Work RVUs, total RVUs, and national Medicare payment for 827 CPT codes. RVU values from the CMS 2026 Medicare Physician Fee Schedule, priced at the 2026 conversion factor of $33.40. No login required.
Showing all 827 codes.
| CPT | Description | Work RVU | Total RVU | Medicare |
|---|---|---|---|---|
| 0446T | Insj impltbl glucose sensor | 1.11 | 189.22 | $6,320.12 |
| 0447T | Rmvl impltbl glucose sensor | 1.31 | 3.02 | $100.87 |
| 0448T | Remvl insj impltbl gluc sens | 1.86 | 186.21 | $6,219.58 |
| 0509T | Pattern erg w/i&r | 0.39 | 2.33 | $77.82 |
| 0583T | Tmpst auto tube dlvr sys | 2.63 | 45.06 | $1,505.04 |
| 0596T | Temp fml iu vlv-pmp 1st insj | 2.37 | 60.45 | $2,019.08 |
| 0597T | Temp fml iu valve-pmp rplcmt | 1.02 | 17.86 | $596.54 |
| 10009 | Fna bx w/ct gdn 1st les | 2.2 | 12.35 | $412.50 |
| 10030 | Img gid flu coll drg sft tis | 2.68 | 18.59 | $620.92 |
| 10060 | I&d abscess simple/single | 1.19 | 3.85 | $128.59 |
| 10061 | I&d abscess comp/multiple | 2.39 | 6.59 | $220.11 |
| 10081 | I&d pilonidal cyst comp | 2.44 | 11.38 | $380.10 |
| 10121 | Inc&rmvl fb subq tiss comp | 2.67 | 8.24 | $275.22 |
| 10180 | I&d complex po wound infctj | 2.24 | 8.63 | $288.25 |
| 11000 | Dbrdmt ecz/infected skin<10% | 0.59 | 1.77 | $59.12 |
| 11004 | Dbrdmt skin xtrnl gent&per | 10.53 | 15.11 | $504.69 |
| 11005 | Dbrdmt skin abdominal wall | 13.88 | 20.74 | $692.73 |
| 11006 | Dbrdmt skin xtrnl gent per | 12.77 | 18.68 | $623.93 |
| 11102 | Tangntl bx skin single les | 0.64 | 2.86 | $95.53 |
| 11103 | Tangntl bx skin ea sep/addl | 0.37 | 1.46 | $48.77 |
| 11104 | Punch bx skin single lesion | 0.81 | 3.63 | $121.25 |
| 11105 | Punch bx skin ea sep/addl | 0.44 | 1.81 | $60.46 |
| 11106 | Incal bx skn single les | 0.98 | 4.53 | $151.31 |
| 11107 | Incal bx skn ea sep/addl | 0.53 | 2.12 | $70.81 |
| 11400 | Exc tr-ext b9+marg 0.5 cm< | 0.88 | 3.83 | $127.93 |
| 11401 | Exc tr-ext b9+marg 0.6-1 cm | 1.25 | 4.64 | $154.98 |
| 11606 | Exc tr-ext mal+marg >4 cm | 4.89 | 13.88 | $463.60 |
| 11646 | Exc f/e/e/n/l mal+mrg >4 cm | 6.1 | 15.43 | $515.38 |
| 11772 | Exc pilonidal cyst comp | 7.17 | 25.37 | $847.38 |
| 11960 | Insert tissue expander(s) | 11.2 | 28.39 | $948.25 |
| 11970 | Rplcmt tiss xpndr perm implt | 7.3 | 15.49 | $517.38 |
| 12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 0.82 | 3.41 | $113.90 |
| 12018 | Rpr f/e/e/n/l/m >30.0 cm | 3.52 | 5.21 | $174.02 |
| 12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1.95 | 7.78 | $259.86 |
| 12037 | Intmd rpr s/tr/ext >30.0 cm | 4.88 | 16.05 | $536.08 |
| 12046 | Intmd rpr n-hf/genit20.1-30 | 4.19 | 16.68 | $557.13 |
| 12047 | Intmd rpr n-hf/genit >30.0cm | 4.83 | 18.27 | $610.23 |
| 12055 | Intmd rpr face/mm 12.6-20 cm | 4.39 | 16.34 | $545.77 |
| 12056 | Intmd rpr face/mm 20.1-30.0 | 5.17 | 18.67 | $623.59 |
| 12057 | Intmd rpr face/mm >30.0 cm | 5.85 | 19.42 | $648.65 |
| 13100 | Cmplx rpr trunk 1.1-2.5 cm | 2.93 | 10.12 | $338.02 |
| 13121 | Cmplx rpr s/a/l 2.6-7.5 cm | 3.9 | 12.51 | $417.85 |
| 13131 | Cmplx rpr f/c/c/m/n/ax/g/h/f | 3.64 | 11.51 | $384.44 |
| 13132 | Cmplx rpr f/c/c/m/n/ax/g/h/f | 4.66 | 13.84 | $462.27 |
| 13151 | Cmplx rpr e/n/e/l 1.1-2.5 cm | 4.23 | 12.55 | $419.18 |
| 13152 | Cmplx rpr e/n/e/l 2.6-7.5 cm | 5.21 | 14.69 | $490.66 |
| 13160 | Sec clsr surg wnd/dehsn xtn | 11.74 | 22.18 | $740.83 |
| 14000 | Tis trnfr trunk 10 sq cm/< | 6.21 | 19.98 | $667.35 |
| 14021 | Tis trnfr s/a/l 10.1-30 sqcm | 9.48 | 26.43 | $882.79 |
| 14041 | Tis trnfr f/c/c/m/n/a/g/h/f | 10.56 | 27.73 | $926.21 |
| 14060 | Tis trnfr e/n/e/l 10 sq cm/< | 9.0 | 23.11 | $771.89 |
| 14061 | Tis trnfr e/n/e/l10.1-30sqcm | 11.19 | 29.88 | $998.02 |
| 14301 | Tis trnfr any 30.1-60 sq cm | 12.33 | 33.54 | $1,120.27 |
| 14350 | Filleted finger/toe flap | 10.77 | 18.41 | $614.91 |
| 15756 | Free myo/skin flap microvasc | 36.02 | 58.74 | $1,961.97 |
| 15757 | Free skin flap microvasc | 36.22 | 58.25 | $1,945.60 |
| 15758 | Free fascial flap microvasc | 35.98 | 58.12 | $1,941.26 |
| 15841 | Nerve palsy muscle graft | 25.34 | 47.33 | $1,580.86 |
| 15842 | Nerve palsy microsurg graft | 39.98 | 70.77 | $2,363.78 |
| 15946 | Exc isch pr ulc prep mus flp | 23.52 | 43.73 | $1,460.62 |
| 16000 | Initial treatment of burn(s) | 0.87 | 2.7 | $90.18 |
| 16020 | Dress/debrid p-thick burn s | 0.69 | 2.78 | $92.85 |
| 16025 | Dress/debrid p-thick burn m | 1.7 | 4.96 | $165.67 |
| 16030 | Dress/debrid p-thick burn l | 2.03 | 6.4 | $213.77 |
| 16035 | Escharotomy 1st incision | 3.65 | 5.35 | $178.69 |
| 16036 | Escharotomy ea addl incision | 1.46 | 2.2 | $73.48 |
| 17000 | Destruct premalg lesion | 0.59 | 1.99 | $66.47 |
| 17003 | Destruct premalg les 2-14 | 0.04 | 0.19 | $6.35 |
| 17004 | Destroy premal lesions 15/> | 1.34 | 4.86 | $162.33 |
| 17106 | Dstr cut vsc prlf les<10sqcm | 3.6 | 10.24 | $342.03 |
| 17107 | Dstr cut vsc prlf les10-50sq | 4.67 | 13.26 | $442.90 |
| 17108 | Dstr cut vsc prlf les>50sqcm | 7.3 | 18.93 | $632.28 |
| 17110 | Destruction b9 les up to 14 | 0.68 | 3.33 | $111.22 |
| 17286 | Dstr mal ls f/e/e/n/l/m>4.0 | 4.37 | 10.54 | $352.05 |
| 17311 | Mohs 1 stage h/n/hf/g | 6.05 | 19.97 | $667.02 |
| 17312 | Mohs addl stage | 3.22 | 12.06 | $402.81 |
| 17313 | Mohs 1 stage t/a/l | 5.42 | 18.75 | $626.27 |
| 17314 | Mohs addl stage t/a/l | 2.98 | 11.54 | $385.45 |
| 17315 | Mohs surg addl block | 0.85 | 2.37 | $79.16 |
| 19303 | Mast simple complete | 14.63 | 27.42 | $915.85 |
| 19306 | Mast rad urban type | 17.68 | 35.24 | $1,177.05 |
| 19361 | Brst rcnstj latsms drsi flap | 22.78 | 41.38 | $1,382.13 |
| 19364 | Brst rcnstj free flap | 41.52 | 70.94 | $2,369.46 |
| 19367 | Brst rcnstj 1 pdcl tram flap | 26.13 | 46.68 | $1,559.15 |
| 19368 | Brst rcnstj 1pdcl tram anast | 33.05 | 56.48 | $1,886.48 |
| 19369 | Brst rcnstj 2 pdcl tram flap | 30.53 | 52.57 | $1,755.89 |
| 20610 | Drain/inj joint/bursa w/o us | 0.77 | 2.06 | $68.81 |
| 20611 | Drain/inj joint/bursa w/us | 1.07 | 3.12 | $104.21 |
| 20805 | Replant forearm complete | 50.17 | 86.8 | $2,899.20 |
| 20808 | Replantation hand complete | 61.51 | 104.17 | $3,479.37 |
| 20969 | Bone/skin graft microvasc | 44.29 | 69.53 | $2,322.36 |
| 20970 | Bone/skin graft iliac crest | 43.47 | 76.07 | $2,540.81 |
| 20972 | Bone/skin graft metatarsal | 43.4 | 75.8 | $2,531.79 |
| 20973 | Bone/skin graft great toe | 46.09 | 79.95 | $2,670.40 |
| 21155 | Rcnstj mdfc lefort iii w/i | 34.34 | 55.43 | $1,851.41 |
| 21159 | Rcnst mdfc lfrtiii advm wo i | 42.06 | 66.17 | $2,210.14 |
| 21160 | Rcnst mdfc lfrtiii advm w/i | 46.01 | 71.64 | $2,392.84 |
| 21183 | Reconstruct cranial bone | 34.81 | 60.08 | $2,006.73 |
