| Ablation av node (93650) |
$5,232.06 |
$19,378 |
0.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$216.27 |
$801 |
1.6× |
| Actigraphy testing recording analysis i&r (95803) |
$95.04 |
$352 |
1.5× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$38.61 |
$143 |
1.3× |
| Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) |
$50.76 |
$188 |
1.7× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$168.21 |
$623 |
0.7× |
| Aep neurodiagnostic interpretation and report (92653) |
$316.44 |
$1,172 |
1.4× |
| Aep Thrshld Est Mlt Freq I&R (92652) |
$316.44 |
$1,172 |
1.4× |
| Airway inhalation treatment (94640) |
$285.66 |
$1,058 |
1.2× |
| Ambulatory Bp Analysis (93788) |
$355.32 |
$1,316 |
2.6× |
| Ambulatory Bp Recording (93786) |
$133.92 |
$496 |
1.0× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$218.97 |
$811 |
1.6× |
| Analyze neurostim complex (95972) |
$139.32 |
$516 |
1.4× |
| Analyze neurostim simple (95971) |
$148.77 |
$551 |
1.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$1,064.61 |
$3,943 |
2.7× |
| Ant Sgm Imaging W/Microscopy Endothelial Analy (92286) |
$352.08 |
$1,304 |
2.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$49.14 |
$182 |
3.4× |
| Application on-body injector (96377) |
$60.75 |
$225 |
1.2× |
| Auditory Function, 60 Min (92620) |
$450.36 |
$1,668 |
3.4× |
| Basic vestibular evaluation (92540) |
$980.64 |
$3,632 |
4.3× |
| Bedside Swallowing Eval (92610) |
$129.33 |
$479 |
1.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$162.81 |
$603 |
1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$131.76 |
$488 |
1.6× |
| Bfb training ea addl 15 min (90913) |
$66.15 |
$245 |
2.0× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$303.21 |
$1,123 |
2.3× |
| Breath Hydrogen/Methane Test (91065) |
$214.11 |
$793 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$387.18 |
$1,434 |
1.0× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$598.59 |
$2,217 |
4.5× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$445.77 |
$1,651 |
2.0× |
| Canalith Repositioning Procedure (95992) |
$194.94 |
$722 |
4.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$822.28 |
$3,045.50 |
3.6× |
| Cardiopulmonary exercise testing (94621) |
$1,921.32 |
$7,116 |
4.9× |
| Cardiopulmonary resuscitation (92950) |
$526.50 |
$1,950 |
2.3× |
| Cardioversion (92960) |
$739.80 |
$2,740 |
1.1× |
| Cardioversion elective internal (92961) |
$1,068.39 |
$3,957 |
1.5× |
| Cdp-sot 6 cond w/i&r mct&adt (92549) |
$831.60 |
$3,080 |
6.0× |
| Cervical & ocular vemp testing w/i&r (92519) |
$316.44 |
$1,172 |
1.4× |
| Cervical vemp testing w/i&r (92517) |
$188.46 |
$698 |
1.4× |
| Chemo Admin Peritoneal Cavity (96446) |
$730.89 |
$2,707 |
2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$166.05 |
$615 |
2.2× |
| Chemo Ia Infuse Each Addl Hr (96423) |
$103.14 |
$382 |
2.1× |
| Chemo IV push addl drug (96411) |
$166.05 |
$615 |
2.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$885.60 |
$3,280 |
2.6× |
| Chemother, IV infusion, 1 hr (96413) |
$857.12 |
$3,174.50 |
2.5× |
| Chemother, IV infusion, ea add hr (96415) |
$180.09 |
$667 |
2.4× |
| Chemother,ia infusn tech,<1 hr (96422) |
$602.91 |
$2,233 |
1.7× |
| Chemother,Ia Push Technique (96420) |
$318.60 |
$1,180 |
0.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$166.05 |
$615 |
2.2× |
| Chemotherapy Administration Intralesional </7 (96405) |
$168.62 |
$624.50 |
2.2× |
| Chemotherapy into cns (96450) |
$909.09 |
$3,367 |
2.6× |
| Chemotherapy, unspecified procedure (96549) |
$112.72 |
$417.50 |
2.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$749.52 |
$2,776 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$180.09 |
$667 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$591.84 |
$2,192 |
1.7× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$733.32 |
$2,716 |
