| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$122 |
$305 |
0.7× |
| Acoustic Reflex Testing (92568) |
$38 |
$95 |
0.8× |
| Acupunct W/Stimul 15 Min (97813) |
$23.20 |
$58 |
0.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$18.80 |
$47 |
0.5× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
$248 |
$620 |
1.1× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
$248 |
$620 |
1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$22.80 |
$57 |
0.4× |
| Advncd Care Plan 30 Min (99497) |
$40.80 |
$102 |
0.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$209.20 |
$523 |
0.8× |
| Aep neurodiagnostic i&r (92653) |
$388 |
$970 |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$298.80 |
$747 |
1.1× |
| Airway Inhalation Treatment (94640) |
$9.60 |
$24 |
0.0× |
| Airway resistance by oscillometry (94728) |
$232.40 |
$581 |
1.4× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$23.60 |
$59 |
0.5× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$36.80 |
$92 |
1.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$205.60 |
$514 |
1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$239.60 |
$599 |
1.4× |
| Analyze neurostim complex (95972) |
$223.20 |
$558 |
1.8× |
| Analyze neurostim no prog (95970) |
$98.40 |
$246 |
0.6× |
| Analyze Neurostim Simple (95971) |
$137.60 |
$344 |
1.1× |
| Analyze Pacemaker System (93724) |
$199.20 |
$498 |
0.5× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$83.20 |
$208 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$23.20 |
$58 |
1.6× |
| Application on-body injector (96377) |
$80 |
$200 |
1.3× |
| Art pressure waveform analys (93050) |
$24.40 |
$61 |
0.7× |
| Assessment of aphasia per hr (96105) |
$239.20 |
$598 |
2.5× |
| Assessment of tinnitus (92625) |
$128 |
$320 |
0.8× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$140.40 |
$351 |
1.1× |
| Audiometry Air & Bone (92553) |
$122 |
$305 |
0.7× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$248 |
$620 |
1.9× |
| Behavral qualit analys voice (92524) |
$113.60 |
$284 |
1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$116.80 |
$292 |
1.4× |
| Bfb training ea addl 15 min (90913) |
$79.60 |
$199 |
2.4× |
| Blink reflex test (95933) |
$40.40 |
$101 |
0.5× |
| Breath hydrogen/methane test (91065) |
$153.20 |
$383 |
0.6× |
| Brief Emotional/Behav Assmt (96127) |
$2.80 |
$7 |
0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$232.40 |
$581 |
0.5× |
| C motor evoked uppr limbs (95928) |
$806.40 |
$2,016 |
0.7× |
| C motor evoked upr&lwr limbs (95939) |
$3,046 |
$7,615 |
2.8× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$92.80 |
$232 |
0.3× |
| Caloric Vstblr Test W/Rec (92537) |
$150.40 |
$376 |
0.9× |
| Canalith repositioning proc (95992) |
$35.60 |
$89 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$636.40 |
$1,591 |
2.3× |
| Cardiopulmonary exercise testing (94621) |
$209.20 |
$523 |
0.4× |
| Cardiopulmonary resuscitation (92950) |
$316.40 |
$791 |
1.1× |
| Cardioversion (92960) |
$795.20 |
$1,988 |
0.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$2.40 |
$6 |
0.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$42 |
$105 |
1.6× |
| Cbt 1st hour (94644) |
$131.60 |
$329 |
0.8× |
| Chemo Admin Peritoneal Cavity (96446) |
$226.40 |
$566 |
0.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$158.40 |
$396 |
1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$72.40 |
$181 |
0.8× |
| Chemo Ia Push (96420) |
$223.60 |
$559 |
0.5× |
| Chemo Intralesional Over 7 (96406) |
$262 |
$655 |
1.0× |
| Chemo intralesional up to 7 (96405) |
$42.80 |
$107 |
0.5× |
| Chemo IV infusion addl hr (96415) |
$103.60 |
$259 |
1.1× |
| Chemo IV push addl drug (96411) |
$312.80 |
$782 |
3.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$300.40 |
$751 |
0.7× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$223.60 |
$559 |
0.5× |
| Chemotherapy Into Cns (96450) |
$380.80 |
$952 |
0.9× |
| Chemotherapy Unspecified (96549) |
$85.60 |
$214 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$315.20 |
$788 |
3.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$379.60 |
$949 |
0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$248 |
$620 |
0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$148.80 |
$372 |
0.4× |
| Chest Wall Manipulation (94668) |
$476.80 |
$1,192 |
