| Aerosol inhalation pentamidine (94642) |
$231.15 |
$402 |
1.0× |
| Appl modality 1+lllt po pain (97037) |
$59.34 |
$86 |
1.6× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$47.89 |
$61 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$101.04 |
$137 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$109.15 |
$148 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$81.12 |
$110 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$79.65 |
$108 |
— |
| Assessment of aphasia (96105) |
$188.72 |
$289 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$76.93 |
$98 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$248.14 |
$380 |
— |
| Bipap initial day (94660) |
$508.87 |
$885 |
2.3× |
| Breathing capacity test (94010) |
$224.97 |
$461 |
1.0× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$286.46 |
$587 |
0.8× |
| Cardiovascular stress test (93017) |
$1,207.83 |
$1,630 |
5.5× |
| Cardioversion elective external (92960) |
$424.38 |
$707.50 |
0.6× |
| Caregiver training 1st 30 min (97550) |
$133.86 |
$194 |
— |
| Caregiver training ea addl 15 (97551) |
$66.93 |
$97 |
— |
| Chemo anti-neopl sq/im (96401) |
$286.11 |
$495 |
3.9× |
| Chemo hormon antineopl sq/im (96402) |
$106.93 |
$185 |
1.5× |
| Chemo IV infus each addl seq (96417) |
$76.80 |
$200 |
1.0× |
| Chemo IV infusion addl hr (96415) |
$33.79 |
$88 |
0.5× |
| Chemo IV push addl drug (96411) |
$102.88 |
$178 |
1.4× |
| Chemother prolong infuse w/pump (96416) |
$162.82 |
$424 |
0.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$156.29 |
$407 |
0.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$226 |
$391 |
0.7× |
| Chest physiotherapy initial (94667) |
$81.65 |
$142 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$515.08 |
$733.50 |
2.1× |
| Color/duplex Doppler, limited (93976) |
$308.50 |
$439 |
2.9× |
| Cpr (92950) |
$510.35 |
$869 |
2.3× |
| Critical care ill/injured patient init 30-74 min (99291) |
$874.90 |
$1,459 |
1.0× |
| Debridement open wound 20 sq cm< (97597) |
$156.63 |
$227 |
0.8× |
| Delivery/birthing room resuscitation (99465) |
$797.29 |
$987 |
1.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$541.27 |
$772 |
2.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$625.98 |
$893.50 |
2.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$472.04 |
$674 |
4.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$549.98 |
$784.50 |
2.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$356.09 |
$508 |
3.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$394.56 |
$563 |
3.7× |
| ECG monit/reprt up to 48 hrs (93226) |
$541.73 |
$627 |
9.0× |
| ECG/monitoring and analysis (93271) |
$564.19 |
$653 |
5.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$365.95 |
$517.50 |
1.5× |
| EKG 12 lead tracing only (93005) |
$216.48 |
$330 |
3.6× |
| EKG rhythm strip (93041) |
$114.14 |
$174 |
1.9× |
| Emergency department visit high mdm (99285) |
$3,861.52 |
$1,120 |
6.3× |
| Emergency department visit low mdm (99283) |
$918.48 |
$454 |
3.3× |
| Emergency department visit may not req phys/qhp (99281) |
$342.80 |
$146 |
4.0× |
| Emergency department visit moderate mdm (99284) |
$2,390.17 |
$771 |
5.6× |
| Emergency department visit straightforward mdm (99282) |
$437.25 |
$273 |
2.8× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$120.23 |
$233 |
— |
| Evaluate pt use of inhaler (94664) |
$143.17 |
$249 |
0.6× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$63.47 |
$123 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$114.04 |
$221 |
— |
| Evaluation of speech fluency (92521) |
$218.76 |
$335 |
— |
| Evaluation of speech sound production articulate (92522) |
$182.19 |
$279 |
— |
| Evoked auditory test limited (92587) |
$194.68 |
$241 |
0.9× |
| Ext ECG>48hr<7d scan a/r (93243) |
$514.94 |
$596 |
3.8× |
| External ECG rec>48hr<7d recording (93242) |
$468.29 |
$542 |
12.3× |
| External ECG rec>7d<15d recording (93246) |
$352.51 |
$408 |
9.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$534.82 |
$619 |
3.9× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$362.88 |
$420 |
2.7× |
| Fluidotherapy (97022) |
$87.76 |
$119 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$201.06 |
$412 |
0.9× |
| Group caregiver training strategies & technique (97552) |
$44.85 |
$65 |
— |
| Hot/cold pack (97010) |
$43.52 |
$59 |
— |
| Immunization administration (90471) |
$27.11 |
$108 |
0.4× |
| Infrared therapy (97026) |
$32.45 |
$44 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$129.42 |
$222 |
2.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$181.12 |
$320 |
0.8× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$143.76 |
$254 |
2.4× |
| IV infusion hydration each additional hour (96361) |
$65.10 |