2.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$197.10 |
$730 |
0.6× |
| Color Vision Examination (92283) |
$194.94 |
$722 |
3.2× |
| Color/duplex Doppler, complete (93975) |
$462.92 |
$1,714.50 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$302.40 |
$1,120 |
2.8× |
| Comprehensive Hearing Test (92557) |
$254.74 |
$943.50 |
1.9× |
| Computerized dynamic posturography (92548) |
$724.95 |
$2,685 |
5.2× |
| Conditioning Play Audiometry (92582) |
$174.42 |
$646 |
1.3× |
| Corneal Topography (92025) |
$115.29 |
$427 |
1.9× |
| Cpap/bipap (94660) |
$237.60 |
$880 |
1.0× |
| Cpt initial (94667) |
$117.45 |
$435 |
0.8× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$83.30 |
$308.50 |
1.4× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$200.07 |
$741 |
3.2× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$200.07 |
$741 |
3.2× |
| Cptrz oph img pst sg rta oct (92137) |
$504.63 |
$1,869 |
2.2× |
| Critical care (99291) |
$1,234.17 |
$4,571 |
1.4× |
| Dbrdmt prmlg les w/pdt (96574) |
$290.52 |
$1,076 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$203.58 |
$754 |
1.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$273.51 |
$1,013 |
2.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming Facility (92601) |
$534.60 |
$1,980 |
4.0× |
| Diagnostic dark adaptation examination with interpretation and report Non-Facility (92284) |
$247.05 |
$915 |
0.5× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$203.58 |
$754 |
0.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$203.58 |
$754 |
0.5× |
| Duodenal motility study (91022) |
$905.58 |
$3,354 |
2.3× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$255.15 |
$945 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$182.25 |
$675 |
1.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$239.76 |
$888 |
2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$572.94 |
$2,122 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$358.56 |
$1,328 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$211.95 |
$785 |
0.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$183.60 |
$680 |
1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$339.93 |
$1,259 |
1.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$226.80 |
$840 |
2.1× |
| Duplex scan extracranial art compl bi study (93880) |
$258.66 |
$958 |
1.0× |
| Duplex Scan Hemodialysis Access (93990) |
$178.74 |
$662 |
1.6× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$341.82 |
$1,266 |
2.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$273.51 |
$1,013 |
2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$534.60 |
$1,980 |
4.0× |
| Ear and throat examination (92502) |
$2,108.70 |
$7,810 |
3.7× |
| Ear Protector Evaluation (92596) |
$35.91 |
$133 |
0.9× |
| Echo Heart Xthoracic,Limited (93308) |
$338.18 |
$1,252.50 |
1.4× |
| Echo transesophageal (93312) |
$1,331.37 |
$4,931 |
2.3× |
| EEG awake and asleep (95819) |
$1,017.09 |
$3,767 |
4.5× |
| EEG awake drowsy (95816) |
$628.29 |
$2,327 |
2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$621.81 |
$2,303 |
2.8× |
| EEG greater than 1 hour (95813) |
$240.84 |
$892 |
1.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$634.23 |
$2,349 |
2.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,169.10 |
$4,330 |
3.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$277.29 |
$1,027 |
2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$226.80 |
$840 |
5.8× |
| Electro-oculography with interpretation and report Non-Facility (92270) |
$335.88 |
$1,244 |
2.4× |
| Electrocardiogram Tracing (93005) |
$247.05 |
$915 |
4.0× |
| Electrocochleography (92584) |
$174.96 |
$648 |
1.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$218.97 |
$811 |
1.0× |
| EMG four extremities (95864) |
$458.73 |
$1,699 |
3.4× |
| EMG one extremity (95860) |
$157.68 |
$584 |
1.1× |
