| Airway inhalation treatment (94640) |
$150 |
$250 |
0.7× |
| Appl on-body injector for timed subq injection (96377) |
$545.40 |
$909 |
12.4× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$438 |
$730 |
4.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$567 |
$945 |
1.6× |
| Canalith Repositioning (95992) |
$35.40 |
$59 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$763.20 |
$1,272 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$753 |
$1,255 |
3.7× |
| Cardioversion (92960) |
$821.40 |
$1,369 |
1.3× |
| Cardioversion internal (92961) |
$868.80 |
$1,448 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$141 |
$235 |
2.1× |
| Chemo IV push addl drug (96411) |
$300.60 |
$501 |
4.4× |
| Chemo Iv Push Sngl Drug (96409) |
$204 |
$340 |
0.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$457.80 |
$763 |
1.5× |
| Chemother, IV infusion, 1 hr (96413) |
$489 |
$815 |
1.6× |
| Chemother, IV infusion, ea add hr (96415) |
$159 |
$265 |
2.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$141 |
$235 |
2.1× |
| Chemotherapy, unspecified procedure (96549) |
$61.80 |
$103 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$142.80 |
$238 |
2.1× |
| Color/duplex Doppler, complete (93975) |
$805.80 |
$1,343 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$174.60 |
$291 |
1.8× |
| Cpap initiation and management (94660) |
$792 |
$1,320 |
3.9× |
| Cpt initial (94667) |
$150 |
$250 |
1.2× |
| Critical care (99291) |
$280.20 |
$467 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$282 |
$470 |
1.5× |
| Dermatological procedure (96999) |
$227.40 |
$379 |
1.2× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$1,500 |
$2,500 |
3.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$871.20 |
$1,452 |
3.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$634.80 |
$1,058 |
6.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$732 |
$1,220 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$634.80 |
$1,058 |
6.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$721.20 |
$1,202 |
7.4× |
| Duplex scan extracranial art compl bi study (93880) |
$868.80 |
$1,448 |
3.9× |
| Ear and throat examination (92502) |
$175.20 |
$292 |
0.3× |
| Echo Heart Xthoracic,Limited (93308) |
$762.60 |
$1,271 |
3.4× |
| Echo transesophageal (93312) |
$1,782 |
$2,970 |
3.5× |
| EEG awake asleep (95819) |
$475.80 |
$793 |
2.3× |
| EKG (93005) |
$155.40 |
$259 |
2.8× |
| Er level 1 (99281) |
$61.20 |
$102 |
0.8× |
| Er level ii (99282) |
$144 |
$240 |
1.0× |
| Er level iii (99283) |
$280.20 |
$467 |
1.1× |
| Er level IV (99284) |
$1,761.60 |
$2,936 |
4.5× |
| Er level v (99285) |
$2,278.80 |
$3,798 |
4.1× |
| Esophgl balo distension dx std w/provocation (91040) |
$147 |
$245 |
0.4× |
| Evaluation of speech fluency (92521) |
$480 |
$800 |
3.6× |
| Evaluation of speech sound production (92522) |
$480 |
$800 |
4.3× |
| Evaluation of swallowing function (92610) |
$462.60 |
$771 |
5.5× |
| External ECG rec>48hr<7d recording (93242) |
$51.60 |
$86 |
1.5× |
| External ECG rec>7d<15d recording (93246) |
$82.20 |
$137 |
2.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$245.40 |
$409 |
0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$477.60 |
$796 |
0.6× |
| Hemodialysis (90935) |
$1,500 |
$2,500 |
2.3× |
| Holter Monitor Recording (93225) |
$127.20 |
$212 |
1.0× |
| Icd Device Interrogate (93289) |
$70.80 |
$118 |
2.0× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$50.40 |
$84 |
1.3× |
| Immunization Admin (90471) |
$75 |
$125 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
$18.60 |
$31 |
0.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$90.60 |
$151 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$78.60 |
$131 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$246 |
$410 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$246 |
$410 |
3.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$468.60 |
$781 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$114 |
$190 |
2.6× |
| IV push initial (96374) |
$233.40 |
$389 |
1.2× |
| Manual therapy 15 min (97140) |
$261 |
$435 |
9.4× |
