| Admn Sarscov2 Vacc 1 Dose (90480) |
$73.53 |
$129 |
1.9× |
| Airway Inhalation Treatment (94640) |
$130.53 |
$229 |
0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$42.18 |
$74 |
2.9× |
| Application on-body injector (96377) |
$79.80 |
$140 |
1.8× |
| Assessment of aphasia per hr (96105) |
$145.92 |
$256 |
1.5× |
| Behavral qualit analys voice (92524) |
$174.42 |
$306 |
1.6× |
| Brief Emotional/Behav Assmt (96127) |
$31.35 |
$55 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$307.80 |
$540 |
0.9× |
| Canalith repositioning proc (95992) |
$114 |
$200 |
2.8× |
| Car seat/bed test 60 min (94780) |
$115.14 |
$202 |
3.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$502.74 |
$882 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$741.57 |
$1,301 |
3.6× |
| Cardioversion (92960) |
$798 |
$1,400 |
1.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$224.58 |
$394 |
3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$116.85 |
$205 |
1.7× |
| Chemo Intralesional Over 7 (96406) |
$365.37 |
$641 |
1.8× |
| Chemo intralesional up to 7 (96405) |
$233.70 |
$410 |
3.4× |
| Chemo IV infusion addl hr (96415) |
$78.66 |
$138 |
1.1× |
| Chemo IV push addl drug (96411) |
$170.43 |
$299 |
2.5× |
| Chemother Prolong Infuse W/Pump (96416) |
$356.25 |
$625 |
1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$179.55 |
$315 |
2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$364.23 |
$639 |
1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$280.44 |
$492 |
0.9× |
| Chest Wall Manipulation (94668) |
$42.75 |
$75 |
0.3× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$182.97 |
$321 |
1.9× |
| Color/duplex Doppler, complete (93975) |
$418.95 |
$735 |
1.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$228 |
$400 |
1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$204.63 |
$359 |
1.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$126.54 |
$222 |
2.2× |
| Continuous Pulse Ox (94762) |
$96.33 |
$169 |
0.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$128.25 |
$225 |
0.6× |
| Critical care first hour (99291) |
$729.03 |
$1,279 |
0.9× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines |
$108.87–$271.89 |
$191–$477 |
varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$418.95 |
$735 |
1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$239.40 |
$420 |
2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$531.24 |
$932 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$377.34 |
$662 |
3.8× |
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines |
$213.75–$293.55 |
$375–$515 |
varies |
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines |
$156.75–$199.50 |
$275–$350 |
varies |
| Echo Heart Xthoracic,Limited (93308) |
$996.36 |
$1,748 |
4.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$19.95 |
$35 |
1.4× |
| Electrocardiogram Tracing (93005) |
$132.81 |
$233 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$188.10 |
$330 |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$214.32 |
$376 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$295.83 |
$519 |
0.7× |
| Er level 1 (99281) |
$144.78 |
$254 |
1.8× |
| Er level v (99285) |
$527.82 |
$926 |
0.9× |
| Evaluate Speech Production (92522) |
$167.58 |
$294 |
1.5× |
| Evaluate Swallowing Function (92610) |
$153.90 |
$270 |
1.8× |
| Extracranial Bilat Study (93880) |
$531.24 |
$932 |
2.3× |
Holter monitor recording (93225)
range across 2 matching MRF lines |
$31.35–$37.05 |
$55–$65 |
varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$69.54 |
$122 |
1.0× |
| Immunization administration (90471) |
$120.27 |
$211 |
1.7× |
| Inital newborn e/m (99460) |
$206.34 |
$362 |
1.6× |
| Iontophoresis 15 min (97033) |
$57 |
$100 |
3.0× |
| Irrig Drug Delivery Device (96523) |
$76.95 |
$135 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$47.88 |
$84 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$258.21 |
$453 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$82.65 |
$145 |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$47.88 |
$84 |
1.1× |
| IV push initial (96374) |
$258.21 |
$453 |
1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39.90 |
$70 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$46.74 |
$82 |
1.3× |
| Motion Fluoroscopy/Swallow (92611) |
$258.21 |
$453 |
2.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$352.26 |
$618 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$229.14 |
$402 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$229.14 |
$402 |
0.6× |
| Neuromuscular Reeducation (97112) |
$53.58 |
$94 |
1.6× |
| Newborn resuscitation (99465) |
$579.69 |
$1,017 |
0.9× |
| Oral Function Therapy (92526) |
$181.26 |
$318 |
2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$78.66 |
$138 |
1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$72.96 |
$128 |
1.6× |
| Ot eval high complexity (97167) |
$182.40 |
$320 |
1.8× |
| Ot Eval Low Complex (97165) |
$160.74 |
$282 |
1.6× |
| Ot Eval Moderate Complexity (97166) |
$163.59 |
$287 |
1.6× |
| Ot manual therapy 15 min (97140) |
$97.47 |
$171 |
3.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$62.13 |
$109 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$209.19 |
$367 |
1.7× |
| Peripheral arterial disease rehab per session (93668) |
$155.61 |
$273 |
2.7× |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
$149.34–$176.13 |
$262–$309 |
varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$191.52 |
$336 |
3.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$117.42 |
$206 |
2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,576.40 |
$4,520 |
3.1× |
| Psych diag eval w/med srvcs (90792) |
$194.94 |
$342 |
1.1× |
| Pt Eval High Complex (97163) |
$182.40 |
$320 |
1.9× |
| Pt eval low complex 20 min (97161) |
$156.75 |
$275 |
1.6× |
| Pt Eval Mod Complex (97162) |
$163.59 |
$287 |
1.7× |
| Pt gait training 15 min (97116) |
$55.29 |
$97 |
1.9× |
| Pt mechanical traction (97012) |
$23.37 |
$41 |
1.6× |
| Pt Re-Eval Est Plan Care (97164) |
$99.75 |
$175 |
1.5× |
| Pulmonary Stress Testing (94618) |
$106.59 |
$187 |
0.8× |
| Same day nb discharge (99463) |
$237.12 |
$416 |
1.9× |
| Self Care Mngment Training (97535) |
$52.44 |
$92 |
1.6× |
| Slp caregiver training 1st 30 min (97550) |
$96.33 |
$169 |
1.8× |
| Speech sound lang comprehen (92523) |
$344.28 |
$604 |
1.5× |
| Spirometry (94010) |
$91.20 |
$160 |
0.4× |
| Standardized Cognitive Performance Testing (96125) |
$153.90 |
$270 |
1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$56.43 |
$99 |
2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$56.43 |
$99 |
2.7× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
$60.99–$117.99 |
$107–$207 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$258.21 |
$453 |
1.3× |
| Therapeutic Activities (97530) |
$73.53 |
$129 |
2.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$293.55 |
$515 |
2.3× |
| Trans Care Mgmt 7 Day Disch (99496) |
$453.15 |
$795 |
3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$121.98 |
$214 |
1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$47.88 |
$84 |
1.1× |
| Vasopneumatic device (97016) |
$17.67 |
$31 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$34.20 |
$60 |
1.1× |