| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$42.25 |
$65 |
1.5× |
| Advance care planning first 30 mins (99497) |
$117.65 |
$181 |
1.2× |
| Airway inhalation treatment (94640) |
$130.98 |
$201.50 |
0.6× |
| Analyze neurostim no prog (95970) |
$91.98 |
$141.50 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$50.05 |
$77 |
1.1× |
| Assessment of aphasia (96105) |
$170.30 |
$262 |
1.8× |
| Behav assmt w/score & docd/stand instrument (96127) |
$25.35 |
$39 |
0.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$172.25 |
$265 |
1.6× |
| Bfb training 1st 15 min (90912) |
$124.80 |
$192 |
1.5× |
| Bfb training ea addl 15 min (90913) |
$51.35 |
$79 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$208.98 |
$321.50 |
0.6× |
| Canalith Repositioning (95992) |
$67.60 |
$104 |
1.7× |
| Capsule endoscopy (91110) |
$303.55 |
$467 |
0.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$425.75 |
$655 |
2.1× |
| Cardiopulmonary resuscitation (92950) |
$324.35 |
$499 |
1.6× |
| Cardioversion (92960) |
$589.55 |
$907 |
0.9× |
| Cardioversion internal (92961) |
$702.65 |
$1,081 |
1.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$23.40 |
$36 |
0.7× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$2,079.68 |
$3,199.50 |
0.7× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,219.45 |
$4,953 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$2,177.82 |
$3,350.50 |
0.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$2,073.18 |
$3,189.50 |
0.7× |
| Cbt 1st hour (94644) |
$141.70 |
$218 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$104 |
$160 |
1.5× |
| Chemo IV push addl drug (96411) |
$92.95 |
$143 |
1.4× |
| Chemo Iv Push Sngl Drug (96409) |
$351 |
$540 |
1.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$351 |
$540 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$351 |
$540 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$76.70 |
$118 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$104 |
$160 |
1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$78.65 |
$121 |
1.2× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$92.62 |
$142.50 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$254.15 |
$391 |
1.1× |
| Color/duplex Doppler, limited (93976) |
$202.48 |
$311.50 |
2.0× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$163.80 |
$252 |
1.0× |
| Comprehensive Hearing Test (92557) |
$105.62 |
$162.50 |
0.9× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$82.22 |
$126.50 |
1.5× |
| Continuous Glucose Monitoring (95250) |
$141.70 |
$218 |
1.1× |
| Coronary artery angio s&i (93454) |
$1,984.45 |
$3,053 |
0.6× |
| Cpap initiation and management (94660) |
$275.60 |
$424 |
1.3× |
| Cpt initial (94667) |
$160.55 |
$247 |
1.3× |
| Critical care (99291) |
$438.75 |
$675 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$151.45 |
$233 |
0.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$232.70 |
$358 |
1.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$456.62 |
$702.50 |
2.0× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$232.05 |
$357 |
2.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$457.60 |
$704 |
2.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$232.38 |
$357.50 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$248.62 |
$382.50 |
2.5× |
| Duplex scan extracranial art compl bi study (93880) |
$328.25 |
$505 |
1.4× |
| Echo Heart Xthoracic,Limited (93308) |
$147.88 |
$227.50 |
0.7× |
| Echo transesophageal (93312) |
$391.95 |
$603 |
0.8× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$342.55 |
$527 |
0.7× |
| EEG awake asleep (95819) |
$229.45 |
$353 |
1.1× |
| EEG awake drowsy (95816) |
$229.45 |
$353 |
1.1× |
| EEG coma or sleep only (95822) |
$229.45 |
$353 |
1.1× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$229.45 |
$353 |
1.1× |
| EKG (93005) |
$102.70 |
$158 |
1.8× |
| EKG rhythm strip (93041) |
$63.05 |
$97 |
1.1× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$104 |
$160 |
1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$52.65 |
$81 |
1.5× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$95.88 |
$147.50 |
1.1× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$229.45 |
$353 |
1.1× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$861.90 |
$1,326 |
0.7× |
| Er level 1 (99281) |
$36.40 |
$56 |
0.5× |
| Er level ii (99282) |
$70.20 |
$108 |
0.5× |
| Er level iii (99283) |
$115.05 |
$177 |
0.4× |
| Er level IV (99284) |
$195 |
$300 |
0.5× |
| Er level v (99285) |
$284.05 |
$437 |
0.5× |
| Evaluation of speech fluency (92521) |
$209.95 |
$323 |
1.6× |
| Evaluation of speech sound production (92522) |
$176.15 |
$271 |
1.6× |
| Evaluation of swallowing function (92610) |
$161.85 |
$249 |
1.9× |
| External ECG rec>48hr<7d recording (93242) |
$59.15 |
$91 |
1.7× |
| External ECG rec>7d<15d recording (93246) |
$59.80 |
$92 |
1.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$136.50 |
$210 |
0.2× |
| Group Therapeutic Procedures (97150) |
$31.85 |
$49 |
1.8× |
| Hast w/report (94452) |