| EMG three extremities (95863) |
$305.91 |
$1,133 |
2.3× |
| EMG two extremities (95861) |
$236.25 |
$875 |
1.7× |
| Ep & ablate supravent arrhyt (93653) |
$21,743.10 |
$80,530 |
0.8× |
| Ep & ablate ventric tachy (93654) |
$20,097.18 |
$74,434 |
0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$8,005.23 |
$29,649 |
1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$7,260.84 |
$26,892 |
0.9× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$871.29 |
$3,227 |
0.7× |
| Er level 1 (99281) |
$116.37 |
$431 |
1.3× |
| Er level ii (99282) |
$247.32 |
$916 |
1.5× |
| Er level iii (99283) |
$317.52 |
$1,176 |
1.1× |
| Er level IV (99284) |
$596.43 |
$2,209 |
1.4× |
| Er level v (99285) |
$753.57 |
$2,791 |
1.2× |
| Esoph balloon distension tst (91040) |
$1,027.89 |
$3,807 |
2.6× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$548.91 |
$2,033 |
1.4× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$341.82 |
$1,266 |
2.5× |
| Eval speech sound production (92522) |
$162.81 |
$603 |
1.5× |
| Eval to use/fit voice prosth (92597) |
$127.71 |
$473 |
1.8× |
| Evaluate Pt Use Of Inhaler (94664) |
$287.55 |
$1,065 |
1.3× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$64.80 |
$240 |
0.5× |
| Evaluation of speech fluency (92521) |
$139.05 |
$515 |
1.0× |
| Exhaled Air Analysis (94690) |
$1,112.13 |
$4,119 |
18.1× |
| External ECG rec>48hr<7d recording (93242) |
$64.26 |
$238 |
1.6× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$94.77 |
$351 |
0.7× |
| External ECG rec>7d<15d recording (93246) |
$104.76 |
$388 |
2.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$181.44 |
$672 |
1.3× |
| External Ecg Scanning Analysis Report (93226) |
$520.02 |
$1,926 |
8.4× |
| Eye exam w anesth; complete (92018) |
$2,694.46 |
$9,979.50 |
1.1× |
| Eye exam, new patient,comprehesv (92004) |
$110.97 |
$411 |
0.8× |
| Eye service or procedure (92499) |
$1,143.72 |
$4,236 |
37.9× |
| Facial nerve function studies (92516) |
$480.60 |
$1,780 |
2.1× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$116.64 |
$432 |
0.6× |
| Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) |
$291.87 |
$1,081 |
1.3× |
| Fluorescein icg angrph w/multiframe i&r uni/bi (92242) |
$291.60 |
$1,080 |
1.3× |
| Full field electroretinography w/i&r (92273) |
$552.96 |
$2,048 |
2.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$311.31 |
$1,153 |
0.3× |
| Fundus photography w/interpretation & report (92250) |
$159.57 |
$591 |
1.1× |
| Gastric motility studies (91020) |
$1,055.16 |
$3,908 |
2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$853.74 |
$3,162 |
2.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$216.81 |
$803 |
1.0× |
| Gastrointestinal Tract Imaging Esophagus W/I&R (91111) |
$826.74 |
$3,062 |
0.9× |
| Gi tract capsule endoscopy (91110) |
$3,072.06 |
$11,378 |
3.2× |
| Gi wireless capsule measure (91112) |
$615.33 |
$2,279 |
0.6× |
| Gonioscopy (92020) |
$180.63 |
$669 |
1.3× |
| Hemodialysis (90935) |
$1,056.51 |
$3,913 |
1.5× |
| High altitude simulation test (94452) |
$106.38 |
$394 |
0.8× |
| High altitude simulation test (94453) |
$83.16 |
$308 |
0.6× |
| Holter Monitor (93225) |
$454.14 |
$1,682 |
3.3× |
| Ilr Device Eval Progr (93285) |
$98.55 |
$365 |
2.5× |
| Immunization Admin (90471) |
$34.83 |
$129 |
0.5× |
| Indocyanine-Green Angrph W/Multiframe I&R Uni/Bi (92240) |
$653.13 |
$2,419 |
2.9× |
| Inhalation bronchial challenge testing (95070) |
$298.08 |
$1,104 |
0.8× |
| Injection intra arterial (96373) |
$605.34 |
$2,242 |
2.7× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$43.20 |
$160 |
1.1× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$46.44 |
$172 |
1.5× |
| Interrog device eval heart (93289) |
$65.34 |
$242 |
1.7× |
| Interrogate subq defib (93261) |
$65.34 |
$242 |
1.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$229.23 |
$849 |