2.8× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$50 |
$125 |
0.4× |
| Cmptr ophth dx img ant segmt (92132) |
$49.60 |
$124 |
0.7× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$48 |
$120 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$2,361.60 |
$5,904 |
7.7× |
| Color/duplex Doppler, limited (93976) |
$1,404.80 |
$3,512 |
10.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$53.60 |
$134 |
1.7× |
| Comprehensive Hearing Test (92557) |
$122 |
$305 |
0.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$49.60 |
$124 |
0.7× |
| Computerized Ophthalmic Imaging Retina (92134) |
$49.60 |
$124 |
0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$166.40 |
$416 |
1.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$49.60 |
$124 |
0.7× |
| Continuous Pulse Ox (94762) |
$552 |
$1,380 |
3.3× |
| Corneal Topography (92025) |
$41.20 |
$103 |
0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$351.20 |
$878 |
1.2× |
| Cpt initial (94667) |
$492 |
$1,230 |
2.9× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$209.20 |
$523 |
0.8× |
| Critical care first hour (99291) |
$2,381.60 |
$5,954 |
2.2× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$427.60 |
$1,069 |
0.9× |
| Dark Adaptation Eye Exam (92284) |
$179.60 |
$449 |
0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$51.20 |
$128 |
0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$175.60 |
$439 |
1.1× |
| Dialysis One Evaluation (90945) |
$219.20 |
$548 |
0.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$232.40 |
$581 |
0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,868 |
$4,670 |
6.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$1,312.80 |
$3,282 |
9.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$506 |
$1,265 |
3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,726 |
$4,315 |
5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,580.40 |
$3,951 |
11.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,360.40 |
$3,401 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$62.80 |
$157 |
0.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$636 |
$1,590 |
2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$36.80 |
$92 |
0.3× |
| Duplex Scan Hemodialysis Access (93990) |
$58.80 |
$147 |
0.4× |
| Duplex up extrem art bilat (93930) |
$818.80 |
$2,047 |
2.7× |
| Duplex up extrem art unilat/ltd (93931) |
$208 |
$520 |
1.5× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
$207.20 |
$518 |
0.7× |
| ECG/monitoring and analysis (93271) |
$72.80 |
$182 |
0.6× |
Echo Congenital Complete (93303)
range across 2 matching MRF lines |
$466.40–$720.40 |
$1,166–$1,801 |
varies |
| Echo Heart Xthoracic,Limited (93308) |
$1,920 |
$4,800 |
6.3× |
| Echo r-t 2d w/probe placement only (93313) |
$860 |
$2,150 |
1.2× |
Echo transesophageal (93312)
range across 2 matching MRF lines |
$1,693.60–$1,976.40 |
$4,234–$4,941 |
varies |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$318.40 |
$796 |
0.5× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$20.80 |
$52 |
0.4× |
| Eeg 41-60 Minutes (95812) |
$816 |
$2,040 |
2.9× |
| EEG awake and asleep (95819) |
$1,605.20 |
$4,013 |
5.8× |
| EEG awake drowsy (95816) |
$957.20 |
$2,393 |
3.4× |
| EEG cerebral death evaluation (95824) |
$356 |
$890 |
0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$276 |
$690 |
1.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,065.60 |
$2,664 |
3.8× |
| Eeg Sleep Only (95822) |
$1,441.60 |
$3,604 |
5.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$451.20 |
$1,128 |
1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$940.80 |
$2,352 |
3.4× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$827.60 |
$2,069 |
1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,380 |
$3,450 |
2.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$564.40 |
$1,411 |
2.0× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$662.40 |
$1,656 |
1.4× |
| EKG signal averaged (93278) |
$41.20 |
$103 |
0.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$108.80 |
$272 |
0.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$113.20 |
$283 |
0.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$32.80 |
$82 |
0.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$21.20 |
$53 |
1.4× |
| Electro-Oculography (92270) |
$74.80 |
$187 |
0.4× |