$141.70 |
$218 |
1.1× |
| Hemodialysis (90935) |
$747.50 |
$1,150 |
1.1× |
| High altitude simulation test (94453) |
$141.70 |
$218 |
1.1× |
| Holter Monitor Recording (93225) |
$169 |
$260 |
1.3× |
| Icd Device Interrogate (93289) |
$73.45 |
$113 |
2.1× |
| Ilr Device Eval Progr (93285) |
$42.25 |
$65 |
1.2× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$76.70 |
$118 |
1.1× |
| Immunization Admin (90471) |
$57.52 |
$88.50 |
0.8× |
| Immunotherapy, 2+ Injections (95117) |
$34.12 |
$52.50 |
0.8× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$35.10 |
$54 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$59.15 |
$91 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$50.05 |
$77 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$226.20 |
$348 |
1.1× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$76.70 |
$118 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$226.20 |
$348 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$50.05 |
$77 |
1.1× |
| IV push initial (96374) |
$226.20 |
$348 |
1.1× |
| Manual therapy 15 min (97140) |
$48.10 |
$74 |
1.7× |
| Mechanical chest wall oscillation (94669) |
$232.70 |
$358 |
1.1× |
| Mechanical traction (97012) |
$29.25 |
$45 |
2.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$31.85 |
$49 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$47.78 |
$73.50 |
1.3× |
| Methacholine challenge (94070) |
$222.62 |
$342.50 |
0.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$288.60 |
$444 |
3.2× |
| Multiple sleep latency test (95805) |
$746.85 |
$1,149 |
0.9× |
| Nasopharyngoscopy (92511) |
$57.20 |
$88 |
0.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$432.25 |
$665 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$65 |
$100 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$239.85 |
$369 |
0.6× |
| Nerve conduction studies 13/> studies (95913) |
$428.68 |
$659.50 |
1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$217.42 |
$334.50 |
1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$333.45 |
$513 |
0.9× |
| Nerve conduction studies; 1-2 studies (95907) |
$142.35 |
$219 |
0.7× |
| Nerve conduction studies; 11-12 studies (95912) |
$386.75 |
$595 |
1.1× |
| Nerve conduction studies; 5-6 studies (95909) |
$214.50 |
$330 |
1.0× |
| Nerve conduction studies; 7-8 studies (95910) |
$278.85 |
$429 |
0.8× |
| Newborn resuscitation (99465) |
$702.65 |
$1,081 |
1.1× |
| Nitric oxide expired gas determination (95012) |
$34.78 |
$53.50 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$80.92 |
$124.50 |
0.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$326.95 |
$503 |
1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$100.10 |
$154 |
0.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$35.10 |
$54 |
1.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$72.15 |
$111 |
1.6× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$34.12 |
$52.50 |
1.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$43.88 |
$67.50 |
2.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$52 |
$80 |
2.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$94.25 |
$145 |
4.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$113.75 |
$175 |
5.5× |
| Ot eval high complex 60 min (97167) |
$269.75 |
$415 |
2.7× |
| Ot eval low complex 30 min (97165) |
$154.70 |
$238 |
1.5× |
| Ot eval mod complex 45 min (97166) |
$200.85 |
$309 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$81.90 |
$126 |
1.6× |
| Ot re-eval est plan care (97168) |
$105.30 |
$162 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$155.35 |
$239 |
1.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$63.05 |
$97 |
1.1× |
| Plethysmography (94726) |
$208.32 |
$320.50 |
0.6× |
| Pm device eval in person (93288) |
$34.45 |
$53 |
1.0× |
| Pm device progr eval dual (93280) |
$63.05 |
$97 |
1.8× |
| Pm device progr eval multi (93281) |
$65.65 |
$101 |
1.9× |
| Pm device progr eval sngl (93279) |
$52 |
$80 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$929.18 |
$1,429.50 |
1.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$807.95 |
$1,243 |
1.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,637.35 |
$2,519 |
2.0× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$104 |
$160 |
2.9× |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
$92.62 |
$142.50 |
1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$32.82 |
$50.50 |
0.7× |
| Programming of dual lead implantable defibrillator system (93283) |
$96.85 |
$149 |
2.7× |
| Programming of single lead implantable defibrillator system (93282) |
$68.90 |
$106 |
1.9× |
| Prq card revasc chronic 1vsl (92943) |
$6,671.92 |
$10,264.50 |
0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$6,614.40 |
$10,176 |
0.6× |
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure |
$1,082.25 |
$1,665 |
0.1× |
| Prq revasc byp graft 1 vsl (92937) |
$6,614.08 |
$10,175.50 |
0.6× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$6,650.15 |
$10,231 |
0.6× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$3,457.68 |
