| Airway inhalation treatment (94640) |
$58.20 |
$97 |
0.3× |
| Appl on-body injector for timed subq injection (96377) |
$37.20 |
$62 |
0.8× |
| Assessment of aphasia (96105) |
$145.20 |
$242 |
1.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$315 |
$525 |
2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$331.80 |
$553 |
0.9× |
| Canalith Repositioning (95992) |
$104.40 |
$174 |
2.6× |
| Car seat/bed test 60 min (94780) |
$43.20 |
$72 |
1.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,420.80 |
$2,368 |
6.9× |
| Cardiopulmonary resuscitation (92950) |
$800.40 |
$1,334 |
3.9× |
| Cardioversion (92960) |
$1,248.60 |
$2,081 |
2.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$8,562.60 |
$14,271 |
2.8× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$17,887.20 |
$29,812 |
5.8× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$11,748 |
$19,580 |
3.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$10,584 |
$17,640 |
3.4× |
| Cbt 1st hour (94644) |
$45.60 |
$76 |
0.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$279 |
$465 |
4.1× |
| Chemo IV push addl drug (96411) |
$428.40 |
$714 |
6.2× |
| Chemo Iv Push Sngl Drug (96409) |
$671.40 |
$1,119 |
2.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$1,552.80 |
$2,588 |
4.9× |
| Chemother, IV infusion, 1 hr (96413) |
$933.60 |
$1,556 |
3.0× |
| Chemother, IV infusion, ea add hr (96415) |
$290.40 |
$484 |
4.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$276 |
$460 |
4.0× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$790.80 |
$1,318 |
2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$447.60 |
$746 |
6.5× |
| Color/duplex Doppler, complete (93975) |
$934.80 |
$1,558 |
4.1× |
| Color/duplex Doppler, limited (93976) |
$963 |
$1,605 |
9.6× |
| Coronary artery angio s&i (93454) |
$7,577.40 |
$12,629 |
2.4× |
| Cpap initiation and management (94660) |
$296.10 |
$493.50 |
1.4× |
| Cpt initial (94667) |
$65.40 |
$109 |
0.5× |
| Critical care (99291) |
$2,280.60 |
$3,801 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$402.60 |
$671 |
2.1× |
| Demo &/or eval,pt use,aerosol device (94664) |
$16.20 |
$27 |
0.1× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$582 |
$970 |
1.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$710.40 |
$1,184 |
3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$140.40 |
$234 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$882 |
$1,470 |
3.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$582 |
$970 |
5.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$757.20 |
$1,262 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$498 |
$830 |
5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,057.80 |
$1,763 |
10.6× |
| Duplex scan extracranial art compl bi study (93880) |
$825 |
$1,375 |
3.6× |
| Echo Heart Xthoracic,Limited (93308) |
$588.60 |
$981 |
2.6× |
| Echo transesophageal (93312) |
$2,122.20 |
$3,537 |
4.1× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$608.40 |
$1,014 |
1.2× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$608.40 |
$1,014 |
1.2× |
| EEG awake asleep (95819) |
$766.80 |
$1,278 |
3.7× |
| EEG awake drowsy (95816) |
$639 |
$1,065 |
3.1× |
| EEG coma or sleep only (95822) |
$1,231.80 |
$2,053 |
6.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$3,151.80 |
$5,253 |
15.3× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$218.40 |
$364 |
1.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$3,151.80 |
$5,253 |
15.3× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$3,151.80 |
$5,253 |
8.8× |
| EKG (93005) |
$294 |
$490 |
5.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$750.60 |
$1,251 |
8.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$218.40 |
$364 |
1.1× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$2,589.60 |
$4,316 |
2.2× |
| Er level 1 (99281) |
$208.80 |
$348 |
2.6× |
| Er level ii (99282) |
$417.60 |
$696 |
2.8× |
| Er level iii (99283) |
$1,221 |
$2,035 |
4.7× |
| Er level IV (99284) |
$1,606.20 |
$2,677 |
4.0× |
| Er level v (99285) |
$2,056.20 |
$3,427 |
3.6× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$107.40 |
$179 |
1.5× |
| Evaluation of speech fluency (92521) |
$300 |
$500 |
2.3× |
| Evaluation of speech sound production (92522) |
$300 |
$500 |
2.7× |
| Evaluation of swallowing function (92610) |
$235.80 |
$393 |
2.8× |
| External ECG rec>48hr<7d recording (93242) |
$384.60 |
$641 |
10.8× |
| External ECG rec>7d<15d recording (93246) |
$384.60 |
$641 |
10.8× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$621 |
$1,035 |
3.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$550.80 |
$918 |
2.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$702.60 |
$1,171 |
0.9× |
| Group Therapeutic Procedures (97150) |
$136.20 |
$227 |
7.5× |
| Hemodialysis (90935) |
$738.60 |
$1,231 |
1.1× |
| Holter Monitor Recording (93225) |
$427.20 |
$712 |
3.4× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$45 |
$75 |
1.2× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$12 |
$20 |
0.2× |
| Immunization Admin (90471) |
$80.40 |
$134 |
1.2× |
| Ins swan ganz bedside (93503) |
$1,818.60 |
$3,031 |
1.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$112.20 |
$187 |
2.0× |
| IV infusion hydration each additional hour (96361) |
$138 |
$230 |
3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$428.40 |
$714 |
2.1× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$243 |
$405 |
3.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$476.40 |
$794 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$138 |
$230 |
3.1× |
| IV push initial (96374) |
$226.80 |
$378 |
1.1× |
| Manual therapy 15 min (97140) |
