| Advance care planning first 30 mins (99497) |
$60 |
$100 |
0.6× |
| Airway inhalation treatment (94640) |
$163.20 |
$272 |
0.7× |
| Allergy injection single (95115) |
$24.60 |
$41 |
0.5× |
| Behav assmt w/score & docd/stand instrument (96127) |
$18.60 |
$31 |
0.5× |
| Breathing capacity test (94010) |
$176.40 |
$294 |
0.8× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$176.40 |
$294 |
0.4× |
| Cardioversion elective external (92960) |
$722.10 |
$1,203.50 |
1.0× |
| Chron care mgmt srvc 20 min (99490) |
$40.20 |
$67 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$570 |
$950 |
2.3× |
| Color/duplex Doppler, limited (93976) |
$278.40 |
$464 |
2.5× |
| Critical care ill/injured patient init 30-74 min (99291) |
$474.60 |
$791 |
0.5× |
| Duplex hemodialysis access (93990) |
$278.40 |
$464 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$570 |
$950 |
2.3× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$278.40 |
$464 |
2.5× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$921 |
$1,535 |
3.7× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$293.40 |
$489 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$570 |
$950 |
2.3× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$278.40 |
$464 |
2.5× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$570 |
$950 |
2.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$293.40 |
$489 |
2.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$570 |
$950 |
2.3× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$278.40 |
$464 |
2.5× |
| EKG 12 lead tracing only (93005) |
$102 |
$170 |
1.6× |
| Emergency department visit high mdm (99285) |
$339 |
$565 |
0.5× |
| Emergency department visit low mdm (99283) |
$151.20 |
$252 |
0.5× |
| Emergency department visit may not req phys/qhp (99281) |
$60.60 |
$101 |
0.7× |
| Emergency department visit moderate mdm (99284) |
$235.80 |
$393 |
0.5× |
| Emergency department visit straightforward mdm (99282) |
$86.40 |
$144 |
0.5× |
| Evaluate pt use of inhaler (94664) |
$46.80 |
$78 |
0.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$90 |
$150 |
0.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$18.90 |
$31.50 |
0.4× |
| Immunization administration (90471) |
$13.20 |
$22 |
0.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$70.80 |
$118 |
1.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$225 |
$375 |
1.0× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$102.60 |
$171 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$70.80 |
$118 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$346.20 |
$577 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$111 |
$185 |
1.5× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$346.20 |
$577 |
1.5× |
| IV tx, each additional hour (96366) |
$70.80 |
$118 |
1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$48 |
$80 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$154.80 |
$258 |
0.7× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$336.60 |
$561 |
1.5× |
| Ot manual therapy ea 15 min (97140) |
$57.60 |
$96 |
— |
| Ot neuromuscular re-education (97112) |
$57.60 |
$96 |
— |
| OT Therapeutic Activities Charges (97530) |
$57.60 |
$96 |
— |
| Ot wheelchair management (97542) |
$60 |
$100 |
— |
| Physical therapy evaluation high complex 45 mins (97163) |
$315 |
$525 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$151.20 |
$252 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$217.80 |
$363 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,693.20 |
$2,822 |
1.9× |
| Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) |
$1,693.20 |
$2,822 |
1.9× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$49.20 |
$82 |
1.0× |
| Pt gait training 15 min (97116) |
$49.20 |
$82 |
— |
| Pt re-evaluation (97164) |
$102 |
$170 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$1.20 |
$2 |
0.0× |
| Remote 30 day ECG rev/report (93270) |
$69 |
$115 |
1.8× |
| Temp transcutaneous pacing (92953) |
$976.20 |
$1,627 |
1.4× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$62.10 |
$103.50 |
0.8× |
| Tte w/doppler complete (93306) |
$1,229.40 |
$2,049 |
2.1× |
| Upr/l xtremity art 2 levels (93922) |
$262.80 |
$438 |
1.9× |