| Electrocardiogram Tracing (93005) |
$13.60 |
$34 |
0.2× |
| Electroconvulsive Therapy (90870) |
$447.20 |
$1,118 |
0.4× |
| Emergency Dept Visit Level 2 (99282) |
$446 |
$1,115 |
2.3× |
| Emergency Dept Visit Level 3 (99283) |
$669.20 |
$1,673 |
1.9× |
| Emergency Dept Visit Level 4 (99284) |
$1,260.40 |
$3,151 |
2.3× |
| Emg 4 Extremities (95864) |
$264 |
$660 |
1.6× |
| Er level 1 (99281) |
$227.20 |
$568 |
2.1× |
| Er level v (99285) |
$1,831.20 |
$4,578 |
2.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$886 |
$2,215 |
1.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$128 |
$320 |
0.8× |
| Evaluate pt use of inhaler (94664) |
$10 |
$25 |
0.0× |
| Evaluate Speech Production (92522) |
$110 |
$275 |
1.0× |
| Evaluate Swallowing Function (92610) |
$122 |
$305 |
1.4× |
| Evaluation of speech fluency (92521) |
$134.80 |
$337 |
1.0× |
| Evoked Auditory Test,Limited (92587) |
$232.40 |
$581 |
0.8× |
| External ECG rec>48hr<7d recording (93242) |
$62 |
$155 |
1.3× |
| External ECG rec>7d<15d recording (93246) |
$8 |
$20 |
0.2× |
| External Ecg Scanning Analysis Report (93226) |
$390.80 |
$977 |
5.2× |
| Extracranial Bilat Study (93880) |
$1,735.20 |
$4,338 |
5.7× |
| Extracranial Uni/Ltd Study (93882) |
$1,264.80 |
$3,162 |
9.4× |
| Eye Exam With Photos (92230) |
$324 |
$810 |
0.7× |
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines |
$466.40–$633.60 |
$1,166–$1,584 |
varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
$248 |
$620 |
5.1× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$191.60 |
$479 |
1.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$182.40 |
$456 |
0.8× |
| Fluorescein angiography (92235) |
$212.80 |
$532 |
0.8× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
$193.60 |
$484 |
0.7× |
| Full Field Electroretinography W/I&R (92273) |
$207.20 |
$518 |
0.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,760.80 |
$4,402 |
1.6× |
| Fundus photography (92250) |
$41.20 |
$103 |
0.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$440 |
$1,100 |
0.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$239.60 |
$599 |
0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$440 |
$1,100 |
0.4× |
| Gi tract capsule endoscopy (91110) |
$907.60 |
$2,269 |
0.8× |
| Gonioscopy (92020) |
$74.80 |
$187 |
0.4× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
$248 |
$620 |
5.1× |
| Group Therapeutic Procedures (97150) |
$102.80 |
$257 |
5.7× |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
$248 |
$620 |
5.1× |
| Health Behavior Assessment/Re-Assessment (96156) |
$48 |
$120 |
0.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$35.20 |
$88 |
0.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$6 |
$15 |
0.1× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$32 |
$80 |
0.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$346 |
$865 |
0.4× |
| Holter monitor recording (93225) |
$291.20 |
$728 |
1.7× |
| Icd Device Interrogate (93289) |
$82 |
$205 |
1.7× |
| Icd device progr eval dual (93283) |
$144.40 |
$361 |
3.0× |
| Icd Device Progr Eval Mult (93284) |
$165.60 |
$414 |
3.5× |
| Icm Device Eval (93290) |
$32.80 |
$82 |
0.7× |
| Ilr Device Eval Progr (93285) |
$96 |
$240 |
2.0× |
| Ilr Device Interrogate (93291) |
$36.40 |
$91 |
1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$30 |
$75 |
0.3× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$98.40 |
$246 |
2.0× |
| Immunization administration (90471) |
$13.60 |
$34 |
0.1× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$280.40 |
$701 |
1.0× |
| Ingestion challenge test initial 120 minutes (95076) |
$427.60 |
$1,069 |
0.9× |
| Interrogate Subq Defib (93261) |
$19.20 |
$48 |
0.4× |
| Interrogation eval in person wr defibrillator (93292) |
$32.80 |
$82 |
0.7× |
| Interrogation vad in person (93750) |
$96 |
$240 |
0.8× |
| Intracranial Complete Study (93886) |
$910.40 |
$2,276 |
3.0× |
| Intracutaneous tests w/allergenic extracts (95024) |
$44 |
$110 |
0.6× |
| Iontophoresis 15 min (97033) |
$62.40 |
$156 |
3.3× |
| Irrig Drug Delivery Device (96523) |
$53.60 |
$134 |
0.7× |
| IV infusion hydration each additional hour (96361) |
$128 |
$320 |
2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$34 |
$85 |
0.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$109.60 |
$274 |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$120 |
