| Acupunct w/o stimul 15 min (97810) |
$76.95 |
$171 |
2.5× |
| Acupunct w/stimul 15 min (97813) |
$60.75 |
$135 |
2.0× |
| Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other… (97153) |
$108 |
$240 |
1.0× |
| Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care… (97155) |
$124.65 |
$277 |
0.7× |
| Administration of chemotherapy into artery using push technique (96420) |
$484.20 |
$1,076 |
1.4× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,342.35 |
$2,983 |
3.9× |
| Advance care planning first 30 mins (99497) |
$197.10 |
$438 |
1.8× |
| Aep neurodiagnostic interpretation and report (92653) |
$696.15 |
$1,547 |
3.1× |
| Aerosol inhalation pentamidine (94642) |
$660.15 |
$1,467 |
2.9× |
| Airway inhalation treatment (94640) |
$431.10 |
$958 |
1.9× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$387.90 |
$862 |
2.8× |
| Analyze pacemaker system (93724) |
$460.35 |
$1,023 |
1.4× |
| Appl modality 1+lllt po pain (97037) |
$51.75 |
$115 |
1.3× |
| Appl on-body injector for timed subq injection (96377) |
$67.95 |
$151 |
1.4× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$72 |
$160 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$118.35 |
$263 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$106.65 |
$237 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$100.35 |
$223 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$83.70 |
$186 |
— |
| Application of ultraviolet light to skin (96900) |
$95.85 |
$213 |
2.4× |
| Assessment of aphasia (96105) |
$615.15 |
$1,367 |
— |
| Behavior identification assessment, administered by a physician or other qualified health care professional, each 15… (97151) |
$108 |
$240 |
1.0× |
| Behavior identification-supporting assessment, administered by one technician under the direction of a physician or… (97152) |
$108 |
$240 |
1.0× |
| Behavioral & qualit analysis voice and resonance (92524) |
$410.40 |
$912 |
— |
| Bfb training ea addl 15 min (90913) |
$121.05 |
$269 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$472.05 |
$1,049 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$134.10 |
$298 |
— |
| Biopsy of heart lining (93505) |
$4,123.35 |
$9,163 |
1.2× |
| Bipap initial day (94660) |
$816.75 |
$1,815 |
3.5× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$279.90 |
$622 |
2.1× |
| Blink reflex test (95933) |
$145.35 |
$323 |
2.3× |
| Breathing capacity test (94010) |
$310.50 |
$690 |
1.4× |
| Bronchial allergy tests (95070) |
$903.15 |
$2,007 |
2.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$516.60 |
$1,148 |
1.3× |
| C motor evoked lwr limbs (95929) |
$958.50 |
$2,130 |
2.4× |
| C motor evoked uppr limbs (95928) |
$920.70 |
$2,046 |
1.0× |
| Canalith repositioning (95992) |
$130.95 |
$291 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$249.30 |
$554 |
6.3× |
| Cardiopulmonary exercise testing (94621) |
$1,140.75 |
$2,535 |
2.9× |
| Cardiovascular procedure unlisted (93799) |
$1,875.86 |
$4,168.56 |
13.8× |
| Cardiovascular stress test (93017) |
$1,289.70 |
$2,866 |
5.7× |
| Cardioversion elective external (92960) |
$1,758.15 |
$3,907 |
2.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$41.85 |
$93 |
1.1× |
| Caregiver training 1st 30 min (97550) |
$81.45 |
$181 |
— |
| Caregiver training ea addl 15 (97551) |
$40.50 |
$90 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$13,021.20 |
$28,936 |
3.8× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$12,797.10 |
$28,438 |
3.7× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$11,174.40 |
$24,832 |
3.3× |
| Chemo anti-neopl sq/im (96401) |
$260.10 |
$578 |
3.4× |
| Chemo hormon antineopl sq/im (96402) |
$336.60 |
$748 |
4.4× |
| Chemo intralesional up to 7 (96405) |
$357.30 |
$794 |
4.7× |
| Chemo IV infus each addl seq (96417) |
$254.25 |
$565 |
3.3× |
| Chemo IV infusion addl hr (96415) |
$357.75 |
$795 |
4.7× |
| Chemo IV push addl drug (96411) |
$206.55 |
$459 |
2.7× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis (96440) |
$679.50 |
$1,510 |
2.0× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$548.55 |
$1,219 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$603.90 |
$1,342 |
1.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$376.20 |
$836 |
1.1× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$327.15 |
$727 |
0.9× |
| Chest physiotherapy initial (94667) |
$272.25 |
$605 |
1.9× |
| Color/duplex Doppler, complete (93975) |
