"File Description:
*List of HCPCS codes payable under the OPPS that are designated as device-intensive procedures.        
*The final CY 2022 portion of the APC payment amounts uniquely associated with the cost of devices.  The device offset percentage for each HCPCS code is used to evaluate whether the procedure is designated as device-intensive, which is required to have device offset greater than 30 percent, and meet other criteria.  

*The applicable device offset amount is the product of the APC payment rate multiplied by HCPCS device offset percent.

*For procedures  identified by a double asterisk (**), device cost statistics reflect the data from CY 2020. Otherwise, device cost statistics reflect the data from CY 2019 used for ratesetting in this CY 2022 OPPS/ASC final rule. Device cost statistics for HCPCS codes established in CY 2021 or CY 2022 do not appear in this file."							
HCPCS	Short Descriptor		SI	APC	CN CY 2022 APC Payment Rate	Device Offset Percentage	Device Offset Amount
0100T	Prosth retina receive&gen		T	1908	"$152,500.50"	95.49%	"$145,622.73"
0184T	Exc rectal tumor endoscopic		J1	5331	"$5,140.85"	0.69%	$35.47
0191T	Insert ant segment drain int		D			54.55%	
0200T	Perq sacral augmt unilat inj		J1	5114	"$6,397.05"	30.03%	"$1,921.03"
0201T	Perq sacral augmt bilat inj		J1	5114	"$6,397.05"	25.19%	"$1,611.42"
0207T	Clear eyelid gland w/heat		Q1	5734	$115.16	0.00%	$0.00
0208T	Audiometry air only		Q1	5732	$34.57	0.00%	$0.00
0232T	Njx platelet plasma		Q1	5735	$277.18	2.82%	$7.82
0234T	Trluml perip athrc renal art		J1	5193	"$10,258.49"	60.14%	"$6,169.46"
0237T	Trluml perip athrc brchiocph		J1	5193	"$10,258.49"	42.97%	"$4,408.07"
0238T	Trluml perip athrc iliac art		J1	5194	"$16,402.31"	50.28%	"$8,247.08"
0253T	Insert aqueous drain device		J1	5492	"$3,999.59"	52.29%	"$2,091.39"
0266T	Implt/rpl crtd sns dev total	**	J1	5465	"$30,063.48"	75.31%	"$22,640.81"
0268T	Implt/rpl crtd sns dev gen		J1	5465	"$30,063.48"	95.74%	"$28,782.78"
0274T	Perq lamot/lam crv/thrc		J1	5114	"$6,397.05"	10.01%	$640.34
0275T	Perq lamot/lam lumbar		J1	5114	"$6,397.05"	34.16%	"$2,185.23"
0278T	Tempr		Q1	5721	$142.59	0.00%	$0.00
0315T	Rmvl vagus nerve pls gen		J1	5461	"$3,345.73"	0.00%	$0.00
0316T	Replc vagus nerve pls gen		J1	5465	"$30,063.48"	88.10%	"$26,485.93"
0330T	Tear film img uni/bi w/i&r		Q1	5732	$34.57	0.00%	$0.00
0332T	Heart symp image plnr spect		S	5593	"$1,334.62"	0.00%	$0.00
0335T	Insj sinus tarsi implant		J1	5114	"$6,397.05"	45.62%	"$2,918.33"
0339T	Trnscth renal symp denrv bil		J1	5192	"$5,061.89"	0.00%	$0.00
0355T	Gi tract capsule endoscopy		D			0.00%	
0358T	Bia whole body		Q1	5731	$25.23	0.00%	$0.00
0394T	Hdr elctrnc skn surf brchytx		S	5622	$246.87	0.00%	$0.00
0395T	Hdr elctr ntrst/ntrcv brchtx		S	5624	$724.50	0.00%	$0.00
0398T	Mrgfus strtctc les abltj		J1	5463	"$11,483.38"	3.05%	$350.24
0402T	Colgn cross-link crn med sep		J1	5503	"$2,043.70"	0.00%	$0.00
0408T	Insj/rplc cardiac modulj sys		J1	5231	"$23,550.85"	52.29%	"$12,314.74"
0411T	Insj/rplc car modulj vnt elt		J1	5222	"$8,332.37"	31.55%	"$2,628.86"
0414T	Rmvl & rpl car modulj pls gn	**	J1	5231	"$23,550.85"	63.95%	"$15,060.77"
0418T	Interro eval cardiac modulj		Q1	5741	$38.03	0.00%	$0.00
0419T	Dstrj neurofibroma xtnsv		T	5053	$534.89	0.00%	$0.00
0420T	Dstrj neurofibroma xtnsv		T	5053	$534.89	0.00%	$0.00
0421T	Waterjet prostate abltj cmpl		J1	5376	"$8,428.82"	0.00%	$0.00
0424T	Insj/rplc nstim apnea compl		J1	5465	"$30,063.48"	27.10%	"$8,147.20"
0425T	Insj/rplc nstim apnea sen ld		J1	5463	"$11,483.38"	13.13%	"$1,507.77"
0426T	Insj/rplc nstim apnea stm ld		J1	5463	"$11,483.38"	25.31%	"$2,906.44"
0427T	Insj/rplc nstim apnea pls gn		J1	5465	"$30,063.48"	79.82%	"$23,996.67"
0428T	Rmvl nstim apnea pls gen		J1	5461	"$3,345.73"	79.91%	"$2,673.57"
0431T	Rmvl/rplc nstim apnea pls gn		J1	5465	"$30,063.48"	80.96%	"$24,339.39"
0432T	Repos nstim apnea stimj ld		J1	5461	"$3,345.73"	36.96%	"$1,236.58"
0436T	Prgrmg eval npgs apnea study		S	5724	$939.61	0.00%	$0.00
0441T	Abltj perc lxtr/perph nrv		J1	5431	"$1,793.31"	4.42%	$79.26
0442T	Abltj perc plex/trncl nrv		J1	5432	"$5,823.95"	57.25%	"$3,334.21"
0449T	Insj aqueous drain dev 1st		J1	5492	"$3,999.59"	54.70%	"$2,187.78"
0467T	Revj/rplmnt ch respir eltrd		D			49.25%	
0468T	Rmvl ch wal respir eltrd/ra		D			0.00%	
0479T	Fxjl abl lsr 1st 100 sq cm		T	5053	$534.89	0.65%	$3.48
0499T	Cysto f/urtl strix/stenosis		J1	5374	"$3,140.04"	23.88%	$749.84
0503T	Cor ffr alys gnrj ffr mdl		S	1511	$950.50	0.00%	$0.00
0505T	Ev fempop artl revsc		J1	5193	"$10,258.49"	46.03%	"$4,721.98"
0509T	Pattern erg w/i&r		S	5722	$270.29	0.00%	$0.00
0511T	Rmvl&rinsj sinus tarsi implt	**	J1	5114	"$6,397.05"	49.01%	"$3,135.19"
0512T	Esw integ wnd hlg 1st wnd		S	5051	$183.40	0.00%	$0.00
0517T	Insj wcs lv pg compnt		J1	5222	"$8,332.37"	64.19%	"$5,348.55"
0519T	Rmvl & rplcmt pg compnt wcs	**	T	5221	"$3,516.82"	53.15%	"$1,869.19"
0527T	Insj/rplcmt iims implt mntr		J1	5222	"$8,332.37"	19.61%	"$1,633.98"
0540T	Car-t cll admn autologous		S	5694	$325.64	0.00%	$0.00
0548T	Tprnl balo cntnc dev bi		D			74.98%	
0549T	Tprnl balo cntnc dev uni		D			74.42%	
0550T	Tprnl balo cntnc dev rmvl ea		D			0.00%	
0551T	Tprnl balo cntnc dev adjmt		D			0.00%	
0587T	Perq impltj/rplcmt isdns ptn	**	J1	5462	"$6,295.45"	50.19%	"$3,159.69"
0600T	Ire abltj 1+tum organ perq	**	J1	5362	"$9,096.46"	64.28%	"$5,847.20"
0614T	Rmvl&rplcmt ss impl dfb pg	**	J1	5231	"$23,550.85"	93.97%	"$22,130.73"
10005	Fna bx w/us gdn 1st les		T	5071	$635.54	0.14%	$0.89
10007	Fna bx w/fluor gdn 1st les		T	5071	$635.54	0.61%	$3.88
10009	Fna bx w/ct gdn 1st les		T	5071	$635.54	1.02%	$6.48
10011	Fna bx w/mr gdn 1st les		T	5071	$635.54	0.00%	$0.00
10021	Fna bx w/o img gdn 1st les		T	5052	$353.00	0.07%	$0.25
10030	Guide cathet fluid drainage		T	5071	$635.54	14.84%	$94.31
10035	Perq dev soft tiss 1st imag		T	5071	$635.54	24.67%	$156.79
10040	Acne surgery		Q1	5051	$183.40	0.00%	$0.00
10060	Drainage of skin abscess		T	5051	$183.40	0.05%	$0.09
10061	Drainage of skin abscess		T	5052	$353.00	0.19%	$0.67
10080	Drainage of pilonidal cyst		T	5071	$635.54	0.00%	$0.00
10081	Drainage of pilonidal cyst		T	5071	$635.54	0.00%	$0.00
10120	Remove foreign body		T	5052	$353.00	0.14%	$0.49
10121	Remove foreign body		J1	5072	"$1,436.99"	0.09%	$1.29
10140	Drainage of hematoma/fluid		J1	5072	"$1,436.99"	1.16%	$16.67
10160	Puncture drainage of lesion		T	5052	$353.00	2.26%	$7.98
10180	Complex drainage wound		J1	5073	"$2,421.55"	1.62%	$39.23
11000	Debride infected skin		T	5053	$534.89	1.17%	$6.26
11010	Debride skin at fx site		T	5071	$635.54	3.74%	$23.77
11011	Debride skin musc at fx site		T	5071	$635.54	16.33%	$103.78
11012	Deb skin bone at fx site		J1	5073	"$2,421.55"	1.39%	$33.66
11042	Deb subq tissue 20 sq cm/<		T	5052	$353.00	0.02%	$0.07
11043	Deb musc/fascia 20 sq cm/<		T	5053	$534.89	0.16%	$0.86
11044	Deb bone 20 sq cm/<		J1	5072	"$1,436.99"	0.76%	$10.92
11055	Trim skin lesion		Q1	5051	$183.40	0.00%	$0.00
11056	Trim skin lesions 2 to 4		Q1	5051	$183.40	0.00%	$0.00
11057	Trim skin lesions over 4		T	5051	$183.40	0.00%	$0.00
11102	Tangntl bx skin single les		T	5051	$183.40	0.00%	$0.00
11104	Punch bx skin single lesion		T	5052	$353.00	0.01%	$0.04
11106	Incal bx skn single les		T	5053	$534.89	0.11%	$0.59
11200	Removal of skin tags <w/15		Q1	5051	$183.40	0.02%	$0.04
11300	Shave skin lesion 0.5 cm/<		Q1	5052	$353.00	0.00%	$0.00
11301	Shave skin lesion 0.6-1.0 cm		Q1	5051	$183.40	0.00%	$0.00
11302	Shave skin lesion 1.1-2.0 cm		Q1	5051	$183.40	0.00%	$0.00
11303	Shave skin lesion >2.0 cm		Q1	5052	$353.00	0.00%	$0.00
11305	Shave skin lesion 0.5 cm/<		Q1	5051	$183.40	0.00%	$0.00
11306	Shave skin lesion 0.6-1.0 cm		Q1	5051	$183.40	0.00%	$0.00
11307	Shave skin lesion 1.1-2.0 cm		T	5051	$183.40	0.00%	$0.00
11308	Shave skin lesion >2.0 cm		Q1	5052	$353.00	0.00%	$0.00
11310	Shave skin lesion 0.5 cm/<		T	5051	$183.40	0.00%	$0.00
11311	Shave skin lesion 0.6-1.0 cm		T	5051	$183.40	0.00%	$0.00
11312	Shave skin lesion 1.1-2.0 cm		T	5052	$353.00	0.00%	$0.00
11313	Shave skin lesion >2.0 cm		T	5052	$353.00	0.00%	$0.00
11400	Exc tr-ext b9+marg 0.5 cm<		T	5071	$635.54	0.04%	$0.25
11401	Exc tr-ext b9+marg 0.6-1 cm		T	5052	$353.00	0.06%	$0.21
11402	Exc tr-ext b9+marg 1.1-2 cm		T	5071	$635.54	0.10%	$0.64
11403	Exc tr-ext b9+marg 2.1-3cm		T	5071	$635.54	0.30%	$1.91
11404	Exc tr-ext b9+marg 3.1-4 cm		J1	5072	"$1,436.99"	0.07%	$1.01
11406	Exc tr-ext b9+marg >4.0 cm		J1	5072	"$1,436.99"	0.19%	$2.73
11420	Exc h-f-nk-sp b9+marg 0.5/<		J1	5072	"$1,436.99"	0.03%	$0.43
11421	Exc h-f-nk-sp b9+marg 0.6-1		T	5071	$635.54	0.02%	$0.13
11422	Exc h-f-nk-sp b9+marg 1.1-2		J1	5072	"$1,436.99"	0.08%	$1.15
11423	Exc h-f-nk-sp b9+marg 2.1-3		J1	5072	"$1,436.99"	0.07%	$1.01
11424	Exc h-f-nk-sp b9+marg 3.1-4		J1	5072	"$1,436.99"	0.48%	$6.90
11426	Exc h-f-nk-sp b9+marg >4 cm		J1	5073	"$2,421.55"	0.38%	$9.20
11440	Exc face-mm b9+marg 0.5 cm/<		T	5071	$635.54	0.04%	$0.25
11441	Exc face-mm b9+marg 0.6-1 cm		T	5071	$635.54	0.07%	$0.44
11442	Exc face-mm b9+marg 1.1-2 cm		T	5071	$635.54	0.06%	$0.38
11443	Exc face-mm b9+marg 2.1-3 cm		J1	5072	"$1,436.99"	0.04%	$0.57
11444	Exc face-mm b9+marg 3.1-4 cm		J1	5072	"$1,436.99"	0.18%	$2.59
11446	Exc face-mm b9+marg >4 cm		J1	5073	"$2,421.55"	0.11%	$2.66
11450	Removal sweat gland lesion		J1	5073	"$2,421.55"	0.06%	$1.45
11451	Removal sweat gland lesion		J1	5073	"$2,421.55"	0.39%	$9.44
11462	Removal sweat gland lesion		J1	5073	"$2,421.55"	0.22%	$5.33
11463	Removal sweat gland lesion		J1	5073	"$2,421.55"	0.98%	$23.73
11470	Removal sweat gland lesion		J1	5073	"$2,421.55"	0.06%	$1.45
11471	Removal sweat gland lesion		J1	5073	"$2,421.55"	1.26%	$30.51
11600	Exc tr-ext mal+marg 0.5 cm/<		T	5071	$635.54	0.03%	$0.19
11601	Exc tr-ext mal+marg 0.6-1 cm		T	5071	$635.54	0.10%	$0.64
11602	Exc tr-ext mal+marg 1.1-2 cm		T	5052	$353.00	0.01%	$0.04
11603	Exc tr-ext mal+marg 2.1-3 cm		T	5071	$635.54	0.05%	$0.32
11604	Exc tr-ext mal+marg 3.1-4 cm		T	5071	$635.54	0.11%	$0.70
11606	Exc tr-ext mal+marg >4 cm		J1	5072	"$1,436.99"	0.28%	$4.02
11620	Exc h-f-nk-sp mal+marg 0.5/<		J1	5072	"$1,436.99"	0.67%	$9.63
11621	Exc s/n/h/f/g mal+mrg 0.6-1		T	5071	$635.54	0.00%	$0.00
11622	Exc s/n/h/f/g mal+mrg 1.1-2		T	5071	$635.54	0.33%	$2.10
11623	Exc s/n/h/f/g mal+mrg 2.1-3		J1	5072	"$1,436.99"	0.34%	$4.89
11624	Exc s/n/h/f/g mal+mrg 3.1-4		J1	5072	"$1,436.99"	0.32%	$4.60
11626	Exc s/n/h/f/g mal+mrg >4 cm		J1	5073	"$2,421.55"	0.48%	$11.62
11640	Exc f/e/e/n/l mal+mrg 0.5cm<		T	5071	$635.54	0.02%	$0.13
11641	Exc f/e/e/n/l mal+mrg 0.6-1		T	5071	$635.54	0.02%	$0.13
11642	Exc f/e/e/n/l mal+mrg 1.1-2		T	5071	$635.54	0.15%	$0.95
11643	Exc f/e/e/n/l mal+mrg 2.1-3		J1	5072	"$1,436.99"	0.04%	$0.57
11644	Exc f/e/e/n/l mal+mrg 3.1-4		J1	5072	"$1,436.99"	0.16%	$2.30
11646	Exc f/e/e/n/l mal+mrg >4 cm		J1	5073	"$2,421.55"	0.18%	$4.36
11719	Trim nail(s) any number		Q1	5733	$56.85	0.00%	$0.00
11720	Debride nail 1-5		Q1	5733	$56.85	0.00%	$0.00
11721	Debride nail 6 or more		Q1	5733	$56.85	0.00%	$0.00
11730	Removal of nail plate		Q1	5051	$183.40	0.01%	$0.02
11740	Drain blood from under nail		Q1	5734	$115.16	0.00%	$0.00
11750	Removal of nail bed		T	5052	$353.00	0.05%	$0.18
11755	Biopsy nail unit		T	5071	$635.54	0.04%	$0.25
11760	Repair of nail bed		T	5053	$534.89	0.00%	$0.00
11762	Reconstruction of nail bed		T	5054	"$1,749.26"	5.05%	$88.34
11765	Excision of nail fold toe		Q1	5052	$353.00	0.00%	$0.00
11770	Remove pilonidal cyst simple		J1	5073	"$2,421.55"	0.77%	$18.65
11771	Remove pilonidal cyst exten		J1	5073	"$2,421.55"	0.45%	$10.90
11772	Remove pilonidal cyst compl		J1	5073	"$2,421.55"	0.79%	$19.13
11900	Inject skin lesions </w 7		Q1	5051	$183.40	0.00%	$0.00
11901	Inject skin lesions >7		Q1	5051	$183.40	0.00%	$0.00
11920	Correct skin color 6.0 cm/<		T	5053	$534.89	0.00%	$0.00
11921	Correct skn color 6.1-20.0cm		T	5053	$534.89	0.00%	$0.00
11950	Tx contour defects 1 cc/<		T	5051	$183.40	3.79%	$6.95
11951	Tx contour defects 1.1-5.0cc		T	5053	$534.89	0.00%	$0.00
11952	Tx contour defects 5.1-10cc		T	5053	$534.89	0.00%	$0.00
11954	Tx contour defects >10.0 cc		T	5053	$534.89	0.00%	$0.00
11960	Insert tissue expander(s)		T	5055	"$3,596.22"	22.53%	$810.23
11970	Rplcmt tiss xpndr perm implt		J1	5114	"$6,397.05"	31.37%	"$2,006.75"
11971	Rmvl tis xpndr wo insj implt		Q2	5073	"$2,421.55"	1.44%	$34.87
11976	Remove contraceptive capsule		Q2	5071	$635.54	0.00%	$0.00
11980	Implant hormone pellet(s)		Q1	5735	$277.18	0.35%	$0.97
11981	Insertion drug dlvr implant		Q1	5734	$115.16	0.78%	$0.90
11982	Remove drug implant device		Q1	5735	$277.18	0.47%	$1.30
11983	Remove/insert drug implant		Q1	5735	$277.18	3.11%	$8.62
12001	Rpr s/n/ax/gen/trnk 2.5cm/<		Q1	5051	$183.40	0.08%	$0.15
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm		Q1	5051	$183.40	0.00%	$0.00
12004	Rpr s/n/ax/gen/trk7.6-12.5cm		Q1	5051	$183.40	0.01%	$0.02
12005	Rpr s/n/a/gen/trk12.6-20.0cm		Q1	5052	$353.00	0.00%	$0.00
12006	Rpr s/n/a/gen/trk20.1-30.0cm		Q2	5052	$353.00	0.00%	$0.00
12007	Rpr s/n/ax/gen/trnk >30.0 cm		T	5051	$183.40	0.00%	$0.00
12011	Rpr f/e/e/n/l/m 2.5 cm/<		Q1	5051	$183.40	0.02%	$0.04
12013	Rpr f/e/e/n/l/m 2.6-5.0 cm		Q1	5051	$183.40	0.01%	$0.02
12014	Rpr f/e/e/n/l/m 5.1-7.5 cm		Q1	5051	$183.40	0.00%	$0.00
12015	Rpr f/e/e/n/l/m 7.6-12.5 cm		Q1	5051	$183.40	0.00%	$0.00
12016	Rpr fe/e/en/l/m 12.6-20.0 cm		Q1	5052	$353.00	0.00%	$0.00
12017	Rpr fe/e/en/l/m 20.1-30.0 cm		Q1	5052	$353.00	0.00%	$0.00
12020	Closure of split wound		T	5053	$534.89	0.42%	$2.25
12021	Closure of split wound		T	5052	$353.00	0.11%	$0.39
12031	Intmd rpr s/a/t/ext 2.5 cm/<		T	5052	$353.00	0.16%	$0.56
12032	Intmd rpr s/a/t/ext 2.6-7.5		T	5052	$353.00	0.02%	$0.07
12034	Intmd rpr s/tr/ext 7.6-12.5		T	5052	$353.00	0.31%	$1.09
12035	Intmd rpr s/a/t/ext 12.6-20		T	5052	$353.00	0.00%	$0.00
12036	Intmd rpr s/a/t/ext 20.1-30		T	5053	$534.89	1.36%	$7.27
12037	Intmd rpr s/tr/ext >30.0 cm		T	5054	"$1,749.26"	0.22%	$3.85
12041	Intmd rpr n-hf/genit 2.5cm/<		Q2	5052	$353.00	0.06%	$0.21
12042	Intmd rpr n-hf/genit2.6-7.5		T	5052	$353.00	0.03%	$0.11
12044	Intmd rpr n-hf/genit7.6-12.5		T	5053	$534.89	0.41%	$2.19
12045	Intmd rpr n-hf/genit12.6-20		T	5053	$534.89	0.00%	$0.00
12046	Intmd rpr n-hf/genit20.1-30		T	5053	$534.89	0.00%	$0.00
12047	Intmd rpr n-hf/genit >30.0cm		T	5054	"$1,749.26"	0.00%	$0.00
12051	Intmd rpr face/mm 2.5 cm/<		T	5052	$353.00	0.11%	$0.39
12052	Intmd rpr face/mm 2.6-5.0 cm		T	5052	$353.00	0.00%	$0.00
12053	Intmd rpr face/mm 5.1-7.5 cm		T	5052	$353.00	0.00%	$0.00
12054	Intmd rpr face/mm 7.6-12.5cm		Q2	5052	$353.00	0.00%	$0.00
12055	Intmd rpr face/mm 12.6-20 cm		T	5052	$353.00	0.00%	$0.00
13100	Cmplx rpr trunk 1.1-2.5 cm		T	5053	$534.89	0.32%	$1.71
13101	Cmplx rpr trunk 2.6-7.5 cm		T	5053	$534.89	0.41%	$2.19
13120	Cmplx rpr s/a/l 1.1-2.5 cm		T	5053	$534.89	0.08%	$0.43
13121	Cmplx rpr s/a/l 2.6-7.5 cm		T	5053	$534.89	0.02%	$0.11
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f		T	5052	$353.00	0.12%	$0.42
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f		T	5053	$534.89	0.01%	$0.05
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm		T	5053	$534.89	0.00%	$0.00
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm		T	5053	$534.89	0.00%	$0.00
13160	Late closure of wound		T	5054	"$1,749.26"	1.78%	$31.14
14000	Tis trnfr trunk 10 sq cm/<		T	5054	"$1,749.26"	0.69%	$12.07
14001	Tis trnfr trunk 10.1-30sqcm		T	5054	"$1,749.26"	1.05%	$18.37
