| Airway inhalation treatment (94640) |
$268.20 |
$298 |
1.2× |
| Appl on-body injector for timed subq injection (96377) |
$114.30 |
$127 |
2.4× |
| Assessment of aphasia (96105) |
$405 |
$450 |
4.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$332.55 |
$369.50 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$277.20 |
$308 |
0.7× |
| Canalith Repositioning (95992) |
$127.80 |
$142 |
3.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,081.80 |
$1,202 |
4.9× |
| Cardiopulmonary resuscitation (92950) |
$759.60 |
$844 |
3.4× |
| Cardioversion (92960) |
$1,840.50 |
$2,045 |
2.7× |
| Cbt 1st hour (94644) |
$683.10 |
$759 |
5.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$226.80 |
$252 |
3.1× |
| Chemo IV push addl drug (96411) |
$336.60 |
$374 |
4.6× |
| Chemo Iv Push Sngl Drug (96409) |
$441 |
$490 |
1.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$718.20 |
$798 |
2.1× |
| Chemother, IV infusion, 1 hr (96413) |
$727.20 |
$808 |
2.2× |
| Chemother, IV infusion, ea add hr (96415) |
$284.40 |
$316 |
3.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$277.20 |
$308 |
3.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$317.70 |
$353 |
4.3× |
| Color/duplex Doppler, complete (93975) |
$859.50 |
$955 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$726.30 |
$807 |
6.8× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$177.30 |
$197 |
2.9× |
| Continuous Glucose Monitoring (95250) |
$403.20 |
$448 |
3.0× |
| Cpap initiation and management (94660) |
$811.80 |
$902 |
3.6× |
| Cpt initial (94667) |
$152.10 |
$169 |
1.1× |
| Critical care (99291) |
$2,250 |
$2,500 |
2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$226.80 |
$252 |
1.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$188.10 |
$209 |
0.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$614.70 |
$683 |
2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$518.40 |
$576 |
4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,168.20 |
$1,298 |
4.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$896.40 |
$996 |
8.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,530 |
$1,700 |
6.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$48.60 |
$54 |
0.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$793.80 |
$882 |
7.4× |
| Duplex scan extracranial art compl bi study (93880) |
$1,242.90 |
$1,381 |
5.1× |
| Echo Heart Xthoracic,Limited (93308) |
$854.10 |
$949 |
3.5× |
| EEG awake drowsy (95816) |
$1,521.90 |
$1,691 |
6.9× |
| EKG (93005) |
$312.30 |
$347 |
5.2× |
| EKG rhythm strip (93041) |
$173.70 |
$193 |
2.9× |
| Er level 1 (99281) |
$88.20 |
$98 |
1.0× |
| Er level ii (99282) |
$118.80 |
$132 |
0.8× |
| Er level iii (99283) |
$244.80 |
$272 |
0.9× |
| Er level IV (99284) |
$362.70 |
$403 |
0.9× |
| Er level v (99285) |
$594.90 |
$661 |
1.0× |
| Esophgl balo distension dx std w/provocation (91040) |
$1,251.45 |
$1,390.50 |
3.3× |
| Evaluation of speech fluency (92521) |
$304.20 |
$338 |
2.3× |
| Evaluation of speech sound production (92522) |
$329.40 |
$366 |
2.9× |
| Evaluation of swallowing function (92610) |
$347.40 |
$386 |
4.1× |
| Evaluation with prescription of speech-generating alternative (92607) |
$354.60 |
$394 |
2.9× |
| 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 Ecg Scanning Analysis Report (93226) |
$415.80 |
$462 |
6.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$932.40 |
$1,036 |
4.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,712.70 |
$1,903 |
2.0× |
| Group Therapeutic Procedures (97150) |
$108 |
$120 |
6.0× |
| Holter Monitor Recording (93225) |
$415.80 |
$462 |
3.1× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$53.10 |
$59 |
1.3× |
| Immunization Admin (90471) |
$111.60 |
$124 |
1.5× |
| Inital newborn e/m (99460) |
$197.10 |
$219 |
1.4× |
| Initial normal newborn care, same day discharge (99463) |
$230.40 |
$256 |
1.7× |
| 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, therap/proph/diagnost,add infusion,1st hour (96367) |
$270.90 |
$301 |
3.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$550.80 |
$612 |
2.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$213.30 |
$237 |
4.5× |
| IV push initial (96374) |
$288 |
$320 |
1.3× |
| Laryngeal Function Studies (92520) |
$239.40 |
$266 |
1.8× |
| Manual therapy 15 min (97140) |
$121.50 |
$135 |
4.4× |
| Massage 15 min (97124) |
$93.60 |
$104 |
3.1× |
| Mechanical chest wall oscillation (94669) |
$317.70 |
$353 |
1.4× |
| Mechanical traction (97012) |
$94.50 |
$105 |
6.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$66.60 |
$74 |
2.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$84.60 |
$94 |
2.3× |
| Methacholine challenge (94070) |
$450.45 |
$500.50 |
1.2× |
| Mnt Group Ea 30 Min (97804) |
