| Advance care planning first 30 mins (99497) |
$336 |
$420 |
3.1× |
| Airway inhalation treatment (94640) |
$423.20 |
$529 |
1.8× |
| Allergy injection single (95115) |
$75.20 |
$94 |
1.5× |
| Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) |
$295.20 |
$369 |
2.1× |
| Appl on-body injector for timed subq injection (96377) |
$125.60 |
$157 |
2.5× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$78.40 |
$98 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$78.40 |
$98 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$60.80 |
$76 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$98.40 |
$123 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$392.80 |
$491 |
— |
| Bfb training ea addl 15 min (90913) |
$161.60 |
$202 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$226.40 |
$283 |
— |
| Bipap initial day (94660) |
$1,061.60 |
$1,327 |
4.6× |
| Breathing capacity test (94010) |
$293.60 |
$367 |
1.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$581.60 |
$727 |
1.5× |
| Canalith repositioning (95992) |
$176.80 |
$221 |
— |
| Cardiovascular stress test (93017) |
$1,041.60 |
$1,302 |
4.6× |
| Cardioversion elective external (92960) |
$1,296.80 |
$1,621 |
1.9× |
| Chemo anti-neopl sq/im (96401) |
$389.60 |
$487 |
5.1× |
| Chemo hormon antineopl sq/im (96402) |
$252.80 |
$316 |
3.3× |
| Chemo IV infus each addl seq (96417) |
$428 |
$535 |
5.6× |
| Chemo IV infusion addl hr (96415) |
$475.20 |
$594 |
6.3× |
| Chemo IV push addl drug (96411) |
$368.80 |
$461 |
4.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$945.60 |
$1,182 |
2.7× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$672.80 |
$841 |
1.9× |
| Chest physiotherapy initial (94667) |
$179.20 |
$224 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,333.60 |
$1,667 |
5.3× |
| Color/duplex Doppler, limited (93976) |
$917.60 |
$1,147 |
8.3× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$408.80 |
$511 |
2.9× |
| Cpr (92950) |
$2,133.60 |
$2,667 |
9.4× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,908.80 |
$4,886 |
4.5× |
| Debridement open wound 20 sq cm< (97597) |
$410.40 |
$513 |
1.9× |
| Duplex hemodialysis access (93990) |
$778.40 |
$973 |
7.1× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$1,004 |
$1,255 |
4.0× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$662.40 |
$828 |
6.0× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$1,149.60 |
$1,437 |
4.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,512.80 |
$1,891 |
6.0× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$971.20 |
$1,214 |
8.8× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,415.20 |
$1,769 |
5.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$778.40 |
$973 |
7.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,131.20 |
$1,414 |
4.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$705.60 |
$882 |
6.4× |
| ECG monit/reprt up to 48 hrs (93226) |
$597.60 |
$747 |
9.6× |
| Echo transesophageal (93312) |
$1,845.60 |
$2,307 |
3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,668 |
$2,085 |
2.9× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,860.80 |
$2,326 |
7.4× |
| EKG 12 lead tracing only (93005) |
$401.60 |
$502 |
6.5× |
| Emergency department visit high mdm (99285) |
$2,345.60 |
$2,932 |
3.7× |
| Emergency department visit low mdm (99283) |
$781.60 |
$977 |
2.7× |
| Emergency department visit may not req phys/qhp (99281) |
$168 |
$210 |
1.9× |
| Emergency department visit moderate mdm (99284) |
$1,563.20 |
$1,954 |
3.6× |
| Emergency department visit straightforward mdm (99282) |
$547.20 |
$684 |
3.4× |
| Endoscopy swallow (fees) vid (92612) |
$439.20 |
$549 |
— |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,784.80 |
$2,231 |
4.5× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$396.80 |
$496 |
1.0× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$480 |
$600 |
— |
| Evaluate pt use of inhaler (94664) |
$148.80 |
$186 |
0.6× |
| Evaluation of speech fluency (92521) |
$392.80 |
$491 |
— |
| Evaluation of speech sound production articulate (92522) |
$392.80 |
$491 |
— |
| Exercise tst brncspsm wo ECG (94619) |
$181.60 |
$227 |
2.9× |
| External ECG rec>48hr<7d recording (93242) |
$372.80 |
$466 |
9.5× |
| External ECG rec>7d<15d recording (93246) |
$405.60 |
$507 |
10.3× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$568.80 |
$711 |
4.1× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$292.80 |
$366 |
1.3× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$1,321.60 |
$1,652 |
3.4× |
| Health behavior assessment/re-assessment (96156) |
$897.60 |
$1,122 |
8.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$254.40 |
$318 |
6.4× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$77.60 |
$97 |
2.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$301.60 |
$377 |
1.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$78.40 |
$98 |
1.8× |
| Immunization administration (90471) |
$116 |
$145 |