| 21184 | Reconstruct cranial bone | 37.65 | 64.5 | $2,154.36 |
| 21261 | Revise eye sockets | 33.22 | 65.14 | $2,175.73 |
| 22206 | Incis spine 3 column thorac | 36.25 | 68.42 | $2,285.29 |
| 22207 | Incis spine 3 column lumbar | 35.76 | 66.3 | $2,214.48 |
| 22514 | Perq vertebral augmentation | 7.79 | 173.82 | $5,805.74 |
| 22612 | Arthrd pst tq 1ntrspc lumbar | 22.94 | 43.94 | $1,467.64 |
| 22633 | Arthrd cmbn 1ntrspc lumbar | 26.13 | 50.9 | $1,700.11 |
| 22804 | Arthrd pst dfrm 13+ vrt sgm | 36.56 | 66.54 | $2,222.50 |
| 22819 | Kyphectomy 3 or more | 38.4 | 65.92 | $2,201.79 |
| 22837 | Ant thrc vrt body tethrg 8+ | 34.61 | 49.76 | $1,662.03 |
| 22838 | Rev rplc/rmv thrc vrt tethrg | 35.1 | 50.42 | $1,684.07 |
| 23078 | Rad rescj tum shoulder 5cm/> | 21.99 | 39.69 | $1,325.68 |
| 23200 | Radical rescj tumor clavicle | 22.14 | 40.88 | $1,365.43 |
| 23210 | Radical rescj tumor scapula | 26.53 | 47.58 | $1,589.21 |
| 23220 | Radical rescj tumor prox hum | 29.45 | 52.02 | $1,737.51 |
| 23472 | Reconstruct shoulder joint | 21.58 | 38.93 | $1,300.30 |
| 23473 | Revis reconst shoulder joint | 24.38 | 43.12 | $1,440.25 |
| 23474 | Revis reconst shoulder joint | 26.53 | 46.47 | $1,552.14 |
| 24079 | Rad rescj tum tiss a/e 5 cm+ | 20.09 | 36.71 | $1,226.15 |
| 24150 | Rad rescj tum dstl/shft hum | 22.87 | 41.83 | $1,397.16 |
| 24152 | Rad resection tum radial h/n | 19.49 | 36.65 | $1,224.14 |
| 24363 | Replace elbow joint | 21.45 | 38.94 | $1,300.63 |
| 24370 | Revise reconst elbow joint | 22.96 | 41.22 | $1,376.79 |
| 24371 | Revise reconst elbow joint | 26.81 | 47.05 | $1,571.51 |
| 25000 | Incision of tendon sheath | 3.46 | 10.19 | $340.36 |
| 25025 | Decompress forearm 2 spaces | 17.49 | 33.66 | $1,124.27 |
| 25078 | Resect forarm/wrist tum 3cm> | 17.25 | 32.4 | $1,082.19 |
| 25170 | Resect radius/ulnar tumor | 21.65 | 39.81 | $1,329.69 |
| 25420 | Repair/graft radius & ulna | 16.61 | 31.99 | $1,068.49 |
| 25446 | Arthrp w/prostc dst rds&crps | 16.87 | 31.49 | $1,051.79 |
| 25600 | Cltx dst rdl fx/ephys sep wo | 2.71 | 11.54 | $385.45 |
| 25607 | Optx dst rd xartc fx/epi sep | 9.32 | 20.88 | $697.41 |
| 25915 | Amputation of forearm | 17.08 | 31.72 | $1,059.48 |
| 26550 | Pollicization digit | 21.14 | 46.06 | $1,538.45 |
| 26551 | Great toe-hand transfer | 47.27 | 89.08 | $2,975.35 |
| 26553 | Single transfer toe-hand | 46.97 | 88.47 | $2,954.98 |
| 26554 | Double transfer toe-hand | 55.58 | 102.57 | $3,425.93 |
| 26556 | Toe joint transfer | 48.51 | 92.21 | $3,079.90 |
| 26580 | Repair cleft hand | 19.26 | 43.35 | $1,447.93 |
| 27075 | Resect hip tumor | 31.89 | 55.64 | $1,858.43 |
| 27076 | Resect hip tum incl acetabul | 39.2 | 66.85 | $2,232.85 |
| 27077 | Resect hip tum w/innom bone | 44.08 | 74.34 | $2,483.02 |
| 27078 | Rsect hip tum incl femur | 31.4 | 54.9 | $1,833.71 |
| 27130 | Total hip arthroplasty | 19.11 | 34.79 | $1,162.02 |
| 27134 | Revise hip joint replacement | 29.52 | 50.76 | $1,695.43 |
| 27244 | Treat thigh fracture | 17.73 | 33.57 | $1,121.27 |
| 27365 | Resect femur/knee tumor | 31.4 | 55.0 | $1,837.05 |
| 27447 | Total knee arthroplasty | 19.11 | 34.71 | $1,159.35 |
| 27486 | Revise/replace knee joint | 20.59 | 38.17 | $1,274.91 |
| 27500 | Treatment of thigh fracture | 6.14 | 17.2 | $574.50 |
| 28047 | Resect foot/toe tumor 3 cm/> | 17.01 | 28.66 | $957.27 |
| 28171 | Resect tarsal tumor | 16.0 | 30.31 | $1,012.38 |
| 28262 | Revision of foot and ankle | 16.78 | 44.32 | $1,480.33 |
| 28420 | Optx calcaneal fx w/bone grf | 17.08 | 36.19 | $1,208.78 |
| 28446 | Opn osteochondrl agrft talus | 17.27 | 33.7 | $1,125.61 |
| 28705 | Arthrodesis pantalar | 19.82 | 33.13 | $1,106.57 |
| 29065 | Appl cst sho to hand lng arm | 0.85 | 3.24 | $108.22 |
| 29806 | Sho arthrs srg capsulorraphy | 14.76 | 29.13 | $972.97 |
| 29827 | Sho arthrs srg rt8tr cuf rpr | 15.2 | 29.23 | $976.31 |
| 29867 | Allgrft implnt knee w/scope | 17.93 | 35.29 | $1,178.72 |
| 29868 | Meniscal trnspl knee w/scpe | 24.47 | 45.28 | $1,512.39 |
| 29881 | Arthrs kne srg mnisectmy m/l | 6.85 | 15.44 | $515.71 |
| 29882 | Arthrs kne srg mnisc rpr m/l | 9.36 | 19.22 | $641.97 |
| 29888 | Arthrs aid acl rpr/agmntj | 13.94 | 26.63 | $889.47 |
| 29889 | Arthrs aid pcl rpr/agmntj | 16.97 | 33.9 | $1,132.29 |
| 29899 | Ankle arthroscopy/surgery | 15.02 | 27.58 | $921.20 |
| 30160 | Rhinectomy total | 9.74 | 21.8 | $728.14 |
| 30460 | Revision of nose | 10.06 | 22.98 | $767.55 |
| 30462 | Revision of nose | 19.77 | 43.76 | $1,461.62 |
| 30465 | Repair nasal stenosis | 12.05 | 27.63 | $922.87 |
| 30545 | Rpr choanal atresia trsnpltn | 11.33 | 27.01 | $902.16 |
| 30920 | Ligation upper jaw artery | 10.86 | 23.23 | $775.90 |
| 31230 | Removal of upper jaw | 30.05 | 52.23 | $1,744.53 |
| 31231 | Nasal endoscopy dx | 1.07 | 5.79 | $193.39 |
| 31237 | Nsl/sins ndsc surg bx polypc | 2.54 | 7.98 | $266.54 |
| 31255 | Nsl/sins ndsc w/tot ethmdct | 5.61 | 8.18 | $273.22 |
| 31256 | Exploration maxillary sinus | 3.03 | 4.57 | $152.64 |
| 31276 | Nsl/sins ndsc frnt tiss rmvl | 6.58 | 9.52 | $317.98 |
| 31288 | Nasal/sinus endoscopy surg | 4.0 | 5.93 | $198.07 |
| 31295 | Nsl/sins ndsc surg max sins | 2.63 | 47.23 | $1,577.52 |
| 31298 | Nsl/sins ndsc surg frnt&sphn | 4.39 | 88.79 | $2,965.67 |
| 31365 | Removal of larynx | 37.84 | 66.35 | $2,216.15 |
| 31368 | Partial removal of larynx | 33.34 | 63.43 | $2,118.62 |
| 31390 | Removal of larynx & pharynx | 41.45 | 72.78 | $2,430.92 |
| 31395 | Reconstruct larynx & pharynx | 42.71 | 76.47 | $2,554.17 |
| 31500 | Insert emergency airway | 2.93 | 3.98 | $132.94 |
| 31622 | Dx bronchoscope/wash | 2.47 | 8.45 | $282.24 |
| 31624 | Dx bronchoscope/lavage | 2.56 | 8.57 | $286.25 |
| 31628 | Bronchoscopy/lung bx each | 3.46 | 12.23 | $408.49 |
| 31629 | Bronchoscopy/needle bx each | 3.66 | 14.88 | $497.01 |
| 31766 | Carinal reconstruction | 30.88 | 49.96 | $1,668.71 |
| 32442 | Sleeve pneumonectomy | 55.06 | 84.62 | $2,826.38 |
| 32445 | Removal of lung extrapleural | 62.24 | 98.65 | $3,295.00 |
| 32551 | Insertion of chest tube | 2.96 | 4.28 | $142.96 |
| 32851 | Lung transplant single | 58.15 | 91.27 | $3,048.50 |
| 32852 | Lung transplant with bypass | 63.86 | 99.63 | $3,327.73 |
| 32853 | Lung transplant double | 82.37 | 126.91 | $4,238.91 |
| 32854 | Lung transplant with bypass | 87.75 | 134.57 | $4,494.76 |
| 33208 | Insrt heart pm atrial & vent | 8.31 | 13.65 | $455.92 |
| 33305 | Repair of heart wound | 75.01 | 112.8 | $3,767.62 |
| 33440 | Rplcmt a-valve tlcj autol pv | 62.4 | 94.85 | $3,168.08 |
| 33533 | Cabg arterial single | 32.91 | 52.63 | $1,757.89 |
