| Acupunct w/o stimul 15 min (97810) |
$16.50 |
$55 |
0.5× |
| Acupunct w/stimul 15 min (97813) |
$39 |
$130 |
1.3× |
| Administration of chemotherapy into artery using push technique (96420) |
$266.10 |
$887 |
0.8× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$648 |
$2,160 |
1.9× |
| Advance care planning first 30 mins (99497) |
$95.40 |
$318 |
0.9× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$177.90 |
$593 |
0.8× |
| Aep neurodiagnostic interpretation and report (92653) |
$187.80 |
$626 |
0.8× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$249.60 |
$832 |
1.1× |
| Aerosol inhalation pentamidine (94642) |
$422.10 |
$1,407 |
1.8× |
| Airway inhalation treatment (94640) |
$180.90 |
$603 |
0.8× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$161.40 |
$538 |
1.1× |
| Ambulatory bp recording (93786) |
$135 |
$450 |
1.0× |
| Analyze pacemaker system (93724) |
$294.30 |
$981 |
0.9× |
| Appl modality 1+lllt po pain (97037) |
$30.90 |
$103 |
0.8× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$46.20 |
$154 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$49.20 |
$164 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$44.40 |
$148 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$41.70 |
$139 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$34.80 |
$116 |
— |
| Assessment of aphasia (96105) |
$199.80 |
$666 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$296.40 |
$988 |
— |
| Bfb training ea addl 15 min (90913) |
$65.70 |
$219 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$196.20 |
$654 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$89.40 |
$298 |
— |
| Biopsy of heart lining (93505) |
$2,530.80 |
$8,436 |
0.8× |
| Bipap initial day (94660) |
$169.80 |
$566 |
0.7× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$166.50 |
$555 |
1.2× |
| Blink reflex test (95933) |
$70.50 |
$235 |
1.1× |
| Breathing capacity test (94010) |
$198.60 |
$662 |
0.9× |
| Bronchial allergy tests (95070) |
$375.30 |
$1,251 |
1.0× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$326.40 |
$1,088 |
0.8× |
| C motor evoked lwr limbs (95929) |
$460.50 |
$1,535 |
1.2× |
| C motor evoked uppr limbs (95928) |
$613.50 |
$2,045 |
0.7× |
| Canalith repositioning (95992) |
$88.80 |
$296 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$169.20 |
$564 |
4.3× |
| Cardiopulmonary exercise testing (94621) |
$675.60 |
$2,252 |
1.7× |
| Cardiovascular procedure unlisted (93799) |
$990.68 |
$3,302.26 |
7.3× |
| Cardiovascular stress test (93017) |
$824.70 |
$2,749 |
3.6× |
| Cardioversion elective external (92960) |
$1,443.30 |
$4,811 |
2.1× |
| Caregiver training 1st 30 min (97550) |
$130.20 |
$434 |
— |
| Caregiver training ea addl 15 (97551) |
$121.50 |
$405 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$8,908.20 |
$29,694 |
2.6× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$8,550.30 |
$28,501 |
2.5× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$8,013.30 |
$26,711 |
2.3× |
| Cervical & ocular vemp testing w/i&r (92519) |
$267.90 |
$893 |
1.2× |
| Cervical vemp testing w/i&r (92517) |
$156.30 |
$521 |
1.2× |
| Chemo anti-neopl sq/im (96401) |
$243.60 |
$812 |
3.2× |
| Chemo hormon antineopl sq/im (96402) |
$228.30 |
$761 |
3.0× |
| Chemo intralesional up to 7 (96405) |
$81 |
$270 |
1.1× |
| Chemo IV infus each addl seq (96417) |
$136.20 |
$454 |
1.8× |
| Chemo IV infusion addl hr (96415) |
$264 |
$880 |
3.5× |
| Chemo IV push addl drug (96411) |
$213 |
$710 |
2.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$517.20 |
$1,724 |
1.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$230.10 |
$767 |
0.7× |
| Chest physiotherapy initial (94667) |
$102 |
$340 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$750.30 |
$2,501 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$475.50 |
$1,585 |
4.3× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$65.10 |
$217 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$4,545.30 |
$15,151 |
0.6× |
Compre ep eval abltj atr fib pulm vein isolation (93656)
unusually low — confirm this is the full procedure |
$11,037.60 |
$36,792 |
0.4× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$4,619.70 |
$15,399 |
0.6× |
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653)
unusually low — confirm this is the full procedure |
$9,734.10 |
$32,447 |
0.4× |
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654)
unusually low — confirm this is the full procedure |
$11,727 |
$39,090 |
0.4× |
| Comprehensive hearing test (92557) |
$171.30 |
$571 |
1.3× |
| Concurrent chemotherapy (96549) |
$31.75 |
$105.81 |
0.6× |
| Conditioning play audiometry (92582) |
$141.90 |
$473 |
1.0× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$305.40 |
$1,018 |
2.2× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$123.60 |
$412 |
0.9× |
| Coronary art/grft angio s&i (93455) |
$8,099.10 |
$26,997 |
2.4× |
| Coronary artery angio s&i (93454) |
$6,822.90 |
$22,743 |
2.0× |
