| Advance care planning first 30 mins (99497) |
$94 |
$148 |
1.0× |
| Airway inhalation treatment (94640) |
$114 |
$180 |
0.6× |
| Analyze Neurostim Complex (95972) |
$507 |
$803 |
5.7× |
| Analyze neurostim no prog (95970) |
$163 |
$259 |
1.3× |
| Appl on-body injector for timed subq injection (96377) |
$217 |
$344 |
5.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$189 |
$299 |
1.7× |
| Biofeedback training any modality (90901) |
$81 |
$128 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$296 |
$470 |
0.9× |
| Canalith Repositioning (95992) |
$73 |
$115 |
1.8× |
| Capsule endoscopy (91110) |
$1,610 |
$2,551 |
1.9× |
| Car seat/bed test 60 min (94780) |
$58 |
$92 |
1.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$812 |
$1,286 |
4.0× |
| Cardiopulmonary resuscitation (92950) |
$631 |
$999 |
3.1× |
| Cardioversion (92960) |
$799 |
$1,266 |
1.3× |
| Cardioversion internal (92961) |
$1,141 |
$1,809 |
1.9× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$6,088 |
$9,647 |
2.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$6,088 |
$9,647 |
2.0× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$6,088 |
$9,647 |
2.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$6,088 |
$10,771 |
2.0× |
| Cbt 1st hour (94644) |
$98 |
$156 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$244 |
$386 |
3.6× |
| Chemo IV push addl drug (96411) |
$265 |
$419 |
4.0× |
| Chemo Iv Push Sngl Drug (96409) |
$462 |
$731 |
1.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$767 |
$1,215 |
2.5× |
| Chemother, IV infusion, 1 hr (96413) |
$767 |
$1,357 |
2.5× |
| Chemother, IV infusion, ea add hr (96415) |
$192 |
$305 |
2.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$244 |
$386 |
3.6× |
| Chemotherapy, unspecified procedure (96549) |
$78 |
$124 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$285 |
$451 |
4.3× |
| Color/duplex Doppler, complete (93975) |
$454 |
$720 |
2.0× |
| Color/duplex Doppler, limited (93976) |
$197 |
$312 |
2.0× |
| Coronary artery angio s&i (93454) |
$6,088 |
$9,647 |
2.0× |
| Cpap initiation and management (94660) |
$196 |
$310 |
1.0× |
| Cpt initial (94667) |
$69 |
$109 |
0.6× |
| Critical care (99291) |
$1,272 |
$2,016 |
1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$98 |
$156 |
0.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$397 |
$628 |
1.9× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$536 |
$850 |
1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$203 |
$321 |
2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$742 |
$1,175 |
3.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$666 |
$1,025 |
6.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$902 |
$1,429 |
4.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$672 |
$1,034 |
6.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$828 |
$1,274 |
8.5× |
| Duplex hemodialysis access (93990) |
$489 |
$775 |
5.0× |
| Duplex scan extracranial art compl bi study (93880) |
$1,210 |
$1,917 |
5.5× |
| Echo Heart Xthoracic,Limited (93308) |
$428 |
$678 |
1.9× |
| Echo transesophageal (93312) |
$2,230 |
$3,533 |
4.4× |
| EEG awake asleep (95819) |
$553 |
$876 |
2.8× |
| EEG awake drowsy (95816) |
$553 |
$876 |
2.8× |
| EEG cerebral death evaluation (95824) |
$384 |
$609 |
1.1× |
| EEG coma or sleep only (95822) |
$556 |
$854 |
2.8× |
| EKG (93005) |
$186 |
$295 |
3.4× |
| EKG rhythm strip (93041) |
$45 |
$71 |
0.8× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$546 |
$840 |
6.2× |
| EMG four extremities (95864) |
$398 |
$613 |
3.3× |
| EMG two extremities (95861) |
$372 |
$573 |
3.0× |
| Er level 1 (99281) |
$99 |
$157 |
1.3× |
| Er level ii (99282) |
$151 |
$240 |
1.1× |
| Er level iii (99283) |
$238 |
$377 |
0.9× |
| Er level IV (99284) |
$326 |
$516 |
0.8× |
| Er level v (99285) |
$500 |
$792 |
0.9× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$956 |
$1,514 |
2.8× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$149 |
$236 |
2.1× |
| Evaluation of speech fluency (92521) |
$189 |
$299 |
1.4× |
| Evaluation of speech sound production (92522) |
$189 |
$299 |
1.7× |
| Evaluation of swallowing function (92610) |
$176 |
$279 |
2.1× |
| Evaluation with prescription of speech-generating alternative (92607) |
$179 |
$284 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$74 |
$117 |
1.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$518 |
$821 |
2.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$956 |
$1,514 |
1.2× |
| Group Therapeutic Procedures (97150) |
$42 |
$66 |
2.3× |
| Holter Monitor Recording (93225) |
$502 |
$796 |
4.1× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$131 |
$207 |
2.0× |
| Immunization Admin (90471) |
$54 |
$85 |
0.8× |
| Inital newborn e/m (99460) |
$231 |
$354 |
1.9× |
| Initial normal newborn care, same day discharge (99463) |
$231 |
$354 |
1.9× |
| Ins swan ganz bedside (93503) |
$2,952 |
$4,678 |
2.0× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$163 |
$259 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$129 |
$205 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$512 |
$812 |
2.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$129 |
$205 |
1.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$584 |
$1,033 |
3.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$88 |
$139 |
2.0× |
| IV push initial (96374) |
$200 |
$316 |
1.0× |
| Low frequency non-thermal us (97610) |
$522 |
$827 |
2.8× |
| Manual therapy 15 min (97140) |
$66 |
