|
New Patient Office Visit (level 2)
|
$310.90 |
$310.90 |
$310.90 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$238.35 |
$238.35 |
$238.35 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$370.85 |
$370.85 |
$370.85 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$465.85 |
$465.85 |
$465.85 |
$355.80
|
|
Ntrprof ph1/ntrnet/ehr 11-20
|
$138.00 |
$138.00 |
$138.00 |
$65.60
|
|
Ntrprof ph1/ntrnet/ehr 21-30
|
$207.40 |
$207.40 |
$207.40 |
$97.60
|
|
Ntrprof ph1/ntrnet/ehr 31/>
|
$280.10 |
$280.10 |
$280.10 |
$119.95
|
|
Ntrprof ph1/ntrnet/ehr 5-10
|
$82.80 |
$82.80 |
$82.80 |
$32.80
|
|
Ntrprof ph1/ntrnet/ehr rfrl
|
$305.45 |
$305.45 |
$305.45 |
$66.40
|
|
Observation care discharge
|
$165.45 |
$165.45 |
$165.45 |
$144.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$307.85 |
$307.85 |
$307.85 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$307.85 |
$307.85 |
$307.85 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$307.85 |
$307.85 |
$307.85 |
$263.90
|
|
Off/op cnsltj new/est low 30
|
$332.10 |
$332.10 |
$332.10 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$455.10 |
$455.10 |
$455.10 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$592.85 |
$592.85 |
$592.85 |
$352.50
|
|
Off/op consltj new/est sf 20
|
$246.95 |
$246.95 |
$246.95 |
$137.80
|
|
Olanzapine 10 mg intramuscular solution
|
$216.50 |
$216.50 |
$216.50 |
$109.62
|
|
Ondansetron 8 mg disintegrating tablet
|
$4.05 |
$4.05 |
$4.05 |
$9.93
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$154.65 |
$154.65 |
$154.65 |
$97.80
|
|
Ot re-evaluation patient/family
|
$109.70 |
$109.70 |
$109.70 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$47.65 |
$47.65 |
$47.65 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$70.70 |
$70.70 |
$70.70 |
$93.12
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15,475.12 |
$15,475.12 |
$15,475.12 |
$6,238.82
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$79.90 |
$79.90 |
$79.90 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$104.50 |
$104.50 |
$104.50 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$67.65 |
$67.65 |
$67.65 |
$31.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$203.24 |
$203.24 |
$203.24 |
$114.56
|
|
Physical Therapy Evaluation (high complexity)
|
$307.85 |
$307.85 |
$307.85 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$307.85 |
$307.85 |
$307.85 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$307.85 |
$307.85 |
$307.85 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$109.70 |
$109.70 |
$109.70 |
$154.80
|
|
Post d/c phone follow up
|
$99.55 |
$99.55 |
$99.55 |
$153.95
|
|
Pr assessment emotional/behavioral per instrument brief
|
$181.95 |
$181.95 |
$181.95 |
$47.49
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$28.30 |
$28.30 |
$28.30 |
$48.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$344.10 |
$344.10 |
$344.10 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$344.10 |
$344.10 |
$344.10 |
$182.65
|
|
Pr ecg 12 lead report only
|
$108.85 |
$108.85 |
$108.85 |
$21.00
|
|
Prednisone 1 mg tablet
|
$4.05 |
$4.05 |
$4.05 |
$2.88
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$362.80 |
$362.80 |
$362.80 |
$313.30
|
|
Pr hospital ip/obs care initial high level per day
|
$482.80 |
$482.80 |
$482.80 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$295.95 |
$295.95 |
$295.95 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$383.60 |
$383.60 |
$383.60 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$458.20 |
$458.20 |
$458.20 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$335.20 |
$335.20 |
$335.20 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$260.15 |
$260.15 |
$260.15 |
$74.75
|
|
Prolong service without contact
|
$349.40 |
$349.40 |
$349.40 |
$165.20
|
|
Prolong serv without contact add
|
$65.60 |
$65.60 |
$65.60 |
$81.20
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$112.20 |
$112.20 |
$112.20 |
$53.62
