| Advance care planning first 30 mins (99497) |
$103 |
$206 |
1.1× |
| Airway inhalation treatment (94640) |
$175 |
$350 |
0.9× |
| Appl on-body injector for timed subq injection (96377) |
$77.50 |
$155 |
1.8× |
| Assessment of aphasia (96105) |
$237.50 |
$475 |
2.4× |
| Behav assmt w/score & docd/stand instrument (96127) |
$22 |
$44 |
0.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$196 |
$392 |
1.8× |
| Blink reflex test (95933) |
$57 |
$114 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$171 |
$342 |
0.5× |
| Canalith Repositioning (95992) |
$86.50 |
$173 |
2.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$646 |
$1,292 |
3.2× |
| Cardiopulmonary resuscitation (92950) |
$187.50 |
$375 |
0.9× |
| Cardioversion (92960) |
$515 |
$1,030 |
0.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$5 |
$10 |
0.1× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,962.50 |
$7,925 |
1.3× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,962.50 |
$7,925 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,962.50 |
$7,925 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$5,349.50 |
$10,699 |
1.8× |
| Cbt 1st hour (94644) |
$71.50 |
$143 |
0.6× |
| Chemo Admin Peritoneal Cavity (96446) |
$202.50 |
$405 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$243 |
$486 |
3.6× |
| Chemo inj subarach/intravent (96542) |
$202.50 |
$405 |
0.7× |
| Chemo IV push addl drug (96411) |
$270.50 |
$541 |
4.0× |
| Chemo Iv Push Sngl Drug (96409) |
$307 |
$614 |
1.0× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$426.50 |
$853 |
1.4× |
| Chemother, IV infusion, 1 hr (96413) |
$663.50 |
$1,327 |
2.1× |
| Chemother, IV infusion, ea add hr (96415) |
$162.50 |
$325 |
2.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$103 |
$206 |
1.5× |
| Chemotherapy, unspecified procedure (96549) |
$40.50 |
$81 |
0.9× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$315.50 |
$631 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$143 |
$286 |
2.1× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$202.50 |
$405 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$273 |
$546 |
1.2× |
| Color/duplex Doppler, limited (93976) |
$225.50 |
$451 |
2.3× |
| Comprehensive Hearing Test (92557) |
$155.50 |
$311 |
1.3× |
| Coronary artery angio s&i (93454) |
$4,038 |
$8,076 |
1.3× |
| Cpap initiation and management (94660) |
$133.50 |
$267 |
0.6× |
| Cpt initial (94667) |
$95.50 |
$191 |
0.8× |
| Critical care (99291) |
$157 |
$314 |
0.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$173.75 |
$347.50 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$135 |
$270 |
0.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$917 |
$1,834 |
4.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$475.50 |
$951 |
4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$384.50 |
$769 |
1.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$552.50 |
$1,105 |
5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$229.25 |
$458.50 |
2.3× |
| Duplex scan extracranial art compl bi study (93880) |
$603.50 |
$1,207 |
2.7× |
| Echo Heart Xthoracic,Limited (93308) |
$323.50 |
$647 |
1.4× |
| Echo transesophageal (93312) |
$585.50 |
$1,171 |
1.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$175.50 |
$351 |
0.3× |
| EEG awake asleep (95819) |
$253.75 |
$507.50 |
1.3× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$228.50 |
$457 |
1.1× |
| EKG (93005) |
$70 |
$140 |
1.3× |
| EMG four extremities (95864) |
$175 |
$350 |
1.4× |
| EMG one extremity (95860) |
$140.50 |
$281 |
1.1× |
| EMG three extremities (95863) |
$157.50 |
$315 |
1.3× |
| EMG two extremities (95861) |
$156.50 |
$313 |
1.3× |
| Er level 1 (99281) |
$34.50 |
$69 |
0.4× |
| Er level ii (99282) |
$130.50 |
$261 |
0.9× |
| Er level iii (99283) |
$97 |
$194 |
0.4× |
| Er level IV (99284) |
$145.50 |
$291 |
0.4× |
| Er level v (99285) |
$216.50 |
$433 |
0.4× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$311.50 |
$623 |
4.4× |
| Evaluation of speech fluency (92521) |
$196 |
$392 |
1.5× |
| Evaluation of speech sound production (92522) |
$264.50 |
$529 |
2.4× |
| Evaluation of swallowing function (92610) |
