| Advncd Care Plan 30 Min (99497) |
$36.70 |
$367 |
0.4× |
| Airway Inhalation Treatment (94640) |
$87 |
$870 |
0.4× |
| Analyze neurostim no prog (95970) |
$41 |
$410 |
0.3× |
| Analyze Neurostim Simple (95971) |
$35.80 |
$358 |
0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$13.30 |
$133 |
0.9× |
| Application on-body injector (96377) |
$21.10 |
$211 |
0.4× |
| Basic vestibular evaluation (92540) |
$66.20 |
$662 |
0.3× |
| Behavral qualit analys voice (92524) |
$32.60 |
$326 |
0.3× |
| Breath hydrogen/methane test (91065) |
$39.80 |
$398 |
0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$76.10 |
$761 |
0.2× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$66.20 |
$662 |
0.3× |
| Caloric Vstblr Test W/Rec (92537) |
$39.50 |
$395 |
0.3× |
| Canalith repositioning proc (95992) |
$13.60 |
$136 |
0.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$201.80 |
$2,018 |
0.9× |
| Cardiopulmonary exercise testing (94621) |
$50.20 |
$502 |
0.1× |
| Cardiopulmonary resuscitation (92950) |
$229.60 |
$2,296 |
1.1× |
| Cardioversion (92960) |
$216.50 |
$2,165 |
0.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$8.20 |
$82 |
0.3× |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
$66.20 |
$662 |
0.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$26.70 |
$267 |
0.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$23 |
$230 |
0.3× |
| Chemo intralesional up to 7 (96405) |
$20.60 |
$206 |
0.3× |
| Chemo IV infusion addl hr (96415) |
$48.50 |
$485 |
0.7× |
| Chemo IV push addl drug (96411) |
$29.90 |
$299 |
0.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$110.80 |
$1,108 |
0.3× |
| Chemotherapy Into Cns (96450) |
$94.60 |
$946 |
0.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$23 |
$230 |
0.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$112.30 |
$1,123 |
0.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$72 |
$720 |
0.2× |
| Chest Wall Manipulation (94668) |
$34.20 |
$342 |
0.3× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$27.20 |
$272 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$101.50 |
$1,015 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$240.10 |
$2,401 |
2.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$7.10 |
$71 |
0.2× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$52.30 |
$523 |
0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$51.90 |
$519 |
0.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$23.30 |
$233 |
0.4× |
| Continuous Pulse Ox (94762) |
$111.90 |
$1,119 |
0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$68.40 |
$684 |
0.3× |
| Cpt initial (94667) |
$34.20 |
$342 |
0.3× |
| Critical care first hour (99291) |
$656.90 |
$6,569 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$61.10 |
$611 |
0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$217.80 |
$2,178 |
0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$208.60 |
$2,086 |
2.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$388.50 |
$3,885 |
1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$243.40 |
$2,434 |
2.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$392 |
$3,920 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$269.20 |
$2,692 |
2.6× |
| Duplex Scan Hemodialysis Access (93990) |
$32.20 |
$322 |
0.3× |
| Duplex up extrem art bilat (93930) |
$265.10 |
$2,651 |
1.1× |
| Duplex up extrem art unilat/ltd (93931) |
$66.60 |
$666 |
0.6× |
| Echo Congenital Complete (93303) |
$290.90 |
$2,909 |
0.5× |
| Echo Heart Xthoracic,Limited (93308) |
$206.40 |
$2,064 |
0.9× |
| Echo transesophageal (93312) |
$345.20 |
$3,452 |
0.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$186.80 |
$1,868 |
0.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$14.30 |
$143 |
1.0× |
| Electrocardiogram Tracing (93005) |
$59.80 |
$598 |
1.0× |
| Emergency Dept Visit Level 2 (99282) |
$64.30 |
$643 |
0.4× |
| Emergency Dept Visit Level 3 (99283) |
$112.70 |
$1,127 |
0.4× |
| Emergency Dept Visit Level 4 (99284) |
$173.30 |
$1,733 |
0.4× |
| Er level 1 (99281) |
$36.40 |
$364 |
0.4× |
| Er level v (99285) |
$289.40 |
$2,894 |
0.5× |
| Esophageal Capsule Endoscopy (91111) |
$251.30 |
$2,513 |
0.3× |
| Evaluate pt use of inhaler (94664) |
$39.10 |
$391 |
0.2× |
| Evaluate Speech Production (92522) |
$33.20 |
$332 |
0.3× |
| Evaluate Swallowing Function (92610) |
$53.60 |
$536 |
0.6× |
| Evaluation of speech fluency (92521) |
$40.80 |
$408 |
0.3× |
| Exercise test for bronchospasm (94617) |
$43.70 |
$437 |
0.3× |
| Exhaled Air Analysis O2 (94680) |
$26.20 |
$262 |
0.2× |
| External ECG rec>48hr<7d recording (93242) |