$102 |
$170 |
3.7× |
| Massage 15 min (97124) |
$88.20 |
$147 |
3.0× |
| Mechanical chest wall oscillation (94669) |
$112.80 |
$188 |
0.5× |
| Mechanical traction (97012) |
$107.40 |
$179 |
7.5× |
| Motility study esophagus (91010) |
$1,500 |
$2,500 |
4.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$288 |
$480 |
3.1× |
| Nasopharyngoscopy (92511) |
$272.40 |
$454 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$303 |
$505 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$375.60 |
$626 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$442.20 |
$737 |
3.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$676.80 |
$1,128 |
3.3× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$69.60 |
$116 |
1.5× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$45 |
$75 |
2.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$19.80 |
$33 |
1.4× |
| Ot eval high complex 60 min (97167) |
$263.40 |
$439 |
2.6× |
| Ot eval low complex 30 min (97165) |
$263.40 |
$439 |
2.6× |
| Ot eval mod complex 45 min (97166) |
$263.40 |
$439 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$67.20 |
$112 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$42 |
$70 |
1.0× |
| Ot re-eval est plan care (97168) |
$139.80 |
$233 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$165 |
$275 |
1.3× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$99 |
$165 |
0.8× |
| Paraffin bath (97018) |
$35.40 |
$59 |
5.9× |
| Peripheral arterial disease rehab per session (93668) |
$167.40 |
$279 |
3.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$127.20 |
$212 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$127.20 |
$212 |
2.3× |
| Plethysmography (94726) |
$229.20 |
$382 |
0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$14,662.80 |
$24,438 |
1.3× |
| Prq revasc byp graft 1 vsl (92937) |
$36,070.20 |
$60,117 |
3.3× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$12,023.40 |
$20,039 |
2.2× |
| Pt Aquatic Therapy/Exercises (97113) |
$78 |
$130 |
2.1× |
| Pt Electric Current Therapy (97033) |
$135.60 |
$226 |
7.1× |
| Pt Electrical Stimulation (97032) |
$108.60 |
$181 |
7.4× |
| Pt eval high complex 45 min (97163) |
$261.60 |
$436 |
2.7× |
| Pt eval low complex 20 min (97161) |
$261.60 |
$436 |
2.7× |
| Pt Gait Training Therapy (97116) |
$81.60 |
$136 |
2.8× |
| Pt Infrared Therapy (97026) |
$73.20 |
$122 |
11.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$79.20 |
$132 |
2.4× |
| Pt Physical Performance Test (97750) |
$85.80 |
$143 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$261.60 |
$436 |
2.7× |
| Pt re-evaluation (97164) |
$130.80 |
$218 |
1.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$74.40 |
$124 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$102 |
$170 |
7.1× |
| Pt Whirlpool Therapy (97022) |
$112.20 |
$187 |
7.1× |
| Pulm function test by gas (94727) |
$298.20 |
$497 |
1.4× |
| Pulmonary stress testing (94618) |
$337.80 |
$563 |
2.7× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$4,058.40 |
$6,764 |
1.3× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$11,854.20 |
$19,757 |
3.8× |
| R hrt art/grft angio (93457) |
$19,051.20 |
$31,752 |
6.1× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$12,912.60 |
$21,521 |
4.2× |
| Refill/maint, portable pump (96521) |
$334.80 |
$558 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$168 |
$280 |
4.7× |
| Right heart cath (93451) |
$8,399.40 |
$13,999 |
2.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$57.60 |
$96 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$85.80 |
$143 |
1.4× |
| Sleep study unattended (95806) |
$212.40 |
$354 |
1.0× |
| Smoking cessation > 10 min (99407) |
$76.20 |
$127 |
2.1× |
| Speech sound lang comprehen (92523) |
$330.60 |
$551 |
1.5× |
| Spirometry (94010) |
$190.20 |
$317 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$317.40 |
$529 |
3.1× |
| Stress echo (93350) |
$1,551.60 |
$2,586 |
3.0× |
| Stress Tte Complete (93351) |
$982.20 |
$1,637 |
1.9× |
| Surfactant Admin Thru Tube (94610) |
$94.80 |
$158 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$94.80 |
$158 |
4.2× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$94.80 |
$158 |
4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$134.40 |
$224 |
2.0× |
| Therapeutic Activities (97530) |
$72 |
$120 |
2.1× |
| Therapeutic phlebotomy (99195) |
$231.60 |
$386 |
1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50.40 |
$84 |
1.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,610.60 |
$4,351 |
5.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$859.20 |
$1,432 |
3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$179.40 |
$299 |
2.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$177.60 |
$296 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$177 |
$295 |
4.0× |
| Ultraviolet Light Therapy (96900) |
$51.60 |
$86 |
1.4× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$195.60 |
$326 |
1.6× |
| Unlisted pulmonary service/procedure (94799) |
$130.20 |
$217 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$2,158.20 |
$3,597 |
9.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$495 |
$825 |
5.0× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$707.40 |
$1,179 |
3.4× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$3,151.80 |
$5,253 |
15.3× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$3,151.80 |
$5,253 |
8.8× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$3,151.80 |
$5,253 |
8.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$3,151.80 |
$5,253 |
8.8× |
| Vital capacity total (94150) |
$40.20 |
$67 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67.80 |
$113 |
2.2× |