$303.50 |
$607 |
3.6× |
| Evoked auditory test,limited (92587) |
$152.50 |
$305 |
0.8× |
| Exercise tst brncspsm (94617) |
$104.50 |
$209 |
0.8× |
| External Ecg Scanning Analysis Report (93226) |
$206 |
$412 |
3.7× |
| Flow volume loop (94375) |
$124.50 |
$249 |
0.6× |
| Holter Monitor Recording (93225) |
$206 |
$412 |
1.7× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$29.25 |
$58.50 |
0.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$26.50 |
$53 |
0.4× |
| Immunization Admin (90471) |
$44.25 |
$88.50 |
0.7× |
| Immunotherapy, 2+ Injections (95117) |
$19.50 |
$39 |
0.4× |
| Inital newborn e/m (99460) |
$93.50 |
$187 |
0.7× |
| Initial normal newborn care, same day discharge (99463) |
$114 |
$228 |
0.9× |
| Injection intra arterial (96373) |
$120.50 |
$241 |
0.6× |
| Interrogation of vad (93750) |
$65.50 |
$131 |
0.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$202.50 |
$405 |
1.0× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$202.50 |
$405 |
3.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$327.50 |
$655 |
5.9× |
| IV infusion hydration each additional hour (96361) |
$57 |
$114 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$146.25 |
$292.50 |
0.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$182.50 |
$365 |
2.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$351.75 |
$703.50 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$118.75 |
$237.50 |
2.7× |
| IV push initial (96374) |
$152.75 |
$305.50 |
0.8× |
| Low frequency non-thermal us (97610) |
$194.50 |
$389 |
1.0× |
| Manual therapy 15 min (97140) |
$84.50 |
$169 |
3.0× |
| Massage 15 min (97124) |
$52.50 |
$105 |
1.8× |
| Maximum voluntary ventilation (94200) |
$104.50 |
$209 |
1.9× |
| Mechanical traction (97012) |
$51 |
$102 |
3.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$16 |
$32 |
0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$18.75 |
$37.50 |
0.5× |
| Methacholine challenge (94070) |
$416 |
$832 |
1.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$460.75 |
$921.50 |
5.0× |
| Multiple sleep latency test (95805) |
$2,335 |
$4,670 |
2.9× |
| Nasopharyngoscopy (92511) |
$183.50 |
$367 |
1.0× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$62.50 |
$125 |
0.5× |
| Neg press wnd tx </=50 sq cm (97607) |
$618.50 |
$1,237 |
1.6× |
| Neg press wound tx >50 cm (97608) |
$348.75 |
$697.50 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$98.75 |
$197.50 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$642 |
$1,284 |
1.7× |
| Nerve conduction studies 13/> studies (95913) |
$284 |
$568 |
0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$135 |
$270 |
0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$260 |
$520 |
0.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$92 |
$184 |
0.5× |
| Nerve conduction studies; 11-12 studies (95912) |
$310 |
$620 |
0.9× |
| Nerve conduction studies; 5-6 studies (95909) |
$162.50 |
$325 |
0.8× |
| Nerve conduction studies; 7-8 studies (95910) |
$171 |
$342 |
0.5× |
| Neuromuscular junction test (95937) |
$70.50 |
$141 |
0.6× |
| Newborn resuscitation (99465) |
$329.50 |
$659 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$230.50 |
$461 |
1.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$283.50 |
$567 |
1.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$95 |
$190 |
0.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$19 |
$38 |
0.8× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$27 |
$54 |
0.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$12 |
$24 |
0.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$55 |
$110 |
1.2× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$25.50 |
$51 |
1.3× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$62.50 |
$125 |
1.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$45 |
$90 |
3.2× |
| Ot eval high complex 60 min (97167) |
$170 |
$340 |
1.7× |
| Ot eval low complex 30 min (97165) |
$204 |
$408 |
2.0× |
| Ot eval mod complex 45 min (97166) |
$204 |
$408 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$37.50 |
$75 |
0.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$81 |
$162 |
2.0× |