14020	Tis trnfr s/a/l 10 sq cm/<		T	5054	"$1,749.26"	0.18%	$3.15
14021	Tis trnfr s/a/l 10.1-30 sqcm		T	5054	"$1,749.26"	0.06%	$1.05
14040	Tis trnfr f/c/c/m/n/a/g/h/f		T	5054	"$1,749.26"	0.29%	$5.07
14041	Tis trnfr f/c/c/m/n/a/g/h/f		T	5054	"$1,749.26"	0.20%	$3.50
14060	Tis trnfr e/n/e/l 10 sq cm/<		T	5054	"$1,749.26"	0.12%	$2.10
14061	Tis trnfr e/n/e/l10.1-30sqcm		T	5054	"$1,749.26"	0.11%	$1.92
14301	Tis trnfr any 30.1-60 sq cm		T	5055	"$3,596.22"	0.43%	$15.46
14350	Filleted finger/toe flap		T	5054	"$1,749.26"	5.70%	$99.71
15002	Wound prep trk/arm/leg		T	5054	"$1,749.26"	3.12%	$54.58
15004	Wound prep f/n/hf/g		T	5053	$534.89	3.24%	$17.33
15040	Harvest cultured skin graft		T	5054	"$1,749.26"	0.00%	$0.00
15050	Skin pinch graft		T	5053	$534.89	0.00%	$0.00
15100	Skin splt grft trnk/arm/leg		T	5054	"$1,749.26"	0.50%	$8.75
15110	Epidrm autogrft trnk/arm/leg		T	5054	"$1,749.26"	0.37%	$6.47
15115	Epidrm a-grft face/nck/hf/g		T	5054	"$1,749.26"	0.90%	$15.74
15120	Skn splt a-grft fac/nck/hf/g		T	5055	"$3,596.22"	0.61%	$21.94
15130	Derm autograft trnk/arm/leg		T	5054	"$1,749.26"	0.00%	$0.00
15135	Derm autograft face/nck/hf/g		T	5055	"$3,596.22"	17.57%	$631.86
15150	Cult skin grft t/arm/leg		T	5054	"$1,749.26"	0.00%	$0.00
15155	Cult skin graft f/n/hf/g		T	5055	"$3,596.22"	13.84%	$497.72
15200	Skin full graft trunk		T	5054	"$1,749.26"	0.00%	$0.00
15220	Skin full graft sclp/arm/leg		T	5054	"$1,749.26"	1.10%	$19.24
15240	Skin full grft face/genit/hf		T	5054	"$1,749.26"	0.34%	$5.95
15260	Skin full graft een & lips		T	5054	"$1,749.26"	0.08%	$1.40
15271	Skin sub graft trnk/arm/leg		T	5054	"$1,749.26"	0.04%	$0.70
15273	Skin sub grft t/arm/lg child		T	5055	"$3,596.22"	0.47%	$16.90
15275	Skin sub graft face/nk/hf/g		T	5054	"$1,749.26"	0.06%	$1.05
15277	Skn sub grft f/n/hf/g child		T	5054	"$1,749.26"	0.26%	$4.55
15570	Skin pedicle flap trunk		T	5054	"$1,749.26"	0.00%	$0.00
15572	Skin pedicle flap arms/legs		T	5055	"$3,596.22"	1.18%	$42.44
15574	Pedcle fh/ch/ch/m/n/ax/g/h/f		T	5054	"$1,749.26"	0.01%	$0.17
15576	Pedicle e/n/e/l/ntroral		T	5054	"$1,749.26"	0.50%	$8.75
15600	Delay flap trunk		T	5055	"$3,596.22"	0.35%	$12.59
15610	Delay flap arms/legs		T	5054	"$1,749.26"	0.42%	$7.35
15620	Delay flap f/c/c/n/ax/g/h/f		T	5054	"$1,749.26"	0.07%	$1.22
15630	Delay flap eye/nos/ear/lip		T	5054	"$1,749.26"	0.03%	$0.52
15650	Transfer skin pedicle flap		T	5054	"$1,749.26"	0.35%	$6.12
15730	Mdfc flap w/prsrv vasc pedcl		T	5055	"$3,596.22"	0.00%	$0.00
15731	Forehead flap w/vasc pedicle		T	5055	"$3,596.22"	0.68%	$24.45
15733	Musc myoq/fscq flp h&n pedcl		T	5055	"$3,596.22"	1.10%	$39.56
15734	Muscle-skin graft trunk		T	5055	"$3,596.22"	1.97%	$70.85
15736	Muscle-skin graft arm		T	5054	"$1,749.26"	4.29%	$75.04
15738	Muscle-skin graft leg		T	5055	"$3,596.22"	4.39%	$157.87
15740	Island pedicle flap graft		T	5054	"$1,749.26"	8.88%	$155.33
15750	Neurovascular pedicle flap		T	5055	"$3,596.22"	0.05%	$1.80
15760	Composite skin graft		T	5054	"$1,749.26"	2.12%	$37.08
15770	Derma-fat-fascia graft		T	5055	"$3,596.22"	2.15%	$77.32
15781	Dermabrasion segmental face		T	5071	$635.54	0.00%	$0.00
15786	Abrasion lesion single		Q1	5051	$183.40	0.00%	$0.00
15788	Chemical peel face epiderm		Q1	5052	$353.00	0.00%	$0.00
15789	Chemical peel face dermal		T	5053	$534.89	0.00%	$0.00
15792	Chemical peel nonfacial		Q1	5053	$534.89	0.00%	$0.00
15793	Chemical peel nonfacial		Q1	5052	$353.00	0.00%	$0.00
15819	Plastic surgery neck		T	5054	"$1,749.26"	0.00%	$0.00
15820	Revision of lower eyelid		T	5054	"$1,749.26"	0.04%	$0.70
15821	Revision of lower eyelid		T	5054	"$1,749.26"	0.00%	$0.00
15822	Revision of upper eyelid		T	5054	"$1,749.26"	0.03%	$0.52
15823	Revision of upper eyelid		T	5054	"$1,749.26"	0.07%	$1.22
15824	Removal of forehead wrinkles		T	5054	"$1,749.26"	0.00%	$0.00
15825	Removal of neck wrinkles		T	5055	"$3,596.22"	0.00%	$0.00
15828	Removal of face wrinkles		T	5055	"$3,596.22"	1.27%	$45.67
15829	Removal of skin wrinkles		T	5055	"$3,596.22"	8.76%	$315.03
15830	Exc skin abd		J1	5092	"$5,652.10"	1.62%	$91.56
15832	Excise excessive skin thigh		J1	5073	"$2,421.55"	0.37%	$8.96
15833	Excise excessive skin leg		J1	5073	"$2,421.55"	1.35%	$32.69
15834	Excise excessive skin hip		J1	5073	"$2,421.55"	0.00%	$0.00
15836	Excise excessive skin arm		J1	5073	"$2,421.55"	1.09%	$26.39
15837	Excise excess skin arm/hand		J1	5073	"$2,421.55"	3.35%	$81.12
15838	Excise excess skin fat pad		J1	5073	"$2,421.55"	0.39%	$9.44
15839	Excise excess skin & tissue		J1	5073	"$2,421.55"	1.01%	$24.46
15840	Nerve palsy fascial graft		T	5055	"$3,596.22"	5.24%	$188.44
15841	Nerve palsy muscle graft		T	5055	"$3,596.22"	0.00%	$0.00
15845	Skin and muscle repair face		T	5055	"$3,596.22"	0.52%	$18.70
15850	Remove sutures same surgeon		T	5053	$534.89	0.00%	$0.00
15851	Remove sutures diff surgeon		T	5054	"$1,749.26"	0.00%	$0.00
15852	Dressing change not for burn		Q1	5053	$534.89	0.48%	$2.57
15860	Test for blood flow in graft		Q1	5735	$277.18	0.00%	$0.00
15876	Suction lipectomy head&neck		T	5055	"$3,596.22"	0.28%	$10.07
15877	Suction lipectomy trunk		T	5055	"$3,596.22"	0.83%	$29.85
15878	Suction lipectomy upr extrem		T	5054	"$1,749.26"	1.94%	$33.94
15879	Suction lipectomy lwr extrem		T	5055	"$3,596.22"	0.07%	$2.52
15920	Removal of tail bone ulcer		J1	5073	"$2,421.55"	0.00%	$0.00
15922	Removal of tail bone ulcer		T	5055	"$3,596.22"	0.00%	$0.00
15931	Remove sacrum pressure sore		J1	5073	"$2,421.55"	0.71%	$17.19
15933	Remove sacrum pressure sore		J1	5073	"$2,421.55"	0.00%	$0.00
15934	Remove sacrum pressure sore		T	5055	"$3,596.22"	0.00%	$0.00
15935	Remove sacrum pressure sore		T	5055	"$3,596.22"	0.79%	$28.41
15936	Remove sacrum pressure sore		T	5054	"$1,749.26"	0.00%	$0.00
15937	Remove sacrum pressure sore		T	5054	"$1,749.26"	0.00%	$0.00
15940	Remove hip pressure sore		J1	5073	"$2,421.55"	0.00%	$0.00
15941	Remove hip pressure sore		J1	5073	"$2,421.55"	0.44%	$10.65
15944	Remove hip pressure sore		T	5055	"$3,596.22"	0.00%	$0.00
15945	Remove hip pressure sore		T	5054	"$1,749.26"	0.00%	$0.00
15946	Remove hip pressure sore		T	5054	"$1,749.26"	4.30%	$75.22
15950	Remove thigh pressure sore		J1	5072	"$1,436.99"	0.01%	$0.14
15951	Remove thigh pressure sore		J1	5073	"$2,421.55"	0.00%	$0.00
15952	Remove thigh pressure sore		T	5054	"$1,749.26"	0.00%	$0.00
15953	Remove thigh pressure sore		T	5055	"$3,596.22"	0.00%	$0.00
15956	Remove thigh pressure sore		T	5054	"$1,749.26"	0.00%	$0.00
15958	Remove thigh pressure sore		T	5055	"$3,596.22"	0.00%	$0.00
15999	Removal of pressure sore		T	5071	$635.54	1.33%	$8.45
16000	Initial treatment of burn(s)		Q1	5051	$183.40	0.00%	$0.00
16020	Dress/debrid p-thick burn s		Q1	5051	$183.40	0.00%	$0.00
16025	Dress/debrid p-thick burn m		T	5051	$183.40	0.00%	$0.00
16030	Dress/debrid p-thick burn l		T	5052	$353.00	0.02%	$0.07
16035	Incision of burn scab initi		T	5052	$353.00	0.00%	$0.00
17000	Destruct premalg lesion		Q1	5051	$183.40	0.01%	$0.02
17004	Destroy premal lesions 15/>		T	5052	$353.00	0.00%	$0.00
17106	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17107	Destruction of skin lesions		T	5053	$534.89	0.00%	$0.00
17108	Destruction of skin lesions		T	5054	"$1,749.26"	0.00%	$0.00
17110	Destruct b9 lesion 1-14		Q1	5051	$183.40	0.00%	$0.00
17111	Destruct lesion 15 or more		Q1	5051	$183.40	0.00%	$0.00
17250	Chem caut of granltj tissue		Q1	5051	$183.40	0.01%	$0.02
17260	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17261	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17262	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17263	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17264	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17266	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17270	Destruction of skin lesions		T	5051	$183.40	0.03%	$0.06
17271	Destruction of skin lesions		T	5051	$183.40	0.00%	$0.00
17272	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17273	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17274	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17276	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17280	Destruction of skin lesions		Q1	5051	$183.40	0.00%	$0.00
17281	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17282	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17283	Destruction of skin lesions		T	5052	$353.00	0.00%	$0.00
17284	Destruction of skin lesions		T	5053	$534.89	0.00%	$0.00
17286	Destruction of skin lesions		T	5053	$534.89	0.00%	$0.00
17311	Mohs 1 stage h/n/hf/g		T	5053	$534.89	0.00%	$0.00
17313	Mohs 1 stage t/a/l		T	5053	$534.89	0.00%	$0.00
17340	Cryotherapy of skin		Q1	5732	$34.57	0.00%	$0.00
17380	Hair removal by electrolysis		T	5053	$534.89	0.00%	$0.00
17999	Skin tissue procedure		Q1	5051	$183.40	6.04%	$11.08
19000	Drainage of breast lesion		T	5071	$635.54	1.29%	$8.20
19020	Incision of breast lesion		J1	5072	"$1,436.99"	0.31%	$4.45
19081	Bx breast 1st lesion strtctc		J1	5072	"$1,436.99"	6.26%	$89.96
19083	Bx breast 1st lesion us imag		J1	5072	"$1,436.99"	7.71%	$110.79
19085	Bx breast 1st lesion mr imag		J1	5072	"$1,436.99"	6.64%	$95.42
19100	Bx breast percut w/o image		J1	5072	"$1,436.99"	3.28%	$47.13
19101	Biopsy of breast open		J1	5091	"$3,225.00"	1.23%	$39.67
19105	Cryosurg ablate fa each		J1	5091	"$3,225.00"	45.95%	"$1,481.89"
19110	Nipple exploration		J1	5091	"$3,225.00"	0.16%	$5.16
19112	Excise breast duct fistula		J1	5091	"$3,225.00"	0.00%	$0.00
19120	Removal of breast lesion		J1	5091	"$3,225.00"	0.38%	$12.26
19125	Excision breast lesion		J1	5091	"$3,225.00"	0.71%	$22.90
19281	Perq device breast 1st imag		Q1	5071	$635.54	35.34%	$224.60
19283	Perq dev breast 1st strtctc		Q1	5071	$635.54	36.86%	$234.26
19285	Perq dev breast 1st us imag		Q1	5071	$635.54	35.50%	$225.62
19287	Perq dev breast 1st mr guide		Q1	5071	$635.54	19.44%	$123.55
19296	Place po breast cath for rad		J1	5093	"$9,106.41"	41.40%	"$3,770.05"
19298	Place breast rad tube/caths		J1	5092	"$5,652.10"	21.73%	"$1,228.20"
19300	Removal of breast tissue		J1	5091	"$3,225.00"	0.68%	$21.93
19301	Partial mastectomy		J1	5091	"$3,225.00"	1.43%	$46.12
19302	P-mastectomy w/ln removal		J1	5092	"$5,652.10"	1.80%	$101.74
19303	Mast simple complete		J1	5092	"$5,652.10"	0.92%	$52.00
19307	Mast mod rad		J1	5092	"$5,652.10"	0.99%	$55.96
19316	Suspension of breast		J1	5092	"$5,652.10"	4.21%	$237.95
19318	Breast reduction		J1	5092	"$5,652.10"	1.02%	$57.65
19325	Breast augmentation w/implt		J1	5093	"$9,106.41"	26.71%	"$2,432.32"
19328	Rmvl intact breast implant		Q2	5091	"$3,225.00"	2.21%	$71.27
19330	Rmvl ruptured breast implant		Q2	5091	"$3,225.00"	3.50%	$112.88
19340	Insj breast implt sm d mast		J1	5092	"$5,652.10"	26.87%	"$1,518.72"
19342	Insj/rplcmt brst implt sep d		J1	5093	"$9,106.41"	29.47%	"$2,683.66"
19350	Breast reconstruction		J1	5091	"$3,225.00"	1.18%	$38.06
19355	Correct inverted nipple(s)		J1	5091	"$3,225.00"	0.00%	$0.00
19357	Tiss xpndr plmt brst rcnstj		J1	5094	"$15,237.72"	31.25%	"$4,761.79"
19370	Revj peri-implt capsule brst		J1	5091	"$3,225.00"	14.21%	$458.27
19371	Peri-implt capslc brst compl		J1	5091	"$3,225.00"	2.29%	$73.85
19380	Revj reconstructed breast		J1	5092	"$5,652.10"	11.77%	$665.25
19499	Breast surgery procedure		J1	5091	"$3,225.00"	11.37%	$366.68
20100	Explore wound neck		T	5162	$461.90	0.00%	$0.00
20101	Explore wound chest		T	5054	"$1,749.26"	0.00%	$0.00
20102	Explore wound abdomen		T	5054	"$1,749.26"	0.16%	$2.80
20103	Explore wound extremity		T	5071	$635.54	0.09%	$0.57
20200	Muscle biopsy		J1	5072	"$1,436.99"	0.18%	$2.59
20205	Deep muscle biopsy		J1	5073	"$2,421.55"	0.11%	$2.66
20206	Needle biopsy muscle		J1	5072	"$1,436.99"	0.29%	$4.17
20220	Bone biopsy trocar/needle		J1	5072	"$1,436.99"	2.23%	$32.04
20225	Bone biopsy trocar/needle		J1	5072	"$1,436.99"	2.63%	$37.79
20240	Bone biopsy open superficial		J1	5073	"$2,421.55"	2.19%	$53.03
20245	Bone biopsy open deep		J1	5073	"$2,421.55"	3.15%	$76.28
20250	Open bone biopsy		J1	5113	"$2,892.28"	9.37%	$271.01
20251	Open bone biopsy		J1	5114	"$6,397.05"	6.84%	$437.56
20500	Injection of sinus tract		J1	5163	"$1,381.54"	20.33%	$280.87
20520	Removal of foreign body		J1	5072	"$1,436.99"	0.06%	$0.86
20525	Removal of foreign body		J1	5073	"$2,421.55"	1.03%	$24.94
20526	Ther injection carp tunnel		T	5441	$266.83	0.00%	$0.00
20527	Inj dupuytren cord w/enzyme		T	5441	$266.83	0.00%	$0.00
20550	Inj tendon sheath/ligament		T	5441	$266.83	0.01%	$0.03
20551	Inj tendon origin/insertion		T	5441	$266.83	0.00%	$0.00
20552	Inj trigger point 1/2 muscl		T	5441	$266.83	0.01%	$0.03
20553	Inject trigger points 3/>		T	5441	$266.83	0.01%	$0.03
20555	Place ndl musc/tis for rt		J1	5113	"$2,892.28"	5.30%	$153.29
20600	Drain/inj joint/bursa w/o us		T	5441	$266.83	0.03%	$0.08
20604	Drain/inj joint/bursa w/us		T	5441	$266.83	0.01%	$0.03
20605	Drain/inj joint/bursa w/o us		T	5441	$266.83	0.08%	$0.21
20606	Drain/inj joint/bursa w/us		T	5442	$648.52	0.30%	$1.95
20610	Drain/inj joint/bursa w/o us		T	5441	$266.83	0.03%	$0.08
20611	Drain/inj joint/bursa w/us		T	5441	$266.83	0.10%	$0.27
20612	Aspirate/inj ganglion cyst		T	5441	$266.83	0.04%	$0.11
20615	Treatment of bone cyst		T	5071	$635.54	4.79%	$30.44
20650	Insert and remove bone pin		J1	5113	"$2,892.28"	17.33%	$501.23
20660	Apply rem fixation device		Q2	5112	"$1,422.51"	10.83%	$154.06
20665	Removal of fixation device		Q1	5735	$277.18	0.00%	$0.00
20670	Removal of support implant		Q2	5072	"$1,436.99"	0.26%	$3.74
20680	Removal of support implant		Q2	5073	"$2,421.55"	1.94%	$46.98
20690	Apply bone fixation device		J1	5114	"$6,397.05"	36.91%	"$2,361.15"
20692	Apply bone fixation device		J1	5115	"$12,593.29"	41.97%	"$5,285.40"
20693	Adjust bone fixation device		J1	5114	"$6,397.05"	22.60%	"$1,445.73"
20694	Remove bone fixation device		Q2	5112	"$1,422.51"	1.09%	$15.51
20696	Comp multiplane ext fixation		J1	5116	"$16,513.36"	57.37%	"$9,473.71"
20697	Comp ext fixate strut change		J1	5112	"$1,422.51"	0.00%	$0.00
20822	Replantation digit complete		J1	5112	"$1,422.51"	6.25%	$88.91
20900	Removal of bone for graft		J1	5114	"$6,397.05"	30.53%	"$1,953.02"
20902	Removal of bone for graft		J1	5114	"$6,397.05"	27.13%	"$1,735.52"
20912	Remove cartilage for graft		T	5055	"$3,596.22"	3.14%	$112.92
20922	Removal of fascia for graft		T	5054	"$1,749.26"	0.20%	$3.50
20924	Removal of tendon for graft		J1	5114	"$6,397.05"	16.86%	"$1,078.54"
20950	Fluid pressure muscle		T	5071	$635.54	0.00%	$0.00
20972	Bone/skin graft metatarsal		J1	5114	"$6,397.05"	33.73%	"$2,157.72"
20982	Ablate bone tumor(s) perq		J1	5114	"$6,397.05"	16.14%	"$1,032.48"
20983	Ablate bone tumor(s) perq		J1	5114	"$6,397.05"	29.62%	"$1,894.81"
20999	Musculoskeletal surgery		T	5111	$210.50	8.64%	$18.19
21010	Incision of jaw joint		J1	5164	"$2,793.98"	0.00%	$0.00
21011	Exc face les sc <2 cm		J1	5072	"$1,436.99"	0.04%	$0.57
21012	Exc face les sbq 2 cm/>		J1	5072	"$1,436.99"	0.17%	$2.44
21013	Exc face tum deep < 2 cm		J1	5072	"$1,436.99"	0.20%	$2.87
21014	Exc face tum deep 2 cm/>		J1	5073	"$2,421.55"	0.32%	$7.75
21015	Resect face/scalp tum < 2 cm		J1	5073	"$2,421.55"	0.40%	$9.69
21016	Resect face/scalp tum 2 cm/>		J1	5073	"$2,421.55"	0.92%	$22.28
21025	Excision of bone lower jaw		J1	5165	"$5,194.27"	3.82%	$198.42
21026	Excision of facial bone(s)		J1	5165	"$5,194.27"	0.29%	$15.06
21029	Contour of face bone lesion		J1	5164	"$2,793.98"	1.96%	$54.76
21030	Excise max/zygoma b9 tumor		J1	5165	"$5,194.27"	5.32%	$276.34