$791.10 |
$1,758 |
3.1× |
| Color/duplex Doppler, limited (93976) |
$420.30 |
$934 |
3.8× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$122.40 |
$272 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$8,136.45 |
$18,081 |
1.0× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$29,810.25 |
$66,245 |
1.1× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$6,461.55 |
$14,359 |
0.8× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$30,307.95 |
$67,351 |
1.1× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$36,528.30 |
$81,174 |
1.3× |
| Comprehensive hearing test (92557) |
$153 |
$340 |
1.1× |
| Concurrent chemotherapy (96549) |
$466.11 |
$1,035.79 |
9.4× |
| Conditioning play audiometry (92582) |
$268.65 |
$597 |
2.0× |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$734.40 |
$1,632 |
5.2× |
| Cont gluc mntr pt prov eqp (95249) |
$127.80 |
$284 |
2.1× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$220.05 |
$489 |
1.6× |
| Coronary art/grft angio s&i (93455) |
$8,982.45 |
$19,961 |
2.6× |
| Coronary artery angio s&i (93454) |
$7,929.45 |
$17,621 |
2.3× |
| Corticapted neurological or neuromuscular diagnostic procedure (95999) |
$833.75 |
$1,852.76 |
6.1× |
| Cpr (92950) |
$1,132.20 |
$2,516 |
5.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$5,312.25 |
$11,805 |
6.1× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,694.25 |
$3,765 |
1.9× |
| Debridement open wound 20 sq cm< (97597) |
$306.90 |
$682 |
1.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$445.05 |
$989 |
3.3× |
| Dialysis one evaluation (90945) |
$2,380.95 |
$5,291 |
5.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$578.25 |
$1,285 |
1.5× |
| Duplex hemodialysis access (93990) |
$489.60 |
$1,088 |
4.4× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$427.50 |
$950 |
1.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$191.70 |
$426 |
1.7× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$541.80 |
$1,204 |
2.2× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$430.65 |
$957 |
3.9× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$846.90 |
$1,882 |
3.4× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$473.85 |
$1,053 |
4.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$963 |
$2,140 |
3.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$673.20 |
$1,496 |
6.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$764.10 |
$1,698 |
3.0× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$619.65 |
$1,377 |
5.6× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$610.65 |
$1,357 |
2.4× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$428.85 |
$953 |
3.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$232.20 |
$516 |
1.7× |
| Ear and throat examination (92502) |
$724.95 |
$1,611 |
1.3× |
| ECG monit/reprt up to 48 hrs (93226) |
$646.20 |
$1,436 |
10.4× |
| Echo transesophageal (93312) |
$2,168.55 |
$4,819 |
3.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,120.40 |
$4,712 |
3.7× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,024.65 |
$2,277 |
4.1× |
| EEG 41-60 minutes (95812) |
$1,385.10 |
$3,078 |
6.1× |
| EEG awake & asleep (95819) |
$1,002.60 |
$2,228 |
4.4× |
| EEG awake/drowsy (95816) |
$985.50 |
$2,190 |
4.3× |
| EEG coma or sleep only (95822) |
$1,582.65 |
$3,517 |
6.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,750.50 |
$3,890 |
7.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,704.60 |
$3,788 |
7.5× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$2,796.75 |
$6,215 |
7.1× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,663.55 |
$5,919 |
6.8× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$2,929.95 |
$6,511 |
7.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,838.25 |
$4,085 |
8.1× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$1,750.50 |
$3,890 |
7.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,925.55 |
$4,279 |
8.5× |
| EKG 12 lead tracing only (93005) |
$337.50 |
$750 |
5.4× |
| Elec alys implt npgt cplx sp/pn prgrmg (95972) |
$470.25 |
$1,045 |
4.7× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$263.25 |
$585 |
1.9× |
| Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) |
$287.55 |
$639 |
2.9× |
| Electrode stimulation brain (95961) |
$1,473.75 |
$3,275 |
1.6× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$6,814.80 |
$15,144 |
5.3× |
| Emergency department visit high mdm (99285) |