$35.10 |
$39 |
2.1× |
| Motility study esophagus (91010) |
$1,109.70 |
$1,233 |
2.9× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$311.40 |
$346 |
3.4× |
| Multiple sleep latency test (95805) |
$1,903.50 |
$2,115 |
2.2× |
| Neg press wnd tx </=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× |
| Newborn resuscitation (99465) |
$634.50 |
$705 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$466.20 |
$518 |
3.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$658.80 |
$732 |
3.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$348.30 |
$387 |
2.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$124.20 |
$138 |
2.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$90 |
$100 |
2.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$70.20 |
$78 |
5.0× |
| Ot eval high complex 60 min (97167) |
$374.40 |
$416 |
3.7× |
| Ot eval low complex 30 min (97165) |
$277.20 |
$308 |
2.8× |
| Ot eval mod complex 45 min (97166) |
$334.80 |
$372 |
3.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$121.50 |
$135 |
2.4× |
| Ot re-eval est plan care (97168) |
$208.80 |
$232 |
3.0× |
| 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× |
| Paraffin bath (97018) |
$71.10 |
$79 |
11.8× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$232.20 |
$258 |
3.9× |
| Plethysmography (94726) |
$220.05 |
$244.50 |
0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,535.30 |
$2,817 |
2.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$2,658.60 |
$2,954 |
3.0× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$234.90 |
$261 |
7.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$235.80 |
$262 |
6.4× |
| Pt Electric Current Therapy (97033) |
$97.20 |
$108 |
5.1× |
| Pt Electrical Stimulation (97032) |
$89.10 |
$99 |
6.1× |
| Pt eval high complex 45 min (97163) |
$354.60 |
$394 |
3.6× |
| Pt eval low complex 20 min (97161) |
$234.90 |
$261 |
2.4× |
| Pt Gait Training Therapy (97116) |
$112.50 |
$125 |
3.9× |
| Pt Infrared Therapy (97026) |
$53.10 |
$59 |
7.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$116.10 |
$129 |
3.5× |
| Pt Physical Performance Test (97750) |
$117.90 |
$131 |
3.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$297.90 |
$331 |
3.0× |
| Pt re-evaluation (97164) |
$186.30 |
$207 |
2.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$120.60 |
$134 |
3.7× |
| Pt Ultrasound Therapy (97035) |
$89.10 |
$99 |
6.2× |
| Pulm function test by gas (94727) |
$308.70 |
$343 |
1.4× |
| Pulmonary stress testing (94618) |
$215.10 |
$239 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$241.20 |
$268 |
6.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$268.20 |
$298 |
1.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$183.60 |
$204 |
1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$220.50 |
$245 |
4.6× |
| Sensory Integration Ea 15 Min (97533) |
$122.40 |
$136 |
2.0× |
| Sleep study unattended (95806) |
$351.45 |
$390.50 |
1.6× |
| Smoking cessation > 10 min (99407) |
$57.60 |
$64 |
1.5× |
| Speech sound lang comprehen (92523) |
$639.90 |
$711 |
2.8× |
| Spirometry (94010) |
$126.90 |
$141 |
0.6× |
| Stress echo (93350) |
$1,831.50 |
$2,035 |
3.3× |
| Stress Tte Complete (93351) |
$2,013.30 |
$2,237 |
3.6× |
| 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) |
$919.80 |
$1,022 |
1.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$101.70 |
$113 |
4.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$109.80 |
$122 |
5.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$292.50 |
$325 |
2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$87.75 |
$97.50 |
1.2× |
| Therapeutic Activities (97530) |
$126.90 |
$141 |
3.6× |
| Therapeutic phlebotomy (99195) |
$246.60 |
$274 |
1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$36 |
$40 |
0.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,287.80 |
$2,542 |
4.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$297.90 |
$331 |
3.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$261 |
$290 |
3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$219.60 |
$244 |
4.6× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$616.50 |
$685 |
4.7× |
| Unlisted pulmonary service/procedure (94799) |
$547.20 |
$608 |
4.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,337.40 |
$1,486 |
5.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$786.60 |
$874 |
7.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$982.80 |
$1,092 |
4.5× |
| Vasopneumatic device (97016) |
$108.90 |
$121 |
9.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$2,093.40 |
$2,326 |
3.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,116 |
$1,240 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$108 |
$120 |
3.5× |