|
|
Pr visit complexity e&m service serious/complex condition
|
$20.00 |
$20.00 |
$20.00 |
$27.30
|
|
Psychoeducation 45 min +
|
$862.30 |
$862.30 |
$862.30 |
$201.45
|
|
Psychotherapy group therapy
|
$129.55 |
$129.55 |
$129.55 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$145.20 |
$145.20 |
$145.20 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$278.10 |
$278.10 |
$278.10 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$318.55 |
$318.55 |
$318.55 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$314.90 |
$314.90 |
$314.90 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$314.90 |
$314.90 |
$314.90 |
$221.42
|
|
Psychthrp grp 45-50min mcr
|
$246.65 |
$246.65 |
$246.65 |
$243.88
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$156.50 |
$156.50 |
$156.50 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$86.40 |
$86.40 |
$86.40 |
$156.00
|
|
Psytx complex interactive
|
$174.65 |
$174.65 |
$174.65 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$169.10 |
$169.10 |
$169.10 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$211.30 |
$211.30 |
$211.30 |
$170.50
|
|
Psytx pt w/e&m 53+ min
|
$254.00 |
$254.00 |
$254.00 |
$236.32
|
|
Ring fx reform 11-13x17mm
|
$199.00 |
$199.00 |
$199.00 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$5,596.09 |
$5,596.09 |
$5,596.09 |
$2,429.37
|
|
Safety plan interven
|
$66.20 |
$66.20 |
$66.20 |
$47.60
|
|
Sarscov & inf vir a&b ag ia
|
$51.55 |
$51.55 |
$51.55 |
$104.00
|
|
Scope uretscp lithovue dig disp
|
$80.00 |
$80.00 |
$80.00 |
$4,246.72
|
|
Screw cortex 2.0 x 10mm
|
$3,418.85 |
$3,418.85 |
$3,418.85 |
$29,785.18
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$101.20 |
$101.20 |
$101.20 |
$96.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$61.20 |
$61.20 |
$61.20 |
$136.20
|
|
Shunt glaucoma baerveldt 350mm
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$4,538.82
|
|
Sling suprapubic suburetheral
|
$1,066.05 |
$1,066.05 |
$1,066.05 |
$9,679.96
|
|
Speech and Language Evaluation (comprehensive)
|
$318.30 |
$318.30 |
$318.30 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$132.90 |
$132.90 |
$132.90 |
$246.87
|
|
St analysis behavior qualitative voice/resonance
|
$158.65 |
$158.65 |
$158.65 |
$297.60
|
|
Stent bili dbl pgtl 10fx5cm
|
$193.03 |
$193.03 |
$193.03 |
$2,704.27
|
|
St evaluate speech sound production
|
$154.65 |
$154.65 |
$154.65 |
$292.95
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$7,016.09 |
$7,016.09 |
$7,016.09 |
$7,487.55
|
|
Swallowing Evaluation (Bedside)
|
$118.10 |
$118.10 |
$118.10 |
$316.80
|
|
Swallowing Therapy Session
|
$170.90 |
$170.90 |
$170.90 |
$232.56
|
|
Synch audio-only est high 40
|
$264.60 |
$264.60 |
$264.60 |
$196.80
|
|
Synch audio-only est low 20
|
$121.10 |
$121.10 |
$121.10 |
$93.60
|
|
Synch audio-only est mod 30
|
$179.20 |
$179.20 |
$179.20 |
$136.64
|
|
Synch audio-only est sf 10
|
$66.50 |
$66.50 |
$66.50 |
$53.20
|
|
Synch audio-only new high 60
|
$324.80 |
$324.80 |
$324.80 |
$207.64
|
|
Synch audio-only new low 30
|
$156.80 |
$156.80 |
$156.80 |
$120.80
|
|
Synch audio-only new mod 45
|
$247.10 |
$247.10 |
$247.10 |
$176.70
|
|
Synch audio-only new sf 15
|
$90.30 |
$90.30 |
$90.30 |
$71.20
|
|
Therapy activity per session >= 45 minutes
|
$259.70 |
$259.70 |
$259.70 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$105.20 |
$105.20 |
$105.20 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$61.85 |
$61.85 |
$61.85 |
$98.58
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.84 |
$9.84 |
$9.84 |
$25.54
|
|
Train for caregiver add 15
|
$41.25 |
$41.25 |
$41.25 |
$47.60
|
|
Trimethobenzamide hcl inj
|
$467.61 |
$467.61 |
$467.61 |
$117.49
|
|
Vaccine Administration (one shot)
|
$56.95 |
$56.95 |
$56.95 |
$67.70
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$160.00 |
$160.00 |
$160.00 |
$224.25
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$557.19 |
$557.19 |
$557.19 |
$75.39
|