| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$477.76 |
$893 |
1.4× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$180.01 |
$351 |
0.8× |
| Aerosol inhalation pentamidine (94642) |
$204.62 |
$402 |
0.9× |
| Appl modality 1+lllt po pain (97037) |
$43.77 |
$86 |
1.1× |
| Appl on-body injector for timed subq injection (96377) |
$51.88 |
$119 |
1.1× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$36.45 |
$61 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$81.86 |
$137 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$88.43 |
$148 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$65.72 |
$110 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$64.53 |
$108 |
— |
| Assessment of aphasia (96105) |
$250.85 |
$289 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$329.84 |
$380 |
— |
| Bipap initial day (94660) |
$450.47 |
$885 |
2.0× |
| Breathing capacity test (94010) |
$199.15 |
$461 |
0.9× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$253.58 |
$587 |
0.6× |
| Canalith repositioning (95992) |
$114.53 |
$225 |
— |
| Cardiovascular stress test (93017) |
$519.97 |
$1,630 |
2.3× |
| Cardioversion elective external (92960) |
$607.48 |
$1,189 |
0.9× |
| Caregiver training 1st 30 min (97550) |
$133.08 |
$194 |
— |
| Caregiver training ea addl 15 (97551) |
$66.54 |
$97 |
— |
| Chemo anti-neopl sq/im (96401) |
$264.82 |
$495 |
3.5× |
| Chemo hormon antineopl sq/im (96402) |
$98.98 |
$185 |
1.3× |
| Chemo IV infus each addl seq (96417) |
$69.40 |
$200 |
0.9× |
| Chemo IV infusion addl hr (96415) |
$30.54 |
$88 |
0.4× |
| Chemo IV push addl drug (96411) |
$95.23 |
$178 |
1.3× |
| Chemother prolong infuse w/pump (96416) |
$147.13 |
$424 |
0.4× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$141.23 |
$407 |
0.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$209.18 |
$391 |
0.6× |
| Chest physiotherapy initial (94667) |
$72.28 |
$142 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$509.92 |
$1,349 |
2.0× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$59.75 |
$100 |
— |
| Cpr (92950) |
$442.32 |
$869 |
1.9× |
| Critical care ill/injured patient init 30-74 min (99291) |
$977.28 |
$1,920 |
1.1× |
| Debridement open wound 20 sq cm< (97597) |
$115.54 |
$227 |
0.5× |
| Delivery/birthing room resuscitation (99465) |
$506.17 |
$987 |
0.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$224.91 |
$595 |
2.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$283.50 |
$750 |
1.1× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$137.21 |
$363 |
1.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$552.64 |
$1,462 |
2.2× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$296.73 |
$785 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$648.65 |
$1,716 |
2.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$492.16 |
$1,302 |
4.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$562.46 |
$1,488 |
2.2× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$365.15 |
$966 |
3.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$485.73 |
$1,285 |
1.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$406.35 |
$1,075 |
3.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$672.67 |
$1,594 |
1.2× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$397.52 |
$942 |
1.6× |
| EKG 12 lead tracing only (93005) |
$140.58 |
$330 |
2.3× |
| Emergency department visit high mdm (99285) |
$1,865.05 |
$1,460 |
3.0× |
| Emergency department visit low mdm (99283) |
$551.91 |
$615 |
1.9× |
| Emergency department visit may not req phys/qhp (99281) |
$118.90 |
$190 |
1.3× |
| Emergency department visit moderate mdm (99284) |
$1,435.49 |
$1,005 |
3.3× |
| Emergency department visit straightforward mdm (99282) |
$243.37 |
$350 |
1.5× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$109.74 |
$233 |
— |
| Evaluate pt use of inhaler (94664) |
$126.74 |
$249 |
0.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$57.93 |
$123 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$178.98 |
$380 |
— |
| Evaluation of speech fluency (92521) |
$290.78 |
$335 |
— |
| Evaluation of speech sound production articulate (92522) |
$242.17 |
$279 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$177.98 |
$412 |
0.8× |
| Group caregiver training strategies & technique (97552) |
$44.59 |
$65 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,135.94 |
$2,215 |
1.6× |
| Hot/cold pack (97010) |
$35.25 |
$59 |
— |
| Immunization administration (90471) |
$32.18 |
$108 |
0.4× |
| Infrared therapy (97026) |
$26.29 |
$44 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$104.90 |
$222 |
2.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$139.52 |
$320 |
0.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$110.74 |
$254 |
1.8× |
| IV infusion hydration each additional hour (96361) |
$56.94 |
$114 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$211.79 |
$424 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$66.44 |
$133 |