$3,630.15 |
$8,067 |
5.8× |
| Emergency department visit low mdm (99283) |
$1,024.65 |
$2,277 |
3.6× |
| Emergency department visit may not req phys/qhp (99281) |
$279.45 |
$621 |
3.1× |
| Emergency department visit moderate mdm (99284) |
$1,892.25 |
$4,205 |
4.3× |
| Emergency department visit straightforward mdm (99282) |
$576.45 |
$1,281 |
3.6× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$228.37 |
$507.48 |
1.7× |
| Endoscopy swallow (fees) vid (92612) |
$172.80 |
$384 |
— |
| Esoph balloon distension tst (91040) |
$1,010.25 |
$2,245 |
2.6× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$2,263.05 |
$5,029 |
5.7× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$2,057.40 |
$4,572 |
9.0× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$1,055.25 |
$2,345 |
2.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$374.85 |
$833 |
— |
| Evaluate pt use of inhaler (94664) |
$200.70 |
$446 |
0.9× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$235.35 |
$523 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$467.55 |
$1,039 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$472.05 |
$1,049 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$235.35 |
$523 |
— |
| Evaluation of central auditory function, with report; initial 60 minutes (92620) |
$369.45 |
$821 |
2.7× |
| Evaluation of speech fluency (92521) |
$475.20 |
$1,056 |
— |
| Evaluation of speech sound production articulate (92522) |
$418.05 |
$929 |
— |
| Evoked auditory test limited (92587) |
$423.90 |
$942 |
1.9× |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$462.60 |
$1,028 |
3.3× |
| Exercise tst brncspsm wo ECG (94619) |
$108.45 |
$241 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$229.50 |
$510 |
5.8× |
| External ECG rec>7d<15d recording (93246) |
$249.75 |
$555 |
6.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$982.35 |
$2,183 |
7.0× |
| Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional… (97156) |
$56.25 |
$125 |
1.4× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$79.06 |
$175.67 |
2.6× |
| Fluidotherapy (97022) |
$85.50 |
$190 |
— |
| Fundus photography with interpretation and report (92250) |
$179.55 |
$399 |
1.3× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$194.40 |
$432 |
0.9× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$2,468.25 |
$5,485 |
6.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,715.30 |
$6,034 |
3.0× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$2,250.90 |
$5,002 |
2.4× |
| Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other… (97154) |
$53.10 |
$118 |
1.3× |
| Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care… (97158) |
$56.25 |
$125 |
1.4× |
| Group caregiver training strategies & technique (97552) |
$34.65 |
$77 |
— |
| Hast w/oxygen titrate (94453) |
$187.65 |
$417 |
1.3× |
| Health behavior assessment/re-assessment (96156) |
$178.65 |
$397 |
1.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$141.75 |
$315 |
3.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$45.90 |
$102 |
1.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$178.65 |
$397 |
1.0× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$2,744.10 |
$6,098 |
3.8× |
| High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care… (94452) |
$178.65 |
$397 |
1.3× |
| Hot/cold pack (97010) |
$36.90 |
$82 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$54.90 |
$122 |
0.7× |
| Imm admn sarscov2 vaccine single dose (90480) |
$44.10 |
$98 |
1.0× |
| Immunization administration (90471) |
$65.25 |
$145 |
0.9× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$4,689.90 |
$10,422 |
3.7× |
| Infrared therapy (97026) |
$72 |
$160 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$98.55 |
$219 |
2.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$211.50 |
$470 |
0.9× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,571.30 |
$5,714 |
1.5× |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
$153 |
$340 |
3.9× |
| Interrog device eval heart (93289) |
$363.15 |
$807 |
9.2× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) |
$117.45 |
$261 |
3.8× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) |
$215.55 |
$479 |
5.5× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$106.20 |
$236 |
2.7× |
| Interrogation vad in prson w/phys/qhp analysis (93750) |
$269.10 |
$598 |
2.7× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$13,243.50 |
