| Airway inhalation treatment (94640) |
$268.20 |
$298 |
1.2× |
| Appl on-body injector for timed subq injection (96377) |
$114.30 |
$127 |
2.4× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$70.20 |
$78 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$89.10 |
$99 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$97.20 |
$108 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$89.10 |
$99 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$108.90 |
$121 |
— |
| Assessment of aphasia (96105) |
$405 |
$450 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$332.55 |
$369.50 |
— |
| Bipap initial day (94660) |
$811.80 |
$902 |
3.6× |
| Breathing capacity test (94010) |
$126.90 |
$141 |
0.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$277.20 |
$308 |
0.7× |
| Canalith repositioning (95992) |
$127.80 |
$142 |
— |
| Cardiovascular procedure unlisted (93799) |
$616.50 |
$685 |
4.7× |
| Cardiovascular stress test (93017) |
$1,081.80 |
$1,202 |
4.9× |
| Cardioversion elective external (92960) |
$1,840.50 |
$2,045 |
2.7× |
| Chemo anti-neopl sq/im (96401) |
$277.20 |
$308 |
3.8× |
| Chemo hormon antineopl sq/im (96402) |
$226.80 |
$252 |
3.1× |
| Chemo IV infus each addl seq (96417) |
$317.70 |
$353 |
4.3× |
| Chemo IV infusion addl hr (96415) |
$284.40 |
$316 |
3.9× |
| Chemo IV push addl drug (96411) |
$336.60 |
$374 |
4.6× |
| Chemother prolong infuse w/pump (96416) |
$718.20 |
$798 |
2.1× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$727.20 |
$808 |
2.2× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$441 |
$490 |
1.3× |
| Chest physiotherapy initial (94667) |
$152.10 |
$169 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$859.50 |
$955 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$726.30 |
$807 |
6.8× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$90 |
$100 |
— |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$403.20 |
$448 |
3.0× |
| Cont gluc mntr pt prov eqp (95249) |
$177.30 |
$197 |
2.9× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$683.10 |
$759 |
5.0× |
| Cpr (92950) |
$759.60 |
$844 |
3.4× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,250 |
$2,500 |
2.7× |
| Debridement open wound 20 sq cm< (97597) |
$226.80 |
$252 |
1.1× |
| Delivery/birthing room resuscitation (99465) |
$634.50 |
$705 |
0.9× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$614.70 |
$683 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$518.40 |
$576 |
4.9× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,242.90 |
$1,381 |
5.1× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$786.60 |
$874 |
7.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,337.40 |
$1,486 |
5.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$793.80 |
$882 |
7.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,168.20 |
$1,298 |
4.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$896.40 |
$996 |
8.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,530 |
$1,700 |
6.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$48.60 |
$54 |
0.5× |
| ECG monit/reprt up to 48 hrs (93226) |
$415.80 |
$462 |
6.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,013.30 |
$2,237 |
3.6× |
| EEG awake/drowsy (95816) |
$1,521.90 |
$1,691 |
6.9× |
| EKG 12 lead tracing only (93005) |
$312.30 |
$347 |
5.2× |
| EKG rhythm strip (93041) |
$173.70 |
$193 |
2.9× |
| Emergency department visit high mdm (99285) |
$594.90 |
$661 |
1.0× |
| Emergency department visit low mdm (99283) |
$244.80 |
$272 |
0.9× |
| Emergency department visit may not req phys/qhp (99281) |
$88.20 |
$98 |
1.0× |
| Emergency department visit moderate mdm (99284) |
$362.70 |
$403 |
0.9× |
| Emergency department visit straightforward mdm (99282) |
$118.80 |
$132 |
0.8× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$547.20 |
$608 |
4.2× |
| Esoph balloon distension tst (91040) |
$1,251.45 |
$1,390.50 |
3.3× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$932.40 |
$1,036 |
4.2× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,109.70 |
$1,233 |
2.9× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$347.40 |
$386 |
— |
| Evaluate pt use of inhaler (94664) |
$188.10 |
$209 |
0.8× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$220.50 |
$245 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$354.60 |
$394 |
— |
| Evaluation of speech fluency (92521) |
$304.20 |
$338 |
— |
| Evaluation of speech sound production articulate (92522) |
$329.40 |
$366 |
— |
| External ECG rec>48hr<7d recording (93242) |
$290.70 |
$323 |
7.6× |
| External ECG rec>7d<15d recording (93246) |
$263.70 |
$293 |
6.9× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$415.80 |
$462 |
3.1× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$308.70 |
$343 |
1.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,712.70 |
$1,903 |
2.0× |
| Hot/cold pack (97010) |
$43.20 |
$48 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$53.10 |
$59 |
1.3× |
| Immunization administration (90471) |
$111.60 |
$124 |
1.5× |
| Infrared therapy (97026) |
$53.10 |
$59 |
— |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$197.10 |
$219 |
1.4× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$230.40 |
$256 |
1.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$219.60 |