| Corticapted neurological or neuromuscular diagnostic procedure (95999) |
$533.13 |
$1,777.09 |
3.9× |
| Cpr (92950) |
$1,035.90 |
$3,453 |
4.5× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,525.60 |
$11,752 |
4.0× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$864 |
$2,880 |
1.0× |
| Debridement open wound 20 sq cm< (97597) |
$208.20 |
$694 |
1.0× |
| Dialysis one evaluation (90945) |
$1,614 |
$5,380 |
3.7× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$203.10 |
$677 |
0.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$115.20 |
$384 |
1.0× |
| Duplex hemodialysis access (93990) |
$650.40 |
$2,168 |
5.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$496.50 |
$1,655 |
2.0× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$290.10 |
$967 |
2.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$587.40 |
$1,958 |
2.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$202.50 |
$675 |
1.8× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$833.10 |
$2,777 |
3.3× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$303 |
$1,010 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,046.10 |
$3,487 |
4.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$616.20 |
$2,054 |
5.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$474.90 |
$1,583 |
1.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$313.80 |
$1,046 |
2.8× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$729 |
$2,430 |
2.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$569.40 |
$1,898 |
5.2× |
| Ear and throat examination (92502) |
$306.90 |
$1,023 |
0.5× |
| ECG monit/reprt up to 48 hrs (93226) |
$568.50 |
$1,895 |
9.1× |
| Echo transesophageal (93312) |
$2,076.90 |
$6,923 |
3.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,763.10 |
$5,877 |
3.1× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,008 |
$3,360 |
4.0× |
| EEG 41-60 minutes (95812) |
$579.60 |
$1,932 |
2.5× |
| EEG awake & asleep (95819) |
$641.10 |
$2,137 |
2.8× |
| EEG awake/drowsy (95816) |
$630 |
$2,100 |
2.8× |
| EEG coma or sleep only (95822) |
$1,055.10 |
$3,517 |
4.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$419.10 |
$1,397 |
1.8× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,093.20 |
$3,644 |
4.8× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$657.90 |
$2,193 |
1.7× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$571.80 |
$1,906 |
1.5× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$690.90 |
$2,303 |
1.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$342.90 |
$1,143 |
1.5× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$325.80 |
$1,086 |
1.4× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$375 |
$1,250 |
1.6× |
| EKG 12 lead tracing only (93005) |
$273.30 |
$911 |
4.4× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$300.60 |
$1,002 |
3.0× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$132.60 |
$442 |
0.9× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$212.40 |
$708 |
2.1× |
| Electroconvulsive therapy (90870) |
$515.10 |
$1,717 |
0.6× |
| Electrode stimulation brain (95961) |
$974.10 |
$3,247 |
1.1× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$1,614.60 |
$5,382 |
1.3× |
| Emergency department visit high mdm (99285) |
$2,616.30 |
$8,721 |
4.2× |
| Emergency department visit low mdm (99283) |
$739.50 |
$2,465 |
2.6× |
| Emergency department visit may not req phys/qhp (99281) |
$200.70 |
$669 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$1,706.70 |
$5,689 |
3.9× |
| Emergency department visit straightforward mdm (99282) |
$378.60 |
$1,262 |
2.3× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$108.20 |
$360.65 |
0.8× |
| Endoscopy swallow (fees) vid (92612) |
$268.20 |
$894 |
— |
| Esoph balloon distension tst (91040) |
$588.30 |
$1,961 |
1.5× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,524.90 |
$5,083 |
3.9× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$1,394.70 |
$4,649 |
6.1× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$502.50 |
$1,675 |
1.3× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$281.40 |
$938 |
— |
| Evaluate pt use of inhaler (94664) |
$112.80 |
$376 |
0.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$150.60 |
$502 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$252.60 |
$842 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$257.70 |
$859 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$150.60 |
$502 |
— |
| Evaluation of central auditory function, with report; initial 60 minutes (92620) |
$250.50 |
$835 |
1.8× |
| Evaluation of speech fluency (92521) |
$272.40 |
$908 |
— |
| Evaluation of speech sound production articulate (92522) |
$336.60 |
$1,122 |
— |
| Evoked auditory test limited (92587) |
$134.10 |
$447 |
0.6× |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$313.50 |
$1,045 |
2.2× |
| Exercise tst brncspsm wo ECG (94619) |
$70.80 |
$236 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$113.40 |
$378 |
2.9× |
| External ECG rec>7d<15d recording (93246) |
$153 |
$510 |
