| Airway inhalation treatment (94640) |
$191.20 |
$478 |
0.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$333.60 |
$834 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$233.40 |
$583.50 |
0.6× |
| Canalith Repositioning (95992) |
$156 |
$390 |
3.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,014.40 |
$2,536 |
4.7× |
| Cardiopulmonary exercise testing (94621) |
$716.40 |
$1,791 |
1.9× |
| Cardiopulmonary resuscitation (92950) |
$514 |
$1,285 |
2.4× |
| Cardioversion (92960) |
$574.80 |
$1,437 |
0.9× |
| Cardioversion internal (92961) |
$1,457.60 |
$3,644 |
2.2× |
| Caregiver training 1st 30 min (97550) |
$77.60 |
$194 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$70.40 |
$176 |
2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$13,004.20 |
$32,510.50 |
4.0× |
| Cbt 1st hour (94644) |
$182 |
$455 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$137.20 |
$343 |
1.9× |
| Chemo IV push addl drug (96411) |
$68 |
$170 |
0.9× |
| Chemo Iv Push Sngl Drug (96409) |
$375.60 |
$939 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$326.40 |
$816 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$104.80 |
$262 |
1.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$130.80 |
$327 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$148.80 |
$372 |
2.1× |
| Color/duplex Doppler, complete (93975) |
$920 |
$2,300 |
3.9× |
| Color/duplex Doppler, limited (93976) |
$541.20 |
$1,353 |
5.2× |
| Cpap initiation and management (94660) |
$344.80 |
$862 |
1.6× |
| Cpt initial (94667) |
$80.40 |
$201 |
0.6× |
| Critical care (99291) |
$2,381.60 |
$5,954 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$107.60 |
$269 |
0.5× |
| Demo &/or eval,pt use,aerosol device (94664) |
$61.60 |
$154 |
0.3× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$969.20 |
$2,423 |
2.3× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$288.80 |
$722 |
2.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$868.80 |
$2,172 |
3.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$560.20 |
$1,400.50 |
5.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$831.20 |
$2,078 |
3.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$536 |
$1,340 |
5.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$638.80 |
$1,597 |
6.1× |
| Duplex hemodialysis access (93990) |
$345.80 |
$864.50 |
3.3× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$568.80 |
$1,422 |
2.4× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$274.40 |
$686 |
2.6× |
| Duplex scan extracranial art compl bi study (93880) |
$779.20 |
$1,948 |
3.3× |
| Echo Heart Xthoracic,Limited (93308) |
$1,393.60 |
$3,484 |
5.9× |
| Echo transesophageal (93312) |
$1,415.40 |
$3,538.50 |
2.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,239.20 |
$3,098 |
2.3× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$776 |
$1,940 |
1.4× |
| EEG awake asleep (95819) |
$1,185.60 |
$2,964 |
5.5× |
| EEG awake drowsy (95816) |
$840.40 |
$2,101 |
3.9× |
| EEG cerebral death evaluation (95824) |
$705.60 |
$1,764 |
1.9× |
| EEG coma or sleep only (95822) |
$943.20 |
$2,358 |
4.4× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,016 |
$2,540 |
4.7× |
| EKG (93005) |
$167.20 |
$418 |
2.8× |
| EKG rhythm strip (93041) |
$208 |
$520 |
3.5× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$897.20 |
$2,243 |
4.2× |
| EMG one extremity (95860) |
$239.60 |
$599 |
1.8× |
| EMG three extremities (95863) |
$330.80 |
$827 |
2.6× |
| EMG two extremities (95861) |
$294.40 |
$736 |
2.2× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$2,168 |
$5,420 |
1.8× |
| Er level 1 (99281) |
$264 |
$660 |
3.1× |
| Er level ii (99282) |
$424.40 |
$1,061 |
2.8× |
| Er level iii (99283) |
$768.80 |
$1,922 |
2.8× |
| Er level IV (99284) |
$1,413.20 |
$3,533 |
3.4× |
| Er level v (99285) |
$2,279.60 |
$5,699 |
3.8× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$196.40 |
$491 |
2.8× |
| Evaluation of speech fluency (92521) |
