| Airway inhalation treatment (94640) |
$210 |
$420 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$273.25 |
$546.50 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$273.75 |
$547.50 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$331.50 |
$663 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$331.50 |
$663 |
1.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$236 |
$472 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$236 |
$472 |
2.3× |
| Duplex scan extracranial art compl bi study (93880) |
$331.50 |
$663 |
1.4× |
| EKG (93005) |
$98.50 |
$197 |
1.7× |
| Er level 1 (99281) |
$75 |
$150 |
0.9× |
| Er level ii (99282) |
$133.75 |
$267.50 |
0.9× |
| Er level iii (99283) |
$235.75 |
$471.50 |
0.9× |
| Er level IV (99284) |
$387.50 |
$775 |
1.0× |
| Er level v (99285) |
$570.50 |
$1,141 |
1.0× |
| Immunization Admin (90471) |
$67 |
$134 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$43.75 |
$87.50 |
1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$168.50 |
$337 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$72.50 |
$145 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$205.25 |
$410.50 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$52 |
$104 |
1.2× |
| IV push initial (96374) |
$168.50 |
$337 |
0.8× |
| Multiple sleep latency test (95805) |
$1,250 |
$2,500 |
1.5× |
| Nerve conduction studies 13/> studies (95913) |
$294 |
$588 |
0.8× |
| Nerve conduction studies; 5-6 studies (95909) |
$190 |
$380 |
0.9× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$197 |
$394 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$123.75 |
$247.50 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,250 |
$2,500 |
1.5× |
| Pt eval low complex 20 min (97161) |
$137 |
$274 |
1.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$137 |
$274 |
1.4× |
| Sleep study unattended (95806) |
$200 |
$400 |
1.0× |
| Spirometry (94010) |
$152.50 |
$305 |
0.7× |
| Temp transcutaneous pacing (92953) |
$552.75 |
$1,105.50 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$69.75 |
$139.50 |
1.0× |
| Therapeutic phlebotomy (99195) |
$75 |
$150 |
0.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$792.25 |
$1,584.50 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$45.25 |
$90.50 |
1.0× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$264.25 |
$528.50 |
1.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$518 |
$1,036 |
0.9× |