$244 |
4.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$288 |
$320 |
1.3× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$200.70 |
$223 |
3.3× |
| IV infusion hydration each additional hour (96361) |
$253.80 |
$282 |
5.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$494.10 |
$549 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$270.90 |
$301 |
3.7× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$550.80 |
$612 |
2.5× |
| IV tx, each additional hour (96366) |
$213.30 |
$237 |
4.5× |
| Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) |
$239.40 |
$266 |
1.8× |
| Lwr xtr vasc stdy bilat (93924) |
$982.80 |
$1,092 |
4.5× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$183.60 |
$204 |
1.4× |
| Mechanical chest wall oscillation lung function (94669) |
$317.70 |
$353 |
1.4× |
| Mechanical traction therapy (97012) |
$94.50 |
$105 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$84.60 |
$94 |
— |
| Medical nutrition group (97804) |
$35.10 |
$39 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$66.60 |
$74 |
— |
| Methacholine challenge (94070) |
$450.45 |
$500.50 |
1.2× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$311.40 |
$346 |
— |
| Multiple sleep latency (95805) |
$1,903.50 |
$2,115 |
2.2× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$45 |
$50 |
0.1× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$189.90 |
$211 |
0.9× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$57.60 |
$64 |
0.1× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$658.80 |
$732 |
3.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$348.30 |
$387 |
2.6× |
| Occupational therapy eval high complex 60 mins (97167) |
$374.40 |
$416 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$277.20 |
$308 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$334.80 |
$372 |
— |
| Oral function therapy (92526) |
$261 |
$290 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$121.50 |
$135 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$124.20 |
$138 |
— |
| Ot manual therapy ea 15 min (97140) |
$121.50 |
$135 |
— |
| Ot neuromuscular re-education (97112) |
$116.10 |
$129 |
— |
| Ot paraffin bath (97018) |
$71.10 |
$79 |
— |
| Ot re-evaluation (97168) |
$208.80 |
$232 |
— |
| OT Therapeutic Activities Charges (97530) |
$126.90 |
$141 |
— |
| Ot wheelchair management (97542) |
$108 |
$120 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$282.60 |
$314 |
2.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$262.80 |
$292 |
2.0× |
| Phlebotomy therapeutic (99195) |
$246.60 |
$274 |
1.8× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$232.20 |
$258 |
3.9× |
| Physical therapy evaluation high complex 45 mins (97163) |
$354.60 |
$394 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$234.90 |
$261 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$297.90 |
$331 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,535.30 |
$2,817 |
2.9× |
| Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) |
$2,658.60 |
$2,954 |
3.0× |
| Psycl/nrpsycl tst elec platform auto result (96146) |
$234.90 |
$261 |
7.9× |
| Pt gait training 15 min (97116) |
$112.50 |
$125 |
— |
| Pt physical performance test (97750) |
$117.90 |
$131 |
— |
| Pt re-evaluation (97164) |
$186.30 |
$207 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$282.60 |
$314 |
— |
| Pulm funct tst plethysmograp (94726) |
$220.05 |
$244.50 |
0.6× |
| Pulmonary stress testing (94618) |
$215.10 |
$239 |
1.6× |
| Remote 30 day ECG rev/report (93270) |
$241.20 |
$268 |
6.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$120.60 |
$134 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$122.40 |
$136 |
— |
| Sleep study unattended (95806) |
$351.45 |
$390.50 |
1.6× |
| Speech sound lang comprehen (92523) |
$639.90 |
$711 |
— |
| Stress tte only (93350) |
$1,831.50 |
$2,035 |
3.3× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$123.30 |
$137 |
2.6× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$486.90 |
$541 |
2.2× |
| Temp transcutaneous pacing (92953) |
$464.40 |
$516 |
0.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$101.70 |
$113 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$109.80 |
$122 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$108 |
$120 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$235.80 |
$262 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$93.60 |
$104 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$87.75 |
$97.50 |
1.2× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$292.50 |
$325 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$57.60 |
$64 |
1.5× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$36 |
$40 |
0.9× |
| Tte f-up or lmtd (93308) |
$854.10 |
$949 |
3.5× |
| Tte w/doppler complete (93306) |
$2,287.80 |
$2,542 |
4.1× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$297.90 |
$331 |
— |
| Upr/l xtremity art 2 levels (93922) |
$466.20 |
$518 |
3.4× |
| Ventilation ip/obs initial day (94002) |
$2,093.40 |
$2,326 |
3.3× |
| Ventilator subsequent day (94003) |
$1,116 |
$1,240 |
1.8× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$135 |
$150 |
— |
| Wound(s) care non-selective (97602) |
$268.20 |
$298 |
1.3× |