1.0× |
| Iontophoresis 15 min (97033) |
$116.37 |
$431 |
6.1× |
| Irrig drug delivery device (96523) |
$188.73 |
$699 |
3.1× |
| IV infusion hydration each additional hour (96361) |
$117.18 |
$434 |
2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$602.91 |
$2,233 |
2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$183.33 |
$679 |
2.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$587.66 |
$2,176.50 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$112.32 |
$416 |
2.3× |
| IV push ea addl new drug (96375) |
$123.39 |
$457 |
2.5× |
| IV push initial (96374) |
$362.20 |
$1,341.50 |
1.6× |
| Laryngeal Function Studies (92520) |
$83.43 |
$309 |
0.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$138.51 |
$513 |
1.0× |
| Manual therapy 15 min (97140) |
$112.59 |
$417 |
4.1× |
| Massage 15 min (97124) |
$45.36 |
$168 |
1.5× |
| Maximum voluntary ventilation (94200) |
$79.11 |
$293 |
1.3× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$1,566.54 |
$5,802 |
1.1× |
| Mechanical traction (97012) |
$86.94 |
$322 |
6.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$49.95 |
$185 |
1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$42.66 |
$158 |
1.2× |
| Methacholine challenge (94070) |
$389.07 |
$1,441 |
1.0× |
| Motility study esophagus (91010) |
$1,158.57 |
$4,291 |
3.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$181.44 |
$672 |
2.0× |
| Multifocal electroretinography w/i&r (92274) |
$491.67 |
$1,821 |
3.7× |
| Multiple Sleep Latency Test (95805) |
$2,624.67 |
$9,721 |
2.9× |
| Nasal function studies (92512) |
$172.26 |
$638 |
0.8× |
| Nasopharyngoscopy (92511) |
$126.90 |
$470 |
0.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$153.09 |
$567 |
0.7× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$106.92 |
$396 |
0.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$153.09 |
$567 |
0.7× |
| Neg press wound tx >50 cm (97608) |
$114.75 |
$425 |
0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$246.92 |
$914.50 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$119.88 |
$444 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$235.71 |
$873 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$535.41 |
$1,983 |
1.4× |
| Nerve conduction studies 13/> studies (95913) |
$535.41 |
$1,983 |
1.4× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$298.62 |
$1,106 |
1.3× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$298.62 |
$1,106 |
1.3× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$298.62 |
$1,106 |
0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$535.41 |
$1,983 |
1.4× |
| Nerve conduction studies; 1-2 studies (95907) |
$187.65 |
$695 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$166.05 |
$615 |
1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$239.76 |
$888 |
0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$46.98 |
$174 |
0.1× |
| Ocular vemp testing w/i&r (92518) |
$188.46 |
$698 |
1.4× |
| Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) |
$242.19 |
$897 |
1.7× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$140.13 |
$519 |
2.3× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) |
$209.79 |
$777 |
1.6× |
| Orbicularis Oculi Reflx Electrodiagnostic Test (95933) |
$63.45 |
$235 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$146.07 |
$541 |
3.2× |
| Oscillating Tracking Test (92545) |
$209.79 |
$777 |
0.9× |
| Ot eval high complex 60 min (97167) |
$145.80 |
$540 |
1.5× |
| Ot eval low complex 30 min (97165) |
$120.69 |
$447 |
1.2× |
| Ot eval mod complex 45 min (97166) |
$131.76 |
$488 |
1.3× |
| Ot Range Motion Measure,Each Extrem (95851) |
$82.89 |
$307 |
3.2× |
| Ot re-evaluation (97168) |
$25.38 |
$94 |
0.4× |
| Ot therapeutic activity 15 min (97530) |
$91.80 |
$340 |
2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$110.43 |
$409 |
