| Aep hearing status deter broadband stimuli i&r (92651) |
$426.60 |
$474 |
1.9× |
| Aerosol inhalation pentamidine (94642) |
$646.20 |
$718 |
2.8× |
| Airway inhalation treatment (94640) |
$367.20 |
$408 |
1.6× |
| Appl modality 1+lllt po pain (97037) |
$91.80 |
$102 |
2.3× |
| Appl on-body injector for timed subq injection (96377) |
$169.20 |
$188 |
3.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$54.71 |
$60.78 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$83.70 |
$93 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$61.27 |
$68.07 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$61.27 |
$68.07 |
— |
| Assessment of aphasia (96105) |
$429.30 |
$477 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$456.30 |
$507 |
— |
| Bipap initial day (94660) |
$777.60 |
$864 |
3.4× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$288 |
$320 |
2.1× |
| Breathing capacity test (94010) |
$252 |
$280 |
1.1× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$509.40 |
$566 |
1.3× |
| Canalith repositioning (95992) |
$121.50 |
$135 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$139.50 |
$155 |
3.5× |
| Cardiovascular stress test (93017) |
$554.40 |
$616 |
2.4× |
| Cardioversion elective external (92960) |
$1,260 |
$1,400 |
1.8× |
| Caregiver training 1st 30 min (97550) |
$100.80 |
$112 |
— |
| Chemo anti-neopl sq/im (96401) |
$273.60 |
$304 |
3.6× |
| Chemo hormon antineopl sq/im (96402) |
$246.60 |
$274 |
3.2× |
| Chemo IV infus each addl seq (96417) |
$644.40 |
$716 |
8.5× |
| Chemo IV infusion addl hr (96415) |
$450.90 |
$501 |
5.9× |
| Chemo IV push addl drug (96411) |
$377.10 |
$419 |
5.0× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$919.80 |
$1,022 |
2.6× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$600.30 |
$667 |
1.7× |
| Chest physiotherapy initial (94667) |
$233.10 |
$259 |
1.7× |
| Color/duplex Doppler, complete (93975) |
$911.70 |
$1,013 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$865.80 |
$962 |
7.9× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$414.90 |
$461 |
3.0× |
| Cpr (92950) |
$675 |
$750 |
3.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,285.90 |
$3,651 |
3.8× |
| Ctr motr ep std transcrnl motr stim upr&low limb (95939) |
$1,840.50 |
$2,045 |
2.0× |
| Debridement open wound 20 sq cm< (97597) |
$333 |
$370 |
1.6× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$278.10 |
$309 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$691.20 |
$768 |
6.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$675 |
$750 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$911.70 |
$1,013 |
3.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$763.20 |
$848 |
6.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$983.70 |
$1,093 |
3.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$675 |
$750 |
6.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$445.50 |
$495 |
4.0× |
| Echo transesophageal (93312) |
$2,903.40 |
$3,226 |
5.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,070 |
$2,300 |
3.6× |
| EEG 41-60 minutes (95812) |
$1,476.90 |
$1,641 |
6.5× |
| EEG awake & asleep (95819) |
$972.90 |
$1,081 |
4.3× |
| EEG awake/drowsy (95816) |
$816.30 |
$907 |
3.6× |
| EEG coma or sleep only (95822) |
$889.20 |
$988 |
3.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,919.60 |
$3,244 |
12.8× |
| EKG 12 lead tracing only (93005) |
$280.80 |
$312 |
4.5× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$239.40 |
$266 |
2.4× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$278.10 |
$309 |
2.0× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$114.30 |
$127 |
2.9× |
| Emergency department visit high mdm (99285) |
$3,158.10 |
$3,509 |
5.0× |
| Emergency department visit low mdm (99283) |
$1,060.20 |
$1,178 |
3.7× |
| Emergency department visit may not req phys/qhp (99281) |
$240.30 |
$267 |
2.7× |
| Emergency department visit moderate mdm (99284) |
$2,220.30 |
$2,467 |
5.0× |
| Emergency department visit straightforward mdm (99282) |
$457.20 |
$508 |
2.8× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$380.28 |
$422.53 |
2.8× |
| Endoscopy swallow (fees) vid (92612) |
$351 |
$390 |
— |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$318.60 |
$354 |
— |
| Evaluation of speech sound production articulate (92522) |
$369.90 |
$411 |
— |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,647.90 |
$1,831 |
1.7× |
| Imm admn sarscov2 vaccine single dose (90480) |
$88.20 |
$98 |
2.1× |
| Immunization administration (90471) |
$130.50 |
$145 |
1.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$194.40 |
$216 |
3.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$385.20 |
$428 |
1.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$174.60 |
$194 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$194.40 |
$216 |
