| Airway inhalation treatment (94640) |
$45 |
$75 |
0.2× |
| Assessment of aphasia (96105) |
$144 |
$240 |
1.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$162 |
$270 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$148.20 |
$247 |
0.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$147 |
$245 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$266.40 |
$444 |
1.4× |
| Cardioversion (92960) |
$553.50 |
$922.50 |
1.0× |
| Caregiver training 1st 30 min (97550) |
$78 |
$130 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$42 |
$70 |
1.6× |
| Cbt 1st hour (94644) |
$120 |
$200 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$306 |
$510 |
1.5× |
| Cpap initiation and management (94660) |
$420 |
$700 |
2.2× |
| Cpt initial (94667) |
$43.20 |
$72 |
0.4× |
| Critical care (99291) |
$1,143 |
$1,905 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$201 |
$335 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$45 |
$75 |
0.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$660 |
$1,100 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$540 |
$900 |
6.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$306 |
$510 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$270 |
$450 |
3.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$336 |
$560 |
1.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$222 |
$370 |
2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$144 |
$240 |
1.6× |
| Duplex hemodialysis access (93990) |
$180 |
$300 |
2.0× |
| Duplex scan extracranial art compl bi study (93880) |
$195 |
$325 |
0.9× |
| Echo Heart Xthoracic,Limited (93308) |
$540 |
$900 |
2.6× |
| Echo transesophageal (93312) |
$750 |
$1,250 |
1.6× |
| EEG awake asleep (95819) |
$456 |
$760 |
2.5× |
| EEG awake drowsy (95816) |
$456 |
$760 |
2.5× |
| EEG cerebral death evaluation (95824) |
$780 |
$1,300 |
2.4× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$456 |
$760 |
2.5× |
| EKG (93005) |
$69 |
$115 |
1.4× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$456 |
$760 |
2.5× |
| Er level 1 (99281) |
$102 |
$170 |
1.4× |
| Er level ii (99282) |
$186 |
$310 |
1.4× |
| Er level iii (99283) |
$324 |
$540 |
1.4× |
| Er level IV (99284) |
$498 |
$830 |
1.4× |
| Er level v (99285) |
$720 |
$1,200 |
1.4× |
| Evaluation of speech fluency (92521) |
$198 |
$330 |
1.5× |
| Evaluation of speech sound production (92522) |
$162 |
$270 |
1.4× |
| Evaluation of swallowing function (92610) |
$135 |
$225 |
1.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$186 |
$310 |
1.5× |
| Evoked auditory test,limited (92587) |
$414 |
$690 |
2.2× |
| External Ecg Scanning Analysis Report (93226) |
$120 |
$200 |
2.4× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$270 |
$450 |
1.4× |
| Group Therapeutic Procedures (97150) |
$36 |
$60 |
2.0× |
| Hemodialysis (90935) |
$900 |
$1,500 |
1.5× |
| Holter Monitor Recording (93225) |
$109.80 |
$183 |
1.0× |
| Immunization Admin (90471) |
$70.50 |
$117.50 |
1.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$90 |
$150 |
1.8× |
| IV infusion hydration each additional hour (96361) |
$51 |
$85 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$163.50 |
$272.50 |
0.9× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$66 |
$110 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$273 |
$455 |
1.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$51 |
$85 |
1.3× |
| IV push initial (96374) |
$180 |
$300 |
1.0× |
| Manual therapy 15 min (97140) |
$54 |
$90 |
1.9× |
| Massage 15 min (97124) |
$45 |
$75 |
1.5× |
| Meas Spiromtrc Forcd Expiratory Flo Infant&/2 Y (94011) |
$89.40 |
$149 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$48 |
$80 |
1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$54 |
$90 |
1.5× |
| Mnt Group Ea 30 Min (97804) |
$24 |
$40 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$138 |
$230 |
1.5× |
| Multiple sleep latency test (95805) |
$1,620 |
$2,700 |
2.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$540 |
$900 |
1.5× |
| Neg press wound tx >50 cm (97608) |
$540 |
$900 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$282 |
$470 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$540 |
$900 |
1.5× |
| New patient problem focused exam of visual system (92002) |
$150 |
$250 |
1.3× |
| Newborn resuscitation (99465) |
$540 |
$900 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$154.20 |
$257 |
1.3× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$196.80 |
$328 |
1.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$240 |
$400 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$79.50 |
$132.50 |
1.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$36 |
$60 |
2.6× |
| Ot eval high complex 60 min (97167) |
$255 |
$425 |
2.5× |
| Ot eval low complex 30 min (97165) |
$189 |
$315 |
1.9× |
| Ot eval mod complex 45 min (97166) |
$219 |
$365 |
2.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$61.50 |
$102.50 |
1.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$60 |
$100 |
1.5× |
| Ot re-eval est plan care (97168) |
$99 |
$165 |
1.4× |
| Paraffin bath (97018) |
$21 |
$35 |
3.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,100 |
$3,500 |
2.8× |
| Pt Electric Current Therapy (97033) |
$84 |
$140 |
4.4× |
| Pt Electrical Stimulation (97032) |
$36 |
$60 |
2.4× |
| Pt eval high complex 45 min (97163) |
$240 |
$400 |
2.5× |
| Pt eval low complex 20 min (97161) |
$180 |
$300 |
1.8× |
| Pt Gait Training Therapy (97116) |
$78 |
$130 |
2.7× |
| Pt group caregiver training (97552) |
$30 |
$50 |
1.4× |
| Pt Infrared Therapy (97026) |
$21 |
$35 |
3.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$60 |
$100 |
1.8× |
| Pt Physical Performance Test (97750) |
$48 |
$80 |
1.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$210 |
$350 |
2.1× |
| Pt re-evaluation (97164) |
$81 |
$135 |
1.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$73.50 |
$122.50 |
2.3× |
| Pt Ultrasound Therapy (97035) |
$30 |
$50 |
2.1× |
| Pulmonary stress testing (94618) |
$186 |
$310 |
1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$90 |
$150 |
0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$41.70 |
$69.50 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$72 |
$120 |
1.5× |
| Sensory Integration Ea 15 Min (97533) |
$54 |
$90 |
0.9× |
| Sleep study unattended (95806) |
$200 |
$333.33 |
1.1× |
| Speech group therapy (92508) |
$45 |
$75 |
1.9× |
| Speech sound lang comprehen (92523) |
$333 |
$555 |
1.5× |
| Spirometry (94010) |
$90 |
$150 |
0.5× |
| Standardized Cognitive Performance Testing (96125) |
$150 |
$250 |
1.5× |
| Stress echo (93350) |
$1,170 |
$1,950 |
2.5× |
| Stress Tte Complete (93351) |
$1,170 |
$1,950 |
2.5× |
| Temp transcutaneous pacing (92953) |
$288 |
$480 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$45 |
$75 |
2.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$45 |
$75 |
2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$156 |
$260 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$81 |
$135 |
1.3× |
| Therapeutic Activities (97530) |
$60 |
$100 |
1.7× |
| Therapeutic phlebotomy (99195) |
$240 |
$400 |
2.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$45 |
$75 |
1.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$429 |
$715 |
0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$144 |
$240 |
1.9× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$153 |
$255 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$66 |
$110 |
1.6× |
| Unlisted pulmonary service/procedure (94799) |
$240 |
$400 |
2.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$306 |
$510 |
1.5× |
| Vasopneumatic device (97016) |
$18 |
$30 |
1.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$697.20 |
$1,162 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$697.20 |
$1,162 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$54 |
$90 |
1.7× |