21031	Remove exostosis mandible		J1	5164	"$2,793.98"	0.27%	$7.54
21032	Remove exostosis maxilla		J1	5164	"$2,793.98"	0.42%	$11.73
21034	Excise max/zygoma mal tumor		J1	5165	"$5,194.27"	2.68%	$139.21
21040	Excise mandible lesion		J1	5164	"$2,793.98"	3.50%	$97.79
21044	Removal of jaw bone lesion		J1	5165	"$5,194.27"	4.01%	$208.29
21046	Remove mandible cyst complex		J1	5165	"$5,194.27"	5.33%	$276.85
21047	Excise lwr jaw cyst w/repair		J1	5165	"$5,194.27"	4.82%	$250.36
21048	Remove maxilla cyst complex		J1	5165	"$5,194.27"	12.48%	$648.24
21049	Excis uppr jaw cyst w/repair		J1	5165	"$5,194.27"	4.56%	$236.86
21050	Removal of jaw joint		J1	5165	"$5,194.27"	6.19%	$321.53
21060	Remove jaw joint cartilage		J1	5165	"$5,194.27"	0.25%	$12.99
21070	Remove coronoid process		J1	5165	"$5,194.27"	2.76%	$143.36
21073	Mnpj of tmj w/anesth		J1	5163	"$1,381.54"	0.00%	$0.00
21076	Prepare face/oral prosthesis		J1	5163	"$1,381.54"	0.00%	$0.00
21077	Prepare face/oral prosthesis		J1	5165	"$5,194.27"	0.00%	$0.00
21079	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21080	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21081	Prepare face/oral prosthesis		J1	5165	"$5,194.27"	0.00%	$0.00
21082	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21083	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21084	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21085	Prepare face/oral prosthesis		T	5161	$216.07	0.00%	$0.00
21086	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	14.81%	$413.79
21087	Prepare face/oral prosthesis		J1	5165	"$5,194.27"	0.00%	$0.00
21088	Prepare face/oral prosthesis		J1	5164	"$2,793.98"	0.00%	$0.00
21089	Prepare face/oral prosthesis		T	5161	$216.07	0.02%	$0.04
21110	Interdental fixation		Q2	5163	"$1,381.54"	0.00%	$0.00
21120	Reconstruction of chin		J1	5165	"$5,194.27"	6.66%	$345.94
21125	Augmentation lower jaw bone		J1	5165	"$5,194.27"	25.63%	"$1,331.29"
21127	Augmentation lower jaw bone		J1	5165	"$5,194.27"	13.17%	$684.09
21137	Reduction of forehead		J1	5164	"$2,793.98"	0.82%	$22.91
21139	Reduction of forehead		J1	5165	"$5,194.27"	24.72%	"$1,284.02"
21172	Reconstruct orbit/forehead		J1	5165	"$5,194.27"	10.10%	$524.62
21181	Contour cranial bone lesion		J1	5165	"$5,194.27"	0.05%	$2.60
21193	Reconst lwr jaw w/o graft		J1	5165	"$5,194.27"	20.57%	"$1,068.46"
21195	Reconst lwr jaw w/o fixation		J1	5165	"$5,194.27"	50.52%	"$2,624.15"
21198	Reconstr lwr jaw segment		J1	5165	"$5,194.27"	19.62%	"$1,019.12"
21199	Reconstr lwr jaw w/advance		J1	5165	"$5,194.27"	31.44%	"$1,633.08"
21206	Reconstruct upper jaw bone		J1	5165	"$5,194.27"	0.00%	$0.00
21208	Augmentation of facial bones		J1	5165	"$5,194.27"	20.74%	"$1,077.29"
21209	Reduction of facial bones		J1	5165	"$5,194.27"	3.05%	$158.43
21210	Face bone graft		J1	5165	"$5,194.27"	25.03%	"$1,300.13"
21215	Lower jaw bone graft		J1	5165	"$5,194.27"	26.79%	"$1,391.54"
21230	Rib cartilage graft		J1	5165	"$5,194.27"	5.26%	$273.22
21235	Ear cartilage graft		J1	5165	"$5,194.27"	0.78%	$40.52
21240	Reconstruction of jaw joint		J1	5165	"$5,194.27"	2.40%	$124.66
21242	Reconstruction of jaw joint		J1	5165	"$5,194.27"	8.98%	$466.45
21243	Reconstruction of jaw joint		J1	5116	"$16,513.36"	53.66%	"$8,861.07"
21244	Reconstruction of lower jaw		J1	5165	"$5,194.27"	41.32%	"$2,146.27"
21245	Reconstruction of jaw		J1	5165	"$5,194.27"	34.42%	"$1,787.87"
21246	Reconstruction of jaw		J1	5165	"$5,194.27"	9.11%	$473.20
21248	Reconstruction of jaw		J1	5165	"$5,194.27"	13.60%	$706.42
21249	Reconstruction of jaw		J1	5165	"$5,194.27"	20.38%	"$1,058.59"
21256	Reconstruction of orbit		J1	5165	"$5,194.27"	32.55%	"$1,690.73"
21267	Revise eye sockets		J1	5165	"$5,194.27"	56.49%	"$2,934.24"
21270	Augmentation cheek bone		J1	5165	"$5,194.27"	21.57%	"$1,120.40"
21275	Revision orbitofacial bones		J1	5165	"$5,194.27"	8.17%	$424.37
21280	Revision of eyelid		J1	5164	"$2,793.98"	4.43%	$123.77
21282	Revision of eyelid		J1	5164	"$2,793.98"	1.34%	$37.44
21299	Cranio/maxillofacial surgery		T	5161	$216.07	3.35%	$7.24
21310	Closed tx nose fx w/o manj		D			0.00%	
21315	Clsd tx nsl fx mnpj wo stblj		J1	5163	"$1,381.54"	0.64%	$8.84
21320	Clsd tx nsl fx w/mnpj&stablj		J1	5164	"$2,793.98"	0.23%	$6.43
21325	Open tx nose fx uncomplicatd		J1	5164	"$2,793.98"	2.40%	$67.06
21330	Open tx nose fx w/skele fixj		J1	5165	"$5,194.27"	7.06%	$366.72
21335	Open tx nose & septal fx		J1	5164	"$2,793.98"	4.18%	$116.79
21336	Open tx septal fx w/wo stabj		J1	5113	"$2,892.28"	0.26%	$7.52
21337	Closed tx septal&nose fx		J1	5164	"$2,793.98"	0.30%	$8.38
21339	Open nasoethmoid fx w/ fixj		J1	5165	"$5,194.27"	28.62%	"$1,486.60"
21346	Opn tx nasomax fx w/fixj		J1	5165	"$5,194.27"	25.31%	"$1,314.67"
21355	Perq tx malar fracture		J1	5164	"$2,793.98"	0.00%	$0.00
21356	Opn tx dprsd zygomatic arch		J1	5165	"$5,194.27"	4.09%	$212.45
21360	Opn tx dprsd malar fracture		J1	5165	"$5,194.27"	26.80%	"$1,392.06"
21365	Opn tx complx malar fx		J1	5165	"$5,194.27"	32.79%	"$1,703.20"
21385	Opn tx orbit fx transantral		J1	5165	"$5,194.27"	21.13%	"$1,097.55"
21386	Opn tx orbit fx periorbital		J1	5165	"$5,194.27"	25.40%	"$1,319.34"
21387	Opn tx orbit fx combined		J1	5165	"$5,194.27"	24.25%	"$1,259.61"
21390	Opn tx orbit periorbtl implt		J1	5165	"$5,194.27"	26.25%	"$1,363.50"
21395	Opn tx orbit periorbt w/grft		J1	5165	"$5,194.27"	0.00%	$0.00
21400	Closed tx orbit w/o manipulj		T	5162	$461.90	4.11%	$18.98
21401	Closed tx orbit w/manipulj		J1	5163	"$1,381.54"	17.09%	$236.11
21406	Opn tx orbit fx w/o implant		J1	5165	"$5,194.27"	24.42%	"$1,268.44"
21407	Opn tx orbit fx w/implant		J1	5165	"$5,194.27"	23.71%	"$1,231.56"
21408	Opn tx orbit fx w/bone grft		J1	5165	"$5,194.27"	6.29%	$326.72
21421	Treat mouth roof fracture		J1	5164	"$2,793.98"	1.70%	$47.50
21440	Treat dental ridge fracture		J1	5164	"$2,793.98"	2.55%	$71.25
21445	Treat dental ridge fracture		J1	5165	"$5,194.27"	6.54%	$339.71
21450	Treat lower jaw fracture		T	5162	$461.90	34.90%	$161.20
21451	Treat lower jaw fracture		J1	5163	"$1,381.54"	8.57%	$118.40
21452	Treat lower jaw fracture		J1	5165	"$5,194.27"	32.52%	"$1,689.18"
21453	Treat lower jaw fracture		J1	5165	"$5,194.27"	18.36%	$953.67
21454	Treat lower jaw fracture		J1	5165	"$5,194.27"	45.61%	"$2,369.11"
21461	Treat lower jaw fracture		J1	5165	"$5,194.27"	36.63%	"$1,902.66"
21462	Treat lower jaw fracture		J1	5165	"$5,194.27"	40.32%	"$2,094.33"
21465	Treat lower jaw fracture		J1	5165	"$5,194.27"	32.85%	"$1,706.32"
21470	Treat lower jaw fracture		J1	5165	"$5,194.27"	38.74%	"$2,012.26"
21480	Reset dislocated jaw		T	5111	$210.50	0.00%	$0.00
21485	Reset dislocated jaw		J1	5163	"$1,381.54"	2.18%	$30.12
21490	Repair dislocated jaw		J1	5164	"$2,793.98"	20.95%	$585.34
21497	Interdental wiring		J1	5163	"$1,381.54"	1.50%	$20.72
21499	Head surgery procedure		T	5161	$216.07	2.25%	$4.86
21501	Drain neck/chest lesion		J1	5073	"$2,421.55"	1.19%	$28.82
21550	Biopsy of neck/chest		J1	5072	"$1,436.99"	0.43%	$6.18
21552	Exc neck les sc 3 cm/>		J1	5073	"$2,421.55"	0.12%	$2.91
21554	Exc neck tum deep 5 cm/>		J1	5073	"$2,421.55"	0.34%	$8.23
21555	Exc neck les sc < 3 cm		J1	5072	"$1,436.99"	0.22%	$3.16
21556	Exc neck tum deep < 5 cm		J1	5073	"$2,421.55"	0.51%	$12.35
21557	Resect neck thorax tumor<5cm		J1	5073	"$2,421.55"	0.16%	$3.87
21558	Resect neck tumor 5 cm/>		J1	5073	"$2,421.55"	0.52%	$12.59
21600	Partial removal of rib		J1	5114	"$6,397.05"	4.45%	$284.67
21610	Partial removal of rib		J1	5113	"$2,892.28"	0.00%	$0.00
21685	Hyoid myotomy & suspension		J1	5165	"$5,194.27"	27.87%	"$1,447.64"
21700	Revision of neck muscle		J1	5114	"$6,397.05"	2.06%	$131.78
21720	Revision of neck muscle		J1	5113	"$2,892.28"	0.00%	$0.00
21742	Repair stern/nuss w/o scope		J1	5113	"$2,892.28"	0.75%	$21.69
21811	Optx of rib fx w/fixj scope		J1	5114	"$6,397.05"	46.04%	"$2,945.20"
21812	Treatment of rib fracture		J1	5114	"$6,397.05"	70.63%	"$4,518.24"
21820	Treat sternum fracture		T	5111	$210.50	0.00%	$0.00
21899	Neck/chest surgery procedure		T	5161	$216.07	6.76%	$14.61
21920	Biopsy soft tissue of back		J1	5072	"$1,436.99"	0.24%	$3.45
21925	Biopsy soft tissue of back		J1	5072	"$1,436.99"	0.29%	$4.17
21930	Exc back les sc < 3 cm		J1	5072	"$1,436.99"	0.04%	$0.57
21931	Exc back les sc 3 cm/>		J1	5072	"$1,436.99"	0.17%	$2.44
21932	Exc back tum deep < 5 cm		J1	5073	"$2,421.55"	0.04%	$0.97
21933	Exc back tum deep 5 cm/>		J1	5073	"$2,421.55"	0.53%	$12.83
21935	Resect back tum < 5 cm		J1	5073	"$2,421.55"	0.24%	$5.81
21936	Resect back tum 5 cm/>		J1	5073	"$2,421.55"	0.24%	$5.81
22100	Remove part of neck vertebra		J1	5114	"$6,397.05"	1.84%	$117.71
22101	Remove part thorax vertebra		J1	5114	"$6,397.05"	0.17%	$10.87
22102	Remove part lumbar vertebra		J1	5114	"$6,397.05"	1.09%	$69.73
22310	Closed tx vert fx w/o manj		T	5111	$210.50	0.00%	$0.00
22315	Closed tx vert fx w/manj		J1	5113	"$2,892.28"	2.77%	$80.12
22505	Manipulation of spine		J1	5112	"$1,422.51"	0.00%	$0.00
22510	Perq cervicothoracic inject		J1	5113	"$2,892.28"	17.40%	$503.26
22511	Perq lumbosacral injection		J1	5113	"$2,892.28"	17.73%	$512.80
22513	Perq vertebral augmentation		J1	5114	"$6,397.05"	20.88%	"$1,335.70"
22514	Perq vertebral augmentation		J1	5114	"$6,397.05"	21.28%	"$1,361.29"
22551	Arthrd ant ntrbdy cervical		J1	5115	"$12,593.29"	45.48%	"$5,727.43"
22554	Arthrd ant ntrbd min dsc crv		J1	5115	"$12,593.29"	43.82%	"$5,518.38"
22612	Arthrd pst tq 1ntrspc lumbar		J1	5115	"$12,593.29"	43.08%	"$5,425.19"
22630	Arthrd pst tq 1ntrspc lum		J1	5116	"$16,513.36"	50.37%	"$8,317.78"
22633	Arthrd cmbn 1ntrspc lumbar		J1	5115	"$12,593.29"	56.64%	"$7,132.84"
22856	Tot disc arthrp ant 1ntrspc		J1	5116	"$16,513.36"	54.65%	"$9,024.55"
22867	Insj stablj dev w/dcmprn		J1	5116	"$16,513.36"	59.81%	"$9,876.64"
22869	Insj stablj dev w/o dcmprn		J1	5115	"$12,593.29"	75.64%	"$9,525.56"
22899	Spine surgery procedure		T	5111	$210.50	17.45%	$36.73
22900	Exc abdl tum deep < 5 cm		J1	5073	"$2,421.55"	0.40%	$9.69
22901	Exc abdl tum deep 5 cm/>		J1	5073	"$2,421.55"	0.53%	$12.83
22902	Exc abd les sc < 3 cm		J1	5072	"$1,436.99"	0.08%	$1.15
22903	Exc abd les sc 3 cm/>		J1	5073	"$2,421.55"	0.24%	$5.81
22904	Radical resect abd tumor<5cm		J1	5073	"$2,421.55"	1.82%	$44.07
22905	Rad resect abd tumor 5 cm/>		J1	5073	"$2,421.55"	3.87%	$93.71
22999	Abdomen surgery procedure		T	5111	$210.50	2.03%	$4.27
23000	Removal of calcium deposits		J1	5073	"$2,421.55"	0.00%	$0.00
23020	Release shoulder joint		J1	5113	"$2,892.28"	1.24%	$35.86
23030	Drain shoulder lesion		J1	5073	"$2,421.55"	1.86%	$45.04
23031	Drain shoulder bursa		J1	5073	"$2,421.55"	0.07%	$1.70
23035	Drain shoulder bone lesion		J1	5112	"$1,422.51"	15.28%	$217.36
23040	Exploratory shoulder surgery		J1	5113	"$2,892.28"	4.56%	$131.89
23044	Exploratory shoulder surgery		J1	5113	"$2,892.28"	5.00%	$144.61
23065	Biopsy shoulder tissues		J1	5072	"$1,436.99"	0.49%	$7.04
23066	Biopsy shoulder tissues		J1	5073	"$2,421.55"	2.07%	$50.13
23071	Exc shoulder les sc 3 cm/>		J1	5072	"$1,436.99"	0.15%	$2.16
23073	Exc shoulder tum deep 5 cm/>		J1	5073	"$2,421.55"	0.26%	$6.30
23075	Exc shoulder les sc < 3 cm		J1	5072	"$1,436.99"	1.27%	$18.25
23076	Exc shoulder tum deep < 5 cm		J1	5073	"$2,421.55"	0.10%	$2.42
23077	Resect shoulder tumor < 5 cm		J1	5073	"$2,421.55"	0.00%	$0.00
23078	Resect shoulder tumor 5 cm/>		J1	5073	"$2,421.55"	0.64%	$15.50
23100	Biopsy of shoulder joint		J1	5113	"$2,892.28"	0.00%	$0.00
23101	Shoulder joint surgery		J1	5113	"$2,892.28"	0.00%	$0.00
23105	Remove shoulder joint lining		J1	5114	"$6,397.05"	17.73%	"$1,134.20"
23107	Explore treat shoulder joint		J1	5114	"$6,397.05"	6.77%	$433.08
23120	Partial removal collar bone		J1	5113	"$2,892.28"	0.78%	$22.56
23125	Removal of collar bone		J1	5113	"$2,892.28"	0.00%	$0.00
23130	Remove shoulder bone part		J1	5113	"$2,892.28"	1.47%	$42.52
23140	Removal of bone lesion		J1	5113	"$2,892.28"	0.34%	$9.83
23146	Removal of bone lesion		J1	5114	"$6,397.05"	8.98%	$574.46
23150	Removal of humerus lesion		J1	5113	"$2,892.28"	3.77%	$109.04
23156	Removal of humerus lesion		J1	5114	"$6,397.05"	36.83%	"$2,356.03"
23170	Remove collar bone lesion		J1	5113	"$2,892.28"	0.00%	$0.00
23180	Remove collar bone lesion		J1	5114	"$6,397.05"	3.75%	$239.89
23182	Remove shoulder blade lesion		J1	5114	"$6,397.05"	0.00%	$0.00
23184	Remove humerus lesion		J1	5114	"$6,397.05"	4.56%	$291.71
23190	Partial removal of scapula		J1	5113	"$2,892.28"	0.13%	$3.76
23195	Removal of head of humerus		J1	5114	"$6,397.05"	4.55%	$291.07
23330	Remove shoulder foreign body		T	5071	$635.54	0.00%	$0.00
23333	Remove shoulder fb deep		J1	5073	"$2,421.55"	0.00%	$0.00
23334	Shoulder prosthesis removal		J1	5073	"$2,421.55"	2.89%	$69.98
23395	Muscle transfer shoulder/arm		J1	5114	"$6,397.05"	25.28%	"$1,617.17"
23397	Muscle transfers		J1	5114	"$6,397.05"	10.44%	$667.85
23400	Fixation of shoulder blade		J1	5114	"$6,397.05"	0.00%	$0.00
23405	Incision of tendon & muscle		J1	5114	"$6,397.05"	3.12%	$199.59
23406	Incise tendon(s) & muscle(s)		J1	5114	"$6,397.05"	16.67%	"$1,066.39"
23410	Repair rotator cuff acute		J1	5114	"$6,397.05"	24.74%	"$1,582.63"
23412	Repair rotator cuff chronic		J1	5114	"$6,397.05"	22.32%	"$1,427.82"
23415	Release of shoulder ligament		J1	5114	"$6,397.05"	9.53%	$609.64
23420	Repair of shoulder		J1	5114	"$6,397.05"	26.51%	"$1,695.86"
23430	Repair biceps tendon		J1	5114	"$6,397.05"	21.54%	"$1,377.92"
23440	Remove/transplant tendon		J1	5114	"$6,397.05"	20.06%	"$1,283.25"
23450	Repair shoulder capsule		J1	5114	"$6,397.05"	40.77%	"$2,608.08"
23455	Repair shoulder capsule		J1	5114	"$6,397.05"	30.25%	"$1,935.11"
23460	Repair shoulder capsule		J1	5114	"$6,397.05"	43.81%	"$2,802.55"
23462	Repair shoulder capsule		J1	5114	"$6,397.05"	18.29%	"$1,170.02"
23465	Repair shoulder capsule		J1	5114	"$6,397.05"	24.66%	"$1,577.51"
23466	Repair shoulder capsule		J1	5114	"$6,397.05"	24.35%	"$1,557.68"
23470	Reconstruct shoulder joint		J1	5115	"$12,593.29"	51.76%	"$6,518.29"
23472	Reconstruct shoulder joint		J1	5115	"$12,593.29"	60.33%	"$7,597.53"
23473	Revis reconst shoulder joint		J1	5115	"$12,593.29"	44.45%	"$5,597.72"
23480	Revision of collar bone		J1	5114	"$6,397.05"	17.24%	"$1,102.85"
23485	Revision of collar bone		J1	5115	"$12,593.29"	41.75%	"$5,257.70"
23490	Reinforce clavicle		J1	5114	"$6,397.05"	37.67%	"$2,409.77"
23491	Reinforce shoulder bones		J1	5115	"$12,593.29"	33.98%	"$4,279.20"
23500	Treat clavicle fracture		T	5111	$210.50	0.00%	$0.00
23505	Treat clavicle fracture		J1	5112	"$1,422.51"	1.58%	$22.48
23515	Treat clavicle fracture		J1	5114	"$6,397.05"	37.55%	"$2,402.09"
23520	Treat clavicle dislocation		J1	5112	"$1,422.51"	0.00%	$0.00
23530	Treat clavicle dislocation		J1	5114	"$6,397.05"	15.77%	"$1,008.81"
23532	Treat clavicle dislocation		J1	5114	"$6,397.05"	37.76%	"$2,415.53"
23540	Treat clavicle dislocation		T	5111	$210.50	1.72%	$3.62
23545	Treat clavicle dislocation		T	5111	$210.50	0.00%	$0.00
23550	Treat clavicle dislocation		J1	5114	"$6,397.05"	32.33%	"$2,068.17"
23552	Treat clavicle dislocation		J1	5114	"$6,397.05"	37.01%	"$2,367.55"
23570	Treat shoulder blade fx		T	5111	$210.50	0.00%	$0.00
23575	Treat shoulder blade fx		J1	5112	"$1,422.51"	0.00%	$0.00
23585	Treat scapula fracture		J1	5114	"$6,397.05"	33.19%	"$2,123.18"
23600	Treat humerus fracture		T	5111	$210.50	0.00%	$0.00
23605	Treat humerus fracture		J1	5112	"$1,422.51"	2.72%	$38.69
23615	Treat humerus fracture		J1	5115	"$12,593.29"	43.61%	"$5,491.93"