| 33622 | Redo compl cardiac anomaly | 62.4 | 94.58 | $3,159.06 |
| 33783 | Nikaidoh proc w/ostia implt | 63.45 | 96.11 | $3,210.16 |
| 33877 | Thoracoabdominal graft | 67.3 | 98.57 | $3,292.33 |
| 33916 | Surgery of great vessel | 76.05 | 115.37 | $3,853.46 |
| 34702 | Evasc rpr a-ao ndgft rpt | 35.1 | 48.73 | $1,627.63 |
| 34704 | Evasc rpr a-unilac ndgft rpt | 43.88 | 60.46 | $2,019.42 |
| 34706 | Evasc rpr a-biiliac rpt | 43.88 | 61.4 | $2,050.82 |
| 34708 | Evasc rpr ilio-iliac rpt | 35.59 | 49.38 | $1,649.34 |
| 34831 | Open aortoiliac prosth repr | 37.03 | 52.52 | $1,754.22 |
| 34832 | Open aortofemor prosth repr | 37.03 | 51.51 | $1,720.48 |
| 35082 | Repair artery rupture aorta | 41.04 | 58.54 | $1,955.29 |
| 35092 | Repair artery rupture aorta | 49.7 | 68.6 | $2,291.30 |
| 35103 | Repair artery rupture aorta | 42.53 | 58.87 | $1,966.31 |
| 35538 | Art byp grft aortobi-iliac | 45.85 | 63.42 | $2,118.29 |
| 35539 | Art byp grft aortofemoral | 43.01 | 59.54 | $1,988.69 |
| 35540 | Art byp grft aortbifemoral | 48.1 | 66.36 | $2,216.48 |
| 36556 | Insert non-tunnel cv cath | 1.71 | 7.12 | $237.81 |
| 36620 | Insertion catheter artery | 0.98 | 1.22 | $40.75 |
| 36819 | Av fuse uppr arm basilic | 12.96 | 19.87 | $663.68 |
| 36823 | Insertion of cannula(s) | 22.41 | 39.43 | $1,317.00 |
| 36825 | Artery-vein autograft | 13.82 | 21.59 | $721.13 |
| 36832 | Av fistula revision open | 13.16 | 20.61 | $688.39 |
| 36833 | Av fistula revision | 14.14 | 22.05 | $736.49 |
| 36838 | Dist revas ligation hemo | 21.15 | 30.85 | $1,030.42 |
| 36901 | Intro cath dialysis circuit | 3.28 | 20.55 | $686.39 |
| 37140 | Revision of circulation | 39.0 | 64.0 | $2,137.66 |
| 37145 | Revision of circulation | 36.08 | 59.45 | $1,985.68 |
| 37160 | Revision of circulation | 37.05 | 61.05 | $2,039.12 |
| 37180 | Revision of circulation | 35.59 | 58.72 | $1,961.30 |
| 37181 | Splice spleen/kidney veins | 39.0 | 64.0 | $2,137.66 |
| 37619 | Ligation of inf vena cava | 29.25 | 47.39 | $1,582.87 |
| 38100 | Removal of spleen total | 19.06 | 32.15 | $1,073.84 |
| 38115 | Repair of ruptured spleen | 21.33 | 35.98 | $1,201.76 |
| 38220 | Dx bone marrow aspirations | 1.17 | 5.02 | $167.67 |
| 38221 | Dx bone marrow biopsies | 1.25 | 5.0 | $167.00 |
| 38222 | Dx bone marrow bx & aspir | 1.4 | 5.3 | $177.02 |
| 38573 | Laps pelvic lymphadec | 19.5 | 32.36 | $1,080.85 |
| 38720 | Removal of lymph nodes neck | 21.4 | 35.78 | $1,195.08 |
| 38724 | Removal of lymph nodes neck | 23.35 | 37.8 | $1,262.55 |
| 38765 | Remove groin lymph nodes | 21.36 | 36.69 | $1,225.48 |
| 39200 | Resect mediastinal cyst | 14.71 | 24.9 | $831.68 |
| 39220 | Resect mediastinal tumor | 19.06 | 31.97 | $1,067.83 |
| 39503 | Repair of diaphragm hernia | 106.19 | 160.25 | $5,352.49 |
| 39541 | Repair of diaphragm hernia | 15.36 | 26.59 | $888.13 |
| 39545 | Revision of diaphragm | 14.3 | 26.13 | $872.77 |
| 39561 | Resect diaphragm complex | 19.49 | 36.46 | $1,217.80 |
| 40527 | Reconstruct lip with flap | 9.09 | 16.57 | $553.45 |
| 40700 | Repair cleft lip/nasal | 13.82 | 27.29 | $911.51 |
| 40701 | Repair cleft lip/nasal | 16.8 | 31.89 | $1,065.15 |
| 40702 | Repair cleft lip/nasal | 13.91 | 26.93 | $899.49 |
| 40720 | Repair cleft lip/nasal | 14.35 | 27.62 | $922.53 |
| 40761 | Repair cleft lip/nasal | 15.44 | 28.82 | $962.61 |
| 41135 | Tongue and neck surgery | 29.39 | 57.39 | $1,916.88 |
| 41140 | Removal of tongue | 28.42 | 57.7 | $1,927.23 |
| 41145 | Tongue removal neck surgery | 36.98 | 72.34 | $2,416.22 |
| 41150 | Tongue mouth jaw surgery | 29.11 | 58.15 | $1,942.26 |
| 41153 | Tongue mouth neck surgery | 32.75 | 62.92 | $2,101.58 |
| 41155 | Tongue jaw & neck surgery | 43.19 | 78.24 | $2,613.29 |
| 42420 | Excise parotid gland/lesion | 19.04 | 30.71 | $1,025.74 |
| 42426 | Excise parotid gland/lesion | 22.09 | 34.91 | $1,166.03 |
| 42820 | Remove tonsils and adenoids | 4.11 | 7.81 | $260.86 |
| 42821 | Remove tonsils and adenoids | 4.25 | 8.15 | $272.22 |
| 42845 | Extensive surgery of throat | 31.75 | 57.78 | $1,929.90 |
| 42890 | Limited pharyngectomy | 18.65 | 37.58 | $1,255.21 |
| 42892 | Revision of pharyngeal walls | 25.38 | 49.14 | $1,641.32 |
| 42894 | Revision of pharyngeal walls | 33.07 | 62.05 | $2,072.53 |
| 43108 | Removal of esophagus | 80.8 | 122.74 | $4,099.63 |
| 43113 | Removal of esophagus | 78.06 | 120.69 | $4,031.15 |
| 43116 | Partial removal of esophagus | 90.67 | 137.07 | $4,578.26 |
| 43118 | Partial removal of esophagus | 65.39 | 100.42 | $3,354.12 |
| 43123 | Partial removal of esophagus | 81.04 | 125.01 | $4,175.45 |
| 43124 | Removal of esophagus | 67.36 | 106.39 | $3,553.52 |
| 43231 | Esophagoscop ultrasound exam | 2.73 | 4.13 | $137.95 |
| 43232 | Esophagoscopy w/us needle bx | 3.5 | 5.31 | $177.36 |
| 43233 | Egd balloon dil esoph30 mm/> | 3.97 | 6.11 | $204.08 |
| 43235 | Egd diagnostic brush wash | 2.04 | 9.66 | $322.65 |
| 43236 | Uppr gi scope w/submuc inj | 2.33 | 13.36 | $446.24 |
| 43237 | Endoscopic us exam esoph | 3.38 | 5.18 | $173.02 |
| 43238 | Egd us fine needle bx/aspir | 4.06 | 6.12 | $204.41 |
| 43239 | Egd biopsy single/multiple | 2.33 | 12.54 | $418.85 |
| 43240 | Egd w/transmural drain cyst | 6.97 | 10.24 | $342.03 |
| 43241 | Egd tube/cath insertion | 2.43 | 3.8 | $126.92 |
| 43242 | Egd us fine needle bx/aspir | 4.61 | 6.88 | $229.80 |
| 43243 | Egd injection varices | 4.16 | 6.26 | $209.09 |
| 43244 | Egd varices ligation | 4.29 | 6.45 | $215.44 |
| 43245 | Egd dilate stricture | 3.0 | 19.61 | $654.99 |
| 43246 | Egd place gastrostomy tube | 3.47 | 5.34 | $178.36 |
| 43247 | Egd remove foreign body | 3.03 | 12.76 | $426.20 |
| 43248 | Egd guide wire insertion | 2.84 | 13.71 | $457.93 |
| 43249 | Esoph egd dilation <30 mm | 2.6 | 35.34 | $1,180.39 |
| 43250 | Egd cautery tumor polyp | 2.9 | 14.93 | $498.68 |
| 43251 | Egd remove lesion snare | 3.38 | 16.34 | $545.77 |
| 43252 | Egd optical endomicroscopy | 2.89 | 11.29 | $377.10 |
| 43253 | Egd us transmural injxn/mark | 4.61 | 6.89 | $230.13 |
| 43254 | Egd endo mucosal resection | 4.75 | 7.09 | $236.81 |
| 43255 | Egd control bleeding any | 3.47 | 20.63 | $689.06 |
| 43257 | Egd w/thrml txmnt gerd | 4.05 | 6.12 | $204.41 |
| 43259 | Egd us exam duodenum/jejunum | 3.94 | 5.95 | $198.74 |
| 44126 | Enterectomy w/o taper cong | 41.17 | 68.42 | $2,285.29 |
| 44127 | Enterectomy w/taper cong | 48.07 | 78.67 | $2,627.65 |
| 44140 | Partial removal of colon | 22.03 | 37.43 | $1,250.20 |
| 44156 | Removal of colon/ileostomy | 36.48 | 64.3 | $2,147.68 |
| 44157 | Colectomy w/ileoanal anast | 34.81 | 61.14 | $2,042.13 |
