| Advance care planning first 30 mins (99497) |
$120 |
$150 |
1.2× |
| Airway inhalation treatment (94640) |
$165.60 |
$207 |
0.8× |
| Assessment of aphasia (96105) |
$191.20 |
$239 |
2.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$208 |
$260 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$424 |
$530 |
1.2× |
| Canalith Repositioning (95992) |
$64.80 |
$81 |
1.6× |
| Car seat/bed test 60 min (94780) |
$142.40 |
$178 |
4.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$271.20 |
$339 |
1.3× |
| Cardiopulmonary exercise testing (94621) |
$648.80 |
$811 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$1,088.80 |
$1,361 |
5.2× |
| Cardioversion (92960) |
$529.60 |
$662 |
0.8× |
| Caregiver training 1st 30 min (97550) |
$104.80 |
$131 |
2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$52.80 |
$66 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$69.60 |
$87 |
1.0× |
| Chemo inj subarach/intravent (96542) |
$268.80 |
$336 |
0.8× |
| Chemo IV push addl drug (96411) |
$166.40 |
$208 |
2.4× |
| Chemo Iv Push Sngl Drug (96409) |
$260 |
$325 |
0.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$361.60 |
$452 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$309.60 |
$387 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$68.80 |
$86 |
1.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$175.20 |
$219 |
2.5× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$554.40 |
$693 |
1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$180 |
$225 |
2.6× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$64 |
$80 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$866.40 |
$1,083 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$372 |
$465 |
3.7× |
| Cpap initiation and management (94660) |
$198 |
$247.50 |
0.9× |
| Cpt initial (94667) |
$182.40 |
$228 |
1.4× |
| Critical care (99291) |
$504 |
$630 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$279.20 |
$349 |
1.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$246.40 |
$308 |
1.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$368 |
$460 |
1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$378.40 |
$473 |
1.6× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$288 |
$360 |
2.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$288 |
$360 |
2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$288 |
$360 |
2.9× |
| Duplex scan extracranial art compl bi study (93880) |
$372 |
$465 |
1.6× |
| Ear and throat examination (92502) |
$274.40 |
$343 |
0.5× |
| EKG (93005) |
$68 |
$85 |
1.2× |
| Er level 1 (99281) |
$44.80 |
$56 |
0.6× |
| Er level ii (99282) |
$87.20 |
$109 |
0.6× |
| Er level iii (99283) |
$456.80 |
$571 |
1.7× |
| Er level IV (99284) |
$330.40 |
$413 |
0.8× |
| Er level v (99285) |
$1,198.40 |
$1,498 |
2.1× |
| Evaluation of speech fluency (92521) |
$207.20 |
$259 |
1.6× |
| Evaluation of speech sound production (92522) |
$160 |
$200 |
1.4× |
| Evaluation of swallowing function (92610) |
$133.60 |
$167 |
1.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$257.60 |
$322 |
2.1× |
| Exercise tst brncspsm (94617) |
$408 |
$510 |
3.2× |
| External Ecg Scanning Analysis Report (93226) |
$400 |
$500 |
7.0× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$465.60 |
$582 |
2.3× |
| Flow volume loop (94375) |
$648.80 |
$811 |
3.1× |
| Immunization Admin (90471) |
$37.60 |
$47 |
0.5× |
| Immunotherapy, 2+ Injections (95117) |
$21.60 |
$27 |
0.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$60 |
$75 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$64 |
$80 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$328 |
$410 |
1.6× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$96.80 |
$121 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$328 |
$410 |
1.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$64 |
$80 |
1.4× |
| IV push initial (96374) |
$96 |
$120 |
0.5× |
| Manual therapy 15 min (97140) |
$55.20 |
$69 |
2.0× |
| Massage 15 min (97124) |
$220.40 |
$275.50 |
7.4× |
| Maximum voluntary ventilation (94200) |
$136.80 |
$171 |
2.4× |
| Mechanical chest wall oscillation (94669) |
$460.80 |
$576 |
2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$60 |
$75 |
1.6× |
| Methacholine challenge (94070) |
$176 |