$5,319.50 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$280.15 |
$431 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$273.65 |
$421 |
1.6× |
| Psytx crisis initial 60 min (90839) |
$253.50 |
$390 |
1.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$66.95 |
$103 |
1.8× |
| Pt Electric Current Therapy (97033) |
$32.50 |
$50 |
1.7× |
| Pt Electrical Stimulation (97032) |
$30.55 |
$47 |
2.1× |
| Pt eval high complex 45 min (97163) |
$269.10 |
$414 |
2.7× |
| Pt eval low complex 20 min (97161) |
$155.35 |
$239 |
1.6× |
| Pt Gait Training Therapy (97116) |
$47.45 |
$73 |
1.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$55.25 |
$85 |
1.7× |
| Pt Physical Performance Test (97750) |
$58.50 |
$90 |
1.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$179.40 |
$276 |
1.8× |
| Pt re-evaluation (97164) |
$105.95 |
$163 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$55.25 |
$85 |
1.7× |
| Pt Ultrasound Therapy (97035) |
$22.75 |
$35 |
1.6× |
| Pt-focused hlth risk assmt (96160) |
$68.90 |
$106 |
1.9× |
| Pulm function test by gas (94727) |
$124.80 |
$192 |
0.6× |
| Pulmonary stress testing (94618) |
$88.72 |
$136.50 |
0.7× |
| Pure Tone Audiometry Air & Bone (92553) |
$163.15 |
$251 |
1.3× |
| Pure Tone Audiometry, Air (92552) |
$100.10 |
$154 |
0.8× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$2,256.15 |
$3,471 |
0.7× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$2,085.52 |
$3,208.50 |
0.7× |
| Refill/maint, portable pump (96521) |
$219.70 |
$338 |
1.1× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$40.30 |
$62 |
1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$40.95 |
$63 |
1.2× |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
$54.60 |
$84 |
1.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$86.78 |
$133.50 |
0.7× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$57.52 |
$88.50 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$135.20 |
$208 |
3.8× |
| Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) |
$55.90 |
$86 |
1.6× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$82.55 |
$127 |
1.5× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$63.70 |
$98 |
1.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$86.78 |
$133.50 |
0.7× |
| Right heart cath (93451) |
$1,837.55 |
$2,827 |
0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$122.85 |
$189 |
0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$141.70 |
$218 |
1.1× |
| Sc Ther Infusion Reset Pump (96371) |
$76.70 |
$118 |
1.1× |
| Select picture audiometry (92583) |
$62.40 |
$96 |
1.1× |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
$26.98 |
$41.50 |
1.0× |
| Sleep study attended (95807) |
$326.30 |
$502 |
0.9× |
| Sleep study unattended (95806) |
$104 |
$160 |
0.5× |
| Smoking cessation > 10 min (99407) |
$42.25 |
$65 |
1.2× |
| Speech Audiometry Threshold (92555) |
$63.05 |
$97 |
1.1× |
| Speech Audiometry, Complete (92556) |
$63.05 |
$97 |
1.1× |
| Speech group therapy (92508) |
$63.70 |
$98 |
2.6× |
| Speech sound lang comprehen (92523) |
$360.75 |
$555 |
1.6× |
| Spirometry (94010) |
$55.25 |
$53 |
0.3× |
| Standardized Cognitive Performance Testing (96125) |
$185.90 |
$286 |
1.8× |
| Stress Tte Complete (93351) |
$360.42 |
$554.50 |
0.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$53.95 |
$83 |
1.2× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$226.20 |
$348 |
1.1× |
| Temp transcutaneous pacing (92953) |
$702.65 |
$1,081 |
1.1× |
| Test for allergy using combination of methods with drug or biological (95018) |
$11.70 |
$18 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$50.05 |
$77 |
2.2× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$50.05 |
$77 |
2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$50.05 |
$77 |
0.7× |
| Therapeutic Activities (97530) |
$62.40 |
$96 |
1.8× |
| Therapeutic phlebotomy (99195) |
$141.70 |
$218 |
1.1× |
| Tilt Table Eval (93660) |
$694.20 |
$1,068 |
2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$26 |
$40 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$225.55 |
$347 |
1.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$306.80 |
$472 |
2.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$531.38 |
$817.50 |
1.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$279.82 |
$430.50 |
1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$126.75 |
$195 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$137.15 |
$211 |
1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$50.05 |
$77 |
1.1× |
| Tympanometry (92567) |
$28.60 |
$44 |
0.8× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$131.62 |
$202.50 |
0.6× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$159.25 |
$245 |
1.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$488.15 |
$751 |
2.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$180.70 |
$278 |
1.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$687.70 |
$1,058 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$687.70 |
$1,058 |
1.2× |