$29,430 |
1.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$126.90 |
$282 |
2.0× |
| IV infusion hydration each additional hour (96361) |
$279.90 |
$622 |
5.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$295.65 |
$657 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$243.45 |
$541 |
3.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$260.55 |
$579 |
1.2× |
| IV tx, each additional hour (96366) |
$231.75 |
$515 |
4.7× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$8,012.70 |
$17,806 |
2.3× |
| Lwr xtr vasc stdy bilat (93924) |
$1,567.80 |
$3,484 |
6.9× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$231.30 |
$514 |
1.6× |
| Maximum voluntary ventilation (94200) |
$142.65 |
$317 |
2.3× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$781.65 |
$1,737 |
2.0× |
| Mechanical chest wall oscillation lung function (94669) |
$366.75 |
$815 |
1.6× |
| Mechanical traction therapy (97012) |
$114.75 |
$255 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$86.40 |
$192 |
— |
| Medical nutrition group (97804) |
$76.95 |
$171 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$91.35 |
$203 |
— |
| Methacholine challenge (94070) |
$478.80 |
$1,064 |
1.2× |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias (93025) |
$391.50 |
$870 |
2.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$480.60 |
$1,068 |
— |
| Multi-family group psychotherapy - psychologist (90849) |
$212.40 |
$472 |
1.1× |
| Multiple sleep latency (95805) |
$2,128.05 |
$4,729 |
2.3× |
| Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care… (97157) |
$56.25 |
$125 |
1.4× |
| Muscle test larynx (95865) |
$492.75 |
$1,095 |
3.5× |
| Nasopharyngoscopy (92511) |
$491.40 |
$1,092 |
2.3× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$641.70 |
$1,426 |
4.7× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$248.40 |
$552 |
1.8× |
| Needle electromyography cranial nrv muscle uni (95867) |
$475.20 |
$1,056 |
2.1× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$291.60 |
$648 |
2.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$242.10 |
$538 |
1.7× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$490.50 |
$1,090 |
2.2× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$525.60 |
$1,168 |
1.2× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$295.65 |
$657 |
1.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$361.35 |
$803 |
0.8× |
| Nerve conduction studies 1-2 studies (95907) |
$312.30 |
$694 |
1.4× |
| Nerve conduction studies 11-12 studies (95912) |
$738.90 |
$1,642 |
1.9× |
| Nerve conduction studies 13/> studies (95913) |
$805.05 |
$1,789 |
2.0× |
| Nerve conduction studies 3-4 studies (95908) |
$523.35 |
$1,163 |
2.3× |
| Nerve conduction studies 5-6 studies (95909) |
$570.60 |
$1,268 |
2.5× |
| Nerve conduction studies 7-8 studies (95910) |
$621.90 |
$1,382 |
1.6× |
| Nerve conduction studies 9-10 studies (95911) |
$705.60 |
$1,568 |
1.8× |
| Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) |
$289.80 |
$644 |
1.3× |
| Neuromuscular junction test (95937) |
$312.30 |
$694 |
2.3× |
| Neuropsychological tst eval phys/qhp 1st hour (96132) |
$720 |
$1,600 |
1.8× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$611.55 |
$1,359 |
2.7× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$467.10 |
$1,038 |
3.4× |
| Occupational therapy eval high complex 60 mins (97167) |
$297 |
$660 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$256.95 |
$571 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$270 |
$600 |
— |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording (92544) |
$356.85 |
$793 |
2.6× |
| Oral function therapy (92526) |
$244.80 |
$544 |
— |
| Oral speech device eval (92597) |
$172.80 |
$384 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$135.90 |
$302 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$92.25 |
$205 |
— |
| Osteopath manj 1-2 regions (98925) |
$80.55 |
$179 |
3.5× |
| Osteopath manj 3-4 regions (98926) |
$115.65 |
$257 |
5.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$152.10 |
$338 |
6.7× |
| Ot manual therapy ea 15 min (97140) |
$105.75 |
$235 |
— |
| Ot neuromuscular re-education (97112) |
$123.75 |
$275 |
— |
| Ot paraffin bath (97018) |
$46.80 |
$104 |
— |
| Ot re-evaluation (97168) |
$217.80 |
$484 |
— |
| OT Therapeutic Activities Charges (97530) |
$128.70 |
$286 |
— |