$21.70 |
$217 |
0.6× |
| External ECG rec>7d<15d recording (93246) |
$34.50 |
$345 |
0.9× |
| External Ecg Scanning Analysis Report (93226) |
$124.10 |
$1,241 |
2.1× |
| Extracranial Bilat Study (93880) |
$287.80 |
$2,878 |
1.2× |
| Extracranial Uni/Ltd Study (93882) |
$49.10 |
$491 |
0.5× |
| Gastric motility studies (91020) |
$114.10 |
$1,141 |
0.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$172.30 |
$1,723 |
0.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$164.60 |
$1,646 |
0.2× |
| Gi tract capsule endoscopy (91110) |
$214.30 |
$2,143 |
0.2× |
| Group Therapeutic Procedures (97150) |
$6.50 |
$65 |
0.4× |
| Health Behavior Assessment/Re-Assessment (96156) |
$28.30 |
$283 |
0.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$8.90 |
$89 |
0.2× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$9.90 |
$99 |
0.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$28.30 |
$283 |
0.2× |
| Holter monitor recording (93225) |
$141.70 |
$1,417 |
1.1× |
| Icd Device Interrogate (93289) |
$4.50 |
$45 |
0.1× |
| Icd device progr eval dual (93283) |
$6.40 |
$64 |
0.2× |
| Icd Device Progr Eval Mult (93284) |
$31.40 |
$314 |
0.8× |
| Icm Device Eval (93290) |
$11.10 |
$111 |
0.3× |
| Ilr Device Eval Progr (93285) |
$9.90 |
$99 |
0.3× |
| Ilr Device Interrogate (93291) |
$6.90 |
$69 |
0.2× |
| Immunization administration (90471) |
$80.10 |
$801 |
1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$144.80 |
$1,448 |
0.4× |
| Iontophoresis 15 min (97033) |
$8.80 |
$88 |
0.5× |
| Irrig Drug Delivery Device (96523) |
$21.50 |
$215 |
0.4× |
| IV infusion hydration each additional hour (96361) |
$53.50 |
$535 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$87.70 |
$877 |
0.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$28.10 |
$281 |
0.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$16 |
$160 |
0.3× |
| IV push initial (96374) |
$85.40 |
$854 |
0.4× |
| Liver Elastography W/O Imag W/I&R (91200) |
$47.10 |
$471 |
0.4× |
| Lung Function Test (Mbc/Mvv) (94200) |
$19.70 |
$197 |
0.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$62.10 |
$621 |
0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$7.60 |
$76 |
0.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$14.90 |
$149 |
0.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$4.60 |
$46 |
0.3× |
| Methacholine challenge (94070) |
$46.20 |
$462 |
0.1× |
| Motility study esophagus (91010) |
$114.10 |
$1,141 |
0.3× |
| Motion Fluoroscopy/Swallow (92611) |
$77.50 |
$775 |
0.8× |
| Multiple Sleep Latency Test (95805) |
$230.80 |
$2,308 |
0.3× |
| Nasopharyngoscopy (92511) |
$56.20 |
$562 |
0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$147.80 |
$1,478 |
0.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$162.60 |
$1,626 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$38.10 |
$381 |
0.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$147.80 |
$1,478 |
0.4× |
| Neurobehavioral Status Exam (96116) |
$37.20 |
$372 |
0.2× |
| Neuromuscular Reeducation (97112) |
$20.40 |
$204 |
0.6× |
| Nitric oxide expired gas determination (95012) |
$17.60 |
$176 |
0.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$156 |
$1,560 |
0.4× |
| Oral Function Therapy (92526) |
$34 |
$340 |
0.4× |
| Oral Speech Device Eval (92597) |
$88.70 |
$887 |
1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$15.30 |
$153 |
0.3× |
| Ot eval high complexity (97167) |
$52.60 |
$526 |
0.5× |
| Ot Eval Low Complex (97165) |
$37.30 |
$373 |
0.4× |
| Ot Eval Moderate Complexity (97166) |
$44.90 |
$449 |
0.4× |
| Ot manual therapy 15 min (97140) |
$14.20 |
$142 |
0.5× |
| Ot paraffin bath (97018) |
$4.90 |
$49 |
0.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$9.30 |
$93 |
0.2× |
| Ot Re-Eval Est Plan Care (97168) |
$25.50 |
$255 |
0.4× |
| Oxygen Uptake Rest Indirect (94690) |
$29.60 |
$296 |
0.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$61.40 |
$614 |
0.3× |
| Percutaneous tests w/allergenic extracts (95004) |
$272.70 |
$2,727 |
0.3× |
| Phlebotomy therapeutic (99195) |
$59.10 |
$591 |
0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$18.30 |
$183 |
0.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$16.50 |
$165 |
0.3× |
| Physical Performance Test (97750) |
$20.90 |
$209 |
0.6× |
| Plethysmography (94726) |
$78.50 |
$785 |
0.2× |
| Pm device eval in person (93288) |
$34.70 |
$347 |
0.9× |
| Pm device progr eval dual (93280) |
$49.90 |
$499 |
1.3× |
| Pm device progr eval multi (93281) |
$9.90 |
$99 |
0.3× |
| Pm Device Progr Eval Sngl (93279) |
$10.50 |
$105 |
0.3× |
