| Advncd Care Plan 30 Min (99497) |
— |
$172 |
— |
| Airway Inhalation Treatment (94640) |
— |
$469.71 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$371.14 |
— |
| Analyze neurostim no prog (95970) |
— |
$45.63 |
— |
| Analyze Neurostim Simple (95971) |
— |
$116.75 |
— |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
— |
$431.75 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$193.29 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$152.06 |
— |
| Application on-body injector (96377) |
— |
$130.43 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$279.60 |
— |
| Behavral qualit analys voice (92524) |
— |
$692.72 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$7.50 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,324.83 |
— |
| Canalith repositioning proc (95992) |
— |
$229.98 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,505.59 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$13,485.22 |
— |
| Cardioversion (92960) |
— |
$7,773.02 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$69.30 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$2,431 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$2,053 |
— |
| Cbt 1st hour (94644) |
— |
$623.16 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$1,136.54 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$342.80 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$327.69 |
— |
| Chemo Ia Push (96420) |
— |
$1,136.54 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$674.50 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$221.97 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$392.02 |
— |
| Chemo IV push addl drug (96411) |
— |
$325.48 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,136.54 |
— |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
— |
$674.50 |
— |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
— |
$139.91 |
— |
Chemotherapy Into Cns (96450)
range across 3 matching MRF lines |
— |
$237.15–$913.10 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$1,136.54 |
— |
| Chemotherapy Unspecified (96549) |
— |
$139.91 |
— |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
— |
$1,136.54 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$409.19 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$862.99 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$510.26 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$674.50 |
— |
| Chest Wall Manipulation (94668) |
— |
$149.05 |
— |
| Chron Care Mgmt Srvc 20 Min (99490) |
— |
$147.30 |
— |
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines |
— |
$326–$2,185.97 |
— |
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines |
— |
$217–$2,161.75 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
— |
$318.95 |
— |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
— |
$201.65 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$1,992 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$1,992 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$707.15 |
— |
| Cpt initial (94667) |
— |
$468.46 |
— |
| Critical care first hour (99291) |
— |
$4,630.19 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines |
— |
$86.80–$415.86 |
— |
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 3 matching MRF lines |
— |
$117.79–$1,900.58 |
— |
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines |
— |
$84–$294.60 |
— |
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines |
— |
$210–$2,379.85 |
— |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines |
— |
$145–$1,607.43 |
— |
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines |
— |
$142–$2,677.33 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines |
— |
$272.48–$1,872.79 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$87 |
— |
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines |
— |
$189–$2,303.43 |
— |
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines |
— |
$145–$1,607.43 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$186 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$2,004.45 |
— |
| Echo transesophageal (93312) |
— |
$2,574.23 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$531.48 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$194.36 |
— |
| Electrocardiogram Tracing (93005) |
— |
$365.05 |
— |
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines |
— |
$400–$838.50 |
— |
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines |
— |
$420–$1,501.14 |
— |
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines |
— |
$470–$2,398.55 |
— |
Er level 1 (99281)
range across 3 matching MRF lines |
— |
$375–$465.36 |
— |
Er level v (99285)
range across 3 matching MRF lines |
— |
$520–$3,624.42 |
— |
| Evaluate Speech Production (92522) |
— |
$688.51 |
— |
| Evaluate Swallowing Function (92610) |
— |
$606.74 |
— |
| Evaluation of speech fluency (92521) |
— |
$692.72 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$75 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$75 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$75 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$75 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,021.17 |
— |
Extracranial Bilat Study (93880)
range across 3 matching MRF lines |
— |
$214–$1,722.60 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$950.77 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$2,784 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$3,282.10 |
— |
| Holter monitor recording (93225) |
— |
$1,576.58 |
— |
| Icd Device Interrogate (93289) |
— |
$177.83 |
— |
Icd device progr eval dual (93283)
range across 2 matching MRF lines |
— |
$224.63–$241.48 |
— |
Icd Device Progr Eval Mult (93284)
range across 2 matching MRF lines |
— |
$242.53–$260.43 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$48 |
— |
| Immunization administration (90471) |
— |
$147.94 |
— |
| Inital newborn e/m (99460) |
— |
$173 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$30.30 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$431.54 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$150.52 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$401.91 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$222.98 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$156.72 |
— |
IV push initial (96374)
range across 3 matching MRF lines |
— |
$89.78–$335.69 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$2,268 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$195.45 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$195.45 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$882.99 |
— |
| Nasopharyngoscopy (92511) |
— |
$756.25 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$415.86 |
— |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 3 matching MRF lines |
— |
$57.75–$415.86 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$372.41 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$4,187.25 |
— |
| Neuromuscular Reeducation (97112) |
— |
$211.96 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$156.10 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$234.10 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$74 |
— |
| Oral Function Therapy (92526) |
— |
$421.84 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$208.08 |
— |
| Ot eval high complexity (97167) |
— |
$427.21 |
— |
| Ot Eval Low Complex (97165) |
— |
$299.04 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$351.92 |
— |
| Ot manual therapy 15 min (97140) |
— |
$216.37 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$197.26 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$204.14 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$46.09 |
— |
| Phlebotomy therapeutic (99195) |
— |
$266.56 |
— |
| Physical Performance Test (97750) |
— |
$1,088.72 |
— |
| Pm device eval in person (93288) |
— |
$137.53 |
— |
Pm device progr eval dual (93280)
range across 2 matching MRF lines |
— |
$179.83–$194.33 |
— |
Pm device progr eval multi (93281)
range across 2 matching MRF lines |
— |
$191.53–$207.23 |
— |
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines |
— |
$165.65–$242.53 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$48 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$16.63 |
— |
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines |
— |
$118–$182.38 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$27 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$39.01 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$427.09 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$440.89 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$447.33 |
— |
| Pt Eval High Complex (97163) |
— |
$405.75 |
— |
| Pt eval low complex 20 min (97161) |
— |
$284.09 |
— |
| Pt Eval Mod Complex (97162) |
— |
$360.66 |
— |
| Pt gait training 15 min (97116) |
— |
$208.08 |
— |
| Pt mechanical traction (97012) |
— |
$184.80 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$197.27 |
— |
| Pulmonary Stress Testing (94618) |
— |
$376.02 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$2,425 |
— |
| R hrt coronary artery angio (93456) |
— |
$2,149 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$2,183 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$674.50 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$674.50 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$49 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$161.82 |
— |
| Right Heart Cath (93451) |
— |
$1,505 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$372.33 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$268.70 |
— |
| Self Care Mngment Training (97535) |
— |
$123.42 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$138.20 |
— |
| Speech sound lang comprehen (92523) |
— |
$692.72 |
— |
| Spirometry (94010) |
— |
$762.82 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$206 |
— |
| Stress Tte Only (93350) |
— |
$2,321.17 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$130.43 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$418.54 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$206.95 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$136.58 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,472.36 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$202.01 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$195.50 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$342.90 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$130.43 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$628.86 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines |
— |
$34.35–$155.03 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$743.35 |
— |
| Therapeutic Activities (97530) |
— |
$208.08 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$876.14 |
— |
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines |
— |
$61.03–$67.48 |
— |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines |
— |
$28.85–$36.10 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$496.58 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$439 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,576.04 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$214 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$446.43 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$226.49 |
— |
| Unlisted Special Dermatological Service/Px (96999) |
— |
$447.08 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
— |
$198.08–$533.12 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines |
— |
$309.68–$1,142.38 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$919.77 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$844.95 |
— |
| Whirlpool Therapy (97022) |
— |
$272.12 |
— |