| Airway inhalation treatment (94640) |
$456.75 |
$609 |
2.0× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$39 |
$52 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$43.50 |
$58 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$34.50 |
$46 |
— |
| Breathing capacity test (94010) |
$165.75 |
$221 |
0.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$672.75 |
$897 |
1.7× |
| Canalith repositioning (95992) |
$131.25 |
$175 |
— |
| Cardiovascular stress test (93017) |
$862.50 |
$1,150 |
3.8× |
| Cardioversion elective external (92960) |
$418.50 |
$558 |
0.6× |
| Chemo anti-neopl sq/im (96401) |
$150 |
$200 |
2.0× |
| Chemo IV infus each addl seq (96417) |
$262.50 |
$350 |
3.5× |
| Chemo IV infusion addl hr (96415) |
$189.75 |
$253 |
2.5× |
| Chemo IV push addl drug (96411) |
$151.50 |
$202 |
2.0× |
| Chemother prolong infuse w/pump (96416) |
$759.75 |
$1,013 |
2.2× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$726 |
$968 |
2.1× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$726 |
$968 |
2.1× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$106.50 |
$142 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$273.75 |
$365 |
2.0× |
| Cpr (92950) |
$815.25 |
$1,087 |
3.6× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,902 |
$2,536 |
2.2× |
| Debridement open wound 20 sq cm< (97597) |
$361.50 |
$482 |
1.7× |
| EKG 12 lead tracing only (93005) |
$213 |
$284 |
3.4× |
| Emergency department visit high mdm (99285) |
$1,926 |
$2,568 |
3.1× |
| Emergency department visit low mdm (99283) |
$729 |
$972 |
2.5× |
| Emergency department visit may not req phys/qhp (99281) |
$208.50 |
$278 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$1,192.50 |
$1,590 |
2.7× |
| Emergency department visit straightforward mdm (99282) |
$351 |
$468 |
2.2× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$273.75 |
$365 |
2.0× |
| Fluidotherapy (97022) |
$112.50 |
$150 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$16.26 |
$21.68 |
0.4× |
| Immunization administration (90471) |
$41.25 |
$55 |
0.5× |
| Infrared therapy (97026) |
$38.25 |
$51 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$102 |
$136 |
2.1× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$343.88 |
$458.50 |
1.5× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$142.50 |
$190 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$101.62 |
$135.50 |
2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$459 |
$612 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$151.50 |
$202 |
2.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$488.62 |
$651.50 |
2.2× |
| IV tx, each additional hour (96366) |
$101.25 |
$135 |
2.0× |
| Mechanical chest wall oscillation lung function (94669) |
$456.75 |
$609 |
2.0× |
| Mechanical traction therapy (97012) |
$94.50 |
$126 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$54 |
$72 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$33.75 |
$45 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$429 |
$572 |
2.0× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$854.62 |
$1,139.50 |
2.0× |
| Occupational therapy eval high complex 60 mins (97167) |
$230.25 |
$307 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$110.25 |
$147 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$258.75 |
$345 |
— |
| Ot manual therapy ea 15 min (97140) |
$137.25 |
$183 |
— |
| Ot neuromuscular re-education (97112) |
$152.25 |
$203 |
— |
| Ot paraffin bath (97018) |
$109.50 |
$146 |
— |
| OT Therapeutic Activities Charges (97530) |
$92.25 |
$123 |
— |
| Ot wheelchair management (97542) |
$78 |
$104 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$298.50 |
$398 |
2.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$298.50 |
$398 |
2.2× |
| Physical therapy evaluation high complex 45 mins (97163) |
$192.75 |
$257 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$112.50 |
$150 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$154.50 |
$206 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,388.75 |
$3,185 |
2.6× |
| Pr unlisted therapeutic procedure specify (97139) |
$16.50 |
$22 |
— |
| Pt gait training 15 min (97116) |
$95.25 |
$127 |
— |
| Pt physical performance test (97750) |
$101.25 |
$135 |
— |
| Pt re-evaluation (97164) |
$182.25 |
$243 |
— |
| Remote 30 day ECG rev/report (93270) |
$261 |
$348 |
6.6× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$92.25 |
$123 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$75 |
$100 |
— |
| Stress tte only (93350) |
$1,240.50 |
$1,654 |
2.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$57.75 |
$77 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$56.25 |
$75 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$123.75 |
$165 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$45.75 |
$61 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$151.50 |
$202 |
2.0× |
| Ultraviolet therapy (97028) |
$26.25 |
$35 |
— |
| Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) |
$1,569.35 |
$2,092.47 |
31.8× |
| Vital capacity total (94150) |
$334.50 |
$446 |
2.5× |
| Wound(s) care non-selective (97602) |
$429 |
$572 |
2.0× |