23616	Treat humerus fracture		J1	5116	"$16,513.36"	50.19%	"$8,288.06"
23620	Treat humerus fracture		T	5111	$210.50	0.00%	$0.00
23625	Treat humerus fracture		J1	5112	"$1,422.51"	0.93%	$13.23
23630	Treat humerus fracture		J1	5114	"$6,397.05"	30.70%	"$1,963.89"
23650	Treat shoulder dislocation		T	5111	$210.50	0.00%	$0.00
23655	Treat shoulder dislocation		J1	5112	"$1,422.51"	0.07%	$1.00
23660	Treat shoulder dislocation		J1	5114	"$6,397.05"	13.45%	$860.40
23665	Treat dislocation/fracture		J1	5112	"$1,422.51"	0.01%	$0.14
23670	Treat dislocation/fracture		J1	5114	"$6,397.05"	27.86%	"$1,782.22"
23675	Treat dislocation/fracture		J1	5112	"$1,422.51"	0.00%	$0.00
23680	Treat dislocation/fracture		J1	5115	"$12,593.29"	42.47%	"$5,348.37"
23700	Fixation of shoulder		J1	5112	"$1,422.51"	0.30%	$4.27
23800	Fusion of shoulder joint		J1	5114	"$6,397.05"	31.54%	"$2,017.63"
23802	Fusion of shoulder joint		J1	5115	"$12,593.29"	31.15%	"$3,922.81"
23929	Shoulder surgery procedure		T	5111	$210.50	8.19%	$17.24
23930	Drainage of arm lesion		J1	5073	"$2,421.55"	0.62%	$15.01
23931	Drainage of arm bursa		J1	5072	"$1,436.99"	0.25%	$3.59
23935	Drain arm/elbow bone lesion		J1	5113	"$2,892.28"	3.15%	$91.11
24000	Exploratory elbow surgery		J1	5113	"$2,892.28"	4.77%	$137.96
24006	Release elbow joint		J1	5113	"$2,892.28"	2.72%	$78.67
24065	Biopsy arm/elbow soft tissue		J1	5072	"$1,436.99"	0.21%	$3.02
24066	Biopsy arm/elbow soft tissue		J1	5073	"$2,421.55"	0.93%	$22.52
24071	Exc arm/elbow les sc 3 cm/>		J1	5073	"$2,421.55"	0.16%	$3.87
24073	Ex arm/elbow tum deep 5 cm/>		J1	5073	"$2,421.55"	0.42%	$10.17
24075	Exc arm/elbow les sc < 3 cm		J1	5072	"$1,436.99"	0.09%	$1.29
24076	Ex arm/elbow tum deep < 5 cm		J1	5073	"$2,421.55"	0.25%	$6.05
24077	Resect arm/elbow tum < 5 cm		J1	5073	"$2,421.55"	0.07%	$1.70
24079	Resect arm/elbow tum 5 cm/>		J1	5073	"$2,421.55"	0.15%	$3.63
24100	Biopsy elbow joint lining		J1	5113	"$2,892.28"	0.00%	$0.00
24101	Explore/treat elbow joint		J1	5113	"$2,892.28"	3.71%	$107.30
24102	Remove elbow joint lining		J1	5113	"$2,892.28"	4.64%	$134.20
24105	Removal of elbow bursa		J1	5113	"$2,892.28"	0.23%	$6.65
24110	Remove humerus lesion		J1	5113	"$2,892.28"	0.37%	$10.70
24115	Remove/graft bone lesion		J1	5114	"$6,397.05"	11.35%	$726.07
24116	Remove/graft bone lesion		J1	5114	"$6,397.05"	31.90%	"$2,040.66"
24120	Remove elbow lesion		J1	5113	"$2,892.28"	0.45%	$13.02
24126	Remove/graft bone lesion		J1	5114	"$6,397.05"	49.98%	"$3,197.25"
24130	Removal of head of radius		J1	5113	"$2,892.28"	1.74%	$50.33
24134	Removal of arm bone lesion		J1	5114	"$6,397.05"	8.20%	$524.56
24138	Remove elbow bone lesion		J1	5114	"$6,397.05"	0.00%	$0.00
24140	Partial removal of arm bone		J1	5113	"$2,892.28"	2.90%	$83.88
24145	Partial removal of radius		J1	5114	"$6,397.05"	0.00%	$0.00
24147	Partial removal of elbow		J1	5113	"$2,892.28"	0.92%	$26.61
24149	Radical resection of elbow		J1	5114	"$6,397.05"	2.06%	$131.78
24150	Resect distal humerus tumor		J1	5114	"$6,397.05"	7.48%	$478.50
24152	Resect radius tumor		J1	5114	"$6,397.05"	0.00%	$0.00
24155	Removal of elbow joint		J1	5113	"$2,892.28"	0.00%	$0.00
24160	Remove elbow joint implant		Q2	5113	"$2,892.28"	29.84%	$863.06
24164	Remove radius head implant		Q2	5113	"$2,892.28"	10.27%	$297.04
24200	Removal of arm foreign body		J1	5072	"$1,436.99"	0.17%	$2.44
24201	Removal of arm foreign body		J1	5073	"$2,421.55"	0.17%	$4.12
24300	Manipulate elbow w/anesth		J1	5112	"$1,422.51"	0.00%	$0.00
24301	Muscle/tendon transfer		J1	5114	"$6,397.05"	7.02%	$449.07
24305	Arm tendon lengthening		J1	5113	"$2,892.28"	4.01%	$115.98
24310	Revision of arm tendon		J1	5113	"$2,892.28"	5.91%	$170.93
24330	Revision of arm muscles		J1	5114	"$6,397.05"	25.59%	"$1,637.01"
24332	Tenolysis triceps		J1	5113	"$2,892.28"	0.00%	$0.00
24340	Repair of biceps tendon		J1	5114	"$6,397.05"	19.98%	"$1,278.13"
24341	Repair arm tendon/muscle		J1	5114	"$6,397.05"	19.65%	"$1,257.02"
24342	Repair of ruptured tendon		J1	5114	"$6,397.05"	22.48%	"$1,438.06"
24343	Repr elbow lat ligmnt w/tiss		J1	5113	"$2,892.28"	22.86%	$661.18
24344	Reconstruct elbow lat ligmnt		J1	5114	"$6,397.05"	33.16%	"$2,121.26"
24345	Repr elbw med ligmnt w/tissu		J1	5114	"$6,397.05"	26.52%	"$1,696.50"
24346	Reconstruct elbow med ligmnt		J1	5115	"$12,593.29"	28.83%	"$3,630.65"
24357	Repair elbow perc		J1	5113	"$2,892.28"	3.85%	$111.35
24358	Repair elbow w/deb open		J1	5113	"$2,892.28"	2.08%	$60.16
24359	Repair elbow deb/attch open		J1	5113	"$2,892.28"	10.52%	$304.27
24360	Reconstruct elbow joint		J1	5114	"$6,397.05"	44.24%	"$2,830.05"
24361	Reconstruct elbow joint		J1	5116	"$16,513.36"	62.29%	"$10,286.17"
24362	Reconstruct elbow joint		J1	5115	"$12,593.29"	60.69%	"$7,642.87"
24363	Replace elbow joint		J1	5116	"$16,513.36"	58.99%	"$9,741.23"
24365	Reconstruct head of radius		J1	5115	"$12,593.29"	46.62%	"$5,870.99"
24366	Reconstruct head of radius		J1	5115	"$12,593.29"	55.45%	"$6,982.98"
24370	Revise reconst elbow joint		J1	5115	"$12,593.29"	44.22%	"$5,568.75"
24371	Revise reconst elbow joint		J1	5116	"$16,513.36"	46.46%	"$7,672.11"
24400	Revision of humerus		J1	5114	"$6,397.05"	23.54%	"$1,505.87"
24420	Revision of humerus		J1	5114	"$6,397.05"	33.41%	"$2,137.25"
24430	Repair of humerus		J1	5115	"$12,593.29"	40.85%	"$5,144.36"
24435	Repair humerus with graft		J1	5115	"$12,593.29"	41.40%	"$5,213.62"
24495	Decompression of forearm		J1	5114	"$6,397.05"	0.36%	$23.03
24498	Reinforce humerus		J1	5115	"$12,593.29"	35.45%	"$4,464.32"
24500	Treat humerus fracture		T	5111	$210.50	0.00%	$0.00
24505	Treat humerus fracture		J1	5112	"$1,422.51"	0.28%	$3.98
24515	Treat humerus fracture		J1	5115	"$12,593.29"	36.54%	"$4,601.59"
24516	Treat humerus fracture		J1	5115	"$12,593.29"	39.03%	"$4,915.16"
24530	Treat humerus fracture		T	5111	$210.50	0.00%	$0.00
24535	Treat humerus fracture		J1	5112	"$1,422.51"	0.00%	$0.00
24538	Treat humerus fracture		J1	5114	"$6,397.05"	10.49%	$671.05
24545	Treat humerus fracture		J1	5115	"$12,593.29"	42.68%	"$5,374.82"
24546	Treat humerus fracture		J1	5116	"$16,513.36"	45.06%	"$7,440.92"
24560	Treat humerus fracture		T	5111	$210.50	2.64%	$5.56
24565	Treat humerus fracture		J1	5112	"$1,422.51"	0.00%	$0.00
24575	Treat humerus fracture		J1	5115	"$12,593.29"	36.44%	"$4,588.99"
24576	Treat humerus fracture		T	5111	$210.50	0.00%	$0.00
24577	Treat humerus fracture		J1	5112	"$1,422.51"	0.00%	$0.00
24579	Treat humerus fracture		J1	5115	"$12,593.29"	34.94%	"$4,400.10"
24582	Treat humerus fracture		J1	5114	"$6,397.05"	4.00%	$255.88
24586	Treat elbow fracture		J1	5115	"$12,593.29"	39.84%	"$5,017.17"
24587	Treat elbow fracture		J1	5115	"$12,593.29"	49.13%	"$6,187.08"
24600	Treat elbow dislocation		T	5111	$210.50	0.00%	$0.00
24605	Treat elbow dislocation		J1	5112	"$1,422.51"	0.03%	$0.43
24615	Treat elbow dislocation		J1	5114	"$6,397.05"	31.91%	"$2,041.30"
24620	Treat elbow fracture		J1	5112	"$1,422.51"	0.00%	$0.00
24635	Treat elbow fracture		J1	5114	"$6,397.05"	33.78%	"$2,160.92"
24640	Treat elbow dislocation		T	5111	$210.50	0.00%	$0.00
24650	Treat radius fracture		T	5111	$210.50	0.00%	$0.00
24655	Treat radius fracture		J1	5112	"$1,422.51"	0.24%	$3.41
24665	Treat radius fracture		J1	5114	"$6,397.05"	30.08%	"$1,924.23"
24666	Treat radius fracture		J1	5115	"$12,593.29"	57.65%	"$7,260.03"
24670	Treat ulnar fracture		T	5111	$210.50	0.00%	$0.00
24675	Treat ulnar fracture		J1	5112	"$1,422.51"	0.90%	$12.80
24685	Treat ulnar fracture		J1	5114	"$6,397.05"	32.55%	"$2,082.24"
24800	Fusion of elbow joint		J1	5114	"$6,397.05"	41.95%	"$2,683.56"
24802	Fusion/graft of elbow joint		J1	5115	"$12,593.29"	41.18%	"$5,185.92"
24925	Amputation follow-up surgery		J1	5113	"$2,892.28"	0.00%	$0.00
24999	Upper arm/elbow surgery		T	5111	$210.50	10.96%	$23.07
25000	Incision of tendon sheath		J1	5112	"$1,422.51"	0.13%	$1.85
25001	Incise flexor carpi radialis		J1	5113	"$2,892.28"	3.06%	$88.50
25020	Decompress forearm 1 space		J1	5112	"$1,422.51"	0.05%	$0.71
25023	Decompress forearm 1 space		J1	5113	"$2,892.28"	0.00%	$0.00
25024	Decompress forearm 2 spaces		J1	5113	"$2,892.28"	0.00%	$0.00
25028	Drainage of forearm lesion		J1	5113	"$2,892.28"	0.83%	$24.01
25031	Drainage of forearm bursa		J1	5112	"$1,422.51"	0.00%	$0.00
25035	Treat forearm bone lesion		J1	5114	"$6,397.05"	0.60%	$38.38
25040	Explore/treat wrist joint		J1	5113	"$2,892.28"	0.00%	$0.00
25065	Biopsy forearm soft tissues		J1	5072	"$1,436.99"	2.20%	$31.61
25066	Biopsy forearm soft tissues		J1	5073	"$2,421.55"	0.21%	$5.09
25071	Exc forearm les sc 3 cm/>		J1	5072	"$1,436.99"	0.40%	$5.75
25073	Exc forearm tum deep 3 cm/>		J1	5073	"$2,421.55"	0.39%	$9.44
25075	Exc forearm les sc < 3 cm		J1	5072	"$1,436.99"	0.14%	$2.01
25076	Exc forearm tum deep < 3 cm		J1	5072	"$1,436.99"	0.80%	$11.50
25077	Resect forearm/wrist tum<3cm		J1	5073	"$2,421.55"	0.00%	$0.00
25078	Resect forarm/wrist tum 3cm>		J1	5073	"$2,421.55"	0.78%	$18.89
25085	Incision of wrist capsule		J1	5113	"$2,892.28"	3.60%	$104.12
25100	Biopsy of wrist joint		J1	5113	"$2,892.28"	0.17%	$4.92
25101	Explore/treat wrist joint		J1	5113	"$2,892.28"	1.18%	$34.13
25105	Remove wrist joint lining		J1	5113	"$2,892.28"	2.05%	$59.29
25107	Remove wrist joint cartilage		J1	5113	"$2,892.28"	7.76%	$224.44
25109	Excise tendon forearm/wrist		J1	5113	"$2,892.28"	2.18%	$63.05
25110	Remove wrist tendon lesion		J1	5112	"$1,422.51"	0.38%	$5.41
25111	Remove wrist tendon lesion		J1	5112	"$1,422.51"	0.17%	$2.42
25112	Reremove wrist tendon lesion		J1	5112	"$1,422.51"	0.38%	$5.41
25115	Remove wrist/forearm lesion		J1	5112	"$1,422.51"	1.30%	$18.49
25116	Remove wrist/forearm lesion		J1	5113	"$2,892.28"	0.84%	$24.30
25118	Excise wrist tendon sheath		J1	5112	"$1,422.51"	0.00%	$0.00
25119	Partial removal of ulna		J1	5113	"$2,892.28"	1.98%	$57.27
25120	Removal of forearm lesion		J1	5113	"$2,892.28"	3.28%	$94.87
25125	Remove/graft forearm lesion		J1	5112	"$1,422.51"	0.00%	$0.00
25126	Remove/graft forearm lesion		J1	5113	"$2,892.28"	18.36%	$531.02
25130	Removal of wrist lesion		J1	5113	"$2,892.28"	4.36%	$126.10
25135	Remove & graft wrist lesion		J1	5114	"$6,397.05"	11.41%	$729.90
25136	Remove & graft wrist lesion		J1	5114	"$6,397.05"	25.14%	"$1,608.22"
25145	Remove forearm bone lesion		J1	5113	"$2,892.28"	4.77%	$137.96
25150	Partial removal of ulna		J1	5113	"$2,892.28"	3.40%	$98.34
25151	Partial removal of radius		J1	5113	"$2,892.28"	2.36%	$68.26
25170	Resect radius/ulnar tumor		J1	5114	"$6,397.05"	0.00%	$0.00
25210	Removal of wrist bone		J1	5113	"$2,892.28"	6.06%	$175.27
25215	Removal of wrist bones		J1	5113	"$2,892.28"	8.17%	$236.30
25230	Partial removal of radius		J1	5113	"$2,892.28"	3.04%	$87.93
25240	Partial removal of ulna		J1	5113	"$2,892.28"	2.86%	$82.72
25248	Remove forearm foreign body		J1	5112	"$1,422.51"	0.22%	$3.13
25250	Removal of wrist prosthesis		Q2	5112	"$1,422.51"	0.00%	$0.00
25251	Removal of wrist prosthesis		Q2	5113	"$2,892.28"	0.00%	$0.00
25259	Manipulate wrist w/anesthes		J1	5112	"$1,422.51"	0.03%	$0.43
25260	Repair forearm tendon/muscle		J1	5113	"$2,892.28"	2.54%	$73.46
25263	Repair forearm tendon/muscle		J1	5114	"$6,397.05"	3.97%	$253.96
25265	Repair forearm tendon/muscle		J1	5113	"$2,892.28"	0.00%	$0.00
25270	Repair forearm tendon/muscle		J1	5113	"$2,892.28"	3.45%	$99.78
25272	Repair forearm tendon/muscle		J1	5113	"$2,892.28"	4.18%	$120.90
25274	Repair forearm tendon/muscle		J1	5113	"$2,892.28"	10.32%	$298.48
25275	Repair forearm tendon sheath		J1	5113	"$2,892.28"	8.15%	$235.72
25280	Revise wrist/forearm tendon		J1	5113	"$2,892.28"	4.15%	$120.03
25290	Incise wrist/forearm tendon		J1	5113	"$2,892.28"	2.99%	$86.48
25295	Release wrist/forearm tendon		J1	5113	"$2,892.28"	2.21%	$63.92
25300	Fusion of tendons at wrist		J1	5113	"$2,892.28"	0.94%	$27.19
25301	Fusion of tendons at wrist		J1	5113	"$2,892.28"	0.03%	$0.87
25310	Transplant forearm tendon		J1	5113	"$2,892.28"	2.10%	$60.74
25312	Transplant forearm tendon		J1	5113	"$2,892.28"	7.59%	$219.52
25315	Revise palsy hand tendon(s)		J1	5114	"$6,397.05"	4.69%	$300.02
25316	Revise palsy hand tendon(s)		J1	5114	"$6,397.05"	8.08%	$516.88
25320	Repair/revise wrist joint		J1	5114	"$6,397.05"	22.16%	"$1,417.59"
25332	Revise wrist joint		J1	5113	"$2,892.28"	22.30%	$644.98
25335	Realignment of hand		J1	5113	"$2,892.28"	10.81%	$312.66
25337	Reconstruct ulna/radioulnar		J1	5114	"$6,397.05"	21.23%	"$1,358.09"
25350	Revision of radius		J1	5114	"$6,397.05"	43.00%	"$2,750.73"
25360	Revision of ulna		J1	5114	"$6,397.05"	26.34%	"$1,684.98"
25365	Revise radius & ulna		J1	5115	"$12,593.29"	32.14%	"$4,047.48"
25390	Shorten radius or ulna		J1	5114	"$6,397.05"	35.48%	"$2,269.67"
25391	Lengthen radius or ulna		J1	5115	"$12,593.29"	46.96%	"$5,913.81"
25392	Shorten radius & ulna		J1	5114	"$6,397.05"	22.85%	"$1,461.73"
25393	Lengthen radius & ulna		J1	5114	"$6,397.05"	32.41%	"$2,073.28"
25394	Repair carpal bone shorten		J1	5113	"$2,892.28"	17.44%	$504.41
25400	Repair radius or ulna		J1	5114	"$6,397.05"	40.13%	"$2,567.14"
25405	Repair/graft radius or ulna		J1	5114	"$6,397.05"	39.24%	"$2,510.20"
25415	Repair radius & ulna		J1	5114	"$6,397.05"	44.50%	"$2,846.69"
25420	Repair/graft radius & ulna		J1	5114	"$6,397.05"	45.44%	"$2,906.82"
25425	Repair/graft radius or ulna		J1	5114	"$6,397.05"	12.47%	$797.71
25426	Repair/graft radius & ulna		J1	5113	"$2,892.28"	37.01%	"$1,070.43"
25430	Vasc graft into carpal bone		J1	5113	"$2,892.28"	0.76%	$21.98
25431	Repair nonunion carpal bone		J1	5114	"$6,397.05"	24.91%	"$1,593.51"
25440	Repair/graft wrist bone		J1	5114	"$6,397.05"	19.71%	"$1,260.86"
25441	Reconstruct wrist joint		J1	5115	"$12,593.29"	52.12%	"$6,563.62"
25442	Reconstruct wrist joint		J1	5116	"$16,513.36"	62.15%	"$10,263.05"
25443	Reconstruct wrist joint		J1	5114	"$6,397.05"	44.22%	"$2,828.78"
25444	Reconstruct wrist joint		J1	5115	"$12,593.29"	63.91%	"$8,048.37"
25445	Reconstruct wrist joint		J1	5114	"$6,397.05"	45.30%	"$2,897.86"
25446	Wrist replacement		J1	5116	"$16,513.36"	66.50%	"$10,981.38"
25447	Repair wrist joints		J1	5113	"$2,892.28"	13.68%	$395.66
25449	Remove wrist joint implant		J1	5114	"$6,397.05"	35.73%	"$2,285.67"
25490	Reinforce radius		J1	5114	"$6,397.05"	26.52%	"$1,696.50"
25491	Reinforce ulna		J1	5115	"$12,593.29"	37.91%	"$4,774.12"
25492	Reinforce radius and ulna		J1	5113	"$2,892.28"	7.38%	$213.45
25500	Treat fracture of radius		T	5111	$210.50	0.00%	$0.00
25505	Treat fracture of radius		J1	5112	"$1,422.51"	0.00%	$0.00
25515	Treat fracture of radius		J1	5114	"$6,397.05"	34.65%	"$2,216.58"
25520	Treat fracture of radius		J1	5112	"$1,422.51"	0.00%	$0.00
25525	Treat fracture of radius		J1	5114	"$6,397.05"	32.24%	"$2,062.41"
25526	Treat fracture of radius		J1	5114	"$6,397.05"	34.58%	"$2,212.10"
25530	Treat fracture of ulna		T	5111	$210.50	0.00%	$0.00
25535	Treat fracture of ulna		T	5111	$210.50	7.49%	$15.77
25545	Treat fracture of ulna		J1	5114	"$6,397.05"	30.90%	"$1,976.69"
25560	Treat fracture radius & ulna		T	5111	$210.50	0.00%	$0.00
25565	Treat fracture radius & ulna		J1	5112	"$1,422.51"	0.18%	$2.56
25574	Treat fracture radius & ulna		J1	5114	"$6,397.05"	39.20%	"$2,507.64"
25575	Treat fracture radius/ulna		J1	5114	"$6,397.05"	36.94%	"$2,363.07"
25600	Treat fracture radius/ulna		T	5111	$210.50	0.03%	$0.06
25605	Treat fracture radius/ulna		J1	5112	"$1,422.51"	0.06%	$0.85
25606	Treat fx distal radial		J1	5113	"$2,892.28"	5.93%	$171.51
25607	Treat fx rad extra-articul		J1	5114	"$6,397.05"	43.75%	"$2,798.71"
