| Airway Inhalation Treatment (94640) |
$45.50 |
$455 |
0.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$53.30 |
$533 |
0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$665.90 |
$6,659 |
1.8× |
| Canalith repositioning proc (95992) |
$15.60 |
$156 |
0.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$259.40 |
$2,594 |
1.2× |
| Cardiopulmonary resuscitation (92950) |
$123.60 |
$1,236 |
0.6× |
| Cardioversion (92960) |
$769.20 |
$7,692 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$899.30 |
$8,993 |
0.3× |
| Cbt 1st hour (94644) |
$34.90 |
$349 |
0.3× |
| Chemo IV infusion addl hr (96415) |
$45.60 |
$456 |
0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$122.40 |
$1,224 |
0.4× |
| Chest Wall Manipulation (94668) |
$106.20 |
$1,062 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$85.40 |
$854 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$47.90 |
$479 |
0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$306.70 |
$3,067 |
1.4× |
| Cpt initial (94667) |
$44.10 |
$441 |
0.3× |
| Critical care first hour (99291) |
$503.70 |
$5,037 |
0.6× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$57.60–$77.90 |
$576–$779 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$268.20 |
$2,682 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$40.70 |
$407 |
0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$571 |
$5,710 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$401.70 |
$4,017 |
3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$505.90 |
$5,059 |
2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$369.70 |
$3,697 |
3.5× |
| Duplex up extrem art bilat (93930) |
$247.10 |
$2,471 |
1.0× |
| Duplex up extrem art unilat/ltd (93931) |
$247.10 |
$2,471 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$116.90 |
$1,169 |
0.5× |
| Echo transesophageal (93312) |
$483.10 |
$4,831 |
0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$372.40 |
$3,724 |
0.7× |
| Eeg 41-60 Minutes (95812) |
$222.50 |
$2,225 |
1.0× |
| EEG awake and asleep (95819) |
$184 |
$1,840 |
0.8× |
| EEG awake drowsy (95816) |
$51.90 |
$519 |
0.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$91.30 |
$913 |
0.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$235.40 |
$2,354 |
1.1× |
| Eeg Sleep Only (95822) |
$91.30 |
$913 |
0.4× |
| Electrocardiogram Tracing (93005) |
$75.80 |
$758 |
1.3× |
| Emergency Dept Visit Level 2 (99282) |
$50.80 |
$508 |
0.3× |
| Emergency Dept Visit Level 3 (99283) |
$147.30 |
$1,473 |
0.5× |
| Emergency Dept Visit Level 4 (99284) |
$278.60 |
$2,786 |
0.7× |
| Er level 1 (99281) |
$30.10 |
$301 |
0.4× |
| Er level v (99285) |
$338.90 |
$3,389 |
0.6× |
| Esophageal Capsule Endoscopy (91111) |
$291.30 |
$2,913 |
0.3× |
| Evaluate pt use of inhaler (94664) |
$43 |
$430 |
0.2× |
| Evaluate Speech Production (92522) |
$35.20 |
$352 |
0.3× |
| Evaluate Swallowing Function (92610) |
$27.20 |
$272 |
0.3× |
| Evaluation of speech fluency (92521) |
$43.80 |
$438 |
0.3× |
| Evoked Auditory Test,Limited (92587) |
$77.10 |
$771 |
0.4× |
| External ECG rec>48hr<7d recording (93242) |
$12.90 |
$129 |
0.3× |
| External Ecg Scanning Analysis Report (93226) |
$38.70 |
$387 |
0.7× |
| Extracranial Bilat Study (93880) |
$474.70 |
$4,747 |
2.0× |
| Extracranial Uni/Ltd Study (93882) |
$42.60 |
$426 |
0.4× |
| Gastric motility studies (91020) |
$151.50 |
$1,515 |
0.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$172.30 |
$1,723 |
0.2× |
| Gi tract capsule endoscopy (91110) |
$468.30 |
$4,683 |
0.5× |
| Group Therapeutic Procedures (97150) |
$6 |
$60 |
0.3× |
| Holter monitor recording (93225) |
$383.10 |
$3,831 |
2.9× |
Immunization administration (90471)
range across 2 matching MRF lines |
$49.50 |
$13.75–$495 |
0.7× |
| Irrig Drug Delivery Device (96523) |
$16.20 |
$162 |
0.3× |
| IV infusion hydration each additional hour (96361) |