| 44158 | Colectomy w/neo-rectum pouch | 35.78 | 62.61 | $2,091.23 |
| 44204 | Laparo partial colectomy | 25.76 | 42.31 | $1,413.19 |
| 44211 | Lap colectomy w/proctectomy | 36.15 | 57.7 | $1,927.23 |
| 44970 | Laparoscopy appendectomy | 9.21 | 17.31 | $578.17 |
| 45112 | Removal of rectum | 32.35 | 49.12 | $1,640.65 |
| 45113 | Partial proctectomy | 32.39 | 50.76 | $1,695.43 |
| 45119 | Remove rectum w/reservoir | 32.64 | 51.12 | $1,707.45 |
| 45126 | Pelvic exenteration | 47.87 | 74.33 | $2,482.69 |
| 45378 | Diagnostic colonoscopy | 3.18 | 11.32 | $378.10 |
| 45379 | Colonoscopy w/fb removal | 4.17 | 14.35 | $479.30 |
| 45380 | Colonoscopy and biopsy | 3.47 | 14.37 | $479.97 |
| 45381 | Colonoscopy submucous njx | 3.47 | 14.68 | $490.33 |
| 45382 | Colonoscopy w/control bleed | 4.54 | 21.86 | $730.14 |
| 45384 | Colonoscopy w/lesion removal | 3.97 | 16.15 | $539.42 |
| 45385 | Colonoscopy w/lesion removal | 4.46 | 14.97 | $500.01 |
| 45386 | Colonoscopy w/balloon dilat | 3.68 | 20.07 | $670.36 |
| 45388 | Colonoscopy w/ablation | 4.76 | 79.62 | $2,659.38 |
| 45389 | Colonoscopy w/stent plcmt | 5.11 | 7.58 | $253.18 |
| 45395 | Lap removal of rectum | 32.18 | 53.87 | $1,799.31 |
| 45397 | Lap remove rectum w/pouch | 35.59 | 58.14 | $1,941.93 |
| 46712 | Repr per/vag pouch dbl proc | 35.54 | 62.18 | $2,076.87 |
| 46735 | Construction of absent anus | 35.24 | 65.18 | $2,177.07 |
| 46742 | Repair of imperforated anus | 39.14 | 71.1 | $2,374.80 |
| 46744 | Repair of cloacal anomaly | 57.47 | 98.92 | $3,304.02 |
| 46746 | Repair of cloacal anomaly | 63.8 | 108.64 | $3,628.67 |
| 46748 | Repair of cloacal anomaly | 69.63 | 117.45 | $3,922.94 |
| 47122 | Extensive removal of liver | 57.99 | 94.23 | $3,147.37 |
| 47130 | Partial removal of liver | 55.76 | 90.51 | $3,023.12 |
| 47140 | Partial removal donor liver | 57.92 | 100.15 | $3,345.10 |
| 47141 | Partial removal donor liver | 69.71 | 119.32 | $3,985.40 |
| 47142 | Partial removal donor liver | 77.45 | 131.0 | $4,375.52 |
| 47562 | Laparoscopic cholecystectomy | 10.21 | 18.92 | $631.95 |
| 47563 | Laparo cholecystectomy/graph | 11.18 | 20.49 | $684.38 |
| 47600 | Cholecystectomy | 17.04 | 30.25 | $1,010.38 |
| 47785 | Fuse bile ducts and bowel | 54.79 | 88.99 | $2,972.35 |
| 48001 | Placement of drain pancreas | 38.7 | 63.73 | $2,128.64 |
| 48105 | Resect/debride pancreas | 48.03 | 76.52 | $2,555.84 |
| 48150 | Partial removal of pancreas | 51.52 | 85.96 | $2,871.14 |
| 48152 | Pancreatectomy | 47.43 | 80.03 | $2,673.07 |
| 48153 | Pancreatectomy | 51.47 | 85.71 | $2,862.79 |
| 48154 | Pancreatectomy | 47.66 | 80.37 | $2,684.43 |
| 49187 | Opn exc/dstr ntra-abd 5.1-10 | 27.93 | 46.3 | $1,546.46 |
| 49188 | Opn exc/dst ntra-abd 10.1-20 | 33.15 | 55.46 | $1,852.41 |
| 49189 | Opn exc/dst ntra-abd 20.1-30 | 39.0 | 64.29 | $2,147.34 |
| 49190 | Opn exc/dstr ntra-abd >30 cm | 48.75 | 79.05 | $2,640.34 |
| 49215 | Excise sacral spine tumor | 36.86 | 59.98 | $2,003.39 |
| 49405 | Image cath fluid colxn visc | 3.9 | 25.08 | $837.69 |
| 49505 | Prp i/hern init reduc >5 yr | 7.76 | 15.21 | $508.03 |
| 49593 | Rpr aa hrn 1st 3-10 rdc | 10.0 | 15.72 | $525.06 |
| 49605 | Repair umbilical lesion | 84.91 | 134.46 | $4,491.09 |
| 50080 | Perq nl/pl lithotrp smpl<2cm | 12.1 | 18.82 | $628.60 |
| 50360 | Rnl altrnsplj w/o rcp nfrct | 38.88 | 68.66 | $2,293.31 |
| 50365 | Rnl altrnsplj w/rcp nfrct | 44.98 | 83.82 | $2,799.66 |
| 50380 | Rnl autotrnsplj rimpltj kdn | 29.36 | 59.24 | $1,978.67 |
| 50543 | Laparo partial nephrectomy | 26.72 | 39.81 | $1,329.69 |
| 50590 | Fragmenting of kidney stone | 9.53 | 22.76 | $760.20 |
| 50825 | Construct bowel bladder | 29.91 | 43.84 | $1,464.30 |
| 50830 | Revise urine flow | 32.93 | 47.86 | $1,598.57 |
| 51580 | Remove bladder/revise tract | 34.49 | 50.4 | $1,683.41 |
| 51585 | Removal of bladder & nodes | 38.65 | 55.94 | $1,868.45 |
| 51590 | Remove bladder/revise tract | 35.42 | 51.25 | $1,711.80 |
| 51595 | Remove bladder/revise tract | 40.29 | 57.93 | $1,934.91 |
| 51596 | Remove bladder/create pouch | 43.15 | 62.52 | $2,088.22 |
| 51597 | Removal of pelvic structures | 41.79 | 61.08 | $2,040.13 |
| 52000 | Cystourethroscopy | 1.49 | 6.46 | $215.77 |
| 52005 | Cysto w/urtrl cathj | 2.31 | 8.4 | $280.57 |
| 52204 | Cystoscopy w/biopsy(s) | 2.53 | 10.64 | $355.39 |
| 52318 | Remove bladder stone | 8.95 | 12.4 | $414.17 |
| 52332 | Cystoscopy and treatment | 2.75 | 11.16 | $372.75 |
| 52351 | Cystouretero & or pyeloscope | 5.61 | 7.98 | $266.54 |
| 52353 | Cystouretero w/lithotripsy | 7.31 | 10.29 | $343.70 |
| 52355 | Cystouretero w/excise tumor | 8.78 | 12.27 | $409.83 |
| 52597 | Trurl rbtc wtrjt rescj prst8 | 10.25 | 16.42 | $548.44 |
| 52601 | Prostatectomy (turp) | 9.75 | 15.75 | $526.06 |
| 52648 | Laser surgery of prostate | 9.8 | 15.82 | $528.40 |
| 52649 | Prostate laser enucleation | 12.68 | 19.67 | $657.00 |
| 53410 | Reconstruction of urethra | 17.24 | 26.33 | $879.45 |
| 53415 | Reconstruction of urethra | 20.18 | 30.28 | $1,011.38 |
| 53425 | Reconstruct urethra stage 2 | 16.64 | 25.14 | $839.70 |
| 53430 | Reconstruction of urethra | 16.99 | 26.14 | $873.10 |
| 53431 | Reconstruct urethra/bladder | 20.65 | 30.85 | $1,030.42 |
| 53448 | Remov/replc ur sphinctr comp | 22.85 | 34.22 | $1,142.98 |
| 54130 | Remove penis & nodes | 21.29 | 31.99 | $1,068.49 |
| 54135 | Remove penis & nodes | 27.47 | 40.25 | $1,344.39 |
| 54336 | Revise penis/urethra | 21.08 | 31.87 | $1,064.49 |
| 54352 | Revj prior hypspad repair | 25.48 | 37.73 | $1,260.22 |
| 54390 | Repair penis and bladder | 22.2 | 33.24 | $1,110.25 |
| 54901 | Fusion of spermatic ducts | 18.62 | 28.48 | $951.26 |
| 55810 | Extensive prostate surgery | 23.68 | 34.88 | $1,165.02 |
| 55812 | Extensive prostate surgery | 29.14 | 42.83 | $1,430.56 |
| 55815 | Extensive prostate surgery | 32.13 | 46.82 | $1,563.83 |
| 55845 | Extensive prostate surgery | 24.55 | 36.21 | $1,209.45 |
| 55865 | Extensive prostate surgery | 23.96 | 35.66 | $1,191.08 |
| 55866 | Laps surg prst8ect rpbic rad | 21.9 | 32.39 | $1,081.86 |
| 55869 | Lap srg prst8ct bi pl lmphad | 27.41 | 39.78 | $1,328.69 |
| 56632 | Vlvctmy rad prtl bi lymphad | 21.31 | 40.04 | $1,337.37 |
| 56633 | Vulvectomy radical complete | 19.13 | 34.45 | $1,150.66 |
| 56634 | Vlvctmy rad comp uni lymphad | 20.14 | 36.79 | $1,228.82 |
| 56637 | Vlvctmy rad comp bi lymphad | 24.13 | 42.88 | $1,432.23 |
| 56640 | Vlvctmy rad comp w/lymphadec | 24.16 | 42.88 | $1,432.23 |
| 56805 | Clitoroplasty intersex state | 19.38 | 30.66 | $1,024.07 |
| 57107 | Vagnc compl rmvl paravag tis | 23.95 | 39.55 | $1,321.01 |