$220 |
0.5× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$291.20 |
$364 |
3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$279.60 |
$349.50 |
1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$270.40 |
$338 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$168 |
$210 |
1.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$232 |
$290 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$68 |
$85 |
1.5× |
| Ot eval high complex 60 min (97167) |
$200 |
$250 |
2.0× |
| Ot eval low complex 30 min (97165) |
$133.60 |
$167 |
1.3× |
| Ot eval mod complex 45 min (97166) |
$133.60 |
$167 |
1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$48 |
$60 |
1.2× |
| Ot re-eval est plan care (97168) |
$96 |
$120 |
1.4× |
| Paraffin bath (97018) |
$24 |
$30 |
4.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$136.80 |
$171 |
2.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$136.80 |
$171 |
2.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,000 |
$2,500 |
2.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$16 |
$20 |
0.4× |
| Pt Aquatic Therapy/Exercises (97113) |
$79.20 |
$99 |
2.1× |
| Pt Electric Current Therapy (97033) |
$40 |
$50 |
2.1× |
| Pt Electrical Stimulation (97032) |
$57.20 |
$71.50 |
3.9× |
| Pt eval high complex 45 min (97163) |
$124.80 |
$156 |
1.3× |
| Pt eval low complex 20 min (97161) |
$138.40 |
$173 |
1.4× |
| Pt Gait Training Therapy (97116) |
$52 |
$65 |
1.8× |
| Pt group caregiver training (97552) |
$56 |
$70 |
2.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$61.60 |
$77 |
1.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$132 |
$165 |
1.3× |
| Pt re-evaluation (97164) |
$96 |
$120 |
1.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$56 |
$70 |
1.7× |
| Pt Ultrasound Therapy (97035) |
$23.20 |
$29 |
1.6× |
| Pulm Funct Test Oscillometry (94728) |
$181.60 |
$227 |
1.5× |
| Pulm function test by gas (94727) |
$342.40 |
$428 |
1.6× |
| Pulmonary stress testing (94618) |
$276 |
$345 |
2.2× |
| Refill/Maint Pump/Resvr Syst (96522) |
$264 |
$330 |
1.3× |
| Refill/maint, portable pump (96521) |
$355.20 |
$444 |
1.7× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$160 |
$200 |
4.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$101.60 |
$127 |
0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$97.60 |
$122 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$53.60 |
$67 |
0.9× |
| Sleep study unattended (95806) |
$192 |
$240 |
0.9× |
| Smoking cessation > 10 min (99407) |
$37.44 |
$46.80 |
1.0× |
| Speech group therapy (92508) |
$51.20 |
$64 |
2.1× |
| Speech sound lang comprehen (92523) |
$240 |
$300 |
1.1× |
| Spirometry (94010) |
$151.20 |
$189 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$177.60 |
$222 |
1.7× |
| Surfactant Admin Thru Tube (94610) |
$320 |
$400 |
1.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$72 |
$90 |
3.2× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$72 |
$90 |
3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$204 |
$255 |
2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$96.80 |
$121 |
1.4× |
| Therapeutic Activities (97530) |
$64 |
$80 |
1.8× |
| Therapeutic phlebotomy (99195) |
$300 |
$375 |
2.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$52 |
$65 |
1.4× |
| Trans Care Mgmt 14 Day Disch (99495) |
$230.40 |
$288 |
1.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$298.80 |
$373.50 |
2.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,081.60 |
$1,352 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$145.60 |
$182 |
1.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$157.60 |
$197 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$96 |
$120 |
2.1× |
| Unlisted otorhinolaryngological service (92700) |
$80 |
$100 |
2.9× |
| Unlisted pulmonary service/procedure (94799) |
$424 |
$530 |
3.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$442.40 |
$553 |
1.9× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$620.80 |
$776 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$148 |
$185 |
0.2× |
| Vital capacity total (94150) |
$342.40 |
$428 |
2.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$37.60 |
$47 |
1.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$272 |
$340 |
4.8× |