$300 |
2.0× |
| IV push initial (96374) |
$79.60 |
$199 |
0.3× |
| Laryngeal Function Studies (92520) |
$137.60 |
$344 |
0.8× |
| Liver Elastography W/O Imag W/I&R (91200) |
$101.60 |
$254 |
0.6× |
| Lung Function Test (Mbc/Mvv) (94200) |
$82 |
$205 |
1.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$740.80 |
$1,852 |
2.7× |
| Mechanical chest wall oscillation per session (94669) |
$134.40 |
$336 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$15.60 |
$39 |
0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$18 |
$45 |
0.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$8.40 |
$21 |
0.5× |
| Methacholine challenge (94070) |
$232.40 |
$581 |
0.5× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
$74.80 |
$187 |
0.4× |
| Motility study esophagus (91010) |
$427.60 |
$1,069 |
0.9× |
| Motion Fluoroscopy/Swallow (92611) |
$262 |
$655 |
2.9× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$218 |
$545 |
0.4× |
| Multifocal Electroretinography W/I&R (92274) |
$103.20 |
$258 |
0.6× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
$248 |
$620 |
5.1× |
| Multiple Family Group Psychotherapy (90849) |
$103.20 |
$258 |
0.5× |
| Muscle Test 2 Limbs (95861) |
$175.60 |
$439 |
1.0× |
| Muscle Test Nonparaspinal (95870) |
$136 |
$340 |
0.8× |
| Muscle Test One Limb (95860) |
$144 |
$360 |
0.8× |
| Nasal function studies (92512) |
$232.40 |
$581 |
0.8× |
| Nasopharyngoscopy (92511) |
$184.40 |
$461 |
0.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$312 |
$780 |
1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$239.60 |
$599 |
0.9× |
| Needle electromyography larynx (95865) |
$154.40 |
$386 |
0.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$125.20 |
$313 |
0.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$103.20 |
$258 |
0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$234.80 |
$587 |
0.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$293.60 |
$734 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$162.40 |
$406 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$312.40 |
$781 |
0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$170.40 |
$426 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$427.60 |
$1,069 |
0.9× |
| Nerve conduction studies 13 or more studies (95913) |
$427.60 |
$1,069 |
0.9× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$232.40 |
$581 |
0.8× |
| Nerve conduction studies 5-6 studies (95909) |
$232.40 |
$581 |
0.8× |
| Nerve conduction studies 7-8 studies (95910) |
$280 |
$700 |
0.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$427.60 |
$1,069 |
0.9× |
| Neurobehavioral Status Exam (96116) |
$45.20 |
$113 |
0.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$405.20 |
$1,013 |
2.4× |
| Neuromuscular Reeducation (97112) |
$42.80 |
$107 |
1.3× |
| Newborn resuscitation (99465) |
$429.60 |
$1,074 |
0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$13.20 |
$33 |
0.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$19.60 |
$49 |
0.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$7.20 |
$18 |
0.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$232.40 |
$581 |
0.5× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$243.20 |
$608 |
1.4× |
| Ophthalmodynamometry (92260) |
$43.60 |
$109 |
0.9× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$53.60 |
$134 |
0.7× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$83.20 |
$208 |
1.1× |
| Optokinetic Nystagmus Test (92544) |
$153.60 |
$384 |
0.9× |
| Oral Function Therapy (92526) |
$125.20 |
$313 |
1.5× |
| Oral Speech Device Eval (92597) |
$319.20 |
$798 |
4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$182.40 |
$456 |
3.6× |
| Orthoptic training under supervision of phys/qhp (92066) |
$40.80 |
$102 |
0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$70.40 |
$176 |
1.5× |
| Oscillating Tracking Test (92545) |
$232.40 |
$581 |
0.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$16 |
$40 |
0.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$22.80 |
$57 |
0.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$28 |
$70 |
1.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$36 |
$90 |
1.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$42.80 |
$107 |
1.5× |
| Ot eval high complexity (97167) |
$293.60 |
$734 |
2.9× |