| 57109 | Vagnc bi total pel lymphadec | 27.69 | 48.65 | $1,624.95 |
| 57111 | Vagnc compl rmvl paravag tis | 27.69 | 48.65 | $1,624.95 |
| 57307 | Fistula repair & colostomy | 16.74 | 29.89 | $998.35 |
| 57335 | Repair vagina | 19.52 | 31.02 | $1,036.10 |
| 57425 | Laparoscopy surg colpopexy | 16.6 | 25.75 | $860.07 |
| 57531 | Removal of cervix radical | 29.2 | 48.9 | $1,633.30 |
| 58150 | Total hysterectomy | 16.88 | 27.94 | $933.22 |
| 58210 | Extensive hysterectomy | 30.14 | 50.23 | $1,677.73 |
| 58240 | Removal of pelvis contents | 48.1 | 80.17 | $2,677.75 |
| 58260 | Vaginal hysterectomy | 13.8 | 22.21 | $741.83 |
| 58270 | Vag hyst w/enterocele repair | 14.92 | 23.76 | $793.61 |
| 58548 | Lap radical hyst | 30.84 | 51.73 | $1,727.83 |
| 58571 | Tlh w/t/o 250 g or less | 14.63 | 24.81 | $828.68 |
| 58572 | Tlh uterus over 250 g | 17.27 | 28.31 | $945.58 |
| 58573 | Tlh w/t/o uterus over 250 g | 20.27 | 33.1 | $1,105.57 |
| 58575 | Laps tot hyst resj mal | 31.79 | 53.16 | $1,775.59 |
| 58661 | Laparoscopy remove adnexa | 11.07 | 17.55 | $586.19 |
| 58953 | Tah rad dissect for debulk | 33.28 | 55.25 | $1,845.40 |
| 58954 | Tah rad debulk/lymph remove | 36.2 | 59.72 | $1,994.70 |
| 59400 | Obstetrical care | 37.0 | 66.3 | $2,214.48 |
| 59409 | Obstetrical care | 14.37 | 21.61 | $721.79 |
| 59425 | Antepartum care only | 7.8 | 17.21 | $574.83 |
| 59426 | Antepartum care only | 14.3 | 31.6 | $1,055.47 |
| 59430 | Care after delivery | 3.22 | 7.82 | $261.20 |
| 59510 | Cesarean delivery | 41.05 | 74.05 | $2,473.34 |
| 59514 | Cesarean delivery only | 16.13 | 24.66 | $823.67 |
| 59515 | Cesarean delivery | 22.79 | 36.67 | $1,224.81 |
| 59610 | Vbac delivery | 38.71 | 69.78 | $2,330.71 |
| 59618 | Attempted vbac delivery | 41.57 | 74.86 | $2,500.39 |
| 59622 | Attempted vbac after care | 23.32 | 37.82 | $1,263.22 |
| 60100 | Biopsy of thyroid | 1.52 | 3.25 | $108.55 |
| 60254 | Extensive thyroid surgery | 27.71 | 44.36 | $1,481.66 |
| 60270 | Removal of thyroid | 22.62 | 36.79 | $1,228.82 |
| 60505 | Explore parathyroid glands | 22.48 | 35.93 | $1,200.09 |
| 60522 | Removal of thymus gland | 22.89 | 38.93 | $1,300.30 |
| 60600 | Remove carotid body lesion | 24.46 | 36.65 | $1,224.14 |
| 60605 | Remove carotid body lesion | 31.16 | 44.91 | $1,500.03 |
| 61520 | Removal of brain lesion | 55.66 | 104.76 | $3,499.08 |
| 61682 | Intracranial vessel surgery | 61.82 | 116.25 | $3,882.85 |
| 61686 | Intracranial vessel surgery | 65.81 | 127.2 | $4,248.59 |
| 61697 | Brain aneurysm repr complx | 61.82 | 119.89 | $4,004.43 |
| 61698 | Brain aneurysm repr complx | 67.89 | 130.89 | $4,371.84 |
| 61702 | Inner skull vessel surgery | 58.54 | 114.32 | $3,818.39 |
| 62100 | Repair brain fluid leakage | 22.94 | 43.6 | $1,456.28 |
| 62117 | Reduction of skull defect | 27.64 | 57.07 | $1,906.19 |
| 62120 | Repair skull cavity lesion | 23.98 | 64.21 | $2,144.67 |
| 62162 | Remove colloid cyst w/scope | 26.13 | 55.49 | $1,853.42 |
| 62164 | Remove brain tumor w/scope | 28.69 | 61.67 | $2,059.83 |
| 62165 | Remove pituit tumor w/scope | 22.65 | 41.93 | $1,400.50 |
| 62270 | Dx lmbr spi pnxr | 1.19 | 4.94 | $165.00 |
| 62272 | Ther spi pnxr drg csf | 1.54 | 6.49 | $216.77 |
| 62273 | Inject epidural patch | 2.1 | 5.15 | $172.01 |
| 62323 | Njx interlaminar lmbr/sac | 1.76 | 8.18 | $273.22 |
| 63250 | Revise spinal cord vsls crvl | 42.76 | 84.86 | $2,834.40 |
| 63251 | Revise spinal cord vsls thrc | 43.52 | 86.96 | $2,904.54 |
| 63252 | Revise spine cord vsl thrlmb | 43.51 | 86.94 | $2,903.87 |
| 63285 | Bx/exc idrl imed lesn cervl | 37.1 | 75.57 | $2,524.11 |
| 63287 | Bx/exc idrl imed lesn thrlmb | 39.08 | 79.07 | $2,641.01 |
| 63290 | Bx/exc xdrl/idrl lsn any lvl | 39.8 | 80.37 | $2,684.43 |
| 64483 | Njx aa&/strd tfrm epi l/s 1 | 1.85 | 7.93 | $264.87 |
| 64493 | Inj paravert f jnt l/s 1 lev | 1.48 | 5.7 | $190.39 |
| 64615 | Chemodenerv musc migraine | 1.8 | 4.7 | $156.98 |
| 64861 | Repair of arm nerves | 20.37 | 45.27 | $1,512.06 |
| 64862 | Repair of low back nerves | 20.56 | 37.05 | $1,237.50 |
| 64886 | Nerve graft head/neck >4 cm | 20.3 | 33.47 | $1,117.93 |
| 64895 | Nrv grf mltst hnd/foot <4 cm | 19.88 | 35.69 | $1,192.08 |
| 64896 | Nrv grf mltst hnd/foot >4 cm | 21.41 | 38.51 | $1,286.27 |
| 64898 | Nrv grf mltst arm/leg >4 cm | 20.45 | 37.02 | $1,236.50 |
| 65112 | Remove eye/revise socket | 18.05 | 39.12 | $1,306.64 |
| 65114 | Remove eye/revise socket | 19.16 | 40.69 | $1,359.08 |
| 65750 | Corneal transplant | 16.48 | 32.03 | $1,069.83 |
| 65756 | Corneal trnspl endothelial | 16.42 | 29.69 | $991.67 |
| 65770 | Keratoprosthesis | 19.25 | 35.4 | $1,182.39 |
| 65781 | Ocular reconst transplant | 17.69 | 33.62 | $1,122.94 |
| 66170 | Glaucoma surgery | 13.59 | 28.09 | $938.23 |
| 66172 | Incision of eye | 14.47 | 30.81 | $1,029.08 |
| 66179 | Aqueous shunt eye w/o graft | 13.65 | 27.65 | $923.53 |
| 66180 | Aqueous shunt eye w/graft | 14.63 | 29.06 | $970.63 |
| 66183 | Insert ant drainage device | 12.87 | 26.39 | $881.45 |
| 66605 | Removal of iris | 13.86 | 27.74 | $926.54 |
| 67043 | Vit for membrane dissect | 16.97 | 30.08 | $1,004.70 |
| 67113 | Repair retinal detach cplx | 18.53 | 33.24 | $1,110.25 |
| 67218 | Treatment of retinal lesion | 19.85 | 34.58 | $1,155.00 |
| 67414 | Explr/decompress eye socket | 17.49 | 37.4 | $1,249.19 |
| 67420 | Explore/treat eye socket | 21.32 | 45.03 | $1,504.04 |
| 67445 | Explr/decompress eye socket | 18.64 | 39.27 | $1,311.65 |
| 68500 | Removal of tear gland | 12.45 | 27.58 | $921.20 |
| 68505 | Partial removal tear gland | 12.37 | 27.47 | $917.52 |
| 68540 | Remove tear gland lesion | 11.88 | 25.37 | $847.38 |
| 68550 | Remove tear gland lesion | 14.78 | 31.54 | $1,053.46 |
| 68720 | Create tear sac drain | 9.71 | 21.04 | $702.75 |
| 68750 | Create tear duct drain | 9.85 | 22.42 | $748.85 |
| 69210 | Remove impacted ear wax uni | 0.59 | 1.43 | $47.76 |
| 69436 | Create eardrum opening | 1.96 | 4.33 | $144.63 |
| 69535 | Remove part of temporal bone | 36.48 | 70.77 | $2,363.78 |
| 69554 | Exc aurl glomus tum extended | 35.07 | 66.92 | $2,235.19 |
| 69725 | Release facial nerve | 26.95 | 48.68 | $1,625.96 |
| 69955 | Release facial nerve | 28.68 | 51.12 | $1,707.45 |
| 69960 | Release inner ear canal | 28.68 | 48.88 | $1,632.64 |
| 69970 | Remove inner ear lesion | 31.6 | 55.16 | $1,842.39 |
| 70450 | Ct head/brain w/o dye | 0.83 | 3.19 | $106.55 |
| 70471 | Cta h&n c+ w/noncontrast img | 2.5 | 11.28 | $376.76 |
| 70543 | Mri orbt/fac/nck w/o &w/dye | 2.1 | 10.09 | $337.02 |