25608	Treat fx rad intra-articul		J1	5114	"$6,397.05"	43.40%	"$2,776.32"
25609	Treat fx radial 3+ frag		J1	5114	"$6,397.05"	44.30%	"$2,833.89"
25622	Treat wrist bone fracture		T	5111	$210.50	1.04%	$2.19
25624	Treat wrist bone fracture		J1	5112	"$1,422.51"	3.94%	$56.05
25628	Treat wrist bone fracture		J1	5114	"$6,397.05"	19.65%	"$1,257.02"
25630	Treat wrist bone fracture		T	5111	$210.50	0.00%	$0.00
25635	Treat wrist bone fracture		J1	5112	"$1,422.51"	0.00%	$0.00
25645	Treat wrist bone fracture		J1	5113	"$2,892.28"	13.52%	$391.04
25650	Treat wrist bone fracture		T	5111	$210.50	0.00%	$0.00
25651	Pin ulnar styloid fracture		J1	5113	"$2,892.28"	0.34%	$9.83
25652	Treat fracture ulnar styloid		J1	5114	"$6,397.05"	30.51%	"$1,951.74"
25660	Treat wrist dislocation		T	5111	$210.50	11.86%	$24.97
25670	Treat wrist dislocation		J1	5114	"$6,397.05"	38.11%	"$2,437.92"
25671	Pin radioulnar dislocation		J1	5113	"$2,892.28"	0.36%	$10.41
25675	Treat wrist dislocation		T	5111	$210.50	0.00%	$0.00
25676	Treat wrist dislocation		J1	5114	"$6,397.05"	7.77%	$497.05
25680	Treat wrist fracture		T	5111	$210.50	0.00%	$0.00
25685	Treat wrist fracture		J1	5114	"$6,397.05"	25.45%	"$1,628.05"
25690	Treat wrist dislocation		J1	5112	"$1,422.51"	0.00%	$0.00
25695	Treat wrist dislocation		J1	5114	"$6,397.05"	15.79%	"$1,010.09"
25800	Fusion of wrist joint		J1	5114	"$6,397.05"	42.95%	"$2,747.53"
25805	Fusion/graft of wrist joint		J1	5114	"$6,397.05"	42.55%	"$2,721.94"
25810	Fusion/graft of wrist joint		J1	5115	"$12,593.29"	41.71%	"$5,252.66"
25820	Fusion of hand bones		J1	5114	"$6,397.05"	36.90%	"$2,360.51"
25825	Fuse hand bones with graft		J1	5114	"$6,397.05"	36.80%	"$2,354.11"
25830	Fusion radioulnar jnt/ulna		J1	5114	"$6,397.05"	28.60%	"$1,829.56"
25907	Amputation follow-up surgery		J1	5113	"$2,892.28"	0.00%	$0.00
25909	Amputation follow-up surgery		J1	5114	"$6,397.05"	0.96%	$61.41
25929	Amputation follow-up surgery		T	5054	"$1,749.26"	0.00%	$0.00
25931	Amputation follow-up surgery		J1	5113	"$2,892.28"	1.18%	$34.13
25999	Forearm or wrist surgery		T	5111	$210.50	38.52%	$81.08
26010	Drainage of finger abscess		T	5051	$183.40	0.09%	$0.17
26011	Drainage of finger abscess		J1	5072	"$1,436.99"	0.06%	$0.86
26020	Drain hand tendon sheath		J1	5113	"$2,892.28"	0.11%	$3.18
26025	Drainage of palm bursa		J1	5113	"$2,892.28"	0.00%	$0.00
26030	Drainage of palm bursas		J1	5113	"$2,892.28"	0.00%	$0.00
26034	Treat hand bone lesion		J1	5112	"$1,422.51"	5.14%	$73.12
26035	Decompress fingers/hand		J1	5113	"$2,892.28"	0.00%	$0.00
26037	Decompress fingers/hand		J1	5113	"$2,892.28"	0.05%	$1.45
26040	Release palm contracture		J1	5112	"$1,422.51"	0.00%	$0.00
26045	Release palm contracture		J1	5113	"$2,892.28"	0.16%	$4.63
26055	Incise finger tendon sheath		J1	5112	"$1,422.51"	0.07%	$1.00
26060	Incision of finger tendon		J1	5112	"$1,422.51"	0.25%	$3.56
26070	Explore/treat hand joint		J1	5112	"$1,422.51"	0.77%	$10.95
26075	Explore/treat finger joint		J1	5113	"$2,892.28"	0.85%	$24.58
26080	Explore/treat finger joint		J1	5112	"$1,422.51"	0.15%	$2.13
26100	Biopsy hand joint lining		J1	5113	"$2,892.28"	3.94%	$113.96
26105	Biopsy finger joint lining		J1	5113	"$2,892.28"	0.08%	$2.31
26110	Biopsy finger joint lining		J1	5112	"$1,422.51"	0.39%	$5.55
26111	Exc hand les sc 1.5 cm/>		J1	5072	"$1,436.99"	0.19%	$2.73
26113	Exc hand tum deep 1.5 cm/>		J1	5072	"$1,436.99"	0.47%	$6.75
26115	Exc hand les sc < 1.5 cm		J1	5072	"$1,436.99"	0.32%	$4.60
26116	Exc hand tum deep < 1.5 cm		J1	5072	"$1,436.99"	0.39%	$5.60
26117	Rad resect hand tumor < 3 cm		J1	5073	"$2,421.55"	1.13%	$27.36
26118	Rad resect hand tumor 3 cm/>		J1	5073	"$2,421.55"	0.00%	$0.00
26121	Release palm contracture		J1	5113	"$2,892.28"	0.37%	$10.70
26123	Release palm contracture		J1	5113	"$2,892.28"	0.47%	$13.59
26130	Remove wrist joint lining		J1	5113	"$2,892.28"	8.14%	$235.43
26135	Revise finger joint each		J1	5113	"$2,892.28"	3.29%	$95.16
26140	Revise finger joint each		J1	5112	"$1,422.51"	0.65%	$9.25
26145	Tendon excision palm/finger		J1	5112	"$1,422.51"	0.24%	$3.41
26160	Remove tendon sheath lesion		J1	5112	"$1,422.51"	0.20%	$2.85
26170	Removal of palm tendon each		J1	5112	"$1,422.51"	0.00%	$0.00
26180	Removal of finger tendon		J1	5112	"$1,422.51"	0.00%	$0.00
26185	Remove finger bone		J1	5112	"$1,422.51"	2.26%	$32.15
26200	Remove hand bone lesion		J1	5112	"$1,422.51"	2.87%	$40.83
26205	Remove/graft bone lesion		J1	5114	"$6,397.05"	0.00%	$0.00
26210	Removal of finger lesion		J1	5112	"$1,422.51"	0.49%	$6.97
26215	Remove/graft finger lesion		J1	5113	"$2,892.28"	12.71%	$367.61
26230	Partial removal of hand bone		J1	5113	"$2,892.28"	1.04%	$30.08
26235	Partial removal finger bone		J1	5112	"$1,422.51"	0.66%	$9.39
26236	Partial removal finger bone		J1	5112	"$1,422.51"	0.60%	$8.54
26250	Extensive hand surgery		J1	5113	"$2,892.28"	7.47%	$216.05
26260	Resect prox finger tumor		J1	5113	"$2,892.28"	3.68%	$106.44
26262	Resect distal finger tumor		J1	5112	"$1,422.51"	0.00%	$0.00
26320	Removal of implant from hand		Q2	5072	"$1,436.99"	0.21%	$3.02
26340	Manipulate finger w/anesth		J1	5112	"$1,422.51"	0.00%	$0.00
26341	Manipulat palm cord post inj		T	5111	$210.50	0.00%	$0.00
26350	Repair finger/hand tendon		J1	5113	"$2,892.28"	3.92%	$113.38
26352	Repair/graft hand tendon		J1	5114	"$6,397.05"	10.77%	$688.96
26356	Repair finger/hand tendon		J1	5113	"$2,892.28"	4.07%	$117.72
26357	Repair finger/hand tendon		J1	5113	"$2,892.28"	2.63%	$76.07
26358	Repair/graft hand tendon		J1	5114	"$6,397.05"	6.36%	$406.85
26370	Repair finger/hand tendon		J1	5113	"$2,892.28"	4.71%	$136.23
26372	Repair/graft hand tendon		J1	5114	"$6,397.05"	6.23%	$398.54
26373	Repair finger/hand tendon		J1	5113	"$2,892.28"	19.51%	$564.28
26390	Revise hand/finger tendon		J1	5114	"$6,397.05"	32.56%	"$2,082.88"
26392	Repair/graft hand tendon		J1	5114	"$6,397.05"	4.17%	$266.76
26410	Repair hand tendon		J1	5112	"$1,422.51"	1.17%	$16.64
26412	Repair/graft hand tendon		J1	5113	"$2,892.28"	6.15%	$177.88
26415	Excision hand/finger tendon		J1	5113	"$2,892.28"	6.36%	$183.95
26416	Graft hand or finger tendon		J1	5113	"$2,892.28"	9.20%	$266.09
26418	Repair finger tendon		J1	5112	"$1,422.51"	1.45%	$20.63
26420	Repair/graft finger tendon		J1	5113	"$2,892.28"	8.41%	$243.24
26426	Repair finger/hand tendon		J1	5113	"$2,892.28"	7.75%	$224.15
26428	Repair/graft finger tendon		J1	5113	"$2,892.28"	5.09%	$147.22
26432	Repair finger tendon		J1	5112	"$1,422.51"	0.93%	$13.23
26433	Repair finger tendon		J1	5113	"$2,892.28"	7.92%	$229.07
26434	Repair/graft finger tendon		J1	5113	"$2,892.28"	20.48%	$592.34
26437	Realignment of tendons		J1	5113	"$2,892.28"	1.08%	$31.24
26440	Release palm/finger tendon		J1	5112	"$1,422.51"	1.50%	$21.34
26442	Release palm & finger tendon		J1	5113	"$2,892.28"	3.16%	$91.40
26445	Release hand/finger tendon		J1	5113	"$2,892.28"	2.10%	$60.74
26449	Release forearm/hand tendon		J1	5113	"$2,892.28"	14.45%	$417.93
26450	Incision of palm tendon		J1	5113	"$2,892.28"	0.49%	$14.17
26455	Incision of finger tendon		J1	5112	"$1,422.51"	0.02%	$0.28
26460	Incise hand/finger tendon		J1	5112	"$1,422.51"	3.92%	$55.76
26471	Fusion of finger tendons		J1	5113	"$2,892.28"	11.26%	$325.67
26474	Fusion of finger tendons		J1	5112	"$1,422.51"	1.50%	$21.34
26476	Tendon lengthening		J1	5113	"$2,892.28"	12.64%	$365.58
26477	Tendon shortening		J1	5113	"$2,892.28"	12.31%	$356.04
26478	Lengthening of hand tendon		J1	5113	"$2,892.28"	0.59%	$17.06
26479	Shortening of hand tendon		J1	5113	"$2,892.28"	0.00%	$0.00
26480	Transplant hand tendon		J1	5113	"$2,892.28"	1.61%	$46.57
26483	Transplant/graft hand tendon		J1	5113	"$2,892.28"	0.73%	$21.11
26485	Transplant palm tendon		J1	5113	"$2,892.28"	8.06%	$233.12
26489	Transplant/graft palm tendon		J1	5113	"$2,892.28"	5.98%	$172.96
26490	Revise thumb tendon		J1	5113	"$2,892.28"	4.75%	$137.38
26492	Tendon transfer with graft		J1	5113	"$2,892.28"	7.14%	$206.51
26494	Hand tendon/muscle transfer		J1	5113	"$2,892.28"	0.00%	$0.00
26496	Revise thumb tendon		J1	5113	"$2,892.28"	2.94%	$85.03
26497	Finger tendon transfer		J1	5113	"$2,892.28"	1.90%	$54.95
26498	Finger tendon transfer		J1	5113	"$2,892.28"	0.00%	$0.00
26499	Revision of finger		J1	5113	"$2,892.28"	16.62%	$480.70
26500	Hand tendon reconstruction		J1	5114	"$6,397.05"	2.79%	$178.48
26502	Hand tendon reconstruction		J1	5113	"$2,892.28"	10.82%	$312.94
26508	Release thumb contracture		J1	5113	"$2,892.28"	4.85%	$140.28
26510	Thumb tendon transfer		J1	5113	"$2,892.28"	4.20%	$121.48
26516	Fusion of knuckle joint		J1	5113	"$2,892.28"	23.09%	$667.83
26517	Fusion of knuckle joints		J1	5113	"$2,892.28"	16.26%	$470.28
26518	Fusion of knuckle joints		J1	5114	"$6,397.05"	38.47%	"$2,460.95"
26520	Release knuckle contracture		J1	5113	"$2,892.28"	1.77%	$51.19
26525	Release finger contracture		J1	5112	"$1,422.51"	0.72%	$10.24
26530	Revise knuckle joint		J1	5114	"$6,397.05"	33.05%	"$2,114.23"
26531	Revise knuckle with implant		J1	5114	"$6,397.05"	43.23%	"$2,765.44"
26535	Revise finger joint		J1	5113	"$2,892.28"	21.05%	$608.82
26536	Revise/implant finger joint		J1	5114	"$6,397.05"	40.37%	"$2,582.49"
26540	Repair hand joint		J1	5113	"$2,892.28"	22.55%	$652.21
26541	Repair hand joint with graft		J1	5113	"$2,892.28"	26.91%	$778.31
26542	Repair hand joint with graft		J1	5113	"$2,892.28"	23.58%	$682.00
26545	Reconstruct finger joint		J1	5113	"$2,892.28"	19.57%	$566.02
26546	Repair nonunion hand		J1	5114	"$6,397.05"	25.43%	"$1,626.77"
26548	Reconstruct finger joint		J1	5113	"$2,892.28"	15.03%	$434.71
26550	Construct thumb replacement		J1	5113	"$2,892.28"	0.00%	$0.00
26555	Positional change of finger		J1	5114	"$6,397.05"	20.58%	"$1,316.51"
26560	Repair of web finger		J1	5112	"$1,422.51"	0.00%	$0.00
26561	Repair of web finger		J1	5113	"$2,892.28"	13.77%	$398.27
26565	Correct metacarpal flaw		J1	5113	"$2,892.28"	22.06%	$638.04
26567	Correct finger deformity		J1	5113	"$2,892.28"	10.93%	$316.13
26568	Lengthen metacarpal/finger		J1	5114	"$6,397.05"	34.14%	"$2,183.95"
26580	Repair hand deformity		J1	5113	"$2,892.28"	0.00%	$0.00
26587	Reconstruct extra finger		J1	5113	"$2,892.28"	0.00%	$0.00
26590	Repair finger deformity		J1	5112	"$1,422.51"	0.00%	$0.00
26591	Repair muscles of hand		J1	5113	"$2,892.28"	0.00%	$0.00
26593	Release muscles of hand		J1	5113	"$2,892.28"	2.11%	$61.03
26596	Excision constricting tissue		J1	5113	"$2,892.28"	0.00%	$0.00
26600	Treat metacarpal fracture		T	5111	$210.50	0.00%	$0.00
26605	Treat metacarpal fracture		T	5111	$210.50	0.60%	$1.26
26607	Treat metacarpal fracture		J1	5113	"$2,892.28"	21.65%	$626.18
26608	Treat metacarpal fracture		J1	5113	"$2,892.28"	2.51%	$72.60
26615	Treat metacarpal fracture		J1	5113	"$2,892.28"	21.41%	$619.24
26641	Treat thumb dislocation		T	5111	$210.50	0.00%	$0.00
26645	Treat thumb fracture		J1	5112	"$1,422.51"	0.00%	$0.00
26650	Treat thumb fracture		J1	5113	"$2,892.28"	4.42%	$127.84
26665	Treat thumb fracture		J1	5113	"$2,892.28"	14.77%	$427.19
26670	Treat hand dislocation		T	5111	$210.50	0.72%	$1.52
26675	Treat hand dislocation		J1	5112	"$1,422.51"	0.94%	$13.37
26676	Pin hand dislocation		J1	5113	"$2,892.28"	1.38%	$39.91
26685	Treat hand dislocation		J1	5113	"$2,892.28"	10.60%	$306.58
26686	Treat hand dislocation		J1	5113	"$2,892.28"	18.13%	$524.37
26700	Treat knuckle dislocation		T	5111	$210.50	0.00%	$0.00
26705	Treat knuckle dislocation		J1	5112	"$1,422.51"	0.03%	$0.43
26706	Pin knuckle dislocation		J1	5113	"$2,892.28"	4.60%	$133.04
26715	Treat knuckle dislocation		J1	5113	"$2,892.28"	2.51%	$72.60
26720	Treat finger fracture each		T	5111	$210.50	0.06%	$0.13
26725	Treat finger fracture each		T	5111	$210.50	0.29%	$0.61
26727	Treat finger fracture each		J1	5113	"$2,892.28"	1.84%	$53.22
26735	Treat finger fracture each		J1	5113	"$2,892.28"	14.53%	$420.25
26740	Treat finger fracture each		T	5111	$210.50	0.00%	$0.00
26742	Treat finger fracture each		J1	5112	"$1,422.51"	0.19%	$2.70
26746	Treat finger fracture each		J1	5113	"$2,892.28"	8.11%	$234.56
26750	Treat finger fracture each		T	5111	$210.50	0.04%	$0.08
26755	Treat finger fracture each		T	5111	$210.50	0.26%	$0.55
26756	Pin finger fracture each		J1	5113	"$2,892.28"	1.64%	$47.43
26765	Treat finger fracture each		J1	5113	"$2,892.28"	2.45%	$70.86
26770	Treat finger dislocation		T	5111	$210.50	0.00%	$0.00
26775	Treat finger dislocation		T	5102	$246.38	0.09%	$0.22
26776	Pin finger dislocation		J1	5113	"$2,892.28"	0.67%	$19.38
26785	Treat finger dislocation		J1	5113	"$2,892.28"	2.08%	$60.16
26820	Thumb fusion with graft		J1	5114	"$6,397.05"	37.21%	"$2,380.34"
26841	Fusion of thumb		J1	5114	"$6,397.05"	26.51%	"$1,695.86"
26842	Thumb fusion with graft		J1	5114	"$6,397.05"	25.77%	"$1,648.52"
26843	Fusion of hand joint		J1	5114	"$6,397.05"	39.43%	"$2,522.36"
26844	Fusion/graft of hand joint		J1	5114	"$6,397.05"	32.74%	"$2,094.39"
26850	Fusion of knuckle		J1	5114	"$6,397.05"	22.41%	"$1,433.58"
26852	Fusion of knuckle with graft		J1	5114	"$6,397.05"	24.93%	"$1,594.78"
26860	Fusion of finger joint		J1	5113	"$2,892.28"	17.15%	$496.03
26862	Fusion/graft of finger joint		J1	5113	"$2,892.28"	17.42%	$503.84
26910	Amputate metacarpal bone		J1	5113	"$2,892.28"	0.88%	$25.45
26951	Amputation of finger/thumb		J1	5113	"$2,892.28"	0.20%	$5.78
26952	Amputation of finger/thumb		J1	5113	"$2,892.28"	0.35%	$10.12
26989	Hand/finger surgery		T	5111	$210.50	3.95%	$8.31
26990	Drainage of pelvis lesion		J1	5113	"$2,892.28"	1.65%	$47.72
26991	Drainage of pelvis bursa		J1	5112	"$1,422.51"	0.84%	$11.95
27000	Incision of hip tendon		J1	5112	"$1,422.51"	1.30%	$18.49
27001	Incision of hip tendon		J1	5113	"$2,892.28"	11.22%	$324.51
27006	Incision of hip tendons		J1	5113	"$2,892.28"	5.48%	$158.50
27027	Buttock fasciotomy		J1	5114	"$6,397.05"	8.73%	$558.46
27033	Exploration of hip joint		J1	5114	"$6,397.05"	6.64%	$424.76
27035	Denervation of hip joint		J1	5113	"$2,892.28"	1.48%	$42.81
27040	Biopsy of soft tissues		J1	5072	"$1,436.99"	0.06%	$0.86
27041	Biopsy of soft tissues		J1	5072	"$1,436.99"	0.18%	$2.59
27043	Exc hip pelvis les sc 3 cm/>		J1	5073	"$2,421.55"	0.19%	$4.60
27045	Exc hip/pelv tum deep 5 cm/>		J1	5073	"$2,421.55"	0.22%	$5.33
27047	Exc hip/pelvis les sc < 3 cm		J1	5073	"$2,421.55"	0.43%	$10.41
27048	Exc hip/pelv tum deep < 5 cm		J1	5073	"$2,421.55"	1.30%	$31.48
27049	Resect hip/pelv tum < 5 cm		J1	5073	"$2,421.55"	0.16%	$3.87
27050	Biopsy of sacroiliac joint		J1	5112	"$1,422.51"	0.00%	$0.00
27052	Biopsy of hip joint		J1	5112	"$1,422.51"	10.74%	$152.78
27057	Buttock fasciotomy w/dbrdmt		J1	5112	"$1,422.51"	0.00%	$0.00
27059	Resect hip/pelv tum 5 cm/>		J1	5073	"$2,421.55"	0.24%	$5.81
27060	Removal of ischial bursa		J1	5114	"$6,397.05"	3.20%	$204.71
27062	Remove femur lesion/bursa		J1	5113	"$2,892.28"	12.46%	$360.38
27065	Remove hip bone les super		J1	5114	"$6,397.05"	3.05%	$195.11
27066	Remove hip bone les deep		J1	5113	"$2,892.28"	3.34%	$96.60
27067	Remove/graft hip bone lesion		J1	5114	"$6,397.05"	0.00%	$0.00
27080	Removal of tail bone		J1	5113	"$2,892.28"	0.19%	$5.50
27086	Remove hip foreign body		J1	5073	"$2,421.55"	0.03%	$0.73
27087	Remove hip foreign body		J1	5113	"$2,892.28"	0.45%	$13.02
27097	Revision of hip tendon		J1	5113	"$2,892.28"	3.83%	$110.77
27098	Transfer tendon to pelvis		J1	5113	"$2,892.28"	7.76%	$224.44
27100	Transfer of abdominal muscle		J1	5114	"$6,397.05"	27.39%	"$1,752.15"
27110	Transfer of iliopsoas muscle		J1	5114	"$6,397.05"	35.54%	"$2,273.51"
