| Airway inhalation treatment (94640) |
$287.50 |
$575 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$420 |
$840 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$420 |
$840 |
2.1× |
| Cardiopulmonary resuscitation (92950) |
$344.25 |
$688.50 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$101 |
$202 |
1.5× |
| Cpap initiation and management (94660) |
$287.50 |
$575 |
1.4× |
| Cpt initial (94667) |
$174 |
$348 |
1.4× |
| Critical care (99291) |
$314 |
$628 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$271 |
$542 |
1.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$287.50 |
$575 |
1.4× |
| EEG awake asleep (95819) |
$420 |
$840 |
2.1× |
| EKG (93005) |
$86 |
$172 |
1.6× |
| Ekg Signal Averaging (93278) |
$18 |
$36 |
0.3× |
| Er level 1 (99281) |
$112.50 |
$225 |
1.5× |
| Er level IV (99284) |
$178 |
$356 |
0.5× |
| Er level v (99285) |
$259 |
$518 |
0.5× |
| External Ecg Scanning Analysis Report (93226) |
$174 |
$348 |
3.3× |
| Holter Monitor Recording (93225) |
$174 |
$348 |
1.4× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$101 |
$202 |
1.5× |
| Immunization Admin (90471) |
$101 |
$202 |
1.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$70 |
$140 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$63.50 |
$127 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$310 |
$620 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$101 |
$202 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$310 |
$620 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$63.50 |
$127 |
1.5× |
| IV push initial (96374) |
$310 |
$620 |
1.6× |
| Maximum voluntary ventilation (94200) |
$86 |
$172 |
1.6× |
| Mechanical traction (97012) |
$20.50 |
$41 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$130 |
$260 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$271 |
$542 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$559.50 |
$1,119 |
1.5× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$218 |
$436 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$67.50 |
$135 |
1.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$74.50 |
$149 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$58 |
$116 |
1.4× |
| Paraffin bath (97018) |
$8 |
$16 |
1.3× |
| Psych diag eval w/med srvcs (90792) |
$256.50 |
$513 |
1.6× |
| Psychiatric diagnostic evaluation (90791) |
$226 |
$452 |
1.4× |
| Pt Whirlpool Therapy (97022) |
$24 |
$48 |
1.5× |
| Pulm function test by gas (94727) |
$218 |
$436 |
1.1× |
| Pure Tone Audiometry, Air (92552) |
$174 |
$348 |
1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$271 |
$542 |
1.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$174 |
$348 |
1.4× |
| Spirometry (94010) |
$218 |
$436 |
1.1× |
| Stress echo (93350) |
$1,258 |
$2,516 |
2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$101 |
$202 |
1.5× |
| Therapeutic phlebotomy (99195) |
$121.50 |
$243 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$63.50 |
$127 |
1.5× |
| Vasopneumatic device (97016) |
$17 |
$34 |
1.4× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$835 |
$1,670 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$835 |
$1,670 |
1.5× |