| Airway inhalation treatment (94640) |
$53.75 |
$107.50 |
0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$200 |
$400 |
0.6× |
| Cardiopulmonary resuscitation (92950) |
$266.50 |
$533 |
1.3× |
| Cpap/bipap (94660) |
$47.50 |
$95 |
0.2× |
| Cpt initial (94667) |
$300 |
$600 |
2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$214.50 |
$429 |
1.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$388 |
$776 |
1.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$260.50 |
$521 |
2.6× |
| EKG rhythm strip (93041) |
$25 |
$50 |
0.4× |
| Electrocardiogram Tracing (93005) |
$99.50 |
$199 |
1.8× |
| Er level 1 (99281) |
$34 |
$68 |
0.4× |
| Er level ii (99282) |
$92.50 |
$185 |
0.6× |
| Er level iii (99283) |
$112.50 |
$225 |
0.4× |
| Er level IV (99284) |
$162.50 |
$325 |
0.4× |
| Er level v (99285) |
$245 |
$490 |
0.4× |
| Immune Admin Oral/Nasal (90473) |
$134.24 |
$268.48 |
1.9× |
| Immunization Admin (90471) |
$134.24 |
$268.48 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$50.76 |
$101.52 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$35 |
$70 |
0.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$24 |
$48 |
0.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$138.50 |
$277 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$13 |
$26 |
0.3× |
| IV push ea addl new drug (96375) |
$40 |
$80 |
0.9× |
| IV push initial (96374) |
$183.74 |
$367.48 |
0.9× |
| Mechanical chest wall oscillation (94669) |
$47.50 |
$95 |
0.2× |
| Newborn resuscitation (99465) |
$1,240.20 |
$2,480.40 |
2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$33 |
$66 |
0.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$97.50 |
$195 |
4.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$97.50 |
$195 |
4.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$121.50 |
$243 |
2.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$121.50 |
$243 |
3.0× |
| Ot therapeutic activity 15 min (97530) |
$141 |
$282 |
4.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$251.80 |
$503.60 |
2.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$33 |
$66 |
0.9× |
| Pt eval high complex 45 min (97163) |
$99.87 |
$199.74 |
1.0× |
| Pt eval low complex 20 min (97161) |
$98.90 |
$197.80 |
1.0× |
| Pt eval mod complex 30 min (97162) |
$68.87 |
$137.74 |
0.7× |
| Pt gait training 15 min (97116) |
$86 |
$172 |
3.0× |
| Pt re-evaluation (97164) |
$47.50 |
$95 |
0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$47.50 |
$95 |
0.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$22.50 |
$45 |
0.2× |
| Spirometry (94010) |
$19.50 |
$39 |
0.1× |
| Temp transcutaneous pacing (92953) |
$409.50 |
$819 |
0.6× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$9.93 |
$19.85 |
0.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$85 |
$170 |
2.4× |
| Vent mgmt inpat init day (94002) |
$85 |
$170 |
0.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$266.50 |
$533 |
0.4× |