$31.60 |
$316 |
0.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$101.10 |
$1,011 |
0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$33.40 |
$334 |
0.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$40.70 |
$407 |
0.9× |
| IV push initial (96374) |
$44.20 |
$442 |
0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$788.90 |
$7,889 |
3.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$10.20 |
$102 |
0.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$10.50 |
$105 |
0.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$11.40 |
$114 |
0.7× |
| Motility study esophagus (91010) |
$129.20 |
$1,292 |
0.3× |
| Motion Fluoroscopy/Swallow (92611) |
$39.80 |
$398 |
0.4× |
| Multiple Sleep Latency Test (95805) |
$208.30 |
$2,083 |
0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$110.70 |
$1,107 |
0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$107.90 |
$1,079 |
0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$56.10 |
$561 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$110.70 |
$1,107 |
0.3× |
| Neuromuscular Reeducation (97112) |
$21.70 |
$217 |
0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$82.20 |
$822 |
0.2× |
| Oral Function Therapy (92526) |
$27.30 |
$273 |
0.3× |
| Oral Speech Device Eval (92597) |
$23.20 |
$232 |
0.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$17.20 |
$172 |
0.4× |
| Ot manual therapy 15 min (97140) |
$8.60 |
$86 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$392.30 |
$3,923 |
0.5× |
| Pt Eval High Complex (97163) |
$51.80 |
$518 |
0.5× |
| Pt eval low complex 20 min (97161) |
$51.80 |
$518 |
0.5× |
| Pt Eval Mod Complex (97162) |
$51.80 |
$518 |
0.5× |
| Pt gait training 15 min (97116) |
$26.50 |
$265 |
0.9× |
| Pt Re-Eval Est Plan Care (97164) |
$30.40 |
$304 |
0.5× |
| Pulm function test by gas (94727) |
$24.20 |
$242 |
0.1× |
| Pulmonary service/procedure (94799) |
$138.20 |
$1,382 |
1.1× |
| Remote 30 Day Ecg Rev/Report (93270) |
$12.90 |
$129 |
0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$122.70 |
$1,227 |
0.6× |
| Self Care Mngment Training (97535) |
$11.80 |
$118 |
0.4× |
| Sleep study unattended (95806) |
$59.70 |
$597 |
0.3× |
| Slp caregiver training 1st 30 min (97550) |
$13.90 |
$139 |
0.3× |
| Speech sound lang comprehen (92523) |
$73.80 |
$738 |
0.3× |
| Spirometry (94010) |
$435.80 |
$4,358 |
2.0× |
| Standardized Cognitive Performance Testing (96125) |
$30.50 |
$305 |
0.3× |
| Stress Tte Only (93350) |
$188.20 |
$1,882 |
0.3× |
| 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) |
$22.50 |
$225 |
0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$13.60 |
$136 |
0.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$13.60 |
$136 |
0.6× |
| Ther/Proph/Diag Inj Ia (96373) |
$67.10 |
$671 |
0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$31 |
$310 |
0.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$76.20 |
$762 |
0.4× |
| Therapeutic Activities (97530) |
$26.50 |
$265 |
0.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$9.10 |
$91 |
0.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$9.10 |
$91 |
0.2× |
| Tte w/doppler, complete (93306) |
$537.70 |
$5,377 |
1.0× |
| Tte W/O Doppler Complete (93307) |
$116.90 |
$1,169 |
0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$27.30 |
$273 |
0.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$44.20 |
$442 |
0.9× |
| Upr/L Xtremity Art 2 Levels (93922) |
$301.30 |
$3,013 |
2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$693.10 |
$6,931 |
3.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,106 |
$11,060 |
1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$903.70 |
$9,037 |
1.5× |
| Vital capacity, total (94150) |
$43.50 |
$435 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$19.90 |
$199 |
0.6× |
| Whirlpool Therapy (97022) |
$40.30 |
$403 |
2.6× |