| 70549 | Mr angiograph neck w/o&w/dye | 1.76 | 10.28 | $343.36 |
| 70551 | Mri brain stem w/o dye | 1.44 | 5.85 | $195.40 |
| 70552 | Mri brain stem w/dye | 1.74 | 8.05 | $268.88 |
| 70553 | Mri brain stem w/o & w/dye | 2.23 | 9.49 | $316.97 |
| 70554 | Fmri brain by tech | 2.06 | 11.31 | $377.76 |
| 71046 | X-ray exam chest 2 views | 0.21 | 0.99 | $33.07 |
| 71260 | Ct thorax dx c+ | 1.13 | 4.99 | $166.67 |
| 71270 | Ct thorax dx c-/c+ | 1.22 | 5.86 | $195.73 |
| 71275 | Ct angiography chest | 1.77 | 8.4 | $280.57 |
| 71550 | Mri chest w/o dye | 1.42 | 9.97 | $333.01 |
| 71551 | Mri chest w/dye | 1.69 | 11.12 | $371.42 |
| 71552 | Mri chest w/o & w/dye | 2.2 | 13.95 | $465.94 |
| 72156 | Mri neck spine w/o & w/dye | 2.23 | 9.52 | $317.98 |
| 72157 | Mri chest spine w/o & w/dye | 2.23 | 9.54 | $318.64 |
| 72158 | Mri lumbar spine w/o & w/dye | 2.23 | 9.53 | $318.31 |
| 72191 | Ct angiograph pelv w/o&w/dye | 1.76 | 9.1 | $303.95 |
| 72197 | Mri pelvis w/o & w/dye | 2.15 | 10.01 | $334.34 |
| 72198 | Mr angio pelvis w/o & w/dye | 1.76 | 10.06 | $336.01 |
| 73206 | Ct angio upr extrm w/o&w/dye | 1.76 | 8.85 | $295.60 |
| 73220 | Mri uppr extremity w/o&w/dye | 2.1 | 12.18 | $406.82 |
| 73223 | Mri joint upr extr w/o&w/dye | 2.1 | 11.47 | $383.11 |
| 73706 | Ct angio lwr extr w/o&w/dye | 1.85 | 9.63 | $321.65 |
| 73720 | Mri lwr extremity w/o&w/dye | 2.1 | 10.03 | $335.01 |
| 73721 | Mri jnt of lwr extre w/o dye | 1.32 | 6.12 | $204.41 |
| 73723 | Mri joint lwr extr w/o&w/dye | 2.1 | 11.42 | $381.44 |
| 74174 | Cta abd&plvs w/contrast | 2.15 | 11.33 | $378.43 |
| 74176 | Ct abd & pelvis w/o contrast | 1.7 | 5.48 | $183.04 |
| 74177 | Ct abd & pelvis w/contrast | 1.77 | 8.99 | $300.27 |
| 74183 | Mri abd w/o cntr flwd cntr | 2.15 | 10.06 | $336.01 |
| 74261 | Ct colonography dx | 2.34 | 12.25 | $409.16 |
| 74262 | Ct colonography dx w/dye | 2.44 | 13.76 | $459.60 |
| 74263 | Ct colonography screening | 2.22 | 25.0 | $835.02 |
| 74712 | Mri fetal sngl/1st gestation | 2.93 | 12.16 | $406.15 |
| 75559 | Cardiac mri w/stress img | 2.88 | 11.38 | $380.10 |
| 75561 | Cardiac mri for morph w/dye | 2.54 | 10.93 | $365.07 |
| 75563 | Card mri w/stress img & dye | 2.93 | 12.87 | $429.87 |
| 75573 | Ct hrt c+ strux cgen hrt ds | 2.49 | 9.26 | $309.29 |
| 75574 | Ct angio hrt w/3d image | 2.34 | 9.75 | $325.66 |
| 75635 | Ct angio abdominal arteries | 2.34 | 12.31 | $411.17 |
| 76536 | Us exam of head and neck | 0.55 | 3.25 | $108.55 |
| 76700 | Us exam abdom complete | 0.79 | 3.42 | $114.23 |
| 76801 | Ob us < 14 wks single fetus | 0.97 | 3.5 | $116.90 |
| 76811 | Ob us detailed sngl fetus | 1.85 | 5.45 | $182.03 |
| 76812 | Ob us detailed addl fetus | 1.74 | 5.82 | $194.39 |
| 76817 | Transvaginal us obstetric | 0.73 | 2.78 | $92.85 |
| 76825 | Echo exam of fetal heart | 1.63 | 7.84 | $261.86 |
| 76830 | Transvaginal us non-ob | 0.67 | 3.52 | $117.57 |
| 76857 | Us exam pelvic limited | 0.49 | 1.53 | $51.10 |
| 76870 | Us exam scrotum | 0.62 | 2.95 | $98.53 |
| 76872 | Us transrectal | 0.65 | 3.6 | $120.24 |
| 76873 | Echograp trans r pros study | 1.51 | 5.35 | $178.69 |
| 76882 | Us lmtd jt/fcl evl nvasc xtr | 0.67 | 1.92 | $64.13 |
| 76936 | Echo guide for artery repair | 1.94 | 7.93 | $264.87 |
| 76978 | Us trgt dyn mbubb 1st les | 1.58 | 5.13 | $171.35 |
| 77065 | Dx mammo incl cad uni | 0.79 | 3.71 | $123.92 |
| 77067 | Scr mammo bi incl cad | 0.74 | 3.78 | $126.26 |
| 77301 | Radiotherapy dose plan imrt | 7.79 | 58.69 | $1,960.30 |
| 77432 | Stereotactic radiation trmt | 7.72 | 12.7 | $424.19 |
| 77435 | Sbrt management | 11.57 | 19.2 | $641.30 |
| 77762 | Apply intrcav radiat interm | 5.62 | 16.72 | $558.46 |
| 77763 | Apply intrcav radiat compl | 8.44 | 23.71 | $791.94 |
| 77778 | Apply interstit radiat compl | 8.56 | 27.93 | $932.89 |
| 78072 | Parathyrd planar w/spect&ct | 1.56 | 11.47 | $383.11 |
| 78452 | Ht muscle image spect mult | 1.58 | 12.81 | $427.87 |
| 78473 | Gated heart multiple | 1.43 | 7.99 | $266.87 |
| 78830 | Rp loclzj tum spect w/ct 1 | 1.45 | 12.6 | $420.85 |
| 78831 | Rp loclzj tum spect 2 areas | 1.77 | 18.65 | $622.93 |
| 78832 | Rp loclzj tum spect w/ct 2 | 2.07 | 23.68 | $790.93 |
| 79005 | Nuclear rx oral admin | 1.76 | 3.96 | $132.27 |
| 79101 | Nuclear rx iv admin | 1.91 | 4.28 | $142.96 |
| 79200 | Nuclear rx intracav admin | 1.94 | 3.91 | $130.60 |
| 79403 | Hematopoietic nuclear tx | 2.19 | 4.69 | $156.65 |
| 79440 | Nuclear rx intra-articular | 1.94 | 3.51 | $117.24 |
| 80503 | Path clin consltj sf 5-20 | 0.43 | 0.79 | $26.39 |
| 80504 | Path clin consltj mod 21-40 | 0.91 | 1.53 | $51.10 |
| 80505 | Path clin consltj high 41-60 | 1.71 | 2.82 | $94.19 |
| 80506 | Path clin consltj prolng svc | 0.8 | 1.25 | $41.75 |
| 85060 | Blood smear interpretation | 0.44 | 0.57 | $19.04 |
| 85097 | Bone marrow interpretation | 0.92 | 2.03 | $67.80 |
| 85396 | Clotting assay whole blood | 0.36 | 0.47 | $15.70 |
| 86077 | Phys blood bank serv xmatch | 0.92 | 1.54 | $51.44 |
| 86078 | Phys blood bank serv reactj | 0.92 | 1.54 | $51.44 |
| 86079 | Phys blood bank serv authrj | 0.92 | 1.53 | $51.10 |
| 88309 | Tissue exam by pathologist | 2.73 | 12.38 | $413.50 |
| 88323 | Consltj&reprt matrl prep sld | 1.78 | 3.38 | $112.90 |
| 88325 | Consltj compre rvw rec reprt | 2.78 | 4.59 | $153.31 |
| 88355 | M/phmtrc alys skeletal musc | 1.8 | 4.2 | $140.28 |
| 88356 | Analysis nerve | 2.73 | 6.7 | $223.79 |
| 88362 | Nerve teasing preparations | 2.12 | 6.54 | $218.44 |
| 89049 | Chct for mal hyperthermia | 1.37 | 10.61 | $354.38 |
| 90460 | Im admin 1st/only component | 0.23 | 0.7 | $23.38 |
| 90461 | Im admin each addl component | 0.18 | 0.26 | $8.68 |
| 90471 | Immunization admin | 0.17 | 0.66 | $22.04 |
| 90472 | Immunization admin each add | 0.15 | 0.48 | $16.03 |
| 90785 | Psytx complex interactive | 0.33 | 0.44 | $14.70 |
| 90791 | Psych diagnostic evaluation | 3.84 | 5.19 | $173.35 |
| 90792 | Psych diag eval w/med srvcs | 4.16 | 6.05 | $202.08 |
| 90832 | Psytx w pt 30 minutes | 1.94 | 2.57 | $85.84 |
| 90833 | Psytx w pt w e/m 30 min | 1.71 | 2.44 | $81.50 |
| 90834 | Psytx w pt 45 minutes | 2.56 | 3.41 | $113.90 |
| 90836 | Psytx w pt w e/m 45 min | 2.17 | 3.09 | $103.21 |
| 90837 | Psytx w pt 60 minutes | 3.78 | 5.0 | $167.00 |
| 90838 | Psytx w pt w e/m 60 min | 2.86 | 4.09 | $136.61 |
| 90839 | Psytx crisis initial 60 min | 3.58 | 4.8 | $160.32 |
| 90840 | Psytx crisis ea addl 30 min | 1.71 | 2.31 | $77.16 |
| 90951 | Esrd serv 4 visits p mo <2yr | 23.92 | 35.44 | $1,183.73 |
| 90954 | Esrd serv 4 vsts p mo 2-11 | 20.86 | 30.97 | $1,034.43 |
| 90955 | Esrd srv 2-3 vsts p mo 2-11 | 10.32 | 16.12 | $538.42 |