27130	Total hip arthroplasty		J1	5115	"$12,593.29"	48.97%	"$6,166.93"
27197	Clsd tx pelvic ring fx		T	5111	$210.50	0.00%	$0.00
27198	Clsd tx pelvic ring fx		T	5111	$210.50	2.11%	$4.44
27200	Treat tail bone fracture		T	5111	$210.50	0.00%	$0.00
27220	Treat hip socket fracture		T	5111	$210.50	0.00%	$0.00
27230	Treat thigh fracture		T	5111	$210.50	0.00%	$0.00
27235	Treat thigh fracture		J1	5114	"$6,397.05"	25.93%	"$1,658.76"
27238	Treat thigh fracture		J1	5112	"$1,422.51"	4.93%	$70.13
27246	Treat thigh fracture		T	5111	$210.50	0.22%	$0.46
27250	Treat hip dislocation		T	5111	$210.50	0.00%	$0.00
27252	Treat hip dislocation		J1	5112	"$1,422.51"	0.11%	$1.56
27256	Treat hip dislocation		T	5111	$210.50	0.00%	$0.00
27257	Treat hip dislocation		J1	5112	"$1,422.51"	0.00%	$0.00
27265	Treat hip dislocation		T	5111	$210.50	0.00%	$0.00
27266	Treat hip dislocation		J1	5112	"$1,422.51"	0.10%	$1.42
27267	Cltx thigh fx		J1	5113	"$2,892.28"	9.28%	$268.40
27275	Manipulation of hip joint		J1	5112	"$1,422.51"	0.01%	$0.14
27279	Arthrodesis sacroiliac joint		J1	5116	"$16,513.36"	70.38%	"$11,622.10"
27299	Pelvis/hip joint surgery		T	5111	$210.50	18.08%	$38.06
27301	Drain thigh/knee lesion		J1	5073	"$2,421.55"	1.84%	$44.56
27305	Incise thigh tendon & fascia		J1	5113	"$2,892.28"	3.96%	$114.53
27306	Incision of thigh tendon		J1	5113	"$2,892.28"	4.58%	$132.47
27307	Incision of thigh tendons		J1	5113	"$2,892.28"	24.70%	$714.39
27310	Exploration of knee joint		J1	5113	"$2,892.28"	3.56%	$102.97
27323	Biopsy thigh soft tissues		J1	5072	"$1,436.99"	0.35%	$5.03
27324	Biopsy thigh soft tissues		J1	5073	"$2,421.55"	0.13%	$3.15
27325	Neurectomy hamstring		J1	5431	"$1,793.31"	0.00%	$0.00
27326	Neurectomy popliteal		J1	5431	"$1,793.31"	0.00%	$0.00
27327	Exc thigh/knee les sc < 3 cm		J1	5072	"$1,436.99"	0.12%	$1.72
27328	Exc thigh/knee tum deep <5cm		J1	5073	"$2,421.55"	0.12%	$2.91
27329	Resect thigh/knee tum < 5 cm		J1	5073	"$2,421.55"	0.04%	$0.97
27330	Biopsy knee joint lining		J1	5113	"$2,892.28"	3.96%	$114.53
27331	Explore/treat knee joint		J1	5113	"$2,892.28"	1.78%	$51.48
27332	Removal of knee cartilage		J1	5113	"$2,892.28"	6.32%	$182.79
27333	Removal of knee cartilage		J1	5113	"$2,892.28"	5.47%	$158.21
27334	Remove knee joint lining		J1	5113	"$2,892.28"	8.02%	$231.96
27335	Remove knee joint lining		J1	5114	"$6,397.05"	15.80%	"$1,010.73"
27337	Exc thigh/knee les sc 3 cm/>		J1	5073	"$2,421.55"	0.12%	$2.91
27339	Exc thigh/knee tum dep 5cm/>		J1	5073	"$2,421.55"	0.66%	$15.98
27340	Removal of kneecap bursa		J1	5113	"$2,892.28"	0.90%	$26.03
27345	Removal of knee cyst		J1	5113	"$2,892.28"	2.40%	$69.41
27347	Remove knee cyst		J1	5113	"$2,892.28"	2.01%	$58.13
27350	Removal of kneecap		J1	5114	"$6,397.05"	4.51%	$288.51
27355	Remove femur lesion		J1	5113	"$2,892.28"	4.43%	$128.13
27356	Remove femur lesion/graft		J1	5115	"$12,593.29"	33.19%	"$4,179.71"
27357	Remove femur lesion/graft		J1	5114	"$6,397.05"	38.16%	"$2,441.11"
27360	Partial removal leg bone(s)		J1	5113	"$2,892.28"	6.41%	$185.40
27364	Resect thigh/knee tum 5 cm/>		J1	5073	"$2,421.55"	0.42%	$10.17
27372	Removal of foreign body		J1	5073	"$2,421.55"	0.21%	$5.09
27380	Repair of kneecap tendon		J1	5114	"$6,397.05"	10.46%	$669.13
27381	Repair/graft kneecap tendon		J1	5114	"$6,397.05"	30.03%	"$1,921.03"
27385	Repair of thigh muscle		J1	5114	"$6,397.05"	10.40%	$665.29
27386	Repair/graft of thigh muscle		J1	5114	"$6,397.05"	22.68%	"$1,450.85"
27390	Incision of thigh tendon		J1	5113	"$2,892.28"	15.03%	$434.71
27391	Incision of thigh tendons		J1	5113	"$2,892.28"	5.45%	$157.63
27392	Incision of thigh tendons		J1	5113	"$2,892.28"	0.00%	$0.00
27393	Lengthening of thigh tendon		J1	5114	"$6,397.05"	0.00%	$0.00
27395	Lengthening of thigh tendons		J1	5113	"$2,892.28"	0.00%	$0.00
27396	Transplant of thigh tendon		J1	5114	"$6,397.05"	11.70%	$748.45
27400	Revise thigh muscles/tendons		J1	5114	"$6,397.05"	7.36%	$470.82
27403	Repair of knee cartilage		J1	5114	"$6,397.05"	36.90%	"$2,360.51"
27405	Repair of knee ligament		J1	5114	"$6,397.05"	14.39%	$920.54
27407	Repair of knee ligament		J1	5114	"$6,397.05"	35.10%	"$2,245.36"
27409	Repair of knee ligaments		J1	5114	"$6,397.05"	21.93%	"$1,402.87"
27412	Autochondrocyte implant knee		J1	5114	"$6,397.05"	55.24%	"$3,533.73"
27415	Osteochondral knee allograft		J1	5115	"$12,593.29"	57.35%	"$7,222.25"
27416	Osteochondral knee autograft		J1	5114	"$6,397.05"	16.39%	"$1,048.48"
27418	Repair degenerated kneecap		J1	5114	"$6,397.05"	11.23%	$718.39
27420	Revision of unstable kneecap		J1	5114	"$6,397.05"	10.55%	$674.89
27422	Revision of unstable kneecap		J1	5114	"$6,397.05"	10.92%	$698.56
27424	Revision/removal of kneecap		J1	5114	"$6,397.05"	5.61%	$358.87
27425	Lat retinacular release open		J1	5113	"$2,892.28"	6.00%	$173.54
27427	Reconstruction knee		J1	5114	"$6,397.05"	35.27%	"$2,256.24"
27428	Reconstruction knee		J1	5115	"$12,593.29"	34.16%	"$4,301.87"
27429	Reconstruction knee		J1	5115	"$12,593.29"	42.86%	"$5,397.48"
27430	Revision of thigh muscles		J1	5114	"$6,397.05"	12.50%	$799.63
27435	Incision of knee joint		J1	5113	"$2,892.28"	2.59%	$74.91
27437	Revise kneecap		J1	5114	"$6,397.05"	23.39%	"$1,496.27"
27438	Revise kneecap with implant		J1	5115	"$12,593.29"	38.25%	"$4,816.93"
27440	Revision of knee joint		J1	5115	"$12,593.29"	42.35%	"$5,333.26"
27441	Revision of knee joint		J1	5115	"$12,593.29"	40.02%	"$5,039.83"
27442	Revision of knee joint		J1	5115	"$12,593.29"	46.68%	"$5,878.55"
27443	Revision of knee joint		J1	5115	"$12,593.29"	44.79%	"$5,640.53"
27446	Revision of knee joint		J1	5115	"$12,593.29"	46.06%	"$5,800.47"
27447	Total knee arthroplasty		J1	5115	"$12,593.29"	47.69%	"$6,005.74"
27477	Surgery to stop leg growth		J1	5114	"$6,397.05"	50.90%	"$3,256.10"
27485	Surgery to stop leg growth		J1	5114	"$6,397.05"	20.51%	"$1,312.03"
27498	Decompression of thigh/knee		J1	5112	"$1,422.51"	0.00%	$0.00
27500	Treatment of thigh fracture		T	5111	$210.50	0.00%	$0.00
27501	Treatment of thigh fracture		T	5111	$210.50	0.00%	$0.00
27502	Treatment of thigh fracture		J1	5112	"$1,422.51"	4.19%	$59.60
27503	Treatment of thigh fracture		J1	5112	"$1,422.51"	7.34%	$104.41
27508	Treatment of thigh fracture		T	5111	$210.50	0.00%	$0.00
27509	Treatment of thigh fracture		J1	5114	"$6,397.05"	46.25%	"$2,958.64"
27510	Treatment of thigh fracture		J1	5112	"$1,422.51"	0.00%	$0.00
27516	Treat thigh fx growth plate		T	5111	$210.50	0.00%	$0.00
27517	Treat thigh fx growth plate		J1	5112	"$1,422.51"	0.00%	$0.00
27520	Treat kneecap fracture		T	5111	$210.50	0.04%	$0.08
27524	Treat kneecap fracture		J1	5114	"$6,397.05"	14.07%	$900.06
27530	Treat knee fracture		T	5111	$210.50	0.00%	$0.00
27532	Treat knee fracture		J1	5113	"$2,892.28"	9.47%	$273.90
27538	Treat knee fracture(s)		T	5111	$210.50	8.33%	$17.53
27550	Treat knee dislocation		T	5111	$210.50	0.00%	$0.00
27552	Treat knee dislocation		J1	5112	"$1,422.51"	0.09%	$1.28
27560	Treat kneecap dislocation		T	5111	$210.50	0.00%	$0.00
27562	Treat kneecap dislocation		T	5111	$210.50	1.84%	$3.87
27566	Treat kneecap dislocation		J1	5114	"$6,397.05"	6.96%	$445.23
27570	Fixation of knee joint		J1	5112	"$1,422.51"	0.22%	$3.13
27594	Amputation follow-up surgery		J1	5113	"$2,892.28"	1.43%	$41.36
27599	Leg surgery procedure		T	5111	$210.50	22.74%	$47.87
27600	Decompression of lower leg		J1	5113	"$2,892.28"	1.99%	$57.56
27601	Decompression of lower leg		J1	5113	"$2,892.28"	0.15%	$4.34
27602	Decompression of lower leg		J1	5113	"$2,892.28"	14.30%	$413.60
27603	Drain lower leg lesion		J1	5073	"$2,421.55"	2.38%	$57.63
27604	Drain lower leg bursa		J1	5113	"$2,892.28"	0.00%	$0.00
27605	Incision of achilles tendon		J1	5112	"$1,422.51"	5.29%	$75.25
27606	Incision of achilles tendon		J1	5113	"$2,892.28"	4.68%	$135.36
27607	Treat lower leg bone lesion		J1	5113	"$2,892.28"	7.65%	$221.26
27610	Explore/treat ankle joint		J1	5113	"$2,892.28"	2.83%	$81.85
27612	Exploration of ankle joint		J1	5113	"$2,892.28"	5.39%	$155.89
27613	Biopsy lower leg soft tissue		J1	5072	"$1,436.99"	0.09%	$1.29
27614	Biopsy lower leg soft tissue		J1	5073	"$2,421.55"	0.00%	$0.00
27615	Resect leg/ankle tum < 5 cm		J1	5073	"$2,421.55"	4.73%	$114.54
27616	Resect leg/ankle tum 5 cm/>		J1	5073	"$2,421.55"	1.51%	$36.57
27618	Exc leg/ankle tum < 3 cm		J1	5072	"$1,436.99"	1.25%	$17.96
27619	Exc leg/ankle tum deep <5 cm		J1	5073	"$2,421.55"	0.64%	$15.50
27620	Explore/treat ankle joint		J1	5113	"$2,892.28"	4.49%	$129.86
27625	Remove ankle joint lining		J1	5113	"$2,892.28"	11.60%	$335.50
27626	Remove ankle joint lining		J1	5113	"$2,892.28"	6.35%	$183.66
27630	Removal of tendon lesion		J1	5113	"$2,892.28"	1.51%	$43.67
27632	Exc leg/ankle les sc 3 cm/>		J1	5073	"$2,421.55"	1.13%	$27.36
27634	Exc leg/ankle tum dep 5 cm/>		J1	5073	"$2,421.55"	0.06%	$1.45
27635	Remove lower leg bone lesion		J1	5113	"$2,892.28"	3.61%	$104.41
27637	Remove/graft leg bone lesion		J1	5114	"$6,397.05"	37.69%	"$2,411.05"
27638	Remove/graft leg bone lesion		J1	5114	"$6,397.05"	35.17%	"$2,249.84"
27640	Partial removal of tibia		J1	5113	"$2,892.28"	6.22%	$179.90
27641	Partial removal of fibula		J1	5113	"$2,892.28"	3.75%	$108.46
27647	Resect talus/calcaneus tum		J1	5113	"$2,892.28"	0.00%	$0.00
27650	Repair achilles tendon		J1	5114	"$6,397.05"	26.59%	"$1,700.98"
27652	Repair/graft achilles tendon		J1	5114	"$6,397.05"	38.79%	"$2,481.42"
27654	Repair of achilles tendon		J1	5114	"$6,397.05"	31.96%	"$2,044.50"
27656	Repair leg fascia defect		J1	5113	"$2,892.28"	31.11%	$899.79
27658	Repair of leg tendon each		J1	5113	"$2,892.28"	12.70%	$367.32
27659	Repair of leg tendon each		J1	5114	"$6,397.05"	22.27%	"$1,424.62"
27664	Repair of leg tendon each		J1	5114	"$6,397.05"	12.03%	$769.57
27665	Repair of leg tendon each		J1	5114	"$6,397.05"	28.49%	"$1,822.52"
27675	Repair lower leg tendons		J1	5113	"$2,892.28"	15.32%	$443.10
27676	Repair lower leg tendons		J1	5114	"$6,397.05"	8.66%	$553.98
27680	Release of lower leg tendon		J1	5113	"$2,892.28"	13.44%	$388.72
27681	Release of lower leg tendons		J1	5113	"$2,892.28"	14.33%	$414.46
27685	Revision of lower leg tendon		J1	5113	"$2,892.28"	7.67%	$221.84
27686	Revise lower leg tendons		J1	5113	"$2,892.28"	5.39%	$155.89
27687	Revision of calf tendon		J1	5113	"$2,892.28"	3.65%	$105.57
27690	Revise lower leg tendon		J1	5114	"$6,397.05"	19.99%	"$1,278.77"
27691	Revise lower leg tendon		J1	5114	"$6,397.05"	18.04%	"$1,154.03"
27695	Repair of ankle ligament		J1	5114	"$6,397.05"	29.20%	"$1,867.94"
27696	Repair of ankle ligaments		J1	5114	"$6,397.05"	30.94%	"$1,979.25"
27698	Repair of ankle ligament		J1	5114	"$6,397.05"	27.88%	"$1,783.50"
27700	Revision of ankle joint		J1	5114	"$6,397.05"	39.41%	"$2,521.08"
27702	Reconstruct ankle joint		J1	5115	"$12,593.29"	65.89%	"$8,297.72"
27704	Removal of ankle implant		Q2	5113	"$2,892.28"	6.05%	$174.98
27705	Incision of tibia		J1	5114	"$6,397.05"	35.04%	"$2,241.53"
27707	Incision of fibula		J1	5113	"$2,892.28"	18.11%	$523.79
27709	Incision of tibia & fibula		J1	5115	"$12,593.29"	39.98%	"$5,034.80"
27720	Repair of tibia		J1	5114	"$6,397.05"	39.45%	"$2,523.64"
27722	Repair/graft of tibia		J1	5114	"$6,397.05"	58.13%	"$3,718.61"
27726	Repair fibula nonunion		J1	5114	"$6,397.05"	37.92%	"$2,425.76"
27730	Repair of tibia epiphysis		J1	5113	"$2,892.28"	0.00%	$0.00
27745	Reinforce tibia		J1	5114	"$6,397.05"	33.23%	"$2,125.74"
27750	Treatment of tibia fracture		T	5111	$210.50	0.00%	$0.00
27752	Treatment of tibia fracture		J1	5112	"$1,422.51"	0.18%	$2.56
27756	Treatment of tibia fracture		J1	5114	"$6,397.05"	38.60%	"$2,469.26"
27758	Treatment of tibia fracture		J1	5115	"$12,593.29"	40.79%	"$5,136.80"
27759	Treatment of tibia fracture		J1	5115	"$12,593.29"	34.87%	"$4,391.28"
27760	Cltx medial ankle fx		T	5111	$210.50	0.48%	$1.01
27762	Cltx med ankle fx w/mnpj		J1	5112	"$1,422.51"	1.10%	$15.65
27766	Optx medial ankle fx		J1	5114	"$6,397.05"	20.75%	"$1,327.39"
27767	Cltx post ankle fx		T	5111	$210.50	0.00%	$0.00
27768	Cltx post ankle fx w/mnpj		J1	5112	"$1,422.51"	6.27%	$89.19
27769	Optx post ankle fx		J1	5114	"$6,397.05"	30.75%	"$1,967.09"
27780	Treatment of fibula fracture		T	5111	$210.50	0.00%	$0.00
27781	Treatment of fibula fracture		J1	5112	"$1,422.51"	0.66%	$9.39
27784	Treatment of fibula fracture		J1	5114	"$6,397.05"	34.52%	"$2,208.26"
27786	Treatment of ankle fracture		T	5111	$210.50	0.00%	$0.00
27788	Treatment of ankle fracture		T	5111	$210.50	1.66%	$3.49
27792	Treatment of ankle fracture		J1	5114	"$6,397.05"	34.61%	"$2,214.02"
27808	Treatment of ankle fracture		T	5111	$210.50	0.36%	$0.76
27810	Treatment of ankle fracture		J1	5112	"$1,422.51"	0.21%	$2.99
27814	Treatment of ankle fracture		J1	5114	"$6,397.05"	34.52%	"$2,208.26"
27816	Treatment of ankle fracture		T	5111	$210.50	0.00%	$0.00
27818	Treatment of ankle fracture		J1	5112	"$1,422.51"	0.19%	$2.70
27822	Treatment of ankle fracture		J1	5114	"$6,397.05"	34.48%	"$2,205.70"
27823	Treatment of ankle fracture		J1	5114	"$6,397.05"	32.74%	"$2,094.39"
27824	Treat lower leg fracture		T	5111	$210.50	0.44%	$0.93
27825	Treat lower leg fracture		J1	5112	"$1,422.51"	6.31%	$89.76
27826	Treat lower leg fracture		J1	5114	"$6,397.05"	35.41%	"$2,265.20"
27827	Treat lower leg fracture		J1	5115	"$12,593.29"	38.65%	"$4,867.31"
27828	Treat lower leg fracture		J1	5115	"$12,593.29"	40.92%	"$5,153.17"
27829	Treat lower leg joint		J1	5114	"$6,397.05"	33.37%	"$2,134.70"
27830	Treat lower leg dislocation		T	5111	$210.50	0.00%	$0.00
27831	Treat lower leg dislocation		J1	5113	"$2,892.28"	0.00%	$0.00
27832	Treat lower leg dislocation		J1	5114	"$6,397.05"	34.43%	"$2,202.50"
27840	Treat ankle dislocation		T	5111	$210.50	0.00%	$0.00
27842	Treat ankle dislocation		J1	5112	"$1,422.51"	3.20%	$45.52
27846	Treat ankle dislocation		J1	5114	"$6,397.05"	9.02%	$577.01
27848	Treat ankle dislocation		J1	5114	"$6,397.05"	32.77%	"$2,096.31"
27860	Fixation of ankle joint		J1	5113	"$2,892.28"	15.68%	$453.51
27870	Fusion of ankle joint open		J1	5115	"$12,593.29"	48.76%	"$6,140.49"
27871	Fusion of tibiofibular joint		J1	5115	"$12,593.29"	44.46%	"$5,598.98"
27884	Amputation follow-up surgery		J1	5113	"$2,892.28"	1.07%	$30.95
27889	Amputation of foot at ankle		J1	5114	"$6,397.05"	0.00%	$0.00
27892	Decompression of leg		J1	5113	"$2,892.28"	7.35%	$212.58
27893	Decompression of leg		J1	5114	"$6,397.05"	0.00%	$0.00
27899	Leg/ankle surgery procedure		T	5111	$210.50	16.59%	$34.92
28001	Drainage of bursa of foot		J1	5072	"$1,436.99"	1.14%	$16.38
28002	Treatment of foot infection		J1	5112	"$1,422.51"	4.13%	$58.75
28003	Treatment of foot infection		J1	5113	"$2,892.28"	3.72%	$107.59
28005	Treat foot bone lesion		J1	5113	"$2,892.28"	8.59%	$248.45
28008	Incision of foot fascia		J1	5113	"$2,892.28"	4.01%	$115.98
28010	Incision of toe tendon		J1	5112	"$1,422.51"	0.11%	$1.56
28011	Incision of toe tendons		J1	5112	"$1,422.51"	0.02%	$0.28
28020	Exploration of foot joint		J1	5113	"$2,892.28"	8.21%	$237.46
28022	Exploration of foot joint		J1	5113	"$2,892.28"	5.54%	$160.23
28024	Exploration of toe joint		J1	5112	"$1,422.51"	3.87%	$55.05
28035	Decompression of tibia nerve		J1	5431	"$1,793.31"	10.58%	$189.73
28039	Exc foot/toe tum sc 1.5 cm/>		J1	5073	"$2,421.55"	2.10%	$50.85
28041	Exc foot/toe tum dep 1.5cm/>		J1	5073	"$2,421.55"	2.38%	$57.63
28043	Exc foot/toe tum sc < 1.5 cm		J1	5072	"$1,436.99"	1.49%	$21.41
28045	Exc foot/toe tum deep <1.5cm		J1	5073	"$2,421.55"	0.04%	$0.97