| Pm/Icd Remote Tech Serv (93296) |
$12.40 |
$124 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$481.10 |
$4,811 |
0.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$234.70 |
$2,347 |
0.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$234.70 |
$2,347 |
0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$12.30 |
$123 |
0.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$21.30 |
$213 |
0.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$6.40 |
$64 |
0.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$27.20 |
$272 |
0.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$12.30 |
$123 |
0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$12.30 |
$123 |
0.3× |
| Psych diag eval w/med srvcs (90792) |
$24.10 |
$241 |
0.1× |
| Psychiatric diagnostic evaluation (90791) |
$40.50 |
$405 |
0.2× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$46.20 |
$462 |
0.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$134.60 |
$1,346 |
0.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$46.20 |
$462 |
0.3× |
| Psytx Crisis Initial 60 Min (90839) |
$25.30 |
$253 |
0.1× |
| Pt Eval High Complex (97163) |
$54.30 |
$543 |
0.6× |
| Pt eval low complex 20 min (97161) |
$29.20 |
$292 |
0.3× |
| Pt Eval Mod Complex (97162) |
$47 |
$470 |
0.5× |
| Pt gait training 15 min (97116) |
$17.90 |
$179 |
0.6× |
| Pt mechanical traction (97012) |
$11.20 |
$112 |
0.8× |
| Pt Re-Eval Est Plan Care (97164) |
$25.50 |
$255 |
0.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$8.50 |
$85 |
0.2× |
| Pulm function test by gas (94727) |
$51.20 |
$512 |
0.2× |
| Pulmonary service/procedure (94799) |
$50.20 |
$502 |
0.4× |
| Pulmonary Stress Testing (94618) |
$88.60 |
$886 |
0.7× |
| Rapid Desensitization Procedure Each Hour (95180) |
$127 |
$1,270 |
0.3× |
| Refill/Maint Portable Pump (96521) |
$72 |
$720 |
0.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$12.40 |
$124 |
0.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$12.40 |
$124 |
0.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$16.70 |
$167 |
0.4× |
| Respiratory flow volume loop (94375) |
$99.10 |
$991 |
0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$28.30 |
$283 |
0.5× |
| Self Care Mngment Training (97535) |
$15.80 |
$158 |
0.5× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$39.50 |
$395 |
0.3× |
| Sleep study unattended (95806) |
$91.20 |
$912 |
0.4× |
| Slp caregiver training 1st 30 min (97550) |
$14.90 |
$149 |
0.3× |
| Speech sound lang comprehen (92523) |
$68.70 |
$687 |
0.3× |
| Spirometry (94010) |
$51 |
$510 |
0.2× |
| Standardized Cognitive Performance Testing (96125) |
$54.30 |
$543 |
0.5× |
| Stress Tte Only (93350) |
$268 |
$2,680 |
0.5× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$14.70 |
$147 |
0.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$67.10 |
$671 |
0.3× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$22.70 |
$227 |
0.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$224.60 |
$2,246 |
2.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$6.70 |
$67 |
0.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$6.50 |
$65 |
0.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$8.20 |
$82 |
0.3× |
| Ther/Proph/Diag Inj Ia (96373) |
$103.90 |
$1,039 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$28.10 |
$281 |
0.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$88.30 |
$883 |
0.4× |
| Therapeutic Activities (97530) |
$16.70 |
$167 |
0.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$12.60 |
$126 |
0.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$12.60 |
$126 |
0.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$37.30 |
$373 |
0.3× |
| Trans Care Mgmt 7 Day Disch (99496) |
$37.30 |
$373 |
0.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$6.90 |
$69 |
0.2× |
| Tte w/doppler, complete (93306) |
$220.20 |
$2,202 |
0.4× |
| Tte W/O Doppler Complete (93307) |
$193 |
$1,930 |
0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$53.80 |
$538 |
0.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$7.20 |
$72 |
0.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$17.80 |
$178 |
0.4× |
| Tympanometry (92567) |
$12.50 |
$125 |
0.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$45.80 |
$458 |
0.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$66.80 |
$668 |
0.3× |
| Vent Mgmt Inpat Init Day (94002) |
$232.60 |
$2,326 |
0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$178.50 |
$1,785 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$9.60 |
$96 |
0.3× |
| Whirlpool Therapy (97022) |
$23.70 |
$237 |
1.5× |