1.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$150.40 |
$188 |
3.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$252 |
$315 |
1.1× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$169.60 |
$212 |
2.7× |
| IV infusion hydration each additional hour (96361) |
$234.40 |
$293 |
4.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$306.40 |
$383 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$344.80 |
$431 |
4.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$376.80 |
$471 |
1.7× |
| IV tx, each additional hour (96366) |
$332 |
$415 |
6.7× |
| Lwr xtr vasc stdy bilat (93924) |
$1,371.20 |
$1,714 |
6.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$231.20 |
$289 |
1.6× |
| Maximum voluntary ventilation (94200) |
$148.80 |
$186 |
2.4× |
| Mechanical chest wall oscillation lung function (94669) |
$615.20 |
$769 |
2.7× |
| Mechanical traction therapy (97012) |
$101.60 |
$127 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$144 |
$180 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$86.40 |
$108 |
— |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias (93025) |
$1,980.80 |
$2,476 |
14.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$482.40 |
$603 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$109.60 |
$137 |
0.5× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$237.60 |
$297 |
0.6× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$771.20 |
$964 |
3.4× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$394.40 |
$493 |
2.9× |
| Occupational therapy eval high complex 60 mins (97167) |
$485.60 |
$607 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$218.40 |
$273 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$436 |
$545 |
— |
| Oral function therapy (92526) |
$235.20 |
$294 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$142.40 |
$178 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$145.60 |
$182 |
— |
| Ot manual therapy ea 15 min (97140) |
$131.20 |
$164 |
— |
| Ot neuromuscular re-education (97112) |
$121.60 |
$152 |
— |
| Ot re-evaluation (97168) |
$122.40 |
$153 |
— |
| OT Therapeutic Activities Charges (97530) |
$102.40 |
$128 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$284.80 |
$356 |
2.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$256.80 |
$321 |
1.9× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) |
$174.40 |
$218 |
2.8× |
| Phlebotomy therapeutic (99195) |
$296 |
$370 |
2.1× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$708 |
$885 |
11.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$496 |
$620 |
8.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$418.40 |
$523 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$157.60 |
$197 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$288 |
$360 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$4,168 |
$5,210 |
4.6× |
| Pt gait training 15 min (97116) |
$131.20 |
$164 |
— |
| Pt physical performance test (97750) |
$139.20 |
$174 |
— |
| Pt re-evaluation (97164) |
$227.20 |
$284 |
— |
| Pulm funct tst plethysmograp (94726) |
$516.80 |
$646 |
1.3× |
| Pulmonary stress testing (94618) |
$614.40 |
$768 |
4.4× |
| Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) |
$329.60 |
$412 |
5.3× |
| Refilling and maintenance of portable pump (96521) |
$771.20 |
$964 |
3.4× |
| Remote 30 day ECG rev/report (93270) |
$245.60 |
$307 |
6.2× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$113.60 |
$142 |
— |
| Speech sound lang comprehen (92523) |
$410.40 |
$513 |
— |
| Standardized cognitive performance testing (96125) |
$450.40 |
$563 |
— |
| Stress tte only (93350) |
$1,533.60 |
$1,917 |
2.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$303.20 |
$379 |
2.7× |
| Temp transcutaneous pacing (92953) |
$1,916 |
$2,395 |
2.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$128 |
$160 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$124 |
$155 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$165.60 |
$207 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$104.80 |
$131 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$192 |
$240 |
2.5× |
| Tilt table evaluation (93660) |
$1,653.60 |
$2,067 |
4.2× |
| Tobacco use cessation intensive >10 minutes (99407) |
$94.40 |
$118 |
2.4× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$63.20 |
$79 |
1.6× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$828.80 |
$1,036 |
1.4× |
| Tte congenital complete (93303) |
$1,208 |
$1,510 |
2.1× |
| Tte f-up or lmtd (93308) |
$736 |
$920 |
2.9× |
| Tte w/doppler complete (93306) |
$2,283.20 |
$2,854 |
4.0× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$252.80 |
$316 |
— |
| Upr/l xtremity art 2 levels (93922) |
$490.40 |
$613 |
3.5× |
| Ventilation ip/obs initial day (94002) |
$1,961.60 |
$2,452 |
3.0× |
| Ventilator subsequent day (94003) |
$1,770.40 |
$2,213 |
2.7× |
| Vital capacity total (94150) |
$328.80 |
$411 |
2.4× |
| Wound(s) care non-selective (97602) |
$92 |
$115 |
0.4× |