| Advance care planning first 30 mins (99497) |
$100.10 |
$143 |
1.0× |
| Airway inhalation treatment (94640) |
$40 |
$40 |
0.2× |
| Application of heat wave therapy (97024) |
$42.35 |
$60.50 |
5.8× |
| Assessment of aphasia (96105) |
$169.58 |
$242.25 |
1.7× |
| Behav assmt w/score & docd/stand instrument (96127) |
$25 |
$25 |
0.7× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$346.33 |
$494.75 |
3.2× |
| Biofeedback training any modality (90901) |
$88.90 |
$127 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$221.90 |
$317 |
0.6× |
| Car seat/bed test 60 min (94780) |
$75 |
$75 |
2.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$630 |
$900 |
2.9× |
| Cardiopulmonary resuscitation (92950) |
$1,060 |
$1,060 |
4.9× |
| Cardioversion (92960) |
$483.65 |
$654.50 |
0.7× |
| Cardioversion internal (92961) |
$700 |
$1,000 |
1.1× |
| Cbt 1st hour (94644) |
$214.55 |
$306.50 |
1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$112 |
$160 |
1.6× |
| Chemo IV push addl drug (96411) |
$224 |
$320 |
3.1× |
| Chemo Iv Push Sngl Drug (96409) |
$224 |
$320 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$353.50 |
$505 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$112 |
$160 |
1.6× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$112 |
$160 |
1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$112 |
$160 |
1.6× |
| Cpap initiation and management (94660) |
$560.79 |
$801.12 |
2.6× |
| Cpt initial (94667) |
$97.13 |
$138.75 |
0.7× |
| Critical care (99291) |
$798.75 |
$1,020 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$180 |
$180 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$18.20 |
$26 |
0.1× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$175 |
$175 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$837.20 |
$1,196 |
3.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$618.80 |
$884 |
5.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$735 |
$1,050 |
3.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$618.80 |
$884 |
5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$476.70 |
$681 |
4.6× |
| Duplex hemodialysis access (93990) |
$567 |
$810 |
5.4× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$330.40 |
$472 |
1.4× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$156.80 |
$224 |
1.5× |
| Duplex scan extracranial art compl bi study (93880) |
$455 |
$650 |
1.9× |
| Echo Heart Xthoracic,Limited (93308) |
$334.95 |
$478.50 |
1.4× |
| EKG (93005) |
$81.05 |
$104 |
1.4× |
| EKG rhythm strip (93041) |
$85.05 |
$121.50 |
1.4× |
| Er level 1 (99281) |
$130 |
$130 |
1.5× |
| Er level ii (99282) |
$170 |
$170 |
1.1× |
| Er level iii (99283) |
$255 |
$255 |
0.9× |
| Er level IV (99284) |
$375 |
$375 |
0.9× |
| Er level v (99285) |
$555 |
$555 |
0.9× |
| Evaluation of speech fluency (92521) |
$346.33 |
$494.75 |
2.6× |
| Evaluation of speech sound production (92522) |
$346.33 |
$494.75 |
3.1× |
| Evaluation of swallowing function (92610) |
$176.75 |
$252.50 |
2.1× |
| Evaluation with prescription of speech-generating alternative (92607) |
$222.25 |
$317.50 |
1.8× |
| Evoked Auditory Test,Comprehsv (92588) |
$78.75 |
$112.50 |
0.2× |
| Evoked auditory test,limited (92587) |
$35 |
$35 |
0.2× |
| External ECG rec>48hr<7d recording (93242) |
$98 |
$140 |
2.6× |
| External ECG rec>7d<15d recording (93246) |
$98 |
$140 |
2.6× |
| Holter Monitor Recording (93225) |
$195.30 |
$279 |
1.5× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$30 |
$30 |
0.7× |
| Immunization Admin (90471) |
$30 |
$30 |
0.4× |
| Immunotherapy, 2+ Injections (95117) |
$50 |
$50 |
1.1× |
| Inital newborn e/m (99460) |
$171.50 |
$245 |
1.3× |
| Initial normal newborn care, same day discharge (99463) |
$171.50 |
$245 |
1.3× |
| Injection intra arterial (96373) |
$287 |
$410 |
1.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$100 |
$100 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$85 |
$85 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$85 |
$85 |
0.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$75.25 |
$107.50 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$255.50 |
$365 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$57.75 |
$82.50 |
1.2× |
| IV push initial (96374) |
$60 |
$60 |
0.3× |
| Manual therapy 15 min (97140) |
$58.45 |
$83.50 |
2.1× |
| Massage 15 min (97124) |
$50.93 |
$72.75 |
1.7× |
| Maximum voluntary ventilation (94200) |
$139.30 |
$199 |
2.4× |
| Mechanical chest wall oscillation (94669) |
$83.04 |
$118.62 |
0.4× |
| Mechanical traction (97012) |
$42.35 |
$60.50 |
2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$24.50 |
$35 |
0.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$193.03 |
$275.75 |
2.1× |
| Multiple sleep latency test (95805) |
$1,190 |
$1,700 |
1.4× |
| Neg press wnd tx </=50 sq cm (97607) |
$475 |
$475 |
1.2× |
| Neg press wound tx >50 cm (97608) |
$536.73 |
$766.75 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$100 |
$100 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$135 |