$104 |
2.4× |
| Mechanical traction (97012) |
$80 |
$127 |
5.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$31 |
$49 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$36 |
$58 |
1.0× |
| Motility study esophagus (91010) |
$956 |
$1,514 |
2.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$170 |
$270 |
1.9× |
| Multiple sleep latency test (95805) |
$1,546 |
$2,450 |
1.9× |
| Neg press wnd tx </=50 sq cm (97607) |
$375 |
$577 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$374 |
$575 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$153 |
$242 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$224 |
$355 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$525 |
$831 |
4.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$543 |
$860 |
2.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$202 |
$319 |
1.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$57 |
$90 |
1.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$66 |
$105 |
2.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
$20 |
$31 |
1.4× |
| Ot eval high complex 60 min (97167) |
$122 |
$194 |
1.2× |
| Ot eval low complex 30 min (97165) |
$122 |
$194 |
1.2× |
| Ot eval mod complex 45 min (97166) |
$122 |
$194 |
1.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$52 |
$82 |
1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$57 |
$90 |
1.4× |
| Ot re-eval est plan care (97168) |
$76 |
$121 |
1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$112 |
$173 |
0.9× |
| Paraffin bath (97018) |
$67 |
$106 |
11.1× |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
$106 |
$163 |
1.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$92 |
$141 |
1.7× |
| Plethysmography (94726) |
$238 |
$377 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,766 |
$4,384 |
3.5× |
| Prq card revasc chronic 1vsl (92943) |
$21,004 |
$33,283 |
2.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$21,088 |
$37,309 |
2.0× |
| Prq Card Stent/Ath/Angio (92933) |
$16,701 |
$26,465 |
1.0× |
| Prq revasc byp graft 1 vsl (92937) |
$20,004 |
$31,699 |
1.9× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$20,004 |
$31,699 |
1.9× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$10,364 |
$16,423 |
2.0× |
| Pt Aquatic Therapy/Exercises (97113) |
$68 |
$108 |
1.8× |
| Pt Electric Current Therapy (97033) |
$79 |
$126 |
4.1× |
| Pt Electrical Stimulation (97032) |
$73 |
$116 |
5.0× |
| Pt eval high complex 45 min (97163) |
$122 |
$194 |
1.2× |
| Pt eval low complex 20 min (97161) |
$122 |
$194 |
1.2× |
| Pt Gait Training Therapy (97116) |
$44 |
$70 |
1.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$72 |
$113 |
2.2× |
| Pt Physical Performance Test (97750) |
$57 |
$90 |
1.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$122 |
$194 |
1.2× |
| Pt re-evaluation (97164) |
$89 |
$141 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$57 |
$90 |
1.8× |
| Pt Ultrasound Therapy (97035) |
$78 |
$124 |
5.4× |
| Pt Whirlpool Therapy (97022) |
$80 |
$127 |
5.1× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$6,064 |
$9,609 |
2.0× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$6,088 |
$9,647 |
2.0× |
| R hrt art/grft angio (93457) |
$6,064 |
$9,609 |
2.0× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$6,064 |
$9,609 |
2.0× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$263 |
$404 |
0.9× |
| Right heart cath (93451) |
$6,088 |
$9,647 |
2.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$69 |
$109 |
0.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$90 |
$142 |
1.9× |
| Sensory Integration Ea 15 Min (97533) |
$55 |
$88 |
0.9× |
| Smoking cessation > 10 min (99407) |
$39 |
$62 |
1.1× |
| Speech sound lang comprehen (92523) |
$189 |
$299 |
0.8× |
| Spirometry (94010) |
$196 |
$310 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$189 |
$299 |
1.8× |
| Stress echo (93350) |
$812 |
$1,286 |
1.6× |
| Stress Tte Complete (93351) |
$1,469 |
$2,328 |
2.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$41 |
$65 |
1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$111 |
$176 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$228 |
$362 |
3.4× |
| Therapeutic Activities (97530) |
$66 |
$105 |
1.9× |
| Therapeutic phlebotomy (99195) |
$173 |
$274 |
1.4× |
| Tilt Table Eval (93660) |
$1,244 |
$1,971 |
3.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$49 |
$78 |
1.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,923 |
$3,047 |
3.8× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$943 |
$1,495 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$114 |
$181 |
1.5× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$82 |
$130 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$228 |
$361 |
5.2× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$112 |
$2,417 |
0.2× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$49 |
$76 |
0.4× |
| Unlisted otorhinolaryngological service (92700) |
$228 |
$362 |
8.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,151 |
$1,770 |
5.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$772 |
$1,224 |
7.9× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$501 |
$794 |
2.5× |
| Vasopneumatic device (97016) |
$80 |
$127 |
6.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,151 |
$1,823 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,037 |
$1,595 |
1.8× |
| Vital capacity total (94150) |
$31 |
$49 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$52 |
$82 |
1.7× |