| 90957 | Esrd srv 4 vsts p mo 12-19 | 15.46 | 23.86 | $796.95 |
| 90963 | Esrd home pt serv p mo <2yrs | 12.09 | 18.75 | $626.27 |
| 90964 | Esrd home pt serv p mo 2-11 | 10.25 | 15.99 | $534.08 |
| 91110 | Gi trc img intral esoph-ile | 2.18 | 24.02 | $802.29 |
| 91111 | Gi trc img intral esophagus | 0.88 | 28.65 | $956.94 |
| 91112 | Gi wireless capsule measure | 2.05 | 52.91 | $1,767.24 |
| 91113 | Gi trc img intral colon i&r | 2.35 | 29.5 | $985.33 |
| 91117 | Colon motility 6 hr study | 2.39 | 3.65 | $121.91 |
| 91124 | Rct snsatn tone&cmplianc std | 3.05 | 23.01 | $768.55 |
| 91125 | Anrct mano rct snsatn&balo | 2.7 | 10.4 | $347.37 |
| 92920 | Prq trluml c angiop 1art&/br | 8.14 | 11.59 | $387.12 |
| 92928 | Prq tcat plmt ntrac st 1 les | 9.75 | 13.89 | $463.94 |
| 92941 | Prq trlml revsc tot occl ami | 12.4 | 17.65 | $589.53 |
| 92943 | Prq trluml revsc ch occ ant | 13.35 | 18.98 | $633.95 |
| 92945 | Prq trl rvs ch occ ant&rtrgr | 15.0 | 18.92 | $631.95 |
| 92986 | Revision of aortic valve | 22.04 | 34.97 | $1,168.03 |
| 92987 | Revision of mitral valve | 22.8 | 36.08 | $1,205.10 |
| 92990 | Revision of pulmonary valve | 17.81 | 28.92 | $965.95 |
| 93000 | Electrocardiogram complete | 0.17 | 0.46 | $15.36 |
| 93010 | Electrocardiogram report | 0.17 | 0.25 | $8.35 |
| 93293 | Pm phone r-strip device eval | 0.3 | 1.19 | $39.75 |
| 93306 | Tte w/doppler complete | 1.42 | 5.89 | $196.73 |
| 93307 | Tte w/o doppler complete | 0.9 | 4.13 | $137.95 |
| 93350 | Stress tte only | 1.42 | 5.55 | $185.37 |
| 93452 | Left hrt cath w/ventrclgrphy | 4.39 | 26.23 | $876.11 |
| 93454 | Coronary artery angio s&i | 4.43 | 26.28 | $877.78 |
| 93458 | L hrt artery/ventricle angio | 5.46 | 30.24 | $1,010.04 |
| 93503 | Insert/place heart catheter | 1.95 | 2.44 | $81.50 |
| 93580 | Transcath closure of asd | 17.52 | 25.27 | $844.04 |
| 93581 | Transcath closure of vsd | 23.78 | 34.3 | $1,145.65 |
| 93590 | Perq transcath cls mitral | 21.16 | 27.32 | $912.51 |
| 93591 | Perq transcath cls aortic | 17.52 | 22.51 | $751.85 |
| 93653 | Compre ep eval tx svt | 14.63 | 21.3 | $711.44 |
| 93654 | Compre ep eval tx vt | 17.65 | 25.67 | $857.40 |
| 93656 | Compre ep eval abltj atr fib | 16.58 | 24.15 | $806.63 |
| 94002 | Vent mgmt inpat init day | 1.99 | 2.57 | $85.84 |
| 94003 | Vent mgmt inpat subq day | 1.37 | 1.77 | $59.12 |
| 94010 | Breathing capacity test | 0.17 | 0.89 | $29.73 |
| 94011 | Spirometry up to 2 yrs old | 1.71 | 2.15 | $71.81 |
| 94012 | Spirmtry w/brnchdil inf-2 yr | 2.78 | 3.51 | $117.24 |
| 94060 | Evaluation of wheezing | 0.21 | 1.3 | $43.42 |
| 94610 | Intrapulm surfactant admn | 1.13 | 1.43 | $47.76 |
| 94621 | Cardiopulm exercise testing | 1.38 | 4.96 | $165.67 |
| 95251 | Cont gluc mntr analysis i&r | 0.68 | 1.05 | $35.07 |
| 95722 | Eeg phy/qhp>36<60 hr w/veeg | 4.7 | 7.89 | $263.53 |
| 95723 | Eeg phy/qhp>60<84 hr w/o vid | 4.75 | 7.92 | $264.54 |
| 95724 | Eeg phy/qhp>60<84 hr w/veeg | 6.0 | 10.0 | $334.01 |
| 95725 | Eeg phy/qhp>84 hr w/o vid | 5.4 | 9.13 | $304.95 |
| 95726 | Eeg phy/qhp>84 hr w/veeg | 7.58 | 12.77 | $426.53 |
| 95810 | Polysom 6/> yrs 4/> param | 2.44 | 20.17 | $673.70 |
| 95811 | Polysom 6/>yrs cpap 4/> parm | 2.54 | 21.19 | $707.77 |
| 95812 | Eeg 41-60 minutes | 1.08 | 11.47 | $383.11 |
| 95816 | Eeg awake and drowsy | 1.05 | 12.38 | $413.50 |
| 95829 | Surgery electrocorticogram | 6.05 | 59.08 | $1,973.33 |
| 95886 | Musc test done w/n test comp | 0.84 | 2.99 | $99.87 |
| 95907 | Nvr cndj tst 1-2 studies | 0.98 | 2.82 | $94.19 |
| 95910 | Nrv cndj test 7-8 studies | 1.95 | 5.53 | $184.71 |
| 95913 | Nrv cndj test 13/> studies | 3.47 | 8.98 | $299.94 |
| 96112 | Devel tst phys/qhp 1st hr | 2.56 | 3.75 | $125.25 |
| 96130 | Psycl tst eval phys/qhp 1st | 2.56 | 3.71 | $123.92 |
| 96132 | Nrpsyc tst eval phys/qhp 1st | 2.56 | 3.66 | $122.25 |
| 96156 | Hlth bhv assmt/reassessment | 2.4 | 3.22 | $107.55 |
| 96360 | Hydration iv infusion init | 0.17 | 1.0 | $33.40 |
| 96361 | Hydrate iv infusion add-on | 0.09 | 0.39 | $13.03 |
| 96365 | Ther/proph/diag iv inf init | 0.21 | 2.01 | $67.14 |
| 96367 | Tx/proph/dg addl seq iv inf | 0.19 | 0.89 | $29.73 |
| 96409 | Chemo iv push sngl drug | 0.24 | 3.13 | $104.54 |
| 96413 | Chemo iv infusion 1 hr | 0.28 | 3.99 | $133.27 |
| 96415 | Chemo iv infusion addl hr | 0.19 | 0.85 | $28.39 |
| 96547 | Intraop hipec px 1st 60 min | 6.53 | 9.87 | $329.67 |
| 96548 | Ntraop hipec px ea add 30min | 3.0 | 4.54 | $151.64 |
| 97161 | Pt eval low complex 20 min | 1.54 | 2.93 | $97.86 |
| 97162 | Pt eval mod complex 30 min | 1.54 | 2.93 | $97.86 |
| 97163 | Pt eval high complex 45 min | 1.54 | 2.93 | $97.86 |
| 97165 | Ot eval low complex 30 min | 1.54 | 3.01 | $100.54 |
| 97166 | Ot eval mod complex 45 min | 1.54 | 3.01 | $100.54 |
| 97167 | Ot eval high complex 60 min | 1.54 | 3.01 | $100.54 |
| 98926 | Osteopath manj 3-4 regions | 0.69 | 1.38 | $46.09 |
| 98927 | Osteopath manj 5-6 regions | 0.94 | 1.82 | $60.79 |
| 98928 | Osteopath manj 7-8 regions | 1.18 | 2.2 | $73.48 |
| 98929 | Osteopath manj 9-10 regions | 1.42 | 2.57 | $85.84 |
| 98942 | Chiropractic manj 5 regions | 0.94 | 1.49 | $49.77 |
| 98968 | Ph1 assmt&mgmt nqhp 21-30 | 0.75 | 1.04 | $34.74 |
| 99091 | Collj & interpj data ea 30 d | 1.1 | 1.66 | $55.45 |
| 99151 | Mod sed same phys/qhp <5 yrs | 0.5 | 1.86 | $62.13 |
| 99152 | Mod sed same phys/qhp 5/>yrs | 0.25 | 1.54 | $51.44 |
| 99155 | Mod sed oth phys/qhp <5 yrs | 1.9 | 2.44 | $81.50 |
| 99156 | Mod sed oth phys/qhp 5/>yrs | 1.65 | 2.13 | $71.14 |
| 99157 | Mod sed other phys/qhp ea | 1.25 | 1.62 | $54.11 |
| 99170 | Anogenital exam child w imag | 1.71 | 4.98 | $166.34 |
| 99183 | Hyperbaric oxygen therapy | 2.06 | 3.28 | $109.55 |
| 99184 | Hypothermia ill neonate | 4.39 | 5.51 | $184.04 |
| 99202 | Office o/p new sf 15 min | 0.93 | 2.25 | $75.15 |
| 99203 | Office o/p new low 30 min | 1.6 | 3.52 | $117.57 |
| 99204 | Office o/p new mod 45 min | 2.6 | 5.31 | $177.36 |
| 99205 | Office o/p new hi 60 min | 3.5 | 7.09 | $236.81 |
| 99211 | Off/op est may x req phy/qhp | 0.18 | 0.73 | $24.38 |
| 99212 | Office o/p est sf 10 min | 0.7 | 1.78 | $59.45 |
| 99213 | Office o/p est low 20 min | 1.3 | 2.85 | $95.19 |
| 99214 | Office o/p est mod 30 min | 1.92 | 4.06 | $135.61 |
| 99215 | Office o/p est hi 40 min | 2.8 | 5.76 | $192.39 |
| 99221 | 1st hosp ip/obs sf/low 40 | 1.63 | 2.23 | $74.48 |
| 99222 | 1st hosp ip/obs moderate 55 | 2.6 | 3.5 | $116.90 |
| 99223 | 1st hosp ip/obs high 75 | 3.5 | 4.68 | $156.32 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 1.0 | 1.32 | $44.09 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 1.59 | 2.11 | $70.48 |