| Ot re-eval est plan care (97168) |
$120 |
$240 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$174.50 |
$349 |
1.4× |
| Paraffin bath (97018) |
$54 |
$108 |
9.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$82.50 |
$165 |
1.5× |
| Plethysmography (94726) |
$15 |
$30 |
0.0× |
| Pm device eval in person (93288) |
$26.50 |
$53 |
0.8× |
| Pm device progr eval sngl (93279) |
$41.50 |
$83 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,726.50 |
$7,453 |
4.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$11.50 |
$23 |
0.3× |
| Psychiatric diagnostic evaluation (90791) |
$123 |
$246 |
0.7× |
| Psytx crisis initial 60 min (90839) |
$105 |
$210 |
0.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$50.50 |
$101 |
1.4× |
| Pt Electric Current Therapy (97033) |
$81 |
$162 |
4.3× |
| Pt eval high complex 45 min (97163) |
$229.50 |
$459 |
2.3× |
| Pt eval low complex 20 min (97161) |
$204 |
$408 |
2.1× |
| Pt Gait Training Therapy (97116) |
$54 |
$108 |
1.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$91 |
$182 |
2.8× |
| Pt Physical Performance Test (97750) |
$42 |
$84 |
1.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$204 |
$408 |
2.1× |
| Pt re-evaluation (97164) |
$120 |
$240 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$66 |
$132 |
2.0× |
| Pt Ultrasound Therapy (97035) |
$57.50 |
$115 |
4.0× |
| Pt Whirlpool Therapy (97022) |
$47.50 |
$95 |
3.0× |
| Pt-focused hlth risk assmt (96160) |
$5 |
$10 |
0.1× |
| Pulm function test by gas (94727) |
$97.25 |
$194.50 |
0.5× |
| Pulmonary stress testing (94618) |
$104.50 |
$209 |
0.8× |
| Pure Tone Audiometry, Air (92552) |
$125 |
$250 |
1.0× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$5,532.50 |
$11,065 |
1.8× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$6,639 |
$13,278 |
2.2× |
| R hrt art/grft angio (93457) |
$3,962.50 |
$7,925 |
1.3× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$5,532.50 |
$11,065 |
1.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$323.50 |
$647 |
1.6× |
| Refill/maint, portable pump (96521) |
$323.50 |
$647 |
1.6× |
| Right heart cath (93451) |
$4,472 |
$8,944 |
1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$164 |
$328 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$152.50 |
$305 |
1.2× |
| Sensory Integration Ea 15 Min (97533) |
$72.50 |
$145 |
1.2× |
| Smoking cessation > 10 min (99407) |
$25.50 |
$51 |
0.7× |
| Speech sound lang comprehen (92523) |
$272.50 |
$545 |
1.2× |
| Spirometry (94010) |
$177.50 |
$355 |
0.9× |
| Temp transcutaneous pacing (92953) |
$366 |
$732 |
0.6× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$63 |
$126 |
2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$142 |
$284 |
1.4× |
| Ther/prop/diag inj/inf proc (96379) |
$32.50 |
$65 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$72 |
$144 |
1.1× |
| Therapeutic Activities (97530) |
$81 |
$162 |
2.3× |
| Therapeutic phlebotomy (99195) |
$89.50 |
$179 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$22.25 |
$44.50 |
0.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$141 |
$282 |
1.1× |
| Trans Care Mgmt 7 Day Disch (99496) |
$141 |
$282 |
1.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$38.50 |
$77 |
1.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$478.50 |
$957 |
0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$213.50 |
$427 |
2.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$150 |
$300 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$130.50 |
$261 |
3.0× |
| Tympanometry (92567) |
$28.50 |
$57 |
0.8× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$99 |
$198 |
0.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$337.50 |
$675 |
1.5× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$229.50 |
$459 |
1.1× |
| Vasopneumatic device (97016) |
$37 |
$74 |
3.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$406.25 |
$812.50 |
0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$396 |
$792 |
0.7× |
| Visual reinforcement audiometry (vra) (92579) |
$155.50 |
$311 |
0.8× |
| Vital capacity total (94150) |
$70 |
$140 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$52.50 |
$105 |
1.7× |