| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,080 |
$1,080 |
3.2× |
| Advance care planning first 30 mins (99497) |
$310 |
$310 |
3.0× |
| Aerosol inhalation pentamidine (94642) |
$445 |
$445 |
2.0× |
| Airway inhalation treatment (94640) |
$146 |
$146 |
0.7× |
| Allergy injection single (95115) |
$34 |
$34 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$201 |
$201 |
4.2× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$84 |
$84 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$57 |
$57 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$125 |
$125 |
— |
| Behav assmt w/score & docd/stand instrument (96127) |
$18 |
$18 |
0.5× |
| Behavioral & qualit analysis voice and resonance (92524) |
$359 |
$359 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$181 |
$181 |
— |
| Bioimpedance-derived physiologic cardiovascular analysis (93701) |
$102 |
$102 |
0.8× |
| Bipap initial day (94660) |
$867 |
$867 |
3.9× |
| Breathing capacity test (94010) |
$280 |
$280 |
1.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$661 |
$661 |
1.7× |
| Cardiovascular stress test (93017) |
$1,085 |
$1,085 |
4.9× |
| Cardioversion elective external (92960) |
$2,018 |
$2,018 |
3.0× |
| Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) |
$156 |
$156 |
4.1× |
| Caregiver training 1st 30 min (97550) |
$145 |
$145 |
— |
| Caregiver training ea addl 15 (97551) |
$72 |
$72 |
— |
| Chemo anti-neopl sq/im (96401) |
$460 |
$460 |
6.3× |
| Chemo hormon antineopl sq/im (96402) |
$310 |
$310 |
4.2× |
| Chemo IV infus each addl seq (96417) |
$452 |
$452 |
6.1× |
| Chemo IV infusion addl hr (96415) |
$406.50 |
$406.50 |
5.5× |
| Chemo IV push addl drug (96411) |
$383 |
$383 |
5.2× |
| Chemother prolong infuse w/pump (96416) |
$1,332 |
$1,332 |
3.9× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$1,009 |
$1,009 |
3.0× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,136 |
$1,136 |
3.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$774 |
$774 |
2.3× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$620 |
$620 |
1.8× |
| Chest physiotherapy initial (94667) |
$287 |
$287 |
2.1× |
| Chron care mgmt srvc 20 min (99490) |
$146 |
$146 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$2,263 |
$2,263 |
9.3× |
| Color/duplex Doppler, limited (93976) |
$2,078 |
$2,078 |
19.5× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$108 |
$108 |
— |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) |
$319 |
$319 |
1.8× |
| Comprehensive hearing test (92557) |
$145 |
$145 |
1.1× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$236 |
$236 |
1.7× |
| Cpr (92950) |
$1,561 |
$1,561 |
7.1× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,930 |
$2,930 |
3.5× |
| Debridement open wound 20 sq cm< (97597) |
$323.50 |
$323.50 |
1.6× |
| Delivery/birthing room resuscitation (99465) |
$483 |
$483 |
0.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$2,047 |
$2,047 |
19.2× |
| Duplex hemodialysis access (93990) |
$1,544 |
$1,544 |
14.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,456 |
$1,456 |
6.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$2,568 |
$2,568 |
10.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$1,961 |
$1,961 |
18.4× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$2,059 |
$2,059 |
8.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$1,342 |
$1,342 |
12.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$2,220 |
$2,220 |
9.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$1,029 |
$1,029 |
9.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$2,206 |
$2,206 |
9.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$1,893 |
$1,893 |
17.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$2,419 |
$2,419 |
9.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$1,735 |
$1,735 |
16.2× |
| ECG monit/reprt up to 48 hrs (93226) |
$438 |
$438 |
7.3× |
| EEG 41-60 minutes (95812) |
$294 |
$294 |
1.3× |
| EEG awake & asleep (95819) |
$1,085.50 |
$1,085.50 |
4.9× |
| EEG awake/drowsy (95816) |
$1,085.50 |
$1,085.50 |
4.9× |
| EEG coma or sleep only (95822) |
$1,085.50 |
$1,085.50 |
4.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,097 |
$2,097 |
9.5× |
