| Aep Neurodiagnostic I&R (92653) |
$137 |
$274 |
0.7× |
| Airway inhalation treatment (94640) |
$240.50 |
$481 |
1.3× |
| Assessment of aphasia (96105) |
$152 |
$304 |
1.6× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$30 |
$60 |
0.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$162.50 |
$325 |
1.5× |
| Bfb training 1st 15 min (90912) |
$60 |
$120 |
0.7× |
| Biofeedback training any modality (90901) |
$32.50 |
$65 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$325 |
$650 |
1.0× |
| Canalith Repositioning (95992) |
$50 |
$100 |
1.2× |
| Car seat/bed test 60 min (94780) |
$27.50 |
$55 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$251 |
$502 |
1.3× |
| Cardiopulmonary exercise testing (94621) |
$345 |
$690 |
1.1× |
| Cardiopulmonary resuscitation (92950) |
$330.50 |
$661 |
1.7× |
| Cardioversion (92960) |
$546 |
$1,092 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$418.60 |
$837.20 |
1.4× |
| Chemother, IV infusion, ea add hr (96415) |
$40.25 |
$80.50 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$529.20 |
$1,058.40 |
2.5× |
| Cpap initiation and management (94660) |
$341 |
$682 |
1.8× |
| Cpt initial (94667) |
$111 |
$222 |
1.0× |
| Critical care (99291) |
$933.80 |
$1,867.60 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$334.50 |
$669 |
1.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$240.50 |
$481 |
1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$463.05 |
$926.10 |
2.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$330.75 |
$661.50 |
3.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$463.05 |
$926.10 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$330.75 |
$661.50 |
3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$396.90 |
$793.80 |
4.3× |
| Duplex scan extracranial art compl bi study (93880) |
$250 |
$500 |
1.2× |
| Echo Heart Xthoracic,Limited (93308) |
$350 |
$700 |
1.7× |
| Echo transesophageal (93312) |
$600 |
$1,200 |
1.3× |
| EEG awake asleep (95819) |
$425.50 |
$851 |
2.2× |
| EEG awake drowsy (95816) |
$425.50 |
$851 |
2.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$434.70 |
$869.40 |
2.3× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$425.50 |
$851 |
2.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$434.70 |
$869.40 |
1.3× |
| EKG (93005) |
$132.25 |
$264.50 |
2.6× |
| EKG rhythm strip (93041) |
$92 |
$184 |
1.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$425.50 |
$851 |
2.2× |
| Er level 1 (99281) |
$100.05 |
$200.10 |
1.4× |
| Er level ii (99282) |
$150.08 |
$300.15 |
1.1× |
| Er level iii (99283) |
$200.10 |
$400.20 |
0.8× |
| Er level IV (99284) |
$383.53 |
$767.05 |
1.0× |
| Er level v (99285) |
$533.60 |
$1,067.20 |
1.0× |
| Evaluation of speech fluency (92521) |
$192 |
$384 |
1.4× |
| Evaluation of speech sound production (92522) |
$155.50 |
$311 |
1.4× |
| Evaluation of swallowing function (92610) |
$103.50 |
$207 |
1.2× |
| Exhaled Air Analysis (94690) |
$72.50 |
$145 |
1.4× |
| Exhaled air analysis o2 (94680) |
$182 |
$364 |
1.6× |
| External ECG rec>48hr<7d recording (93242) |
$83.38 |
$166.75 |
2.5× |
| External ECG rec>7d<15d recording (93246) |
$83.38 |
$166.75 |
2.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$92.50 |
$185 |
0.5× |
| Group Therapeutic Procedures (97150) |
$27.50 |
$55 |
1.5× |
| Health Behavior Assessment/Re-Assessment (96156) |
$128 |
$256 |
1.4× |
| Holter Monitor Recording (93225) |
$98.33 |
$196.65 |
0.8× |
| Immunization Admin (90471) |
$78.20 |
$156.40 |
1.2× |
| IV infusion hydration each additional hour (96361) |
$36.80 |
$73.60 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$295.55 |
$591.10 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$36.80 |
$73.60 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$295.55 |
$591.10 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$36.80 |
$73.60 |
0.9× |
| IV push initial (96374) |
$110.98 |
$221.95 |
0.6× |
| Manual therapy 15 min (97140) |
$27.50 |
$55 |
1.0× |
| Massage 15 min (97124) |
$25 |
$50 |
0.8× |
| Measurement of heart blood flow and respiration (93701) |
$175.38 |
$350.75 |
1.5× |
| Mechanical chest wall oscillation (94669) |
$232.50 |
$465 |
1.2× |
| Mechanical traction (97012) |
$25 |
$50 |
1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$41 |
$82 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$48.50 |
$97 |
1.3× |
| Methacholine challenge (94070) |
$530.50 |
$1,061 |
1.6× |
| Mnt Group Ea 30 Min (97804) |
$22.50 |
$45 |
1.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$103.50 |
$207 |
1.1× |
| Multiple sleep latency test (95805) |
$1,207.50 |
$2,415 |
1.6× |
| Neg press wnd tx </=50 sq cm (97607) |
$362 |
$724 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$362 |
$724 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$106 |
$212 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$143.75 |
$287.50 |
0.4× |
| Nerve conduction studies 13/> studies (95913) |