0.9× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$224.78 |
$450 |
1.0× |
| IV tx, each additional hour (96366) |
$60.94 |
$122 |
1.2× |
| Lwr xtr vasc stdy bilat (93924) |
$324.70 |
$859 |
1.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$93.66 |
$184 |
0.7× |
| Mechanical chest wall oscillation lung function (94669) |
$156.26 |
$307 |
0.7× |
| Mechanical traction therapy (97012) |
$78.39 |
$154 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$25.13 |
$49 |
— |
| Medical nutrition group (97804) |
$20 |
$39 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$23.59 |
$46 |
— |
| Methacholine challenge (94070) |
$263.95 |
$611 |
0.7× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$148.36 |
$315 |
— |
| Multiple sleep latency (95805) |
$2,602.05 |
$3,488 |
2.9× |
| Nasopharyngoscopy (92511) |
$124.82 |
$293 |
0.6× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$217.12 |
$489 |
0.5× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$254.86 |
$574 |
0.6× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$96.79 |
$218 |
0.5× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$173.60 |
$391 |
0.4× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$327.92 |
$867.50 |
1.4× |
| Occupational therapy eval high complex 60 mins (97167) |
$108.47 |
$262 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$108.05 |
$261 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$104.33 |
$252 |
— |
| Oral function therapy (92526) |
$184.88 |
$213 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$78.28 |
$131 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$71.10 |
$119 |
— |
| Ot manual therapy ea 15 min (97140) |
$90.82 |
$152 |
— |
| Ot neuromuscular re-education (97112) |
$86.04 |
$144 |
— |
| Ot paraffin bath (97018) |
$38.84 |
$65 |
— |
| Ot re-evaluation (97168) |
$93.15 |
$225 |
— |
| OT Therapeutic Activities Charges (97530) |
$56.76 |
$95 |
— |
| Ot wheelchair management (97542) |
$50.78 |
$85 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$274.95 |
$234 |
2.0× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$173.90 |
$148 |
1.3× |
| Phlebotomy therapeutic (99195) |
$112.05 |
$257 |
0.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$104.65 |
$254 |
1.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$98.47 |
$239 |
1.6× |
| Physical therapy evaluation high complex 45 mins (97163) |
$129.43 |
$262 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$128.93 |
$261 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$124.49 |
$252 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,627.28 |
$5,123 |
2.9× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$62.74 |
$105 |
— |
| Pt gait training 15 min (97116) |
$42.76 |
$84 |
— |
| Pt physical performance test (97750) |
$55.57 |
$93 |
— |
| Pt re-evaluation (97164) |
$111.15 |
$225 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$140.99 |
$277 |
— |
| Pulm funct tst plethysmograp (94726) |
$203.04 |
$470 |
0.5× |
| Pulmonary stress testing (94618) |
$249.70 |
$578 |
1.8× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$48.86 |
$96 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$46 |
$77 |
— |
| Refilling and maintenance of portable pump (96521) |
$134.29 |
$308 |
0.6× |
| Respiratory flow volume loop (94375) |
$124.42 |
$288 |
0.5× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$57.96 |
$97 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$79.47 |
$133 |
— |
| Sleep study unattended (95806) |
$433.43 |
$581 |
1.9× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$466.25 |
$625 |
2.0× |
| Speech sound lang comprehen (92523) |
$347.20 |
$400 |
— |
| Stress tte only (93350) |
$543.96 |
$1,289 |
0.9× |
| Temp transcutaneous pacing (92953) |
$502.38 |
$987 |
0.7× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$101.95 |
$236 |
0.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$67.91 |
$99 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$63.80 |
$93 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$37.44 |
$73 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$65.72 |
$110 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$46 |
$77 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$83.63 |
$177 |
1.1× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$92.01 |
$106 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$225.68 |
$260 |
— |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$348.99 |
$827 |
0.6× |
| Tte f-up or lmtd (93308) |
$282.32 |
$669 |
1.1× |
| Tte w/doppler complete (93306) |
$1,249.12 |
$2,960 |
2.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$167.52 |
$193 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$38.46 |
$75 |
— |
| Upr/l xtremity art 2 levels (93922) |
$213.20 |
$564 |
1.5× |
| Ventilation ip/obs initial day (94002) |
$619.45 |
$1,217 |
1.0× |
| Ventilator subsequent day (94003) |
$499.84 |
$982 |
0.8× |
| Wound(s) care non-selective (97602) |
$100.78 |
$198 |
0.5× |