3.9× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$477.90 |
$1,593 |
3.4× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$55.74 |
$185.80 |
1.8× |
| Fluidotherapy (97022) |
$54.90 |
$183 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$345.30 |
$1,151 |
1.5× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$1,673.10 |
$5,577 |
4.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,128 |
$3,760 |
1.2× |
| Group caregiver training strategies & technique (97552) |
$112.80 |
$376 |
— |
| Hast w/oxygen titrate (94453) |
$103.80 |
$346 |
0.7× |
| Health behavior assessment/re-assessment (96156) |
$354 |
$1,180 |
3.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$100.20 |
$334 |
2.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$30.60 |
$102 |
0.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$119.10 |
$397 |
0.6× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,755 |
$5,850 |
2.4× |
| High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) |
$111.90 |
$373 |
0.8× |
| Hot/cold pack (97010) |
$19.80 |
$66 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$36.60 |
$122 |
0.5× |
| Imm admn sarscov2 vaccine single dose (90480) |
$29.40 |
$98 |
0.7× |
| Immunization administration (90471) |
$43.50 |
$145 |
0.6× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$535.20 |
$1,784 |
0.4× |
| Infrared therapy (97026) |
$46.20 |
$154 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$106.50 |
$355 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$151.80 |
$506 |
0.7× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$1,046.40 |
$3,488 |
0.6× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$97.80 |
$326 |
2.5× |
| Interrog device eval heart (93289) |
$136.50 |
$455 |
3.5× |
| Interrog w/o prgrmg ipnss (93153) |
$74.40 |
$248 |
0.7× |
| Interrog&prgrmg ipnss (93151) |
$74.40 |
$248 |
0.7× |
| Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography (93152) |
$230.10 |
$767 |
0.7× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$86.40 |
$288 |
2.8× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$111.90 |
$373 |
2.8× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$67.80 |
$226 |
1.7× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$7,908.60 |
$26,362 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$70.20 |
$234 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$106.20 |
$354 |
2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$198.30 |
$661 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$77.40 |
$258 |
1.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$202.50 |
$675 |
0.9× |
| IV tx, each additional hour (96366) |
$78.30 |
$261 |
1.6× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$4,130.10 |
$13,767 |
1.2× |
| Low frequency non-thermal us (97610) |
$221.10 |
$737 |
1.0× |
| Lwr xtr vasc stdy bilat (93924) |
$482.70 |
$1,609 |
2.1× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$77.70 |
$259 |
0.6× |
| Maximum voluntary ventilation (94200) |
$91.20 |
$304 |
1.5× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$384.90 |
$1,283 |
1.0× |
| Mechanical chest wall oscillation lung function (94669) |
$87.90 |
$293 |
0.4× |
| Mechanical traction therapy (97012) |
$47.70 |
$159 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$45.90 |
$153 |
— |
| Medical nutrition group (97804) |
$34.20 |
$114 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$58.50 |
$195 |
— |
| Methacholine challenge (94070) |
$635.70 |
$2,119 |
1.6× |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias (93025) |
$1,073.10 |
$3,577 |
7.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$360.90 |
$1,203 |
— |
| Multiple sleep latency (95805) |
$1,323.60 |
$4,412 |
1.5× |
| Muscle test larynx (95865) |
$129 |
$430 |
0.9× |
| Nasopharyngoscopy (92511) |
$221.70 |
$739 |
1.1× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$177 |
$590 |
1.3× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$148.80 |
$496 |
1.1× |
| Needle electromyography cranial nrv muscle uni (95867) |
$177 |
$590 |
0.8× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$139.50 |
$465 |
1.0× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$78.90 |
$263 |
0.6× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$249.60 |
$832 |
1.1× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$473.10 |
$1,577 |
1.1× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$548.10 |
$1,827 |
1.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$197.40 |
$658 |
0.9× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$240.90 |
$803 |
0.6× |
| Nerve conduction studies 1-2 studies (95907) |
$94.20 |
$314 |
0.4× |
| Nerve conduction studies 11-12 studies (95912) |
$226.20 |
$754 |
0.6× |
| Nerve conduction studies 13/> studies (95913) |
$258.60 |
$862 |
0.7× |
| Nerve conduction studies 3-4 studies (95908) |
$117.30 |
$391 |
0.5× |
| Nerve conduction studies 5-6 studies (95909) |
$141.30 |
$471 |
0.6× |
| Nerve conduction studies 7-8 studies (95910) |
$167.40 |
$558 |
