| Administration of chemotherapy into artery using push technique (96420) |
$304.50 |
$406 |
0.9× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$345 |
$460 |
1.0× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$694.50 |
$926 |
3.0× |
| Aerosol inhalation pentamidine (94642) |
$1,193.25 |
$1,591 |
5.2× |
| Airway inhalation treatment (94640) |
$187.50 |
$250 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$121.50 |
$162 |
2.5× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$72 |
$96 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$87 |
$116 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$57.75 |
$77 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$57.75 |
$77 |
— |
| Assessment of aphasia (96105) |
$259.50 |
$346 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$96 |
$128 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$253.50 |
$338 |
— |
| Bioimpedance-derived physiologic cardiovascular analysis (93701) |
$219 |
$292 |
1.6× |
| Bipap initial day (94660) |
$436.50 |
$582 |
1.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$213.75 |
$285 |
1.6× |
| Breathing capacity test (94010) |
$243.75 |
$325 |
1.1× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$647.25 |
$863 |
1.6× |
| Canalith repositioning (95992) |
$66 |
$88 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$96.75 |
$129 |
2.5× |
| Cardiovascular stress test (93017) |
$668.25 |
$891 |
2.9× |
| Cardioversion elective external (92960) |
$1,731 |
$2,308 |
2.5× |
| Chemo anti-neopl sq/im (96401) |
$305.25 |
$407 |
4.0× |
| Chemo hormon antineopl sq/im (96402) |
$336.75 |
$449 |
4.4× |
| Chemo intralesional over 7 (96406) |
$245.25 |
$327 |
1.1× |
| Chemo intralesional up to 7 (96405) |
$245.25 |
$327 |
3.2× |
| Chemo IV infus each addl seq (96417) |
$531 |
$708 |
7.0× |
| Chemo IV infusion addl hr (96415) |
$285 |
$380 |
3.8× |
| Chemo IV push addl drug (96411) |
$326.25 |
$435 |
4.3× |
| Chemother prolong infuse w/pump (96416) |
$1,365 |
$1,820 |
3.9× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis (96440) |
$360 |
$480 |
1.0× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$337.50 |
$450 |
1.0× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$215.25 |
$287 |
4.4× |
| Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) |
$497.25 |
$663 |
1.4× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$462.75 |
$617 |
1.3× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,268.25 |
$1,691 |
3.6× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$896.25 |
$1,195 |
2.6× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$272.25 |
$363 |
0.8× |
| Chest physiotherapy initial (94667) |
$134.25 |
$179 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$1,317 |
$1,756 |
5.2× |
| Color/duplex Doppler, limited (93976) |
$893.25 |
$1,191 |
8.1× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$85.50 |
$114 |
— |
| Concurrent chemotherapy (96549) |
$315 |
$420 |
6.4× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$252 |
$336 |
1.8× |
| Cpr (92950) |
$993.75 |
$1,325 |
4.4× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,336 |
$4,448 |
3.8× |
| Debridement open wound 20 sq cm< (97597) |
$270.75 |
$361 |
1.3× |
| Delivery/birthing room resuscitation (99465) |
$144 |
$192 |
0.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$244.50 |
$326 |
0.6× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$978 |
$1,304 |
3.9× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,446 |
$1,928 |
5.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$964.50 |
$1,286 |
8.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$1,662.75 |
$2,217 |
6.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$998.25 |
$1,331 |
9.1× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,330.50 |
$1,774 |
5.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$869.25 |
$1,159 |
7.9× |
| Echo transesophageal (93312) |
$2,695.50 |
$3,594 |
4.7× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$1,143.75 |
$1,525 |
2.0× |
| EEG awake & asleep (95819) |
$1,146.75 |
$1,529 |
5.0× |
| EEG coma or sleep only (95822) |
$1,262.25 |
$1,683 |
5.5× |
| EKG 12 lead tracing only (93005) |
$237.75 |
$317 |
3.8× |
| Emergency department visit high mdm (99285) |
$2,661.75 |
$3,549 |
4.2× |
| Emergency department visit low mdm (99283) |
$846.75 |
$1,129 |
2.9× |
| Emergency department visit may not req phys/qhp (99281) |
$201 |
$268 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$1,446 |
$1,928 |
3.3× |
| Emergency department visit straightforward mdm (99282) |
$395.25 |
$527 |
2.4× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$141.75 |
$189 |
1.0× |
| Endoscopy swallow (fees) vid (92612) |
$342 |
$456 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$228 |
$304 |
1.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$272.25 |
$363 |
— |
| Evaluate pt use of inhaler (94664) |
$197.25 |
$263 |
0.9× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$133.50 |
$178 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$329.25 |
$439 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$329.25 |
$439 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$133.50 |
$178 |
— |
| Evaluation of central auditory function, with report; initial 60 minutes (92620) |
$160.50 |
$214 |
1.2× |
| Evaluation of speech fluency (92521) |
$249.75 |
$333 |
— |
| Evaluation of speech sound production articulate (92522) |
$233.25 |
$311 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$270 |
$360 |
1.9× |
| External ECG rec>48hr<7d recording (93242) |
$293.25 |
$391 |
7.4× |
| External ECG rec>7d<15d recording (93246) |
$293.25 |
$391 |
7.4× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$293.25 |
$391 |
2.1× |
| Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) |
$342 |
$456 |
11.2× |
| Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Other Outpatient (92614) |
$342 |
$456 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$294 |
$392 |
— |
| Fluidotherapy (97022) |
$99.75 |
$133 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$186.75 |
$249 |
0.8× |
| Hot/cold pack (97010) |
$81.75 |
$109 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$37.50 |
