| Airway inhalation treatment (94640) |
$97.28 |
$129.71 |
0.4× |
| Allergy injection single (95115) |
$17.16 |
$22.88 |
0.3× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$38.46 |
$51.28 |
— |
| Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) |
$84.98 |
$113.30 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$38.46 |
$51.28 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$83.08 |
$110.76 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$86.55 |
$115.40 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$110.86 |
$147.80 |
— |
| Assessment of aphasia (96105) |
$254.48 |
$339.30 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$82.80 |
$110.40 |
— |
| Bipap initial day (94660) |
$399.06 |
$532.08 |
1.7× |
| Breathing capacity test (94010) |
$200.85 |
$267.80 |
0.9× |
| Bronchial allergy tests (95070) |
$90.97 |
$121.29 |
0.2× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$513.58 |
$684.78 |
1.3× |
| Canalith repositioning (95992) |
$68.62 |
$91.50 |
— |
| Cardiovascular stress test (93017) |
$791.02 |
$1,054.69 |
3.5× |
| Cardioversion elective external (92960) |
$751.60 |
$1,002.13 |
1.1× |
| Chemo anti-neopl sq/im (96401) |
$89.18 |
$118.90 |
1.2× |
| Chemo IV infus each addl seq (96417) |
$250.73 |
$334.30 |
3.3× |
| Chemo IV infusion addl hr (96415) |
$168.75 |
$225 |
2.2× |
| Chemo IV push addl drug (96411) |
$99.52 |
$132.70 |
1.3× |
| Chemother prolong infuse w/pump (96416) |
$270 |
$360 |
0.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$568.95 |
$758.60 |
1.6× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$69.18 |
$92.25 |
0.2× |
| Chron care mgmt srvc 20 min (99490) |
$22.42 |
$29.90 |
0.2× |
| Color/duplex Doppler, complete (93975) |
$486.92 |
$649.22 |
1.9× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$63.38 |
$84.50 |
— |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$71.40 |
$95.20 |
0.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$200.85 |
$267.80 |
1.4× |
| Cpr (92950) |
$1,152.66 |
$1,536.88 |
5.1× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,431.68 |
$1,908.90 |
1.6× |
| Debridement open wound 20 sq cm< (97597) |
$124.54 |
$166.05 |
0.6× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$793.55 |
$1,058.07 |
3.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$877.09 |
$1,169.45 |
3.5× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$621.71 |
$828.94 |
5.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$686.05 |
$914.73 |
2.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$475.36 |
$633.81 |
4.3× |
| ECG monit/reprt up to 48 hrs (93226) |
$185.35 |
$247.13 |
3.0× |
| EKG 12 lead tracing only (93005) |
$167.90 |
$223.86 |
2.7× |
| EKG rhythm strip (93041) |
$144.12 |
$192.16 |
2.3× |
| Emergency department visit high mdm (99285) |
$930.56 |
$1,240.74 |
1.5× |
| Emergency department visit low mdm (99283) |
$555.22 |
$740.30 |
1.9× |
| Emergency department visit may not req phys/qhp (99281) |
$146.20 |
$194.94 |
1.6× |
| Emergency department visit moderate mdm (99284) |
$697.41 |
$929.88 |
1.6× |
| Emergency department visit straightforward mdm (99282) |
$260.42 |
$347.22 |
1.6× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$142.68 |
$190.25 |
— |
| Evaluate pt use of inhaler (94664) |
$99.63 |
$132.84 |
0.4× |
| Evaluation of speech sound production articulate (92522) |
$177.11 |
$236.15 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$153.56 |
$204.75 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$97.87 |
$130.49 |
2.5× |
| External ECG rec>7d<15d recording (93246) |
$97.87 |
$130.49 |
2.5× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$156.58 |
$208.78 |
1.1× |
| Fluidotherapy (97022) |
$107.62 |
$143.50 |
— |
| Immunization administration (90471) |
$58.80 |
$78.40 |
0.8× |
| Infrared therapy (97026) |
$71.85 |
$95.80 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$76.54 |
$102.05 |
1.5× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$133.33 |
$177.78 |
0.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$108.82 |
$145.10 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$95.55 |
$127.40 |
1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$48.75 |
$65 |
0.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$101.20 |
$134.94 |
1.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$301.27 |
$401.70 |
1.3× |
| IV tx, each additional hour (96366) |
$51.58 |
$68.77 |
1.0× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$56.14 |
$74.86 |
0.4× |
| Maximum voluntary ventilation (94200) |