$404 |
$1,010 |
3.0× |
| Evaluation of speech sound production (92522) |
$449.60 |
$1,124 |
4.0× |
| Evaluation of swallowing function (92610) |
$248 |
$620 |
2.9× |
| Evoked auditory test,limited (92587) |
$222.80 |
$557 |
1.0× |
| External Ecg Scanning Analysis Report (93226) |
$744.80 |
$1,862 |
12.7× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$396.80 |
$992 |
2.0× |
| Flow volume loop (94375) |
$223.20 |
$558 |
1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,235.60 |
$3,089 |
3.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,228.40 |
$5,571 |
2.6× |
| Group Therapeutic Procedures (97150) |
$81.20 |
$203 |
4.5× |
| Hemodialysis (90935) |
$1,653.60 |
$4,134 |
2.4× |
| Holter Monitor Recording (93225) |
$841.60 |
$2,104 |
6.4× |
| Icd Device Interrogate (93289) |
$125.60 |
$314 |
3.4× |
| Ilr Device Eval Progr (93285) |
$107.60 |
$269 |
2.9× |
| Immunization Admin (90471) |
$146.40 |
$366 |
2.0× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$112.80 |
$282 |
3.9× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$80 |
$200 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$71.20 |
$178 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$306 |
$765 |
1.4× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$89.60 |
$224 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$434.40 |
$1,086 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$98 |
$245 |
2.1× |
| IV push initial (96374) |
$259.20 |
$648 |
1.2× |
| Manual therapy 15 min (97140) |
$101.20 |
$253 |
3.7× |
| Massage 15 min (97124) |
$81.60 |
$204 |
2.7× |
| Mechanical traction (97012) |
$68 |
$170 |
4.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$44.80 |
$112 |
1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$49.20 |
$123 |
1.3× |
| Methacholine challenge (94070) |
$614 |
$1,535 |
1.7× |
| Mnt Group Ea 30 Min (97804) |
$26.40 |
$66 |
1.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$470 |
$1,175 |
5.1× |
| Multiple sleep latency test (95805) |
$2,453.40 |
$6,133.50 |
2.9× |
| Neg press wnd tx </=50 sq cm (97607) |
$828.80 |
$2,206 |
2.0× |
| Neg press wound tx >50 cm (97608) |
$828.80 |
$2,206 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$112.80 |
$282 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$112.80 |
$282 |
0.3× |
| Nerve conduction studies 13/> studies (95913) |
$660.80 |
$1,652 |
1.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$579.20 |
$1,448 |
2.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$660.80 |
$1,652 |
1.8× |
| Nerve conduction studies; 1-2 studies (95907) |
$579.20 |
$1,448 |
2.7× |
| Nerve conduction studies; 11-12 studies (95912) |
$660.80 |
$1,652 |
1.8× |
| Nerve conduction studies; 5-6 studies (95909) |
$660.80 |
$1,652 |
3.1× |
| Nerve conduction studies; 7-8 studies (95910) |
$660.80 |
$1,652 |
1.8× |
| Newborn resuscitation (99465) |
$490.80 |
$1,227 |
0.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$477.80 |
$1,194.50 |
3.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$729.60 |
$1,824 |
3.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$318 |
$795 |
2.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$90 |
$225 |
3.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$68 |
$170 |
5.0× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$219.20 |
$548 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$84.20 |
$210.50 |
1.8× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$56.80 |
$142 |
1.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$44.80 |
$112 |
3.2× |
| Ot eval high complex 60 min (97167) |
$195.60 |
$489 |
1.9× |
| Ot eval low complex 30 min (97165) |
$204.60 |
$511.50 |
2.0× |
| Ot eval mod complex 45 min (97166) |
$195.60 |
$489 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$61.60 |
$154 |
1.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$80.40 |
$201 |
2.0× |
| Ot Range Motion Measure,Each Extrem (95851) |
