| Advance care planning first 30 mins (99497) |
— |
$78.25 |
— |
| Airway inhalation treatment (94640) |
$35 |
$99.90 |
0.2× |
| Analyze Neurostim Complex (95972) |
— |
$329.60 |
— |
| Analyze neurostim no prog (95970) |
— |
$127.20 |
— |
| Appl on-body injector for timed subq injection (96377) |
— |
$107.10 |
— |
| Assessment of aphasia (96105) |
— |
$296.60 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$100 |
$402.70 |
0.9× |
| Bfb training 1st 15 min (90912) |
— |
$57.70 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$68 |
— |
| Biofeedback training any modality (90901) |
— |
$125.70 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$75 |
$448.10 |
0.2× |
| Canalith Repositioning (95992) |
— |
$154.50 |
— |
| Car seat/bed test 60 min (94780) |
— |
$154.50 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$944 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,862.20 |
— |
| Cardioversion (92960) |
— |
$825.05 |
— |
| Cbt 1st hour (94644) |
— |
$124.60 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$136 |
— |
| Chemo IV push addl drug (96411) |
— |
$136 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$533.50 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$930.10 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$930.10 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$185.40 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$328.60 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$143.20 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$387.30 |
— |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
— |
$68.50 |
— |
| Cpap initiation and management (94660) |
— |
$1,110.90 |
— |
| Cpt initial (94667) |
— |
$137 |
— |
| Critical care (99291) |
— |
$652 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$198.80 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$27.80 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$153.45 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$511.90 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$1,016.65 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$414.10 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$869.30 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
$420 |
$1,125.80 |
4.0× |
| Duplex scan extracranial art compl bi study (93880) |
— |
$728.25 |
— |
| Echo Heart Xthoracic,Limited (93308) |
$410 |
$656.10 |
1.7× |
| Echo transesophageal (93312) |
— |
$1,662.95 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$495.45 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$656.10 |
— |
| EEG awake asleep (95819) |
$540 |
$600.50 |
2.5× |
| EEG awake drowsy (95816) |
— |
$160.70 |
— |
| EKG (93005) |
$10 |
$82.40 |
0.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$133.40 |
— |
| EMG cranial nerve bilat (95868) |
— |
$213.75 |
— |
| EMG cranial nerve unilat (95867) |
— |
$152.45 |
— |
| EMG four extremities (95864) |
— |
$387.25 |
— |
| EMG one extremity (95860) |
— |
$192.10 |
— |
| EMG thoracic paraspinal (95869) |
— |
$145.75 |
— |
| EMG three extremities (95863) |
— |
$345.05 |
— |
| EMG two extremities (95861) |
— |
$272.45 |
— |
| Er level 1 (99281) |
— |
$190.55 |
— |
| Er level ii (99282) |
— |
$344.55 |
— |
| Er level iii (99283) |
— |
$579.35 |
— |
| Er level IV (99284) |
— |
$892 |
— |
| Er level v (99285) |
— |
$1,296.25 |
— |
| Evaluation of speech fluency (92521) |
$100 |
$490.30 |
0.8× |
| Evaluation of speech sound production (92522) |
$100 |
$411 |
0.9× |
| Evaluation of swallowing function (92610) |
— |
$351.20 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$469.70 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$89.80 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$284.30 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$120.15 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$284.30 |
— |
| External Ecg Scanning Analysis Report (93226) |
$205 |
$211.70 |
3.5× |
| Flow volume loop (94375) |
— |
$159.70 |
— |
| Hemodialysis (90935) |
— |
$1,745.90 |
— |
| Holter Monitor Recording (93225) |
$235 |
$319.30 |
1.8× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
— |
$57.40 |
— |
| Immunization Admin (90471) |
— |
$207 |
— |
| Immunotherapy, 2+ Injections (95117) |
— |
$99.90 |
— |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
— |
$262.70 |
— |
| Initial normal newborn care, same day discharge (99463) |
— |
$496.50 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$128.25 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$80.30 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
$250 |
$397.05 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$152.45 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$402.70 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$154.50 |
— |
| IV push initial (96374) |
— |
$149.35 |
— |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
— |
$340.90 |
— |
| Manual therapy 15 min (97140) |
— |
$125.70 |
— |
| Mechanical traction (97012) |
— |
$131.80 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$43.30 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$50 |
$36.10 |
1.4× |
| Methacholine challenge (94070) |
— |
$332.65 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$537.15 |
— |
| Multiple sleep latency test (95805) |