| Ot wheelchair management (97542) |
$118.80 |
$264 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$148.50 |
$330 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$117.90 |
$262 |
0.9× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$655.65 |
$1,457 |
10.5× |
| Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990) |
$12,322.80 |
$27,384 |
1.0× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$35,135.55 |
$78,079 |
1.8× |
| Peripheral vascular rehab (93668) |
$312.30 |
$694 |
5.0× |
| Perq transcath closure pda (93582) |
$25,740.45 |
$57,201 |
1.3× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$24,504.30 |
$54,454 |
1.3× |
| Phlebotomy therapeutic (99195) |
$241.65 |
$537 |
1.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$472.05 |
$1,049 |
7.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$324.90 |
$722 |
5.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$297 |
$660 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$256.95 |
$571 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$270 |
$600 |
— |
| Pm device progr eval multi (93281) |
$183.60 |
$408 |
4.7× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$6,268.50 |
$13,930 |
6.9× |
| Positional nystagmus test, minimum of 4 positions, with recording (92542) |
$230.85 |
$513 |
1.6× |
| Pr tympanometry and reflex threshold measurements (92550) |
$356.85 |
$793 |
1.6× |
| Prgrmg dev eval pm/ldls pm (93279) |
$136.80 |
$304 |
3.5× |
| Program eval implantable in persn dual ld pacer (93280) |
$174.60 |
$388 |
4.4× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$216.45 |
$481 |
5.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) |
$333 |
$740 |
8.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$87.75 |
$195 |
2.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$282.15 |
$627 |
7.2× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$259.65 |
$577 |
6.6× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$157.05 |
$349 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$16,473.15 |
$36,607 |
1.4× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$11,742.75 |
$26,095 |
2.0× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$15,357.15 |
$34,127 |
1.3× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$13,046.85 |
$28,993 |
1.1× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$16,352.55 |
$36,339 |
1.3× |
| Psych diag eval w/med srvcs (90792) |
$251.07 |
$557.92 |
1.3× |
| Psychiatric diagnostic evaluation (90791) |
$251.07 |
$557.92 |
1.3× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$430.20 |
$956 |
1.9× |
| Psycl/nrpsycl tst elec platform auto result (96146) |
$102.15 |
$227 |
3.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$392.40 |
$872 |
0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$216.90 |
$482 |
1.5× |
| Psytx crisis initial 60 min (90839) |
$287.10 |
$638 |
1.5× |
| Pt gait training 15 min (97116) |
$117.45 |
$261 |
— |
| Pt physical performance test (97750) |
$92.25 |
$205 |
— |
| Pt re-evaluation (97164) |
$217.80 |
$484 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$576.45 |
$1,281 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$41.85 |
$93 |
1.1× |
| Pulm funct tst plethysmograp (94726) |
$572.40 |
$1,272 |
1.5× |
| Pulmonary stress testing (94618) |
$1,025.55 |
$2,279 |
7.3× |
| R hrt art/grft angio (93457) |
$11,702.25 |
$26,005 |
3.4× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$7,235.10 |
$16,078 |
2.1× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$7,235.10 |
$16,078 |
2.1× |
| R hrt coronary artery angio (93456) |
$13,173.30 |
$29,274 |
3.9× |
| R&l hrt art/ventricle angio (93461) |
$14,583.60 |
$32,408 |
4.3× |
| R&l hrt cath w/ventriclgrphy (93453) |
$8,954.55 |
$19,899 |
2.6× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$112.05 |
$249 |
— |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$412.20 |
$916 |
6.6× |
| Refilling and maintenance of portable pump (96521) |
$449.10 |
$998 |
2.0× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$103.95 |
$231 |
2.6× |
| Rem interrog scrms <30 d phys/qhp (93298) |
$103.95 |
$231 |
2.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$265.05 |
$589 |
6.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$189 |
$420 |
1.3× |
| Remote 30 day ECG rev/report (93270) |
$670.05 |
$1,489 |
17.0× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$9,661.95 |
$21,471 |