$50 |
0.9× |
| Immunization administration (90471) |
$67.50 |
$90 |
0.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$177 |
$236 |
3.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$244.50 |
$326 |
1.1× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,385 |
$3,180 |
1.4× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$206.25 |
$275 |
3.3× |
| IV infusion hydration each additional hour (96361) |
$109.88 |
$146.50 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$340.88 |
$454.50 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$324.75 |
$433 |
4.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$413.25 |
$551 |
1.8× |
| IV tx, each additional hour (96366) |
$136.50 |
$182 |
2.8× |
| Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) |
$197.25 |
$263 |
1.4× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$123.75 |
$165 |
0.9× |
| Maximum voluntary ventilation (94200) |
$141 |
$188 |
2.3× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$601.50 |
$802 |
1.5× |
| Mechanical traction therapy (97012) |
$57.75 |
$77 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$55.50 |
$74 |
— |
| Medical nutrition group (97804) |
$45 |
$60 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$52.50 |
$70 |
— |
| Methacholine challenge (94070) |
$352.50 |
$470 |
0.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$326.25 |
$435 |
— |
| Nasopharyngoscopy (92511) |
$200.25 |
$267 |
1.0× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$293.25 |
$391 |
1.4× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$624 |
$832 |
2.7× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$261.75 |
$349 |
1.9× |
| Occupational therapy eval high complex 60 mins (97167) |
$170.25 |
$227 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$170.25 |
$227 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$170.25 |
$227 |
— |
| Oral function therapy (92526) |
$198 |
$264 |
— |
| Oral speech device eval (92597) |
$283.50 |
$378 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$66.75 |
$89 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$89.25 |
$119 |
— |
| Ot manual therapy ea 15 min (97140) |
$90 |
$120 |
— |
| Ot neuromuscular re-education (97112) |
$77.25 |
$103 |
— |
| Ot paraffin bath (97018) |
$54 |
$72 |
— |
| Ot re-evaluation (97168) |
$102 |
$136 |
— |
| OT Therapeutic Activities Charges (97530) |
$107.25 |
$143 |
— |
| Ot wheelchair management (97542) |
$81 |
$108 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$203.25 |
$271 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$161.25 |
$215 |
1.2× |
| Peripheral vascular rehab (93668) |
$132.75 |
$177 |
2.1× |
| Phlebotomy therapeutic (99195) |
$300.75 |
$401 |
2.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$196.50 |
$262 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$196.50 |
$262 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$196.50 |
$262 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,693 |
$4,924 |
4.1× |
| Pr unlisted therapeutic procedure specify (97139) |
$86.25 |
$115 |
— |
| Prgrmg dev eval pm/ldls pm (93279) |
$239.25 |
$319 |
6.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$66.75 |
$89 |
1.4× |
| Program eval implantable in persn dual ld pacer (93280) |
$288.75 |
$385 |
7.3× |
| Pt gait training 15 min (97116) |
$71.25 |
$95 |
— |
| Pt physical performance test (97750) |
$87 |
$116 |
— |
| Pt re-evaluation (97164) |
$104.25 |
$139 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$459 |
$612 |
— |
| Pulm funct tst plethysmograp (94726) |
$317.25 |
$423 |
0.8× |
| Pulmonary stress testing (94618) |
$489.75 |
$653 |
3.5× |
| Refill/maint pump/resvr syst (96522) |
$767.25 |
$1,023 |
3.4× |
| Refilling and maintenance of portable pump (96521) |
$1,062.75 |
$1,417 |
4.7× |
| Remote 30 day ECG rev/report (93270) |
$468.75 |
$625 |
11.9× |
| Respiratory flow volume loop (94375) |
$291.75 |
$389 |
1.3× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$90.75 |
$121 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$93 |
$124 |
— |
| Speech sound lang comprehen (92523) |
$332.25 |
$443 |
— |
| Standardized cognitive performance testing (96125) |
$255 |
$340 |
— |
| Stress tte only (93350) |
$2,211.75 |
$2,949 |
3.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$87.38 |
$116.50 |
1.8× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$861.75 |
$1,149 |
3.8× |
| Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) |
$379.50 |
$506 |
5.0× |
| Temp transcutaneous pacing (92953) |
$834 |
$1,112 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$105.75 |
$141 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$80.25 |
$107 |
— |
| Ther/proph/diag inj ia (96373) |
$121.50 |
$162 |
0.5× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$54.75 |
$73 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$102 |
$136 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$66.75 |
$89 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$86.25 |
$115 |
1.1× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$329.25 |
$439 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$220.50 |
$294 |
— |
| Tilt table evaluation (93660) |
$2,229 |
$2,972 |
5.7× |
| Tobacco use cessation intensive >10 minutes (99407) |
$75 |
$100 |
1.9× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$58.50 |
$78 |
1.5× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$926.25 |
$1,235 |
1.6× |
| Tte congenital complete (93303) |
$2,787.75 |
$3,717 |
4.8× |
| Tte f-up or lmtd (93308) |
$826.50 |
$1,102 |
3.3× |
| Tte w/doppler complete (93306) |
$2,787.75 |
$3,717 |
4.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$210.75 |
$281 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$84 |
$112 |
— |
| Tympanometry (92567) |
$106.50 |
$142 |
2.7× |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$57.75 |
$77 |
— |
| Upr/l xtremity art 2 levels (93922) |
$698.25 |
$931 |
5.0× |
| Ventilation ip/obs initial day (94002) |
$984.75 |
$1,313 |
1.5× |
| Ventilator subsequent day (94003) |
$983.25 |
$1,311 |
1.5× |
| Vital capacity total (94150) |
$154.50 |
$206 |
1.1× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$240 |
$320 |
— |