| 99233 | Sbsq hosp ip/obs high 50 | 2.4 | 3.2 | $106.88 |
| 99234 | Hosp ip/obs sm dt sf/low 45 | 2.0 | 2.64 | $88.18 |
| 99235 | Hosp ip/obs same date mod 70 | 3.24 | 4.28 | $142.96 |
| 99236 | Hosp ip/obs same date hi 85 | 4.3 | 5.68 | $189.72 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | 1.5 | 2.24 | $74.82 |
| 99239 | Hosp ip/obs dschrg mgmt >30 | 2.15 | 3.19 | $106.55 |
| 99281 | Emr dpt vst mayx req phy/qhp | 0.25 | 0.33 | $11.02 |
| 99282 | Emergency dept visit sf mdm | 0.93 | 1.21 | $40.42 |
| 99283 | Emergency dept visit low mdm | 1.6 | 2.08 | $69.47 |
| 99284 | Emergency dept visit mod mdm | 2.74 | 3.54 | $118.24 |
| 99285 | Emergency dept visit hi mdm | 4.0 | 5.13 | $171.35 |
| 99291 | Critical care first hour | 4.5 | 9.25 | $308.96 |
| 99292 | Critical care addl 30 min | 2.25 | 4.01 | $133.94 |
| 99304 | 1st nf care sf/low mdm 25 | 1.5 | 2.43 | $81.16 |
| 99305 | 1st nf care moderate mdm 35 | 2.5 | 4.22 | $140.95 |
| 99306 | 1st nf care high mdm 50 | 3.5 | 5.78 | $193.06 |
| 99307 | Sbsq nf care sf mdm 10 | 0.7 | 1.26 | $42.09 |
| 99308 | Sbsq nf care low mdm 20 | 1.3 | 2.36 | $78.83 |
| 99309 | Sbsq nf care moderate mdm 30 | 1.92 | 3.43 | $114.57 |
| 99310 | Sbsq nf care high mdm 45 | 2.8 | 4.89 | $163.33 |
| 99315 | Nf dschrg mgmt 30 min/less | 1.5 | 2.57 | $85.84 |
| 99316 | Nf dschrg mgmt 30 min+ | 2.5 | 4.14 | $138.28 |
| 99341 | Home/res vst new sf mdm 15 | 1.0 | 1.47 | $49.10 |
| 99342 | Home/res vst new low mdm 30 | 1.65 | 2.36 | $78.83 |
| 99344 | Home/res vst new mod mdm 60 | 2.87 | 4.39 | $146.63 |
| 99345 | Home/res vst new high mdm 75 | 3.88 | 6.29 | $210.09 |
| 99347 | Home/res vst est sf mdm 20 | 0.9 | 1.38 | $46.09 |
| 99348 | Home/res vst est low mdm 30 | 1.5 | 2.36 | $78.83 |
| 99349 | Home/res vst est mod mdm 40 | 2.44 | 3.96 | $132.27 |
| 99350 | Home/res vst est high mdm 60 | 3.6 | 5.78 | $193.06 |
| 99406 | Behav chng smoking 3-10 min | 0.24 | 0.46 | $15.36 |
| 99407 | Behav chng smoking > 10 min | 0.5 | 0.87 | $29.06 |
| 99421 | Ol dig e/m svc 5-10 min | 0.25 | 0.47 | $15.70 |
| 99422 | Ol dig e/m svc 11-20 min | 0.5 | 0.92 | $30.73 |
| 99423 | Ol dig e/m svc 21+ min | 0.8 | 1.46 | $48.77 |
| 99424 | Prin care mgmt phys 1st 30 | 1.45 | 2.62 | $87.51 |
| 99425 | Prin care mgmt phys ea addl | 1.0 | 1.84 | $61.46 |
| 99426 | Prin care mgmt staff 1st 30 | 1.0 | 2.03 | $67.80 |
| 99427 | Prin care mgmt staff ea addl | 0.71 | 1.62 | $54.11 |
| 99437 | Chrnc care mgmt phys ea addl | 1.0 | 1.89 | $63.13 |
| 99439 | Chrnc care mgmt staf ea addl | 0.7 | 1.51 | $50.44 |
| 99446 | Ntrprof ph1/ntrnet/ehr 5-10 | 0.35 | 0.57 | $19.04 |
| 99447 | Ntrprof ph1/ntrnet/ehr 11-20 | 0.7 | 1.14 | $38.08 |
| 99448 | Ntrprof ph1/ntrnet/ehr 21-30 | 1.05 | 1.7 | $56.78 |
| 99449 | Ntrprof ph1/ntrnet/ehr 31/> | 1.4 | 2.28 | $76.15 |
| 99451 | Ntrprof ph1/ntrnet/ehr 5/> | 0.7 | 1.06 | $35.40 |
| 99452 | Ntrprof ph1/ntrnet/ehr rfrl | 0.7 | 1.11 | $37.07 |
| 99457 | Rpm tx mgmt 1st 20 min | 0.61 | 1.55 | $51.77 |
| 99458 | Rpm tx mgmt ea addl 20 min | 0.61 | 1.24 | $41.42 |
| 99460 | Init nb em per day hosp | 1.92 | 2.42 | $80.83 |
| 99461 | Init nb em per day non-fac | 1.26 | 2.81 | $93.86 |
| 99462 | Sbsq nb em per day hosp | 0.84 | 1.06 | $35.40 |
| 99463 | Same day nb discharge | 2.13 | 2.84 | $94.86 |
| 99464 | Attendance at delivery | 1.5 | 1.89 | $63.13 |
| 99465 | Nb resuscitation | 2.93 | 3.7 | $123.58 |
| 99466 | Ped crit care transport | 4.79 | 6.04 | $201.74 |
| 99467 | Ped crit care transport addl | 2.4 | 3.03 | $101.20 |
| 99468 | Neonate crit care initial | 18.46 | 23.31 | $778.57 |
| 99469 | Neonate crit care subsq | 7.99 | 10.08 | $336.68 |
| 99470 | Rpm tx mgmt 1st 10 min | 0.31 | 0.78 | $26.05 |
| 99471 | Ped critical care initial | 15.98 | 20.19 | $674.36 |
| 99472 | Ped critical care subsq | 7.99 | 10.53 | $351.71 |
| 99474 | Self-meas bp 2 readg bid 30d | 0.18 | 0.55 | $18.37 |
| 99475 | Ped crit care age 2-5 init | 11.25 | 14.19 | $473.96 |
| 99476 | Ped crit care age 2-5 subsq | 6.75 | 9.17 | $306.29 |
| 99477 | Init day hosp neonate care | 7.0 | 8.84 | $295.26 |
| 99478 | Sbsq ic vlbw inf<1,500 gm | 2.75 | 3.47 | $115.90 |
| 99479 | Sbsq ic lbw inf 1,500-2,500 | 2.5 | 3.15 | $105.21 |
| 99480 | Sbsq ic inf pbw 2,501-5,000 | 2.4 | 3.03 | $101.20 |
| 99483 | Assmt & care pln pt cog imp | 3.84 | 8.77 | $292.93 |
| 99484 | Care mgmt svc bhvl hlth cond | 0.93 | 1.72 | $57.45 |
| 99487 | Cplx chrnc care 1st 60 min | 1.81 | 4.32 | $144.29 |
| 99489 | Cplx chrnc care ea addl 30 | 1.0 | 2.34 | $78.16 |
| 99490 | Chrnc care mgmt staff 1st 20 | 1.0 | 1.98 | $66.13 |
| 99491 | Chrnc care mgmt phys 1st 30 | 1.5 | 2.67 | $89.18 |
| 99492 | 1st psyc collab care mgmt | 1.88 | 4.8 | $160.32 |
| 99493 | Sbsq psyc collab care mgmt | 2.05 | 4.34 | $144.96 |
| 99494 | 1st/sbsq psyc collab care | 0.82 | 1.84 | $61.46 |
| 99495 | Transj care mgmt mod f2f 14d | 2.78 | 6.59 | $220.11 |
| 99496 | Transj care mgmt high f2f 7d | 3.79 | 8.94 | $298.60 |
| 99497 | Advncd care plan 30 min | 1.5 | 2.6 | $86.84 |
| 99498 | Advncd care plan addl 30 min | 1.4 | 2.34 | $78.16 |
| G0342 | Laparoscopy islet cell trans | 11.62 | 21.51 | $718.45 |
| G0343 | Laparotomy islet cell transp | 19.35 | 34.88 | $1,165.02 |
| G0412 | Open tx iliac spine uni/bil | 10.19 | 20.03 | $669.02 |
| G0413 | Pelvic ring fracture uni/bil | 15.34 | 29.28 | $977.98 |
| G0414 | Pelvic ring fx treat int fix | 14.28 | 27.67 | $924.20 |
| G0415 | Open tx post pelvic fxcture | 20.41 | 37.1 | $1,239.17 |
| G2004 | Post-d/c h vst new pt 60 m | 3.38 | 4.9 | $163.66 |
| G2005 | Post-d/c h vst new pt 75 m | 4.09 | 6.5 | $217.11 |
| G2009 | Post-d/c h vst ext pt 60 m | 3.28 | 5.46 | $182.37 |
| G2013 | Post-d/c h vst ext pt 75 m | 4.09 | 6.5 | $217.11 |
| G2086 | Off base opioid tx 70min | 8.36 | 14.71 | $491.33 |
| G2087 | Off base opioid tx, 60 m | 8.19 | 13.27 | $443.23 |
| G3002 | Chronic pain mgmt 30 mins | 1.45 | 2.58 | $86.17 |
| G3003 | Chronic pain mgmt addl 15m | 0.5 | 0.95 | $31.73 |
| G9157 | Transesoph doppl cardiac mon | 2.15 | 2.65 | $88.51 |
| G9484 | Remote e/m new pt 45mins | 2.43 | 2.67 | $89.18 |
| G9485 | Remote e/m new pt 60mins | 3.17 | 3.53 | $117.91 |
| G9685 | Acute nursing facility care | 3.5 | 4.69 | $156.65 |
| G9981 | Remote e/m new pt 45mins | 2.43 | 5.14 | $171.68 |
| G9982 | Remote e/m new pt 60mins | 3.17 | 6.76 | $225.79 |
| P3001 | Screening pap smear by phys | 0.25 | 0.72 | $24.05 |
| Q0035 | Cardiokymography | 0.17 | 0.57 | $19.04 |
| Q0091 | Obtaining screen pap smear | 0.36 | 1.38 | $46.09 |