2.8× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$9,661.95 |
$21,471 |
2.8× |
| Right heart cath o2 saturation & cardiac output (93451) |
$4,934.70 |
$10,966 |
1.4× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$127.80 |
$284 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$159.75 |
$355 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$573.75 |
$1,275 |
2.5× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,055.25 |
$2,345 |
1.2× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$480.15 |
$1,067 |
2.1× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$484.20 |
$1,076 |
2.1× |
| Sleep study attended (95807) |
$1,890.45 |
$4,201 |
4.8× |
| Sleep study unattended (95806) |
$1,048.50 |
$2,330 |
4.6× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$628.20 |
$1,396 |
2.8× |
| Speech sound lang comprehen (92523) |
$475.20 |
$1,056 |
— |
| Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording (92541) |
$230.85 |
$513 |
1.6× |
| Standardized cognitive performance testing (96125) |
$653.40 |
$1,452 |
— |
| Stress tte only (93350) |
$1,999.35 |
$4,443 |
3.5× |
| Surfactant administration (94610) |
$355.95 |
$791 |
1.5× |
| Temp transcutaneous pacing (92953) |
$1,271.70 |
$2,826 |
1.8× |
| Test for abnormal eye movement using a moving target that moves back and forth with recording (92545) |
$423.90 |
$942 |
1.9× |
| Test for hearing various pitches using earphone (92552) |
$179.55 |
$399 |
1.3× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$233.55 |
$519 |
1.7× |
| Test to assess middle ear muscle reflex (92568) |
$97.65 |
$217 |
2.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$90.45 |
$201 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$87.75 |
$195 |
— |
| Ther/proph/diag inj ia (96373) |
$314.55 |
$699 |
1.4× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$67.05 |
$149 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$157.95 |
$351 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$97.65 |
$217 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$88.65 |
$197 |
1.2× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$288 |
$640 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$258.30 |
$574 |
— |
| Tilt table evaluation (93660) |
$2,357.10 |
$5,238 |
6.0× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$42.75 |
$95 |
1.1× |
| Transcath closure of asd (93580) |
$33,462.45 |
$74,361 |
1.7× |
| Transcranial doppler stdy intracranial art compl (93886) |
$544.05 |
$1,209 |
2.2× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,859.85 |
$4,133 |
3.2× |
| Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) |
$145.35 |
$323 |
3.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$835.65 |
$1,857 |
1.4× |
| Tte congenital complete (93303) |
$1,381.50 |
$3,070 |
2.4× |
| Tte f-up or lmtd (93308) |
$1,202.40 |
$2,672 |
4.8× |
| Tte w/doppler complete (93306) |
$3,451.05 |
$7,669 |
6.0× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$244.80 |
$544 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$101.70 |
$226 |
— |
| Tympanometry (92567) |
$97.65 |
$217 |
2.5× |
| Unlisted diagnostic gastroenterology procedure (91299) |
$560.41 |
$1,245.34 |
4.1× |
| Upr/l xtremity art 2 levels (93922) |
$268.20 |
$596 |
1.9× |
| Valvuloplasty aortic valve (92986) |
$8,505 |
$18,900 |
1.4× |
| Valvuloplasty mitral valve (92987) |
$15,384.15 |
$34,187 |
1.3× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$2,363.40 |
$5,252 |
10.4× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$2,663.55 |
$5,919 |
6.8× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,930.05 |
$4,289 |
4.9× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$4,644.45 |
$10,321 |
5.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,026.35 |
$4,503 |
5.1× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$3,595.50 |
$7,990 |
9.1× |
| Ventilation ip/obs initial day (94002) |
$2,533.50 |
$5,630 |
3.9× |
| Ventilator subsequent day (94003) |
$2,026.80 |
$4,504 |
3.1× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$480.15 |
$1,067 |
2.1× |
| Visual reinforcement audiometry (vra) (92579) |
$233.55 |
$519 |
1.0× |
| Vital capacity total (94150) |
$347.85 |
$773 |
2.6× |
| Wada activation test (95958) |
$1,879.20 |
$4,176 |
2.1× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$288 |
$640 |
— |
| Wound(s) care non-selective (97602) |
$281.70 |
$626 |
1.3× |