0.4× |
| Nerve conduction studies 9-10 studies (95911) |
$203.10 |
$677 |
0.5× |
| Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) |
$230.10 |
$767 |
1.0× |
| Neuromuscular junction test (95937) |
$175.80 |
$586 |
1.3× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$601.80 |
$2,006 |
2.6× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$234.90 |
$783 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$204.60 |
$682 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$131.10 |
$437 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$184.80 |
$616 |
— |
| Ocular vemp testing w/i&r (92518) |
$161.40 |
$538 |
1.2× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording (92544) |
$119.40 |
$398 |
0.9× |
| Oral function therapy (92526) |
$183.90 |
$613 |
— |
| Oral speech device eval (92597) |
$245.10 |
$817 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$107.40 |
$358 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$69.30 |
$231 |
— |
| Osteopath manj 1-2 regions (98925) |
$51.30 |
$171 |
2.3× |
| Osteopath manj 3-4 regions (98926) |
$74.10 |
$247 |
3.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$97.50 |
$325 |
4.3× |
| Ot manual therapy ea 15 min (97140) |
$81.60 |
$272 |
— |
| Ot neuromuscular re-education (97112) |
$78.30 |
$261 |
— |
| Ot paraffin bath (97018) |
$16.80 |
$56 |
— |
| Ot re-evaluation (97168) |
$141.90 |
$473 |
— |
| OT Therapeutic Activities Charges (97530) |
$85.50 |
$285 |
— |
| Ot wheelchair management (97542) |
$74.10 |
$247 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$120 |
$400 |
0.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$116.10 |
$387 |
0.9× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$553.20 |
$1,844 |
8.9× |
Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990)
unusually low — confirm this is the full procedure |
$4,327.20 |
$14,424 |
0.4× |
| Phlebotomy therapeutic (99195) |
$167.40 |
$558 |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$154.20 |
$514 |
2.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$150 |
$500 |
2.4× |
| Physical therapy evaluation high complex 45 mins (97163) |
$204.60 |
$682 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$131.10 |
$437 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$184.80 |
$616 |
— |
| Pm device progr eval multi (93281) |
$180.60 |
$602 |
4.6× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,743.40 |
$12,478 |
4.1× |
| Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) |
$2,202.60 |
$7,342 |
2.4× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$1,986 |
$6,620 |
2.2× |
| Positional nystagmus test, minimum of 4 positions, with recording (92542) |
$183.60 |
$612 |
1.3× |
| Pr tympanometry and reflex threshold measurements (92550) |
$94.20 |
$314 |
0.4× |
| Prgrmg dev eval pm/ldls pm (93279) |
$82.80 |
$276 |
2.1× |
| Program eval implantable in persn dual ld pacer (93280) |
$171.90 |
$573 |
4.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$213 |
$710 |
5.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$138.30 |
$461 |
3.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$56.10 |
$187 |
1.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$277.50 |
$925 |
7.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$255.60 |
$852 |
6.5× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$84.90 |
$283 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$11,601 |
$38,670 |
1.0× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$7,634.70 |
$25,449 |
1.3× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$10,815 |
$36,050 |
0.9× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$10,821.30 |
$36,071 |
0.9× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$14,990.40 |
$49,968 |
1.2× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$13,482.90 |
$44,943 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$206.56 |
$688.53 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$206.56 |
$688.53 |
1.1× |
| Pt gait training 15 min (97116) |
$60.30 |
$201 |
— |
| Pt physical performance test (97750) |
$69 |
$230 |
— |
| Pt re-evaluation (97164) |
$141.90 |
$473 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$368.70 |
$1,229 |
— |
| Pulm funct tst plethysmograp (94726) |
$337.20 |
$1,124 |
0.9× |
| Pulmonary stress testing (94618) |
$507.30 |
$1,691 |
3.6× |
| R hrt art/grft angio (93457) |
$8,998.50 |
$29,995 |
2.6× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$4,130.10 |
$13,767 |
1.2× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$4,130.10 |
$13,767 |
1.2× |
| R hrt coronary artery angio (93456) |
$8,344.20 |
$27,814 |
2.4× |
| R&l hrt art/ventricle angio (93461) |
$9,822.30 |
$32,741 |
2.9× |
| R&l hrt cath w/ventriclgrphy (93453) |
$6,138 |
$20,460 |
1.8× |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$263.70 |
$879 |
4.2× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$430.80 |
$1,436 |
1.2× |
| Refilling and maintenance of portable pump (96521) |
$249.30 |
$831 |
1.1× |