| EKG 12 lead tracing only (93005) |
$434 |
$434 |
7.2× |
| Emergency department visit high mdm (99285) |
$1,661 |
$1,661 |
2.7× |
| Emergency department visit low mdm (99283) |
$744 |
$744 |
2.7× |
| Emergency department visit may not req phys/qhp (99281) |
$454 |
$454 |
5.3× |
| Emergency department visit moderate mdm (99284) |
$1,136 |
$1,136 |
2.7× |
| Emergency department visit straightforward mdm (99282) |
$715.50 |
$715.50 |
4.6× |
| EMG thoracic paraspinal (95869) |
$339 |
$339 |
1.5× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$1,108 |
$1,108 |
8.4× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$371 |
$371 |
— |
| Evaluate pt use of inhaler (94664) |
$206 |
$206 |
0.9× |
| Evaluation of speech fluency (92521) |
$419 |
$419 |
— |
| Evaluation of speech sound production articulate (92522) |
$342 |
$342 |
— |
| External ECG rec>48hr<7d recording (93242) |
$679 |
$679 |
17.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$551 |
$551 |
4.1× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$252 |
$252 |
1.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,704 |
$1,704 |
1.9× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$2,366 |
$2,366 |
2.6× |
| Immunization administration (90471) |
$205.50 |
$205.50 |
2.8× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant (99460) |
$334 |
$334 |
2.5× |
| Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) |
$388 |
$388 |
2.9× |
| Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) |
$500 |
$500 |
4.8× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$215 |
$215 |
4.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$368 |
$368 |
1.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$353 |
$353 |
5.9× |
| Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) 95875 (95875) |
$472 |
$472 |
3.6× |
| IV infusion hydration each additional hour (96361) |
$308.50 |
$308.50 |
6.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$654.50 |
$654.50 |
3.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$457 |
$457 |
6.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$799 |
$799 |
3.7× |
| IV tx, each additional hour (96366) |
$272 |
$272 |
5.7× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$235 |
$235 |
1.7× |
| Maximum voluntary ventilation (94200) |
$13 |
$13 |
0.2× |
| Mechanical chest wall oscillation lung function (94669) |
$287 |
$287 |
1.3× |
| Mechanical traction therapy (97012) |
$84 |
$84 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$78 |
$78 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$46 |
$46 |
— |
| Methacholine challenge (94070) |
$1,174 |
$1,174 |
3.1× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$402 |
$402 |
— |
| Multiple sleep latency (95805) |
$2,898 |
$2,898 |
3.3× |
| Muscle test 3 limbs (95863) |
$749 |
$749 |
5.7× |
| Muscle test larynx (95865) |
$541 |
$541 |
4.0× |
| Nasopharyngoscopy (92511) |
$403 |
$403 |
2.0× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$879 |
$879 |
6.7× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$606 |
$606 |
4.5× |
| Needle electromyography cranial nrv muscle uni (95867) |
$381 |
$381 |
1.7× |
| Needle electromyography hemidiaphragm (95866) |
$478 |
$478 |
3.6× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$704 |
$704 |
3.2× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$423 |
$423 |
3.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$320 |
$320 |
2.4× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$499 |
$499 |
2.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$393 |
$393 |
1.9× |
| Nerve conduction studies 11-12 studies (95912) |
$919 |
$919 |
2.4× |
| Nerve conduction studies 13/> studies (95913) |
$1,007 |
$1,007 |
2.6× |
| Nerve conduction studies 3-4 studies (95908) |
$429 |
$429 |
1.9× |
| Nerve conduction studies 5-6 studies (95909) |
$514 |
$514 |
2.3× |
| Nerve conduction studies 7-8 studies (95910) |
$674 |
$674 |
1.8× |
| Nerve conduction studies 9-10 studies (95911) |
$809 |
$809 |
2.1× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$669 |
$669 |
3.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$555 |
$555 |
4.2× |
| Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) |
$51 |
