| Airway Inhalation Treatment (94640) |
— |
$233 |
— |
| Analyze neurostim complex (95972) |
— |
$1,337.50 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,315 |
— |
| C motor evoked uppr limbs (95928) |
— |
$975.50 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$1,000.50 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,673.50 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$15,742.96 |
— |
| Cardioversion (92960) |
— |
$7,656.45 |
— |
| Cbt 1st hour (94644) |
— |
$233 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$242.50 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,033.50 |
— |
| Chest Wall Manipulation (94668) |
— |
$236 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,531 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$637.50 |
— |
| Continuous Pulse Ox (94762) |
— |
$460 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$746.50 |
— |
| Cpt initial (94667) |
— |
$414 |
— |
| Critical care first hour (99291) |
— |
$9,554 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$975.50 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$39,983.50 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$978.50 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,592.50 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$1,039 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$1,039 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$1,156 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,008 |
— |
| ECG/monitoring and analysis (93271) |
— |
$1,123 |
— |
| Echo transesophageal (93312) |
— |
$2,041 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$4,046 |
— |
| EEG awake and asleep (95819) |
— |
$1,764 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,764 |
— |
| Eeg Sleep Only (95822) |
— |
$1,764 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$4,265.50 |
— |
| EEG w/o vid 2-12hr cont mntr (95707) |
— |
$4,276.50 |
— |
| Electrocardiogram Tracing (93005) |
— |
$529.50 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$1,171.50 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$2,075 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$3,587.50 |
— |
| Emg 4 Extremities (95864) |
— |
$975.50 |
— |
| Er level 1 (99281) |
— |
$627.50 |
— |
| Er level v (99285) |
— |
$5,634 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$2,678.50 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$856 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$165.50 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,759.50 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,501 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$3,141.50 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$384 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$11,679.19 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$7,239.38 |
— |
| Holter monitor recording (93225) |
— |
$2,329.50 |
— |
| Immunization administration (90471) |
— |
$103.50 |
— |
| Intracranial Complete Study (93886) |
— |
$537 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$434.83 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$23,813 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$1,000.50 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$293.50 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$334 |
— |
| IV push initial (96374) |
— |
$527.50 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$1,016 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$994 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$597.50 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$150 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$174 |
— |
| Methacholine challenge (94070) |
— |
$1,307 |
— |
| Motility study esophagus (91010) |
— |
$4,795.90 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$2,629.50 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$975.50 |
— |
| Muscle Test One Limb (95860) |
— |
$616.50 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$545 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,483.50 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,483.50 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$328.50 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$366 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$385 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$1,386.50 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,587 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$585 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$786.50 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$985 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,186.50 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$975.50 |
— |
| Newborn resuscitation (99465) |
— |
$1,556.50 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$502 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$312 |
— |
| Phlebotomy therapeutic (99195) |
— |
$784 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,599 |
— |
| Pulm function test by gas (94727) |
— |
$861.50 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$103.50 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$716.50 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$516.50 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$350.50 |
— |
| Respiratory flow volume loop (94375) |
— |
$165.50 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$322 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$595.50 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$2,241.50 |
— |
| Sleep study unattended (95806) |
— |
$1,403 |
— |
| Somatosensory Testing (95938) |
— |
$1,643.50 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$913.50 |
— |
| Spirometry (94010) |
— |
$861.50 |
— |
| Ssep lower limbs (95926) |
— |
$2,241.50 |
— |
| Temp transcutaneous pacing (92953) |
— |
$835 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$11,718.16 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$8,179.50 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$263.50 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,449.50 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,937 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$515 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$425 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$852.50 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$1,531 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$3,125.50 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$3,808 |
— |