| Ot Eval Low Complex (97165) |
$146.80 |
$367 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$220 |
$550 |
2.2× |
| Ot manual therapy 15 min (97140) |
$53.60 |
$134 |
1.9× |
| Ot paraffin bath (97018) |
$22.40 |
$56 |
3.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$50.40 |
$126 |
1.2× |
| Ot Re-Eval Est Plan Care (97168) |
$70 |
$175 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$81.60 |
$204 |
0.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$76.80 |
$192 |
0.5× |
| Oxygen Uptake Rest Indirect (94690) |
$109.60 |
$274 |
1.4× |
| Patch/Application Test Specify Number Tests (95044) |
$28 |
$70 |
0.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$153.60 |
$384 |
1.1× |
| Percutaneous tests w/allergenic extracts (95004) |
$28 |
$70 |
0.0× |
| Phlebotomy therapeutic (99195) |
$266 |
$665 |
1.6× |
| Physical Performance Test (97750) |
$36.80 |
$92 |
1.1× |
| Plethysmography (94726) |
$232.40 |
$581 |
0.5× |
| Pm device eval in person (93288) |
$32.80 |
$82 |
0.7× |
| Pm device progr eval dual (93280) |
$120 |
$300 |
2.5× |
| Pm device progr eval multi (93281) |
$141.20 |
$353 |
2.9× |
| Pm Device Progr Eval Sngl (93279) |
$108.80 |
$272 |
2.3× |
| Pm/Icd Remote Tech Serv (93296) |
$32.80 |
$82 |
0.7× |
| Positional nystagmus test (92542) |
$98.40 |
$246 |
0.6× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$26.80 |
$67 |
0.4× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
$26.80 |
$67 |
0.4× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$72.80 |
$182 |
1.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$19.20 |
$48 |
0.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$124.40 |
$311 |
2.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$26.80 |
$67 |
0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$26.80 |
$67 |
0.4× |
| Psych diag eval w/med srvcs (90792) |
$92.40 |
$231 |
0.4× |
| Psychiatric diagnostic evaluation (90791) |
$82.40 |
$206 |
0.4× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$232.40 |
$581 |
0.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$211.60 |
$529 |
5.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$228.80 |
$572 |
0.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$211.60 |
$529 |
1.2× |
| Psytx Crisis Initial 60 Min (90839) |
$107.20 |
$268 |
0.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$52.80 |
$132 |
1.4× |
| Pt Eval High Complex (97163) |
$293.60 |
$734 |
3.0× |
| Pt eval low complex 20 min (97161) |
$146.80 |
$367 |
1.5× |
| Pt Eval Mod Complex (97162) |
$220 |
$550 |
2.2× |
| Pt gait training 15 min (97116) |
$69.20 |
$173 |
2.4× |
| Pt mechanical traction (97012) |
$76 |
$190 |
5.3× |
| Pt Re-Eval Est Plan Care (97164) |
$73.60 |
$184 |
1.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$8 |
$20 |
0.2× |
| Pulm function test by gas (94727) |
$122 |
$305 |
0.4× |
Pulmonary service/procedure (94799)
range across 10 matching MRF lines |
$122–$1,617.60 |
$305–$4,044 |
varies |
| Pulmonary Stress Testing (94618) |
$432 |
$1,080 |
2.5× |
| Pure Tone Audiometry Air (92552) |
$98.40 |
$246 |
0.6× |
| Rapid Desensitization Procedure Each Hour (95180) |
$179.60 |
$449 |
0.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$271.20 |
$678 |
0.6× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$22.40 |
$56 |
0.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$22.40 |
$56 |
0.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$32.40 |
$81 |
0.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$105.20 |
$263 |
0.6× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$27.20 |
$68 |
0.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$27.20 |
$68 |
0.6× |
| Remote 30 Day Ecg Tech Supp (93229) |
$101.60 |
$254 |
0.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$136.80 |
$342 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$16.40 |
$41 |
0.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$326.80 |
$817 |
2.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$132.40 |
$331 |
2.8× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$2,607.20 |
$6,518 |
5.4× |
| Self Care Mngment Training (97535) |
$78.80 |
$197 |
2.4× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$52 |
$130 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$65.60 |
$164 |
1.1× |
| Short-latency somatosens ep std upr limbs (95925) |
