
$207.20 |
$296 |
4.3× |
| Lwr xtr vasc stdy bilat (93924) |
$388.50 |
$555 |
1.8× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$226.10 |
$323 |
1.7× |
| Maximum voluntary ventilation (94200) |
$81.90 |
$117 |
1.4× |
| Mechanical traction therapy (97012) |
$72.10 |
$103 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$131.60 |
$188 |
— |
| Medical nutrition group (97804) |
$27.30 |
$39 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$94.50 |
$135 |
— |
| Methacholine challenge (94070) |
$506.80 |
$724 |
1.3× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$284.90 |
$407 |
— |
| Multiple sleep latency (95805) |
$2,370.90 |
$3,387 |
2.7× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$1,803.90 |
$2,577 |
13.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$227.50 |
$325 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$1,089.90 |
$1,557 |
2.6× |
| Nerve conduction studies 7-8 studies (95910) |
$386.40 |
$552 |
1.0× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$440.30 |
$629 |
2.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$205.10 |
$293 |
1.6× |
| Occupational therapy eval high complex 60 mins (97167) |
$359.10 |
$513 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$211.40 |
$302 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$293.30 |
$419 |
— |
| Oral function therapy (92526) |
$217 |
$310 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$94.50 |
$135 |
— |
| Osteopath manj 1-2 regions (98925) |
$72.10 |
$103 |
3.3× |
| Osteopath manj 3-4 regions (98926) |
$118.30 |
$169 |
5.4× |
| Osteopath manj 9-10 regions (98929) |
$25.90 |
$37 |
1.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$168 |
$240 |
7.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$24.50 |
$35 |
1.1× |
| Ot manual therapy ea 15 min (97140) |
$121.80 |
$174 |
— |
| Ot neuromuscular re-education (97112) |
$175 |
$250 |
— |
| Ot paraffin bath (97018) |
$9.10 |
$13 |
— |
| Ot re-evaluation (97168) |
$194.60 |
$278 |
— |
| OT Therapeutic Activities Charges (97530) |
$192.15 |
$274.50 |
— |
| Ot wheelchair management (97542) |
$102.90 |
$147 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$220.50 |
$315 |
1.7× |
| Phlebotomy therapeutic (99195) |
$184.10 |
$263 |
1.4× |
| Physical therapy evaluation high complex 45 mins (97163) |
$348.60 |
$498 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$174.30 |
$249 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$258.30 |
$369 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$4,044.60 |
$5,778 |
4.6× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$23.80 |
$34 |
0.5× |
| Psychiatric diagnostic evaluation (90791) |
$282.10 |
$403 |
1.6× |
| Psytx crisis initial 60 min (90839) |
$296.80 |
$424 |
1.6× |
| Pt gait training 15 min (97116) |
$102.90 |
$147 |
— |
| Pt physical performance test (97750) |
$109.20 |
$156 |
— |
| Pt re-evaluation (97164) |
$126.70 |
$181 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$156.80 |
$224 |
— |
| Pulm funct tst plethysmograp (94726) |
$317.45 |
$453.50 |
0.8× |
| Pulmonary stress testing (94618) |
$280 |
$400 |
2.1× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$33.60 |
$48 |
— |
| Refilling and maintenance of portable pump (96521) |
$641.90 |
$917 |
3.0× |
| Remote 30 day ECG rev/report (93270) |
$209.30 |
$299 |
5.5× |
| Respiratory flow volume loop (94375) |
$586.60 |
$838 |
2.7× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$126.70 |
$181 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$88.90 |
$127 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,152.90 |
$1,647 |
1.3× |
| Sleep study unattended (95806) |
$410.90 |
$587 |
1.9× |
| Speech sound lang comprehen (92523) |
$514.50 |
$735 |
— |
| Standardized cognitive performance testing (96125) |
$276.50 |
$395 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$925.40 |
$1,322 |
8.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$62.30 |
$89 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$71.40 |
$102 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$26.60 |
$38 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$258.30 |
$369 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$93.80 |
$134 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$19.60 |
$28 |
0.3× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$166.60 |
$238 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$45.50 |
$65 |
1.2× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$49.35 |
$70.50 |
1.3× |
| Tte f-up or lmtd (93308) |
$751.10 |
$1,073 |
3.1× |
| Tte w/doppler complete (93306) |
$1,622.60 |
$2,318 |
2.9× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$207.90 |
$297 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$35 |
$50 |
— |
| Upr/l xtremity art 2 levels (93922) |
$247.10 |
$353 |
1.8× |
| Us temperature gradient studies raynaud's eval (93740) |
$461.30 |
$659 |
3.5× |
| Ventilation ip/obs initial day (94002) |
$1,076.60 |
$1,538 |
1.7× |
| Ventilator subsequent day (94003) |
$1,682.10 |
$2,403 |
2.7× |
| Vital capacity total (94150) |
$252.70 |
$361 |
1.9× |
| Wound(s) care non-selective (97602) |
$263.90 |
$377 |
1.3× |