$30.80 |
$77 |
1.2× |
| Ot re-eval est plan care (97168) |
$136.40 |
$341 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$84 |
$210 |
0.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$273.60 |
$684 |
2.1× |
| Paraffin bath (97018) |
$52 |
$130 |
8.7× |
| Peripheral arterial disease rehab per session (93668) |
$161.60 |
$404 |
2.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$85.20 |
$213 |
1.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$85.20 |
$213 |
1.5× |
| Plethysmography (94726) |
$641.80 |
$1,604.50 |
1.7× |
| Pm device eval in person (93288) |
$156 |
$390 |
4.2× |
| Pm device progr eval dual (93280) |
$168.40 |
$421 |
4.5× |
| Pm device progr eval sngl (93279) |
$115.20 |
$288 |
3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,921 |
$7,302.50 |
3.4× |
| Programming of dual lead implantable defibrillator system (93283) |
$153.20 |
$383 |
4.1× |
| Programming of single lead implantable defibrillator system (93282) |
$128.40 |
$321 |
3.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$23,654.60 |
$59,136.50 |
2.1× |
| Pt Electric Current Therapy (97033) |
$75.40 |
$188.50 |
4.0× |
| Pt Electrical Stimulation (97032) |
$93.60 |
$234 |
6.4× |
| Pt eval high complex 45 min (97163) |
$210 |
$525 |
2.1× |
| Pt eval low complex 20 min (97161) |
$210 |
$525 |
2.1× |
| Pt Gait Training Therapy (97116) |
$75 |
$187.50 |
2.6× |
| Pt group caregiver training (97552) |
$38.80 |
$97 |
1.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$101.20 |
$253 |
3.1× |
| Pt Physical Performance Test (97750) |
$78.40 |
$196 |
2.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$210 |
$525 |
2.1× |
| Pt re-evaluation (97164) |
$143.80 |
$359.50 |
2.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$81.20 |
$203 |
2.5× |
| Pt Ultrasound Therapy (97035) |
$79.20 |
$198 |
5.5× |
| Pulm function test by gas (94727) |
$233.40 |
$583.50 |
1.1× |
| Pulmonary stress testing (94618) |
$157.20 |
$393 |
1.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$481.20 |
$1,203 |
12.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$319.20 |
$798 |
1.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$64 |
$160 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$72 |
$180 |
1.2× |
| Sleep study unattended (95806) |
$331.60 |
$829 |
1.5× |
| Smoking cessation > 10 min (99407) |
$84.40 |
$211 |
2.3× |
| Speech group therapy (92508) |
$61.60 |
$154 |
2.6× |
| Speech sound lang comprehen (92523) |
$441 |
$1,102.50 |
1.9× |
| Spirometry (94010) |
$147.20 |
$368 |
0.7× |
| Stress echo (93350) |
$1,932.40 |
$4,831 |
3.6× |
| Temp transcutaneous pacing (92953) |
$302 |
$755 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$99.60 |
$249 |
1.4× |
| Therapeutic Activities (97530) |
$85 |
$212.50 |
2.4× |
| Therapeutic phlebotomy (99195) |
$134.40 |
$336 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$84.40 |
$211 |
2.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,019.40 |
$5,048.50 |
3.7× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$692.40 |
$1,731 |
2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$163.20 |
$408 |
2.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$232 |
$580 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$118.80 |
$297 |
2.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$300.20 |
$750.50 |
2.3× |
| Unlisted pulmonary service/procedure (94799) |
$98.40 |
$246 |
0.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$940.40 |
$2,351 |
4.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$523.60 |
$1,309 |
5.0× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$562 |
$1,405 |
2.6× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$876.40 |
$2,191 |
1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$876.40 |
$2,191 |
1.4× |
| Visual Evoked Potential Test (95930) |
$776.40 |
$1,941 |
3.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$38.20 |
$95.50 |
1.2× |