$51 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
$358 |
$358 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$172 |
$172 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$245 |
$245 |
— |
| Oral function therapy (92526) |
$333 |
$333 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$137 |
$137 |
— |
| Osteopath manj 1-2 regions (98925) |
$111 |
$111 |
5.0× |
| Osteopath manj 3-4 regions (98926) |
$162 |
$162 |
7.3× |
| Osteopath manj 9-10 regions (98929) |
$305 |
$305 |
13.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$210 |
$210 |
9.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$255 |
$255 |
11.6× |
| Ot manual therapy ea 15 min (97140) |
$106 |
$106 |
— |
| Ot neuromuscular re-education (97112) |
$119 |
$119 |
— |
| Ot paraffin bath (97018) |
$42 |
$42 |
— |
| Ot re-evaluation (97168) |
$245 |
$245 |
— |
| OT Therapeutic Activities Charges (97530) |
$125 |
$125 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$328 |
$328 |
2.5× |
| Peripheral vascular rehab (93668) |
$74.50 |
$74.50 |
1.2× |
| Phlebotomy therapeutic (99195) |
$494 |
$494 |
3.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$152 |
$152 |
2.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$358 |
$358 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$172 |
$172 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$245 |
$245 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$6,870 |
$6,870 |
7.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$53 |
$53 |
1.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$38 |
$38 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$13 |
$13 |
0.1× |
| Psytx crisis initial 60 min (90839) |
$508 |
$508 |
2.8× |
| Pt gait training 15 min (97116) |
$101 |
$101 |
— |
| Pt physical performance test (97750) |
$167 |
$167 |
— |
| Pt re-evaluation (97164) |
$245 |
$245 |
— |
| Pulm funct tst plethysmograp (94726) |
$317 |
$317 |
0.8× |
| Pulmonary stress testing (94618) |
$265 |
$265 |
1.9× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$547 |
$547 |
1.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$218 |
$218 |
5.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$67 |
$67 |
0.5× |
| Remote 30 day ECG rev/report (93270) |
$48 |
$48 |
1.3× |
| Respiratory flow volume loop (94375) |
$1,174 |
$1,174 |
5.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$125 |
$125 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$104 |
$104 |
— |
| Sleep study unattended (95806) |
$494 |
$494 |
2.2× |
| Speech sound lang comprehen (92523) |
$705 |
$705 |
— |
| Stress tte only (93350) |
$1,804 |
$1,804 |
3.2× |
| Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) |
$500 |
$500 |
4.8× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$98 |
$98 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$143 |
$143 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$51 |
$51 |
— |
| Temp transcutaneous pacing (92953) |
$1,095 |
$1,095 |
1.6× |
| Test for hearing various pitches using earphone (92552) |
$121 |
$121 |
0.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$282 |
$282 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$72 |
$72 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$97 |
$97 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$211 |
$211 |
2.9× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$410 |
$410 |
— |
| Tobacco use cessation intensive >10 minutes (99407) |
$139 |
$139 |
3.6× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$58 |
$58 |
1.5× |
| Trans care mgmt 14 day disch (99495) |
$610 |
$610 |
4.5× |
| Trans care mgmt 7 day disch (99496) |
$805 |
$805 |
5.9× |
| Tte f-up or lmtd (93308) |
$1,136 |
$1,136 |
4.7× |
| Tte w/doppler complete (93306) |
$2,885 |
$2,885 |
5.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$299 |
$299 |
— |
| Tympanometry (92567) |
$61 |
$61 |
1.6× |
| Unlisted allergy/clinical immunologic service or procedure (95199) |
$177 |
$177 |
6.0× |
| Upr/l xtremity art 2 levels (93922) |
$554 |
$554 |
4.1× |
| Ventilation ip/obs initial day (94002) |
$1,662 |
$1,662 |
2.6× |
| Ventilator subsequent day (94003) |
$1,497 |
$1,497 |
2.4× |
| Wound(s) care non-selective (97602) |
$181.50 |
$181.50 |
0.9× |