0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$75.33 |
$279 |
0.6× |
| Pdt dstr prmlg les phys/qhp (96573) |
$139.32 |
$516 |
0.7× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$139.32 |
$516 |
0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$135.27 |
$501 |
0.6× |
| Percutaneous tests w/allergenic extracts (95004) |
$62.37 |
$231 |
0.1× |
| Peritoneal Dialysis (90945) |
$483.57 |
$1,791 |
1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$5,588.19 |
$20,697 |
0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$16,676.55 |
$61,765 |
1.4× |
| Phlebotomy therapeutic (99195) |
$177.26 |
$656.50 |
1.3× |
| Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (96910) |
$370.17 |
$1,371 |
6.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$50.49 |
$187 |
0.8× |
| Plethysmography (94726) |
$347.22 |
$1,286 |
0.9× |
| Pm device eval in person (93288) |
$65.34 |
$242 |
1.7× |
| Pm device progr eval dual (93280) |
$42.39 |
$157 |
1.1× |
| Pm device progr eval multi (93281) |
$43.47 |
$161 |
1.1× |
| Pm device progr eval sngl (93279) |
$41.04 |
$152 |
1.1× |
| Pm/Icd Remote Tech Serv (93296) |
$62.10 |
$230 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,234.33 |
$11,979 |
3.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,723.22 |
$10,086 |
3.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,344.41 |
$8,683 |
2.6× |
| Positional Nystagmus Test (92542) |
$238.14 |
$882 |
1.7× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) |
$111.24 |
$412 |
0.8× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$91.80 |
$340 |
0.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) |
$197.64 |
$732 |
1.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$62.10 |
$230 |
1.6× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$80.73 |
$299 |
2.1× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$61.56 |
$228 |
1.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$66.69 |
$247 |
1.7× |
| Prq balloon valvuloplasty aortic valve (92986) |
$5,457.24 |
$20,212 |
0.9× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$9,831.51 |
$36,413 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$10,710.09 |
$39,667 |
0.9× |
| Prq Card Stent/Ath/Angio (92933) |
$13,395.51 |
$49,613 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$10,030.23 |
$37,149 |
0.8× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$10,262.56 |
$38,009.50 |
0.9× |
| Psychiatric diagnostic evaluation (90791) |
$198.45 |
$735 |
1.1× |
| Pt Aquatic Therapy/Exercises (97113) |
$68.85 |
$255 |
1.9× |
| Pt eval high complex 45 min (97163) |
$147.96 |
$548 |
1.5× |
| Pt eval low complex 20 min (97161) |
$122.31 |
$453 |
1.2× |
| Pt eval mod complex 30 min (97162) |
$122.31 |
$453 |
1.2× |
| Pt gait training 15 min (97116) |
$39.15 |
$145 |
1.3× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$68.58 |
$254 |
2.1× |
| Pt Physical Performance Test (97750) |
$116.10 |
$430 |
3.4× |
| Pt re-evaluation (97164) |
$84.78 |
$314 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$201.69 |
$747 |
6.2× |
| Pulm function test by gas (94727) |
$148.77 |
$551 |
0.7× |
| Pulmonary Service/Procedure (94799) |
$83.97 |
$311 |
0.6× |
| Pulmonary stress test simple (94618) |
$194.67 |
$721 |
1.4× |
| Pure Tone Audiometry Air & Bone (92553) |
$147.15 |
$545 |
1.1× |
| Pure Tone Audiometry Air Only (92552) |
$84.78 |
$314 |
0.6× |
| Rectal sensation tone&compliance study (91124) |
$146.61 |
$543 |
0.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$257.58 |
$954 |
0.7× |
| Refill/Maint Portable Pump (96521) |
$718.20 |
$2,660 |
3.2× |
| Refill/Maint Pump/Resvr Syst (96522) |
$529.20 |
$1,960 |
2.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$62.10 |
$230 |
1.6× |
| Respiratory flow volume loop (94375) |
$182.52 |
$676 |
0.8× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$345.06 |