3.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$385.20 |
$428 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$359.10 |
$399 |
4.7× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$532.80 |
$592 |
2.4× |
| IV tx, each additional hour (96366) |
$265.50 |
$295 |
5.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$355.50 |
$395 |
2.5× |
| Mechanical chest wall oscillation lung function (94669) |
$619.20 |
$688 |
2.7× |
| Mechanical traction therapy (97012) |
$49.23 |
$54.69 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$37.80 |
$42 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$36.90 |
$41 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$322.20 |
$358 |
— |
| Nasopharyngoscopy (92511) |
$452.70 |
$503 |
2.1× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$458.10 |
$509 |
3.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$226.62 |
$251.80 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$444.60 |
$494 |
1.0× |
| Nerve conduction studies 1-2 studies (95907) |
$408.60 |
$454 |
1.8× |
| Neuromuscular junction test (95937) |
$408.60 |
$454 |
3.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$229.50 |
$255 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$322.73 |
$358.58 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$176.40 |
$196 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$266.40 |
$296 |
— |
| Oral function therapy (92526) |
$244.80 |
$272 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$101.70 |
$113 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$100.80 |
$112 |
— |
| Ot manual therapy ea 15 min (97140) |
$90.26 |
$100.28 |
— |
| Ot neuromuscular re-education (97112) |
$116.10 |
$129 |
— |
| Ot re-evaluation (97168) |
$90 |
$100 |
— |
| OT Therapeutic Activities Charges (97530) |
$100.80 |
$112 |
— |
| Ot wheelchair management (97542) |
$101.70 |
$113 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$219.60 |
$244 |
1.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$217.80 |
$242 |
1.6× |
| Peripheral vascular rehab (93668) |
$156.60 |
$174 |
2.5× |
| Phlebotomy therapeutic (99195) |
$281.70 |
$313 |
2.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$289.80 |
$322 |
4.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$214.20 |
$238 |
3.4× |
| Physical therapy evaluation high complex 45 mins (97163) |
$322.73 |
$358.58 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$176.40 |
$196 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$266.40 |
$296 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$5,447.70 |
$6,053 |
6.0× |
| Pt gait training 15 min (97116) |
$84.60 |
$94 |
— |
| Pt physical performance test (97750) |
$104.40 |
$116 |
— |
| Pt re-evaluation (97164) |
$90 |
$100 |
— |
| Pulm funct tst plethysmograp (94726) |
$389.70 |
$433 |
1.0× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$558 |
$620 |
1.6× |
| Refilling and maintenance of portable pump (96521) |
$664.20 |
$738 |
3.0× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$333 |
$370 |
1.0× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$100.80 |
$112 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$101.70 |
$113 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,426.50 |
$1,585 |
1.6× |
| Sleep study unattended (95806) |
$480.60 |
$534 |
2.1× |
| Speech sound lang comprehen (92523) |
$524.70 |
$583 |
— |
| Standardized cognitive performance testing (96125) |
$456.30 |
$507 |
— |
| Stress tte only (93350) |
$1,843.20 |
$2,048 |
3.2× |
| Surfactant administration (94610) |
$478.80 |
$532 |
2.1× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$70.20 |
$78 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$104.40 |
$116 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$37.80 |
$42 |
— |
| Temp transcutaneous pacing (92953) |
$1,183.50 |
$1,315 |
1.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$90.90 |
$101 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$90 |
$100 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$96.30 |
$107 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$128.70 |
$143 |
1.7× |
| Tte congenital complete (93303) |
$1,619.10 |
$1,799 |
2.8× |
| Tte f-up or lmtd (93308) |
$594 |
$660 |
2.4× |
| Tte w/doppler complete (93306) |
$2,105.10 |
$2,339 |
3.7× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$242.10 |
$269 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$83.70 |
$93 |
— |
| Unlisted diagnostic gastroenterology procedure (91299) |
$539.70 |
$599.66 |
4.0× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,463.40 |
$1,626 |
3.7× |
| Ventilation ip/obs initial day (94002) |
$2,546.10 |
$2,829 |
3.9× |
| Ventilator subsequent day (94003) |
$1,260 |
$1,400 |
1.9× |
| Vital capacity total (94150) |
$453.60 |
$504 |
3.3× |
| Wound(s) care non-selective (97602) |
$243 |
$270 |
1.1× |