$521.75 |
$1,043.50 |
1.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$173.50 |
$347 |
0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$391.50 |
$783 |
1.2× |
| Nerve conduction studies; 1-2 studies (95907) |
$137.50 |
$275 |
0.7× |
| Nerve conduction studies; 11-12 studies (95912) |
$421.75 |
$843.50 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$256.25 |
$512.50 |
1.4× |
| Nerve conduction studies; 7-8 studies (95910) |
$326.75 |
$653.50 |
1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$180 |
$360 |
1.5× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$193.50 |
$387 |
1.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$190.50 |
$381 |
1.7× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$345 |
$690 |
1.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$70.50 |
$141 |
1.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$25 |
$50 |
0.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$25 |
$50 |
1.8× |
| Ot eval high complex 60 min (97167) |
$130 |
$260 |
1.3× |
| Ot eval low complex 30 min (97165) |
$114 |
$228 |
1.1× |
| Ot eval mod complex 45 min (97166) |
$120 |
$240 |
1.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$75 |
$150 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$60.50 |
$121 |
1.5× |
| Ot Range Motion Measure,Each Extrem (95851) |
$20 |
$40 |
0.8× |
| Ot re-eval est plan care (97168) |
$79.50 |
$159 |
1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$156 |
$312 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$156 |
$312 |
1.4× |
| Paraffin bath (97018) |
$22.50 |
$45 |
3.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$84 |
$168 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,207.50 |
$2,415 |
1.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$616 |
$1,232 |
0.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$616 |
$1,232 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$174.50 |
$349 |
1.1× |
| Psytx crisis initial 60 min (90839) |
$145.50 |
$291 |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$40 |
$80 |
1.1× |
| Pt Electric Current Therapy (97033) |
$25 |
$50 |
1.3× |
| Pt Electrical Stimulation (97032) |
$25 |
$50 |
1.7× |
| Pt eval high complex 45 min (97163) |
$135 |
$270 |
1.4× |
| Pt eval low complex 20 min (97161) |
$117.50 |
$235 |
1.2× |
| Pt Gait Training Therapy (97116) |
$25 |
$50 |
0.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$25 |
$50 |
0.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$122.50 |
$245 |
1.3× |
| Pt re-evaluation (97164) |
$79.50 |
$159 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$25 |
$50 |
0.8× |
| Pt Ultrasound Therapy (97035) |
$25 |
$50 |
1.7× |
| Pt Whirlpool Therapy (97022) |
$37.50 |
$75 |
2.4× |
| Pulm function test by gas (94727) |
$96.50 |
$193 |
0.5× |
| Pulmonary stress testing (94618) |
$150 |
$300 |
1.3× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$58.65 |
$117.30 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$143.50 |
$287 |
0.8× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$20 |
$40 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$81 |
$162 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$25 |
$50 |
0.4× |
| Sleep study unattended (95806) |
$1,207.50 |
$2,415 |
6.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$1,207.50 |
$2,415 |
6.4× |
| Smoking cessation > 10 min (99407) |
$50 |
$100 |
1.5× |
| Speech sound lang comprehen (92523) |
$323.50 |
$647 |
1.4× |
| Spirometry (94010) |
$182 |
$364 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$179 |
$358 |
1.7× |
| Stress Tte Complete (93351) |
$461.50 |
$923 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$35.50 |
$71 |
1.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$34.50 |
$69 |
1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$84 |
$168 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$74.18 |
$148.35 |
1.2× |
| Therapeutic Activities (97530) |
$25 |
$50 |
0.7× |
| Therapeutic phlebotomy (99195) |
$41 |
$82 |
0.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$40.50 |
$81 |
1.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$750 |
$1,500 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$84 |
$168 |
1.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$84 |
$168 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$110.98 |
$221.95 |
2.7× |
| Unlisted pulmonary service/procedure (94799) |
$62.50 |
$125 |
0.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$496.13 |
$992.25 |
2.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$480 |
$960 |
2.5× |
| Vasopneumatic device (97016) |
$30 |
$60 |
2.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$341 |
$682 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$341 |
$682 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$25 |
$50 |
0.8× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$615.83 |
$1,231.65 |
1.9× |