$1,278 |
1.1× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$80.73 |
$299 |
3.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$51.84 |
$192 |
0.4× |
| Select Picture Audiometry (92583) |
$29.70 |
$110 |
0.5× |
| Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) |
$176.31 |
$653 |
2.9× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$724.95 |
$2,685 |
5.4× |
| Sleep study unattended (95806) |
$576.86 |
$2,136.50 |
2.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$448.74 |
$1,662 |
2.0× |
| Speech Audiometry Complete (92556) |
$45.36 |
$168 |
0.7× |
| Speech audiometry threshold (92555) |
$43.20 |
$160 |
0.7× |
| Speech sound lang comprehen (92523) |
$162.81 |
$603 |
0.7× |
| Spirometry (94010) |
$232.20 |
$860 |
1.0× |
| Spontaneous nystagmus test (92541) |
$240.03 |
$889 |
1.7× |
| Stenger Test, Pure Tone (92565) |
$43.20 |
$160 |
0.7× |
| Stress echo (93350) |
$2,309.85 |
$8,555 |
4.0× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$437.94 |
$1,622 |
2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$116.91 |
$433 |
2.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$345.87 |
$1,281 |
3.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$39.69 |
$147 |
1.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$39.69 |
$147 |
1.9× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$183.87 |
$681 |
2.4× |
| Tilt table evaluation (93660) |
$2,631.69 |
$9,747 |
6.8× |
| Tinnitus assessment (92625) |
$572.13 |
$2,119 |
4.3× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$593.73 |
$2,199 |
2.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$121.23 |
$449 |
1.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$479.79 |
$1,777 |
4.4× |
| Transtelephonic rhythm strip pacemaker eval (93293) |
$59.13 |
$219 |
1.5× |
| Tte w/doppler, complete (93306) |
$1,592.73 |
$5,899 |
2.8× |
| Tx atrial fib pulm vein isol (93656) |
$21,743.10 |
$80,530 |
0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$130.68 |
$484 |
1.7× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$86.94 |
$322 |
1.0× |
| Tympanometry (92567) |
$136.08 |
$504 |
3.5× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$117.18 |
$434 |
0.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$246.78 |
$914 |
1.8× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$380.30 |
$1,408.50 |
2.8× |
| Unlisted otorhinolaryngological service (92700) |
$170.64 |
$632 |
5.7× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$261.36 |
$968 |
1.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$172.53 |
$639 |
1.6× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$435.24 |
$1,612 |
1.9× |
| Vasopneumatic device (97016) |
$70.47 |
$261 |
5.9× |
| Veeg 2-12 hr unmonitored (95711) |
$622.08 |
$2,304 |
2.8× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,192.59 |
$4,417 |
3.1× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$621.81 |
$2,303 |
1.6× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$2,231.55 |
$8,265 |
2.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,192.59 |
$4,417 |
3.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,192.86 |
$4,418 |
3.1× |
| Vent mgmt inpat init day (94002) |
$633.15 |
$2,345 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$643.68 |
$2,384 |
1.0× |
| Visual Evoked Potential Test (95930) |
$566.19 |
$2,097 |
2.5× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$265.68 |
$984 |
1.9× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$160.38 |
$594 |
2.6× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$124.20 |
$460 |
2.0× |
| Visual reinforcement audiometry (vra) (92579) |
$120.42 |
$446 |
0.5× |
| Vital capacity, total (94150) |
$140.67 |
$521 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$59.40 |
$220 |
1.9× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$241.92 |
$896 |
6.2× |