— |
$2,145.50 |
— |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
— |
$145.75 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$196.20 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$434.70 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$471.75 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$198.30 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$372.85 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$155.55 |
— |
| Nerve conduction studies; 11-12 studies (95912) |
— |
$412.55 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$235.85 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$310.55 |
— |
| Newborn resuscitation (99465) |
— |
$322.40 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$49.40 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$237.40 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$553.10 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$510.90 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$126.70 |
— |
| Osteopathic manipulative tx 1-2 body regions (98925) |
— |
$49.45 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$61.80 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$73.15 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$84.50 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$97.35 |
— |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
— |
$87.60 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$94.80 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$100 |
$148.30 |
0.8× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
— |
$62.80 |
— |
| Paraffin bath (97018) |
— |
$98.90 |
— |
| Phy/qhp op pulm rhb w/o mntr (94625) |
— |
$148.30 |
— |
| Plethysmography (94726) |
— |
$409.90 |
— |
| Pm device eval in person (93288) |
— |
$48.40 |
— |
| Pm device progr eval dual (93280) |
— |
$48.40 |
— |
| Pm device progr eval multi (93281) |
— |
$68.50 |
— |
| Pm device progr eval sngl (93279) |
— |
$73.65 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,750 |
$4,796.70 |
2.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$1,336.40 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$1,217.50 |
— |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
— |
$81.40 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$25.80 |
— |
| Programming of dual lead implantable defibrillator system (93283) |
— |
$131.30 |
— |
| Programming of single lead implantable defibrillator system (93282) |
— |
$56.70 |
— |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$136 |
— |
| Pt Electric Current Therapy (97033) |
— |
$142.10 |
— |
| Pt Electrical Stimulation (97032) |
— |
$136 |
— |
| Pt Gait Training Therapy (97116) |
— |
$137 |
— |
| Pt Infrared Therapy (97026) |
— |
$22.70 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$118.50 |
— |
| Pt Physical Performance Test (97750) |
— |
$198.80 |
— |
| Pt re-evaluation (97164) |
— |
$117.40 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$147.30 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$136 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$162.70 |
— |
| Pulm function test by gas (94727) |
— |
$223.50 |
— |
| Pulmonary stress testing (94618) |
— |
$162.75 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$98.90 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
— |
$255.45 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$337.80 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$111.80 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$93.70 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$116.40 |
— |
| Sleep study unattended (95806) |
— |
$209.10 |
— |
| Smoking cessation > 10 min (99407) |
— |
$53.55 |
— |
| Speech sound lang comprehen (92523) |
$100 |
$409.90 |
0.4× |
| Spirometry (94010) |
$50 |
$59.70 |
0.2× |
| Standardized Cognitive Performance Testing (96125) |
— |
$383.20 |
— |
| Stress echo (93350) |
— |
$3,333.10 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,163.90 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$110.20 |
— |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
— |
$81.40 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$241 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$87.55 |
— |
| Therapeutic Activities (97530) |
— |
$137 |
— |
| Therapeutic phlebotomy (99195) |
— |
$293.60 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$14.40 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$259.60 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$410 |
$2,090.90 |
0.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$226.10 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$280.20 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$337.80 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$151.40 |
— |
| Tympanometry (92567) |
— |
$63.35 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$231.35 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$1,462.60 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,135.10 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,086.70 |
— |
| Vital capacity total (94150) |
— |
$171.20 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$118.50 |
— |
| Xtrnl mobile cv telemetry w/technical support (93229) |
— |
$355.40 |
— |