28046	Resect foot/toe tumor < 3 cm		J1	5073	"$2,421.55"	7.96%	$192.76
28047	Resect foot/toe tumor 3 cm/>		J1	5073	"$2,421.55"	0.10%	$2.42
28050	Biopsy of foot joint lining		J1	5113	"$2,892.28"	2.35%	$67.97
28052	Biopsy of foot joint lining		J1	5113	"$2,892.28"	7.96%	$230.23
28054	Biopsy of toe joint lining		J1	5113	"$2,892.28"	3.16%	$91.40
28055	Neurectomy foot		J1	5431	"$1,793.31"	4.57%	$81.95
28060	Partial removal foot fascia		J1	5113	"$2,892.28"	6.28%	$181.64
28062	Removal of foot fascia		J1	5113	"$2,892.28"	12.82%	$370.79
28070	Removal of foot joint lining		J1	5114	"$6,397.05"	1.67%	$106.83
28072	Removal of foot joint lining		J1	5113	"$2,892.28"	13.59%	$393.06
28080	Removal of foot lesion		J1	5112	"$1,422.51"	1.66%	$23.61
28086	Excise foot tendon sheath		J1	5113	"$2,892.28"	7.82%	$226.18
28088	Excise foot tendon sheath		J1	5113	"$2,892.28"	0.00%	$0.00
28090	Removal of foot lesion		J1	5112	"$1,422.51"	1.62%	$23.04
28092	Removal of toe lesions		J1	5112	"$1,422.51"	1.28%	$18.21
28100	Removal of ankle/heel lesion		J1	5113	"$2,892.28"	6.37%	$184.24
28102	Remove/graft foot lesion		J1	5114	"$6,397.05"	35.15%	"$2,248.56"
28103	Remove/graft foot lesion		J1	5114	"$6,397.05"	43.78%	"$2,800.63"
28104	Removal of foot lesion		J1	5113	"$2,892.28"	3.36%	$97.18
28106	Remove/graft foot lesion		J1	5114	"$6,397.05"	25.51%	"$1,631.89"
28107	Remove/graft foot lesion		J1	5114	"$6,397.05"	40.64%	"$2,599.76"
28108	Removal of toe lesions		J1	5112	"$1,422.51"	1.90%	$27.03
28110	Part removal of metatarsal		J1	5113	"$2,892.28"	4.44%	$128.42
28111	Part removal of metatarsal		J1	5113	"$2,892.28"	5.88%	$170.07
28112	Part removal of metatarsal		J1	5113	"$2,892.28"	4.19%	$121.19
28113	Part removal of metatarsal		J1	5113	"$2,892.28"	2.04%	$59.00
28114	Removal of metatarsal heads		J1	5113	"$2,892.28"	8.20%	$237.17
28116	Revision of foot		J1	5113	"$2,892.28"	4.35%	$125.81
28118	Removal of heel bone		J1	5113	"$2,892.28"	21.56%	$623.58
28119	Removal of heel spur		J1	5113	"$2,892.28"	11.03%	$319.02
28120	Part removal of ankle/heel		J1	5113	"$2,892.28"	7.81%	$225.89
28122	Partial removal of foot bone		J1	5113	"$2,892.28"	4.22%	$122.05
28124	Partial removal of toe		J1	5113	"$2,892.28"	1.69%	$48.88
28126	Partial removal of toe		J1	5113	"$2,892.28"	2.52%	$72.89
28130	Removal of ankle bone		J1	5114	"$6,397.05"	21.21%	"$1,356.81"
28140	Removal of metatarsal		J1	5113	"$2,892.28"	4.97%	$143.75
28150	Removal of toe		J1	5113	"$2,892.28"	2.59%	$74.91
28153	Partial removal of toe		J1	5113	"$2,892.28"	1.82%	$52.64
28160	Partial removal of toe		J1	5113	"$2,892.28"	2.53%	$73.17
28171	Resect tarsal tumor		J1	5113	"$2,892.28"	1.17%	$33.84
28173	Resect metatarsal tumor		J1	5113	"$2,892.28"	7.29%	$210.85
28175	Resect phalanx of toe tumor		J1	5112	"$1,422.51"	0.00%	$0.00
28190	Removal of foot foreign body		T	5071	$635.54	0.06%	$0.38
28192	Removal of foot foreign body		J1	5072	"$1,436.99"	0.48%	$6.90
28193	Removal of foot foreign body		J1	5072	"$1,436.99"	0.83%	$11.93
28200	Repair of foot tendon		J1	5113	"$2,892.28"	14.82%	$428.64
28202	Repair/graft of foot tendon		J1	5114	"$6,397.05"	27.61%	"$1,766.23"
28208	Repair of foot tendon		J1	5113	"$2,892.28"	18.74%	$542.01
28210	Repair/graft of foot tendon		J1	5114	"$6,397.05"	32.27%	"$2,064.33"
28220	Release of foot tendon		J1	5112	"$1,422.51"	16.02%	$227.89
28222	Release of foot tendons		J1	5113	"$2,892.28"	0.08%	$2.31
28225	Release of foot tendon		J1	5113	"$2,892.28"	8.69%	$251.34
28226	Release of foot tendons		J1	5113	"$2,892.28"	6.78%	$196.10
28230	Incision of foot tendon(s)		J1	5112	"$1,422.51"	3.07%	$43.67
28232	Incision of toe tendon		J1	5112	"$1,422.51"	0.08%	$1.14
28234	Incision of foot tendon		J1	5112	"$1,422.51"	4.31%	$61.31
28238	Revision of foot tendon		J1	5114	"$6,397.05"	18.55%	"$1,186.65"
28240	Release of big toe		J1	5113	"$2,892.28"	13.09%	$378.60
28250	Revision of foot fascia		J1	5113	"$2,892.28"	0.08%	$2.31
28261	Revision of foot tendon		J1	5112	"$1,422.51"	0.00%	$0.00
28262	Revision of foot and ankle		J1	5114	"$6,397.05"	0.97%	$62.05
28264	Release of midfoot joint		J1	5112	"$1,422.51"	0.00%	$0.00
28270	Release of foot contracture		J1	5113	"$2,892.28"	14.48%	$418.80
28272	Release of toe joint each		J1	5112	"$1,422.51"	0.00%	$0.00
28280	Fusion of toes		J1	5113	"$2,892.28"	4.61%	$133.33
28285	Repair of hammertoe		J1	5113	"$2,892.28"	12.91%	$373.39
28286	Repair of hammertoe		J1	5113	"$2,892.28"	0.10%	$2.89
28288	Partial removal of foot bone		J1	5113	"$2,892.28"	3.30%	$95.45
28289	Corrj halux rigdus w/o implt		J1	5113	"$2,892.28"	5.91%	$170.93
28291	Corrj halux rigdus w/implt		J1	5114	"$6,397.05"	50.05%	"$3,201.72"
28292	Correction hallux valgus		J1	5113	"$2,892.28"	8.30%	$240.06
28295	Correction hallux valgus		J1	5113	"$2,892.28"	23.49%	$679.40
28296	Correction hallux valgus		J1	5113	"$2,892.28"	17.64%	$510.20
28297	Correction hallux valgus		J1	5114	"$6,397.05"	47.70%	"$3,051.39"
28298	Correction hallux valgus		J1	5114	"$6,397.05"	30.56%	"$1,954.94"
28299	Correction hallux valgus		J1	5114	"$6,397.05"	32.28%	"$2,064.97"
28300	Incision of heel bone		J1	5114	"$6,397.05"	35.82%	"$2,291.42"
28302	Incision of ankle bone		J1	5114	"$6,397.05"	38.58%	"$2,467.98"
28304	Incision of midfoot bones		J1	5114	"$6,397.05"	22.77%	"$1,456.61"
28305	Incise/graft midfoot bones		J1	5114	"$6,397.05"	50.80%	"$3,249.70"
28306	Incision of metatarsal		J1	5114	"$6,397.05"	29.85%	"$1,909.52"
28307	Incision of metatarsal		J1	5114	"$6,397.05"	25.17%	"$1,610.14"
28308	Incision of metatarsal		J1	5113	"$2,892.28"	16.92%	$489.37
28309	Incision of metatarsals		J1	5114	"$6,397.05"	32.00%	"$2,047.06"
28310	Revision of big toe		J1	5114	"$6,397.05"	28.40%	"$1,816.76"
28312	Revision of toe		J1	5113	"$2,892.28"	8.42%	$243.53
28313	Repair deformity of toe		J1	5113	"$2,892.28"	16.86%	$487.64
28315	Removal of sesamoid bone		J1	5113	"$2,892.28"	2.59%	$74.91
28320	Repair of foot bones		J1	5115	"$12,593.29"	42.46%	"$5,347.11"
28322	Repair of metatarsals		J1	5114	"$6,397.05"	39.17%	"$2,505.72"
28344	Repair extra toe(s)		J1	5113	"$2,892.28"	0.00%	$0.00
28345	Repair webbed toe(s)		J1	5112	"$1,422.51"	0.00%	$0.00
28400	Treatment of heel fracture		T	5111	$210.50	0.00%	$0.00
28405	Treatment of heel fracture		T	5111	$210.50	0.00%	$0.00
28406	Treatment of heel fracture		J1	5114	"$6,397.05"	19.81%	"$1,267.26"
28415	Treat heel fracture		J1	5114	"$6,397.05"	38.16%	"$2,441.11"
28420	Treat/graft heel fracture		J1	5115	"$12,593.29"	39.23%	"$4,940.35"
28430	Treatment of ankle fracture		T	5111	$210.50	0.00%	$0.00
28435	Treatment of ankle fracture		J1	5112	"$1,422.51"	0.00%	$0.00
28436	Treatment of ankle fracture		J1	5114	"$6,397.05"	31.07%	"$1,987.56"
28445	Treat ankle fracture		J1	5114	"$6,397.05"	35.95%	"$2,299.74"
28446	Osteochondral talus autogrft		J1	5114	"$6,397.05"	40.24%	"$2,574.17"
28450	Treat midfoot fracture each		T	5111	$210.50	0.75%	$1.58
28455	Treat midfoot fracture each		J1	5112	"$1,422.51"	0.00%	$0.00
28456	Treat midfoot fracture		J1	5114	"$6,397.05"	37.26%	"$2,383.54"
28465	Treat midfoot fracture each		J1	5114	"$6,397.05"	39.00%	"$2,494.85"
28470	Treat metatarsal fracture		T	5111	$210.50	0.10%	$0.21
28475	Treat metatarsal fracture		T	5111	$210.50	10.49%	$22.08
28476	Treat metatarsal fracture		J1	5113	"$2,892.28"	17.56%	$507.88
28485	Treat metatarsal fracture		J1	5114	"$6,397.05"	34.61%	"$2,214.02"
28490	Treat big toe fracture		T	5111	$210.50	0.00%	$0.00
28495	Treat big toe fracture		T	5111	$210.50	0.00%	$0.00
28496	Treat big toe fracture		J1	5113	"$2,892.28"	3.81%	$110.20
28505	Treat big toe fracture		J1	5113	"$2,892.28"	12.77%	$369.34
28510	Treatment of toe fracture		T	5111	$210.50	0.01%	$0.02
28515	Treatment of toe fracture		T	5111	$210.50	1.19%	$2.50
28525	Treat toe fracture		J1	5113	"$2,892.28"	10.06%	$290.96
28530	Treat sesamoid bone fracture		T	5111	$210.50	0.00%	$0.00
28531	Treat sesamoid bone fracture		J1	5114	"$6,397.05"	1.56%	$99.79
28555	Repair foot dislocation		J1	5114	"$6,397.05"	41.32%	"$2,643.26"
28570	Treat foot dislocation		T	5111	$210.50	0.40%	$0.84
28575	Treat foot dislocation		J1	5113	"$2,892.28"	0.00%	$0.00
28576	Treat foot dislocation		J1	5114	"$6,397.05"	10.99%	$703.04
28585	Repair foot dislocation		J1	5114	"$6,397.05"	43.09%	"$2,756.49"
28600	Treat foot dislocation		T	5111	$210.50	0.00%	$0.00
28605	Treat foot dislocation		T	5111	$210.50	0.00%	$0.00
28606	Treat foot dislocation		J1	5113	"$2,892.28"	13.59%	$393.06
28615	Repair foot dislocation		J1	5114	"$6,397.05"	39.33%	"$2,515.96"
28630	Treat toe dislocation		T	5111	$210.50	0.00%	$0.00
28635	Treat toe dislocation		J1	5112	"$1,422.51"	0.07%	$1.00
28636	Treat toe dislocation		J1	5113	"$2,892.28"	21.32%	$616.63
28645	Repair toe dislocation		J1	5113	"$2,892.28"	17.05%	$493.13
28660	Treat toe dislocation		T	5111	$210.50	0.00%	$0.00
28665	Treat toe dislocation		T	5102	$246.38	0.00%	$0.00
28666	Treat toe dislocation		J1	5113	"$2,892.28"	2.36%	$68.26
28675	Repair of toe dislocation		J1	5113	"$2,892.28"	6.61%	$191.18
28705	Fusion of foot bones		J1	5116	"$16,513.36"	56.97%	"$9,407.66"
28715	Fusion of foot bones		J1	5115	"$12,593.29"	53.34%	"$6,717.26"
28725	Fusion of foot bones		J1	5115	"$12,593.29"	44.92%	"$5,656.91"
28730	Fusion of foot bones		J1	5115	"$12,593.29"	52.25%	"$6,579.99"
28735	Fusion of foot bones		J1	5115	"$12,593.29"	54.09%	"$6,811.71"
28737	Revision of foot bones		J1	5115	"$12,593.29"	52.29%	"$6,585.03"
28740	Fusion of foot bones		J1	5114	"$6,397.05"	49.86%	"$3,189.57"
28750	Fusion of big toe joint		J1	5114	"$6,397.05"	44.87%	"$2,870.36"
28755	Fusion of big toe joint		J1	5114	"$6,397.05"	26.96%	"$1,724.64"
28760	Fusion of big toe joint		J1	5114	"$6,397.05"	30.75%	"$1,967.09"
28805	Amputation thru metatarsal		J1	5113	"$2,892.28"	2.38%	$68.84
28810	Amputation toe & metatarsal		J1	5113	"$2,892.28"	1.86%	$53.80
28820	Amputation of toe		J1	5113	"$2,892.28"	1.19%	$34.42
28825	Partial amputation of toe		J1	5113	"$2,892.28"	0.96%	$27.77
28890	Hi enrgy eswt plantar fascia		J1	5112	"$1,422.51"	0.86%	$12.23
28899	Foot/toes surgery procedure		T	5111	$210.50	26.36%	$55.49
29015	Application of body cast		T	5102	$246.38	0.00%	$0.00
29058	Application of shoulder cast		T	5102	$246.38	0.00%	$0.00
29065	Application of long arm cast		T	5102	$246.38	0.00%	$0.00
29075	Application of forearm cast		T	5102	$246.38	0.00%	$0.00
29085	Apply hand/wrist cast		T	5101	$144.29	0.00%	$0.00
29086	Apply finger cast		T	5101	$144.29	0.00%	$0.00
29105	Apply long arm splint		T	5101	$144.29	0.00%	$0.00
29125	Apply forearm splint		Q1	5734	$115.16	0.02%	$0.02
29126	Apply forearm splint		Q1	5734	$115.16	0.00%	$0.00
29130	Application of finger splint		Q1	5734	$115.16	0.00%	$0.00
29131	Application of finger splint		Q1	5733	$56.85	0.00%	$0.00
29200	Strapping of chest		T	5101	$144.29	0.00%	$0.00
29240	Strapping of shoulder		Q1	5734	$115.16	0.00%	$0.00
29260	Strapping of elbow or wrist		Q1	5733	$56.85	0.00%	$0.00
29280	Strapping of hand or finger		Q1	5733	$56.85	0.00%	$0.00
29345	Application of long leg cast		T	5102	$246.38	0.00%	$0.00
29355	Application of long leg cast		T	5102	$246.38	0.00%	$0.00
29358	Apply long leg cast brace		T	5102	$246.38	0.00%	$0.00
29365	Application of long leg cast		T	5102	$246.38	0.00%	$0.00
29405	Apply short leg cast		T	5102	$246.38	0.02%	$0.05
29425	Apply short leg cast		T	5102	$246.38	0.00%	$0.00
29435	Apply short leg cast		T	5102	$246.38	0.00%	$0.00
29445	Apply rigid leg cast		T	5102	$246.38	0.02%	$0.05
29450	Application of leg cast		T	5101	$144.29	0.00%	$0.00
29505	Application long leg splint		T	5101	$144.29	0.00%	$0.00
29515	Application lower leg splint		T	5101	$144.29	0.02%	$0.03
29520	Strapping of hip		Q1	5734	$115.16	0.00%	$0.00
29530	Strapping of knee		Q1	5734	$115.16	0.00%	$0.00
29540	Strapping of ankle and/or ft		T	5101	$144.29	0.00%	$0.00
29550	Strapping of toes		Q1	5733	$56.85	0.00%	$0.00
29580	Application of paste boot		T	5101	$144.29	0.01%	$0.01
29581	Apply multlay comprs lwr leg		T	5101	$144.29	0.01%	$0.01
29584	Appl multlay comprs arm/hand		T	5101	$144.29	0.00%	$0.00
29700	Removal/revision of cast		T	5102	$246.38	0.00%	$0.00
29705	Removal/revision of cast		T	5102	$246.38	0.00%	$0.00
29710	Removal/revision of cast		T	5102	$246.38	0.00%	$0.00
29720	Repair of body cast		T	5101	$144.29	0.00%	$0.00
29730	Windowing of cast		T	5101	$144.29	0.00%	$0.00
29740	Wedging of cast		T	5102	$246.38	0.00%	$0.00
29750	Wedging of clubfoot cast		T	5102	$246.38	0.00%	$0.00
29799	Casting/strapping procedure		T	5101	$144.29	0.00%	$0.00
29800	Jaw arthroscopy/surgery		J1	5113	"$2,892.28"	0.13%	$3.76
29804	Jaw arthroscopy/surgery		J1	5113	"$2,892.28"	0.24%	$6.94
29805	Sho arthrs dx +- synovial bx		J1	5113	"$2,892.28"	2.95%	$85.32
29806	Sho arthrs srg capsulorraphy		J1	5114	"$6,397.05"	26.97%	"$1,725.28"
29807	Sho arthrs srg rpr slap les		J1	5114	"$6,397.05"	20.39%	"$1,304.36"
29819	Sho arthrs srg rmvl loose/fb		J1	5113	"$2,892.28"	1.52%	$43.96
29820	Sho arthrs srg prtl synvct		J1	5114	"$6,397.05"	2.23%	$142.65
29821	Sho arthrs srg compl synvct		J1	5113	"$2,892.28"	0.27%	$7.81
29822	Sho arthrs srg lmtd dbrdmt		J1	5113	"$2,892.28"	2.09%	$60.45
29823	Sho arthrs srg xtnsv dbrdmt		J1	5113	"$2,892.28"	2.59%	$74.91
29824	Sho arthrs srg dstl claviclc		J1	5113	"$2,892.28"	2.10%	$60.74
29825	Sho arthrs srg lss&rescj ads		J1	5113	"$2,892.28"	1.18%	$34.13
29827	Sho arthrs srg rt8tr cuf rpr		J1	5114	"$6,397.05"	26.75%	"$1,711.21"
29828	Sho arthrs srg bicp tenodsis		J1	5114	"$6,397.05"	10.72%	$685.76
29830	Elbow arthroscopy		J1	5113	"$2,892.28"	0.00%	$0.00
29834	Elbow arthroscopy/surgery		J1	5113	"$2,892.28"	0.48%	$13.88
29835	Elbow arthroscopy/surgery		J1	5113	"$2,892.28"	0.83%	$24.01
29836	Elbow arthroscopy/surgery		J1	5114	"$6,397.05"	0.41%	$26.23
29837	Elbow arthroscopy/surgery		J1	5113	"$2,892.28"	0.73%	$21.11
29838	Elbow arthroscopy/surgery		J1	5113	"$2,892.28"	0.46%	$13.30
29840	Wrist arthroscopy		J1	5113	"$2,892.28"	0.00%	$0.00
29844	Wrist arthroscopy/surgery		J1	5113	"$2,892.28"	5.77%	$166.88
29845	Wrist arthroscopy/surgery		J1	5113	"$2,892.28"	0.77%	$22.27
29846	Wrist arthroscopy/surgery		J1	5113	"$2,892.28"	1.54%	$44.54
29847	Wrist arthroscopy/surgery		J1	5114	"$6,397.05"	18.67%	"$1,194.33"
29848	Wrist endoscopy/surgery		J1	5112	"$1,422.51"	0.43%	$6.12
29850	Knee arthroscopy/surgery		J1	5112	"$1,422.51"	1.48%	$21.05
29851	Knee arthroscopy/surgery		J1	5112	"$1,422.51"	3.93%	$55.90
29855	Tibial arthroscopy/surgery		J1	5114	"$6,397.05"	53.66%	"$3,432.66"
29856	Tibial arthroscopy/surgery		J1	5115	"$12,593.29"	51.55%	"$6,491.84"
29860	Hip arthroscopy dx		J1	5114	"$6,397.05"	4.99%	$319.21
29861	Hip arthro w/fb removal		J1	5114	"$6,397.05"	7.31%	$467.62
29862	Hip arthr0 w/debridement		J1	5114	"$6,397.05"	6.51%	$416.45
29863	Hip arthr0 w/synovectomy		J1	5113	"$2,892.28"	6.10%	$176.43
29866	Autgrft implnt knee w/scope		J1	5114	"$6,397.05"	14.24%	$910.94
29867	Allgrft implnt knee w/scope		J1	5115	"$12,593.29"	42.67%	"$5,373.56"
29868	Meniscal trnspl knee w/scpe		J1	5114	"$6,397.05"	35.71%	"$2,284.39"
29870	Knee arthroscopy dx		J1	5113	"$2,892.28"	8.72%	$252.21
29871	Knee arthroscopy/drainage		J1	5113	"$2,892.28"	1.33%	$38.47
29873	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	1.49%	$43.09
29874	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	1.23%	$35.58
29875	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	0.97%	$28.06