$114 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$242.10 |
$424 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$75.94 |
$133 |
1.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$256.95 |
$450 |
1.2× |
| IV tx, each additional hour (96366) |
$69.66 |
$122 |
1.5× |
| Low frequency non-thermal us (97610) |
$207 |
$300 |
1.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$105.80 |
$184 |
0.8× |
| Mechanical chest wall oscillation lung function (94669) |
$176.52 |
$307 |
0.8× |
| Mechanical traction therapy (97012) |
$106.26 |
$154 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$27.34 |
$49 |
— |
| Medical nutrition group (97804) |
$21.76 |
$39 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$25.67 |
$46 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$162.54 |
$315 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$150.42 |
$218 |
0.7× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$269.79 |
$391 |
0.6× |
| Occupational therapy eval high complex 60 mins (97167) |
$175.80 |
$262 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$175.13 |
$261 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$169.09 |
$252 |
— |
| Oral function therapy (92526) |
$139.09 |
$213 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$96.62 |
$131 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$87.76 |
$119 |
— |
| Osteopath manj 1-2 regions (98925) |
$29.95 |
$50 |
1.4× |
| Ot manual therapy ea 15 min (97140) |
$112.10 |
$152 |
— |
| Ot neuromuscular re-education (97112) |
$106.20 |
$144 |
— |
| Ot paraffin bath (97018) |
$47.94 |
$65 |
— |
| Ot re-evaluation (97168) |
$150.98 |
$225 |
— |
| OT Therapeutic Activities Charges (97530) |
$70.06 |
$95 |
— |
| Ot wheelchair management (97542) |
$62.69 |
$85 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$150.23 |
$234 |
1.1× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$95.02 |
$148 |
0.7× |
| Phlebotomy therapeutic (99195) |
$145.46 |
$257 |
1.1× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$140.46 |
$254 |
2.3× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$132.17 |
$239 |
2.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$161.65 |
$262 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$161.04 |
$261 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$155.48 |
$252 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$4,138.31 |
$5,123 |
4.7× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$77.44 |
$105 |
— |
| Pt gait training 15 min (97116) |
$61.95 |
$84 |
— |
| Pt physical performance test (97750) |
$64.17 |
$93 |
— |
| Pt re-evaluation (97164) |
$138.82 |
$225 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$217.45 |
$277 |
— |
| Pulm funct tst plethysmograp (94726) |
$229.36 |
$470 |
0.6× |
| Pulmonary stress testing (94618) |
$282.06 |
$578 |
2.1× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$66.24 |
$96 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
$60.44 |
$77 |
— |
| Refilling and maintenance of portable pump (96521) |
$174.33 |
$308 |
0.8× |
| Remote 30 day ECG rev/report (93270) |
$354.24 |
$410 |
9.3× |
| Respiratory flow volume loop (94375) |
$140.54 |
$288 |
0.6× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$71.54 |
$97 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$98.08 |
$133 |
— |
| Sleep study unattended (95806) |
$521.16 |
$581 |
2.4× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$560.62 |
$625 |
2.5× |
| Speech sound lang comprehen (92523) |
$261.20 |
$400 |
— |
| Standardized cognitive performance testing (96125) |
$167.17 |
$256 |
— |
| Stress tte only (93350) |
$507.68 |
$717.50 |
0.9× |
| Surfactant administration (94610) |
$74.66 |
$153 |
0.3× |
| Temp transcutaneous pacing (92953) |
$297 |
$495 |
0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$77.72 |
$99 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$73.01 |
$93 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$58.97 |
$73 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$81.12 |
$110 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$56.78 |
$77 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$103.19 |
$177 |
1.4× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$169.78 |
$260 |
— |
| Tte f-up or lmtd (93308) |
$255.08 |
$361 |
1.0× |
| Tte w/doppler complete (93306) |
$1,097.72 |
$1,555.50 |
2.0× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$126.03 |
$193 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$60.58 |
$75 |
— |
| Upr/l xtremity art 2 levels (93922) |
$315.25 |
$451 |
2.3× |
| Ventilation ip/obs initial day (94002) |
$699.78 |
$1,217 |
1.1× |
| Ventilator subsequent day (94003) |
$564.65 |
$982 |
0.9× |
| Wound(s) care non-selective (97602) |
$136.62 |
$198 |
0.7× |