$694 |
$1,735 |
2.5× |
| Sleep study attended (95807) |
$415.20 |
$1,038 |
0.9× |
| Slp caregiver training 1st 30 min (97550) |
$83.60 |
$209 |
1.6× |
| Somatosensory Testing (95938) |
$873.20 |
$2,183 |
0.8× |
| Speech Audiometry Complete (92556) |
$49.60 |
$124 |
0.7× |
| Speech audiometry threshold (92555) |
$46 |
$115 |
0.6× |
| Speech sound lang comprehen (92523) |
$227.60 |
$569 |
1.0× |
| Spin/Brain Pump Refil & Main (95991) |
$228 |
$570 |
0.6× |
| Spirometry (94010) |
$19.60 |
$49 |
0.1× |
| Spontaneous Nystagmus Test (92541) |
$98.40 |
$246 |
0.6× |
| Ssep lower limbs (95926) |
$722.40 |
$1,806 |
2.6× |
| Standardized Cognitive Performance Testing (96125) |
$52 |
$130 |
0.5× |
| Stenger Test, Pure Tone (92565) |
$38 |
$95 |
0.5× |
| Stress Tte Only (93350) |
$2,383.60 |
$5,959 |
3.4× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$26 |
$65 |
0.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$141.60 |
$354 |
0.5× |
| Surfactant Admin Thru Tube (94610) |
$124.80 |
$312 |
0.4× |
| Temp transcutaneous pacing (92953) |
$1,046.80 |
$2,617 |
1.2× |
| Tensilon Test (95857) |
$175.60 |
$439 |
0.6× |
| Testing Autonomic Nervous System Function (95923) |
$98.40 |
$246 |
0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$92 |
$230 |
4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$89.20 |
$223 |
4.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$117.20 |
$293 |
1.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$31.60 |
$79 |
0.5× |
| Ther/Proph/Diag Inj Ia (96373) |
$190.40 |
$476 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$40 |
$100 |
0.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$268.80 |
$672 |
1.0× |
| Therapeutic Activities (97530) |
$19.60 |
$49 |
0.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,864 |
$4,660 |
3.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$16 |
$40 |
0.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$14 |
$35 |
0.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$100 |
$250 |
0.6× |
| Trans Care Mgmt 7 Day Disch (99496) |
$135.60 |
$339 |
0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$823.20 |
$2,058 |
6.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$32.80 |
$82 |
0.7× |
| Tte w/doppler, complete (93306) |
$1,356 |
$3,390 |
1.9× |
| Tte W/O Doppler Complete (93307) |
$2,232.80 |
$5,582 |
7.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$131.60 |
$329 |
1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$66.80 |
$167 |
1.1× |
| Tympanometry (92567) |
$8 |
$20 |
0.2× |
| Tympanometry and reflex threshold measurements (92550) |
$122 |
$305 |
0.4× |
| Unlis neurological/neuromuscular dx px (95999) |
$122 |
$305 |
0.7× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$352.40 |
$881 |
2.1× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$67.20 |
$168 |
1.8× |
Unlisted ophthalmological service/procedure (92499)
range across 3 matching MRF lines |
$76.40–$134.80 |
$191–$337 |
varies |
| Unlisted otorhinolaryngological service (92700) |
$24.40 |
$61 |
0.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$50 |
$125 |
0.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$342.80 |
$857 |
1.2× |
| Vasopneumatic device (97016) |
$64 |
$160 |
5.3× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$940.80 |
$2,352 |
2.0× |
| Veeg 2-12 hr intmt mntr (95712) |
$564.40 |
$1,411 |
1.2× |
| Veeg 2-12 hr unmonitored (95711) |
$451.20 |
$1,128 |
1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$827.60 |
$2,069 |
1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$872 |
$2,180 |
1.8× |
| Veeg ea 12-26hr cont mntr (95716) |
$1,380 |
$3,450 |
1.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,518 |
$3,795 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,082 |
$2,705 |
1.4× |
| Visual Evoked Potential Test (95930) |
$232.40 |
$581 |
0.8× |
| Visual Field Exam Extended (92083) |
$88.40 |
$221 |
0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$44.80 |
$112 |
0.6× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$36.80 |
$92 |
0.5× |
| Vital capacity, total (94150) |
— |
$8 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$2,064.80 |
$5,162 |
1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$77.20 |
$193 |
2.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$62.40 |
$156 |
1.3× |