$135 |
0.3× |
| Neurobehavioral Status Exam (96116) |
$240 |
$240 |
1.1× |
| Newborn resuscitation (99465) |
$514.50 |
$735 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$355.60 |
$508 |
2.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$355.60 |
$508 |
1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$205.80 |
$294 |
1.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$75.25 |
$107.50 |
1.6× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$50 |
$50 |
2.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$60 |
$60 |
2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$70 |
$70 |
3.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$80 |
$80 |
3.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$80 |
$80 |
3.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$61.60 |
$88 |
1.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$32.20 |
$46 |
2.3× |
| Ot eval high complex 60 min (97167) |
$235.38 |
$336.25 |
2.3× |
| Ot eval low complex 30 min (97165) |
$183.05 |
$261.50 |
1.8× |
| Ot eval mod complex 45 min (97166) |
$209.30 |
$299 |
2.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$76.83 |
$109.75 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$65.45 |
$93.50 |
1.6× |
| Ot re-eval est plan care (97168) |
$106.75 |
$152.50 |
1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$189 |
$270 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$194.60 |
$278 |
1.5× |
| Paraffin bath (97018) |
$30.28 |
$43.25 |
5.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$10 |
$10 |
0.0× |
| Peripheral arterial disease rehab per session (93668) |
$106.40 |
$152 |
1.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$77 |
$110 |
1.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$77 |
$110 |
1.3× |
| Plethysmography (94726) |
$397.60 |
$568 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,575 |
$2,250 |
1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$25 |
$25 |
0.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$76.30 |
$109 |
2.1× |
| Pt Electric Current Therapy (97033) |
$48.30 |
$69 |
2.5× |
| Pt Electrical Stimulation (97032) |
$37.28 |
$53.25 |
2.5× |
| Pt eval high complex 45 min (97163) |
$172.90 |
$247 |
1.8× |
| Pt eval low complex 20 min (97161) |
$136.50 |
$195 |
1.4× |
| Pt Gait Training Therapy (97116) |
$56.53 |
$80.75 |
1.9× |
| Pt Infrared Therapy (97026) |
$60.38 |
$86.25 |
9.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$67.90 |
$97 |
2.1× |
| Pt Physical Performance Test (97750) |
$72.10 |
$103 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$153.65 |
$219.50 |
1.6× |
| Pt re-evaluation (97164) |
$106.75 |
$152.50 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$73.50 |
$105 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$33.25 |
$47.50 |
2.3× |
| Pt Whirlpool Therapy (97022) |
$43.93 |
$62.75 |
2.8× |
| Pulm function test by gas (94727) |
$221.90 |
$317 |
1.0× |
| Pulmonary stress testing (94618) |
$123.82 |
$176.88 |
0.9× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$121.10 |
$173 |
3.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$51.28 |
$73.25 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$91.53 |
$130.75 |
1.9× |
| Sensory Integration Ea 15 Min (97533) |
$57.93 |
$82.75 |
1.0× |
| Sleep study unattended (95806) |
$201.25 |
$287.50 |
0.9× |
| Smoking cessation > 10 min (99407) |
$95 |
$95 |
2.5× |
| Speech sound lang comprehen (92523) |
$346.33 |
$494.75 |
1.5× |
| Spirometry (94010) |
$100 |
$100 |
0.5× |
| Temp transcutaneous pacing (92953) |
$565.25 |
$425 |
0.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$58.72 |
$83.88 |
2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$140.53 |
$200.75 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$35 |
$35 |
0.5× |
| Therapeutic Activities (97530) |
$74.03 |
$105.75 |
2.1× |
| Therapeutic phlebotomy (99195) |
$95 |
$95 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50 |
$50 |
1.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$175 |
$175 |
1.3× |
| Trans Care Mgmt 7 Day Disch (99496) |
$245 |
$245 |
1.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$637 |
$910 |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$382.90 |
$547 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$151.20 |
$216 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$185.50 |
$265 |
2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$59.50 |
$85 |
1.3× |
| Tympanometry (92567) |
$65 |
$65 |
1.7× |
| Unlisted pulmonary service/procedure (94799) |
$47.60 |
$68 |
0.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$604.10 |
$863 |
2.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$403.90 |
$577 |
3.9× |
| Vasopneumatic device (97016) |
$40.60 |
$58 |
3.4× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$536.99 |
$767.12 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$775.78 |
$1,108.25 |
1.3× |
| Vital capacity total (94150) |
$35 |
$35 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$64.40 |
$92 |
2.1× |