$465.76 |
$621.01 |
7.5× |
| Mechanical chest wall oscillation lung function (94669) |
$119.84 |
$159.79 |
0.5× |
| Mechanical traction therapy (97012) |
$53.16 |
$70.88 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$55.72 |
$74.30 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$16.16 |
$21.54 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$86.38 |
$115.18 |
0.2× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$55.67 |
$74.23 |
0.1× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$56.25 |
$75 |
0.3× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$88.96 |
$118.61 |
0.2× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$446.06 |
$594.75 |
2.0× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$205.82 |
$274.43 |
1.5× |
| Occupational therapy eval high complex 60 mins (97167) |
$199.55 |
$266.07 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$137.66 |
$183.54 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$172.15 |
$229.53 |
— |
| Oral function therapy (92526) |
$164.74 |
$219.66 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$40.56 |
$54.08 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$79.22 |
$105.63 |
— |
| Osteopath manj 3-4 regions (98926) |
$7.90 |
$10.53 |
0.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$10.24 |
$13.66 |
0.4× |
| Ot manual therapy ea 15 min (97140) |
$107.10 |
$142.80 |
— |
| Ot neuromuscular re-education (97112) |
$97.96 |
$130.62 |
— |
| Ot paraffin bath (97018) |
$72.54 |
$96.72 |
— |
| Ot re-evaluation (97168) |
$132.93 |
$177.24 |
— |
| OT Therapeutic Activities Charges (97530) |
$72.93 |
$97.24 |
— |
| Ot wheelchair management (97542) |
$42.92 |
$57.22 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$195.44 |
$260.58 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$103.64 |
$138.19 |
0.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$184.09 |
$245.45 |
3.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$128.17 |
$170.89 |
2.1× |
| Physical therapy evaluation high complex 45 mins (97163) |
$177.34 |
$236.46 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$177.34 |
$236.46 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$177.34 |
$236.46 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,837.44 |
$3,783.26 |
3.1× |
| Professional services for allergen immunotherapy; 2 or more injections (95117) |
$2.92 |
$3.90 |
0.1× |
| Program eval implantable in persn dual ld pacer (93280) |
$87.99 |
$117.32 |
2.2× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$40.56 |
$54.08 |
— |
| Pt gait training 15 min (97116) |
$80.73 |
$107.64 |
— |
| Pt physical performance test (97750) |
$84.98 |
$113.30 |
— |
| Pt re-evaluation (97164) |
$59.62 |
$79.49 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
$129.07 |
$172.10 |
— |
| Pulm funct tst plethysmograp (94726) |
$186.23 |
$248.30 |
0.5× |
| Pulmonary stress testing (94618) |
$319.60 |
$426.14 |
2.3× |
| Remote 30 day ECG rev/report (93270) |
$71.18 |
$94.90 |
1.8× |
| Respiratory flow volume loop (94375) |
$53.43 |
$71.24 |
0.2× |
| Review patient spirometry (94016) |
$48.07 |
$64.09 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$89.38 |
$119.18 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$55.45 |
$73.93 |
— |
| Speech sound lang comprehen (92523) |
$224.52 |
$299.36 |
— |
| Standardized cognitive performance testing (96125) |
$224.48 |
$299.30 |
— |
| Temp transcutaneous pacing (92953) |
$200.36 |
$267.15 |
0.3× |
| Ther/proph/diag inj ia (96373) |
$60.64 |
$80.86 |
0.3× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$67.40 |
$89.86 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$115.04 |
$153.39 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$87.88 |
$117.18 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$77.08 |
$102.76 |
1.0× |
| Tobacco use cessation intensive >10 minutes (99407) |
$6.14 |
$8.19 |
0.2× |
| Tte f-up or lmtd (93308) |
$567.72 |
$756.96 |
2.3× |
| Tte w/doppler complete (93306) |
$1,601.95 |
$2,135.93 |
2.8× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$151.20 |
$201.60 |
— |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$71.85 |
$95.80 |
— |
| Ventilation ip/obs initial day (94002) |
$573.21 |
$764.28 |
0.9× |
| Ventilator subsequent day (94003) |
$399.06 |
$532.08 |
0.6× |
| Vital capacity total (94150) |
$53.92 |
$71.89 |
0.4× |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
$63.98 |
$85.30 |
— |
| Wound(s) care non-selective (97602) |
$170.86 |
$227.82 |
0.8× |