| Remote 30 day ECG rev/report (93270) |
$428.40 |
$1,428 |
10.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$108.30 |
$361 |
0.8× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s)… (98977) |
$45.90 |
$153 |
1.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$546.30 |
$1,821 |
2.4× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$610.50 |
$2,035 |
2.7× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$296.10 |
$987 |
0.9× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$4,130.10 |
$13,767 |
1.2× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$4,130.10 |
$13,767 |
1.2× |
| Right heart cath o2 saturation & cardiac output (93451) |
$3,924.30 |
$13,081 |
1.1× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$90.30 |
$301 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$120 |
$400 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$177 |
$590 |
0.8× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$221.70 |
$739 |
0.2× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$728.70 |
$2,429 |
3.2× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$666.30 |
$2,221 |
2.9× |
| Sleep study attended (95807) |
$407.10 |
$1,357 |
1.0× |
| Sleep study unattended (95806) |
$323.40 |
$1,078 |
1.4× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$162.30 |
$541 |
0.7× |
| Speech sound lang comprehen (92523) |
$356.70 |
$1,189 |
— |
| Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording (92541) |
$156.30 |
$521 |
1.1× |
| Standardized cognitive performance testing (96125) |
$212.10 |
$707 |
— |
| Stress tte only (93350) |
$1,363.80 |
$4,546 |
2.4× |
| Surfactant administration (94610) |
$87.90 |
$293 |
0.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$161.70 |
$539 |
1.5× |
| Test for abnormal eye movement using a moving target that moves back and forth with recording (92545) |
$153.60 |
$512 |
0.7× |
| Test for hearing various pitches using earphone (92552) |
$70.20 |
$234 |
0.5× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$96 |
$320 |
0.7× |
| Test to assess middle ear muscle reflex (92568) |
$62.40 |
$208 |
1.6× |
| Test to measure resistance of the airways and lungs to differing frequencies (94728) |
$268.20 |
$894 |
2.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$57.90 |
$193 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$56.10 |
$187 |
— |
| Ther/proph/diag inj ia (96373) |
$94.80 |
$316 |
0.4× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$327.90 |
$1,093 |
1.4× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$36.30 |
$121 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$75 |
$250 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$61.20 |
$204 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$81 |
$270 |
1.1× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$184.20 |
$614 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$172.80 |
$576 |
— |
| Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming (93150) |
$78.90 |
$263 |
0.8× |
| Tilt table evaluation (93660) |
$1,039.20 |
$3,464 |
2.6× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$25.80 |
$86 |
0.7× |
| Transcath closure of asd (93580) |
$14,989.20 |
$49,964 |
0.8× |
| Transcranial doppler stdy intracranial art compl (93886) |
$348 |
$1,160 |
1.4× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$153.90 |
$513 |
1.4× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,189.20 |
$3,964 |
2.1× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$93 |
$310 |
2.4× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$447.60 |
$1,492 |
0.8× |
| Tte congenital complete (93303) |
$883.20 |
$2,944 |
1.5× |
| Tte f-up or lmtd (93308) |
$768.90 |
$2,563 |
3.1× |
| Tte w/doppler complete (93306) |
$2,206.80 |
$7,356 |
3.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$180.60 |
$602 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$54.30 |
$181 |
— |
| Tympanometry (92567) |
$62.40 |
$208 |
1.6× |
| Upr/l xtremity art 2 levels (93922) |
$265.50 |
$885 |
1.9× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$342.90 |
$1,143 |
1.5× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$657.90 |
$2,193 |
1.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$360 |
$1,200 |
0.9× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$3,684 |
$12,280 |
4.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,147.90 |
$10,493 |
8.0× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$571.80 |
$1,906 |
1.5× |
| Ventilation ip/obs initial day (94002) |
$1,584.60 |
$5,282 |
2.4× |
| Ventilator subsequent day (94003) |
$1,315.50 |
$4,385 |
2.0× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$646.50 |
$2,155 |
2.8× |
| Visual reinforcement audiometry (vra) (92579) |
$149.40 |
$498 |
0.7× |
| Vital capacity total (94150) |
$78.60 |
$262 |
0.6× |
| Wada activation test (95958) |
$932.40 |
$3,108 |
1.0× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$184.20 |
$614 |
— |
| Wound(s) care non-selective (97602) |
$112.80 |
$376 |
0.5× |