| Mechanical chest wall oscillation (94669) |
$150 |
$250 |
0.7× |
| Mechanical traction (97012) |
$255.60 |
$426 |
17.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$610.20 |
$1,017 |
6.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$249 |
$415 |
0.7× |
| Neg press wound tx >50 cm (97608) |
$249.60 |
$416 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$211.80 |
$353 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$452.40 |
$754 |
1.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$288 |
$480 |
2.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$363 |
$605 |
3.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$177 |
$295 |
3.8× |
| Ot eval high complex 60 min (97167) |
$265.80 |
$443 |
2.6× |
| Ot eval low complex 30 min (97165) |
$265.80 |
$443 |
2.6× |
| Ot eval mod complex 45 min (97166) |
$265.80 |
$443 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$177 |
$295 |
3.5× |
| Ot re-eval est plan care (97168) |
$208.80 |
$348 |
3.0× |
| Paraffin bath (97018) |
$109.80 |
$183 |
18.3× |
| Plethysmography (94726) |
$208.20 |
$347 |
0.6× |
| Pm device eval in person (93288) |
$55.80 |
$93 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,246.40 |
$3,744 |
2.8× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,685.40 |
$2,809 |
2.1× |
| Programming of dual lead implantable defibrillator system (93283) |
$103.80 |
$173 |
3.0× |
| Pt Electric Current Therapy (97033) |
$177 |
$295 |
9.3× |
| Pt Electrical Stimulation (97032) |
$205.80 |
$343 |
14.0× |
| Pt eval high complex 45 min (97163) |
$281.40 |
$469 |
2.9× |
| Pt eval low complex 20 min (97161) |
$281.40 |
$469 |
2.9× |
| Pt Gait Training Therapy (97116) |
$133.80 |
$223 |
4.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$140.40 |
$234 |
4.3× |
| Pt Physical Performance Test (97750) |
$67.20 |
$112 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$281.40 |
$469 |
2.9× |
| Pt re-evaluation (97164) |
$185.40 |
$309 |
2.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$177 |
$295 |
5.5× |
| Pt Ultrasound Therapy (97035) |
$231.60 |
$386 |
16.1× |
| Pt Whirlpool Therapy (97022) |
$139.80 |
$233 |
8.9× |
| Pulmonary stress testing (94618) |
$306.60 |
$511 |
2.5× |
| Refill/maint, portable pump (96521) |
$301.20 |
$502 |
1.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$181.20 |
$302 |
5.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$156.30 |
$260.50 |
0.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$139.80 |
$233 |
1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$305.40 |
$509 |
6.4× |
| Sleep study attended (95807) |
$2,011.80 |
$3,353 |
5.7× |
| Smoking cessation > 10 min (99407) |
$42 |
$70 |
1.2× |
| Speech group therapy (92508) |
$184.80 |
$308 |
7.7× |
| Speech sound lang comprehen (92523) |
$480 |
$800 |
2.1× |
| Spirometry (94010) |
$228 |
$380 |
1.1× |
| Stress echo (93350) |
$1,574.40 |
$2,624 |
3.1× |
| Stress Tte Complete (93351) |
$169.20 |
$282 |
0.3× |
| Temp transcutaneous pacing (92953) |
$819.60 |
$1,366 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$118.80 |
$198 |
1.8× |
| Therapeutic Activities (97530) |
$205.80 |
$343 |
5.9× |
| Therapeutic phlebotomy (99195) |
$168 |
$280 |
1.3× |
| Tilt Table Eval (93660) |
$727.80 |
$1,213 |
2.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24 |
$40 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$152.70 |
$254.50 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$202.50 |
$337.50 |
1.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,738.40 |
$4,564 |
5.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$294.60 |
$491 |
3.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$180.60 |
$301 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$78.60 |
$131 |
1.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,162.80 |
$1,938 |
5.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$897.60 |
$1,496 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$460.80 |
$768 |
0.8× |
| Vital capacity total (94150) |
$199.80 |
$333 |
1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$177 |
$295 |
5.7× |