29876	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	1.00%	$28.92
29877	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	1.26%	$36.44
29879	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	1.62%	$46.85
29880	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	0.78%	$22.56
29881	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	0.78%	$22.56
29882	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	17.19%	$497.18
29883	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	7.17%	$207.38
29884	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	0.90%	$26.03
29885	Knee arthroscopy/surgery		J1	5114	"$6,397.05"	41.97%	"$2,684.84"
29886	Knee arthroscopy/surgery		J1	5113	"$2,892.28"	6.86%	$198.41
29887	Knee arthroscopy/surgery		J1	5114	"$6,397.05"	2.74%	$175.28
29888	Knee arthroscopy/surgery		J1	5114	"$6,397.05"	38.23%	"$2,445.59"
29889	Knee arthroscopy/surgery		J1	5115	"$12,593.29"	41.23%	"$5,192.21"
29891	Ankle arthroscopy/surgery		J1	5113	"$2,892.28"	8.96%	$259.15
29892	Ankle arthroscopy/surgery		J1	5114	"$6,397.05"	26.67%	"$1,706.09"
29893	Scope plantar fasciotomy		J1	5113	"$2,892.28"	3.65%	$105.57
29894	Ankle arthroscopy/surgery		J1	5113	"$2,892.28"	2.01%	$58.13
29895	Ankle arthroscopy/surgery		J1	5113	"$2,892.28"	5.33%	$154.16
29897	Ankle arthroscopy/surgery		J1	5113	"$2,892.28"	6.79%	$196.39
29898	Ankle arthroscopy/surgery		J1	5113	"$2,892.28"	5.18%	$149.82
29899	Ankle arthroscopy/surgery		J1	5114	"$6,397.05"	33.77%	"$2,160.28"
29900	Mcp joint arthroscopy dx		J1	5113	"$2,892.28"	0.00%	$0.00
29901	Mcp joint arthroscopy surg		J1	5113	"$2,892.28"	1.85%	$53.51
29904	Subtalar arthro w/fb rmvl		J1	5113	"$2,892.28"	0.00%	$0.00
29905	Subtalar arthro w/exc		J1	5114	"$6,397.05"	26.32%	"$1,683.70"
29906	Subtalar arthro w/deb		J1	5113	"$2,892.28"	4.54%	$131.31
29907	Subtalar arthro w/fusion		J1	5115	"$12,593.29"	35.44%	"$4,463.06"
29914	Hip arthro w/femoroplasty		J1	5114	"$6,397.05"	11.87%	$759.33
29915	Hip arthro acetabuloplasty		J1	5114	"$6,397.05"	13.49%	$862.96
29916	Hip arthro w/labral repair		J1	5114	"$6,397.05"	19.88%	"$1,271.73"
29999	Arthroscopy of joint		T	5111	$210.50	11.03%	$23.22
30000	Drainage of nose lesion		T	5161	$216.07	1.65%	$3.57
30020	Drainage of nose lesion		T	5162	$461.90	0.00%	$0.00
30100	Intranasal biopsy		J1	5163	"$1,381.54"	0.13%	$1.80
30110	Removal of nose polyp(s)		J1	5163	"$1,381.54"	0.00%	$0.00
30115	Removal of nose polyp(s)		J1	5164	"$2,793.98"	3.14%	$87.73
30117	Removal of intranasal lesion		J1	5164	"$2,793.98"	1.63%	$45.54
30118	Removal of intranasal lesion		J1	5164	"$2,793.98"	1.18%	$32.97
30120	Revision of nose		J1	5164	"$2,793.98"	1.32%	$36.88
30124	Removal of nose lesion		J1	5163	"$1,381.54"	0.00%	$0.00
30125	Removal of nose lesion		J1	5165	"$5,194.27"	0.00%	$0.00
30130	Excise inferior turbinate		J1	5164	"$2,793.98"	1.94%	$54.20
30140	Resect inferior turbinate		J1	5164	"$2,793.98"	4.53%	$126.57
30150	Partial removal of nose		J1	5165	"$5,194.27"	0.77%	$40.00
30160	Removal of nose		J1	5165	"$5,194.27"	1.20%	$62.33
30200	Injection treatment of nose		T	5162	$461.90	4.99%	$23.05
30220	Insert nasal septal button		J1	5163	"$1,381.54"	4.10%	$56.64
30300	Remove nasal foreign body		Q1	5734	$115.16	0.00%	$0.00
30310	Remove nasal foreign body		J1	5164	"$2,793.98"	0.69%	$19.28
30320	Remove nasal foreign body		J1	5163	"$1,381.54"	0.00%	$0.00
30400	Reconstruction of nose		J1	5165	"$5,194.27"	1.92%	$99.73
30410	Reconstruction of nose		J1	5165	"$5,194.27"	0.92%	$47.79
30420	Reconstruction of nose		J1	5165	"$5,194.27"	2.95%	$153.23
30430	Revision of nose		J1	5165	"$5,194.27"	4.94%	$256.60
30435	Revision of nose		J1	5165	"$5,194.27"	5.42%	$281.53
30450	Revision of nose		J1	5165	"$5,194.27"	5.64%	$292.96
30462	Revision of nose		J1	5165	"$5,194.27"	20.18%	"$1,048.20"
30465	Repair nasal stenosis		J1	5165	"$5,194.27"	15.60%	$810.31
30520	Repair of nasal septum		J1	5164	"$2,793.98"	2.14%	$59.79
30540	Repair nasal defect		J1	5165	"$5,194.27"	11.28%	$585.91
30545	Repair nasal defect		J1	5165	"$5,194.27"	0.00%	$0.00
30560	Release of nasal adhesions		T	5162	$461.90	3.63%	$16.77
30580	Repair upper jaw fistula		J1	5165	"$5,194.27"	4.70%	$244.13
30600	Repair mouth/nose fistula		J1	5165	"$5,194.27"	3.11%	$161.54
30620	Intranasal reconstruction		J1	5165	"$5,194.27"	1.27%	$65.97
30630	Repair nasal septum defect		J1	5164	"$2,793.98"	8.51%	$237.77
30801	Ablate inf turbinate superf		J1	5163	"$1,381.54"	1.06%	$14.64
30802	Ablate inf turbinate submuc		J1	5163	"$1,381.54"	2.21%	$30.53
30901	Control of nosebleed		Q1	5734	$115.16	0.01%	$0.01
30903	Control of nosebleed		T	5734	$115.16	0.01%	$0.01
30905	Control of nosebleed		T	5734	$115.16	0.01%	$0.01
30906	Repeat control of nosebleed		T	5161	$216.07	0.06%	$0.13
30915	Ligation nasal sinus artery		J1	5183	"$2,923.63"	0.34%	$9.94
30920	Ligation upper jaw artery		J1	5183	"$2,923.63"	0.09%	$2.63
30930	Ther fx nasal inf turbinate		J1	5164	"$2,793.98"	6.68%	$186.64
30999	Nasal surgery procedure		T	5161	$216.07	17.31%	$37.40
31000	Irrigation maxillary sinus		T	5161	$216.07	0.00%	$0.00
31002	Irrigation sphenoid sinus		J1	5163	"$1,381.54"	42.03%	$580.66
31020	Exploration maxillary sinus		J1	5164	"$2,793.98"	4.10%	$114.55
31030	Exploration maxillary sinus		J1	5165	"$5,194.27"	5.24%	$272.18
31032	Explore sinus remove polyps		J1	5165	"$5,194.27"	3.56%	$184.92
31040	Exploration behind upper jaw		J1	5165	"$5,194.27"	5.54%	$287.76
31050	Exploration sphenoid sinus		J1	5165	"$5,194.27"	3.03%	$157.39
31051	Sphenoid sinus surgery		J1	5165	"$5,194.27"	7.27%	$377.62
31070	Exploration of frontal sinus		J1	5165	"$5,194.27"	20.60%	"$1,070.02"
31075	Exploration of frontal sinus		J1	5165	"$5,194.27"	7.15%	$371.39
31080	Removal of frontal sinus		J1	5165	"$5,194.27"	0.00%	$0.00
31081	Removal of frontal sinus		J1	5165	"$5,194.27"	13.86%	$719.93
31084	Removal of frontal sinus		J1	5165	"$5,194.27"	26.44%	"$1,373.36"
31085	Removal of frontal sinus		J1	5165	"$5,194.27"	33.47%	"$1,738.52"
31086	Removal of frontal sinus		J1	5165	"$5,194.27"	23.53%	"$1,222.21"
31087	Removal of frontal sinus		J1	5165	"$5,194.27"	0.05%	$2.60
31090	Exploration of sinuses		J1	5165	"$5,194.27"	11.56%	$600.46
31200	Removal of ethmoid sinus		J1	5165	"$5,194.27"	3.36%	$174.53
31201	Removal of ethmoid sinus		J1	5163	"$1,381.54"	0.00%	$0.00
31205	Removal of ethmoid sinus		J1	5164	"$2,793.98"	0.00%	$0.00
31231	Nasal endoscopy dx		T	5151	$168.12	0.00%	$0.00
31233	Nsl/sins ndsc dx max sinusc		T	5152	$383.88	0.16%	$0.61
31235	Nsl/sins ndsc dx sphn sinusc		J1	5153	"$1,528.00"	0.00%	$0.00
31237	Nasal/sinus endoscopy surg		J1	5153	"$1,528.00"	0.26%	$3.97
31238	Nasal/sinus endoscopy surg		J1	5153	"$1,528.00"	0.37%	$5.65
31239	Nasal/sinus endoscopy surg		J1	5154	"$3,163.58"	4.58%	$144.89
31240	Nasal/sinus endoscopy surg		J1	5153	"$1,528.00"	3.13%	$47.83
31241	Nsl/sins ndsc w/artery lig		J1	5153	"$1,528.00"	1.46%	$22.31
31253	Nsl/sins ndsc total		J1	5155	"$5,947.48"	17.96%	"$1,068.17"
31254	Nsl/sins ndsc w/prtl ethmdct		J1	5155	"$5,947.48"	6.43%	$382.42
31255	Nsl/sins ndsc w/tot ethmdct		J1	5155	"$5,947.48"	9.09%	$540.63
31256	Exploration maxillary sinus		J1	5154	"$3,163.58"	5.98%	$189.18
31257	Nsl/sins ndsc tot w/sphendt		J1	5155	"$5,947.48"	15.46%	$919.48
31259	Nsl/sins ndsc sphn tiss rmvl		J1	5155	"$5,947.48"	11.05%	$657.20
31267	Endoscopy maxillary sinus		J1	5155	"$5,947.48"	6.10%	$362.80
31276	Nsl/sins ndsc frnt tiss rmvl		J1	5155	"$5,947.48"	17.52%	"$1,042.00"
31287	Nasal/sinus endoscopy surg		J1	5155	"$5,947.48"	7.12%	$423.46
31288	Nasal/sinus endoscopy surg		J1	5155	"$5,947.48"	6.69%	$397.89
31292	Nsl/sins ndsc med/inf dcmprn		J1	5155	"$5,947.48"	1.89%	$112.41
31293	Nsl/sins ndsc med&inf dcmprn		J1	5155	"$5,947.48"	0.62%	$36.87
31294	Nsl/sins ndsc surg on dcmprn		J1	5155	"$5,947.48"	0.32%	$19.03
31295	Nsl/sins ndsc surg max sins		J1	5155	"$5,947.48"	24.79%	"$1,474.38"
31296	Nsl/sins ndsc surg frnt sins		J1	5155	"$5,947.48"	28.68%	"$1,705.74"
31297	Nsl/sins ndsc surg sphn sins		J1	5155	"$5,947.48"	25.71%	"$1,529.10"
31298	Nsl/sins ndsc surg frnt&sphn		J1	5155	"$5,947.48"	29.77%	"$1,770.56"
31299	Sinus surgery procedure		T	5161	$216.07	4.83%	$10.44
31300	Removal of larynx lesion		J1	5164	"$2,793.98"	0.21%	$5.87
31400	Revision of larynx		J1	5165	"$5,194.27"	7.62%	$395.80
31420	Removal of epiglottis		J1	5165	"$5,194.27"	8.24%	$428.01
31500	Insert emergency airway		T	5161	$216.07	0.08%	$0.17
31502	Change of windpipe airway		T	5161	$216.07	0.49%	$1.06
31505	Diagnostic laryngoscopy		T	5151	$168.12	0.00%	$0.00
31510	Laryngoscopy with biopsy		J1	5154	"$3,163.58"	0.00%	$0.00
31511	Remove foreign body larynx		T	5151	$168.12	0.00%	$0.00
31512	Removal of larynx lesion		J1	5154	"$3,163.58"	1.77%	$56.00
31513	Injection into vocal cord		T	5152	$383.88	14.98%	$57.51
31515	Laryngoscopy for aspiration		T	5152	$383.88	0.00%	$0.00
31525	Dx laryngoscopy excl nb		J1	5153	"$1,528.00"	0.46%	$7.03
31526	Dx laryngoscopy w/oper scope		J1	5153	"$1,528.00"	0.93%	$14.21
31527	Laryngoscopy for treatment		J1	5154	"$3,163.58"	18.09%	$572.29
31528	Laryngoscopy and dilation		J1	5154	"$3,163.58"	13.91%	$440.05
31529	Laryngoscopy and dilation		J1	5154	"$3,163.58"	13.41%	$424.24
31530	Laryngoscopy w/fb removal		J1	5153	"$1,528.00"	0.14%	$2.14
31531	Laryngoscopy w/fb & op scope		J1	5154	"$3,163.58"	2.69%	$85.10
31535	Laryngoscopy w/biopsy		J1	5154	"$3,163.58"	0.20%	$6.33
31536	Laryngoscopy w/bx & op scope		J1	5154	"$3,163.58"	0.20%	$6.33
31540	Laryngoscopy w/exc of tumor		J1	5154	"$3,163.58"	0.48%	$15.19
31541	Larynscop w/tumr exc + scope		J1	5154	"$3,163.58"	0.78%	$24.68
31545	Remove vc lesion w/scope		J1	5154	"$3,163.58"	0.89%	$28.16
31546	Remove vc lesion scope/graft		J1	5155	"$5,947.48"	0.26%	$15.46
31552	Laryngoplasty laryngeal sten		J1	5165	"$5,194.27"	17.97%	$933.41
31554	Laryngoplasty laryngeal sten		J1	5165	"$5,194.27"	5.16%	$268.02
31560	Laryngoscop w/arytenoidectom		J1	5155	"$5,947.48"	4.10%	$243.85
31561	Larynscop remve cart + scop		J1	5155	"$5,947.48"	4.16%	$247.42
31570	Laryngoscope w/vc inj		J1	5154	"$3,163.58"	19.82%	$627.02
31571	Laryngoscop w/vc inj + scope		J1	5154	"$3,163.58"	19.19%	$607.09
31572	Largsc w/laser dstrj les		J1	5154	"$3,163.58"	0.43%	$13.60
31573	Largsc w/ther injection		J1	5153	"$1,528.00"	3.22%	$49.20
31574	Largsc w/njx augmentation		J1	5153	"$1,528.00"	13.71%	$209.49
31575	Diagnostic laryngoscopy		T	5151	$168.12	0.01%	$0.02
31576	Laryngoscopy with biopsy		J1	5153	"$1,528.00"	0.16%	$2.44
31577	Largsc w/rmvl foreign bdy(s)		T	5152	$383.88	0.00%	$0.00
31578	Largsc w/removal lesion		J1	5154	"$3,163.58"	1.11%	$35.12
31579	Laryngoscopy telescopic		T	5152	$383.88	0.01%	$0.04
31580	Laryngoplasty laryngeal web		J1	5165	"$5,194.27"	4.74%	$246.21
31584	Laryngoplasty fx rdctj fixj		J1	5165	"$5,194.27"	24.02%	"$1,247.66"
31587	Laryngoplasty cricoid split		J1	5165	"$5,194.27"	8.84%	$459.17
31590	Reinnervate larynx		J1	5165	"$5,194.27"	6.36%	$330.36
31591	Laryngoplasty medialization		J1	5165	"$5,194.27"	11.48%	$596.30
31592	Cricotracheal resection		J1	5165	"$5,194.27"	21.30%	"$1,106.38"
31599	Larynx surgery procedure		T	5161	$216.07	4.35%	$9.40
31600	Incision of windpipe		J1	5164	"$2,793.98"	1.80%	$50.29
31603	Incision of windpipe		J1	5163	"$1,381.54"	0.75%	$10.36
31605	Incision of windpipe		T	5161	$216.07	0.00%	$0.00
31610	Incision of windpipe		J1	5165	"$5,194.27"	10.73%	$557.35
31611	Surgery/speech prosthesis		J1	5164	"$2,793.98"	5.82%	$162.61
31612	Puncture/clear windpipe		J1	5164	"$2,793.98"	9.59%	$267.94
31613	Repair windpipe opening		J1	5164	"$2,793.98"	2.80%	$78.23
31614	Repair windpipe opening		J1	5165	"$5,194.27"	0.97%	$50.38
31615	Visualization of windpipe		T	5162	$461.90	0.08%	$0.37
31622	Dx bronchoscope/wash		J1	5153	"$1,528.00"	0.42%	$6.42
31623	Dx bronchoscope/brush		J1	5153	"$1,528.00"	0.32%	$4.89
31624	Dx bronchoscope/lavage		J1	5153	"$1,528.00"	0.15%	$2.29
31625	Bronchoscopy w/biopsy(s)		J1	5153	"$1,528.00"	0.34%	$5.20
31626	Bronchoscopy w/markers		J1	5155	"$5,947.48"	11.30%	$672.07
31628	Bronchoscopy/lung bx each		J1	5154	"$3,163.58"	0.64%	$20.25
31629	Bronchoscopy/needle bx each		J1	5154	"$3,163.58"	1.44%	$45.56
31630	Bronchoscopy dilate/fx repr		J1	5154	"$3,163.58"	11.65%	$368.56
31631	Bronchoscopy dilate w/stent		J1	5155	"$5,947.48"	29.40%	"$1,748.56"
31634	Bronch w/balloon occlusion		J1	5155	"$5,947.48"	10.82%	$643.52
31635	Bronchoscopy w/fb removal		J1	5153	"$1,528.00"	1.03%	$15.74
31636	Bronchoscopy bronch stents		J1	5155	"$5,947.48"	44.67%	"$2,656.74"
31638	Bronchoscopy revise stent		J1	5155	"$5,947.48"	12.62%	$750.57
31640	Bronchoscopy w/tumor excise		J1	5154	"$3,163.58"	1.86%	$58.84
31641	Bronchoscopy treat blockage		J1	5154	"$3,163.58"	2.99%	$94.59
31643	Diag bronchoscope/catheter		J1	5153	"$1,528.00"	5.19%	$79.30
31645	Brnchsc w/ther aspir 1st		J1	5153	"$1,528.00"	0.41%	$6.26
31646	Brnchsc w/ther aspir sbsq		T	5152	$383.88	0.00%	$0.00
31647	Bronchial valve init insert		J1	5155	"$5,947.48"	43.50%	"$2,587.15"
31648	Bronchial valve remov init		J1	5154	"$3,163.58"	1.34%	$42.39
31652	Bronch ebus samplng 1/2 node		J1	5154	"$3,163.58"	0.70%	$22.15
31653	Bronch ebus samplng 3/> node		J1	5154	"$3,163.58"	0.54%	$17.08
31660	Bronch thermoplsty 1 lobe		J1	5155	"$5,947.48"	56.33%	"$3,350.22"
31661	Bronch thermoplsty 2/> lobes		J1	5155	"$5,947.48"	55.73%	"$3,314.53"
31720	Clearance of airways		Q1	5791	$191.97	0.83%	$1.59
31730	Intro windpipe wire/tube		J1	5153	"$1,528.00"	7.96%	$121.63
31750	Repair of windpipe		J1	5165	"$5,194.27"	5.21%	$270.62
31755	Repair of windpipe		J1	5165	"$5,194.27"	0.00%	$0.00
31785	Remove windpipe lesion		J1	5165	"$5,194.27"	1.90%	$98.69
31820	Closure of windpipe lesion		J1	5164	"$2,793.98"	0.18%	$5.03
31825	Repair of windpipe defect		J1	5164	"$2,793.98"	0.42%	$11.73
31830	Revise windpipe scar		J1	5164	"$2,793.98"	0.25%	$6.98
31899	Airways surgical procedure		T	5151	$168.12	4.38%	$7.36
32400	Needle biopsy chest lining		J1	5072	"$1,436.99"	0.58%	$8.33
32550	Insert pleural cath		J1	5341	"$3,249.35"	25.86%	$840.28
32551	Insertion of chest tube		J1	5182	"$1,436.16"	2.67%	$38.35
32552	Remove lung catheter		Q2	5181	$552.04	1.57%	$8.67
32553	Ins mark thor for rt perq		S	5613	"$1,289.67"	15.47%	$199.51
32554	Aspirate pleura w/o imaging		T	5181	$552.04	2.41%	$13.30
32555	Aspirate pleura w/ imaging		T	5181	$552.04	3.79%	$20.92
32556	Insert cath pleura w/o image		J1	5302	"$1,658.81"	8.87%	$147.14
32557	Insert cath pleura w/ image		J1	5182	"$1,436.16"	16.50%	$236.97
32560	Treat pleurodesis w/agent		T	5181	$552.04	6.46%	$35.66
32561	Lyse chest fibrin init day		T	5181	$552.04	3.03%	$16.73
32562	Lyse chest fibrin subq day		T	5181	$552.04	14.56%	$80.38
32601	Thoracoscopy diagnostic		J1	5361	"$5,167.69"	4.29%	$221.69
32604	Thoracoscopy wbx sac		J1	5361	"$5,167.69"	0.00%	$0.00
32606	Thoracoscopy w/bx med space		J1	5361	"$5,167.69"	1.62%	$83.72
32607	Thoracoscopy w/bx infiltrate		J1	5361	"$5,167.69"	4.54%	$234.61
32608	Thoracoscopy w/bx nodule		J1	5361	"$5,167.69"	2.81%	$145.21
32609	Thoracoscopy w/bx pleura		J1	5361	"$5,167.69"	6.95%	$359.15
32960	Therapeutic pneumothorax		T	5181	$552.04	0.00%	$0.00
32994	Ablate pulm tumor perq crybl		J1	5361	"$5,167.69"	34.47%	"$1,781.30"
32998	Ablate pulm tumor perq rf		J1	5361	"$5,167.69"	13.14%	$679.03
32999	Chest surgery procedure		T	5181	$552.04	19.68%	$108.64
33206	Insert heart pm atrial		J1	5223	"$10,619.32"	58.95%	"$6,260.09"
33207	Insert heart pm ventricular		J1	5223	"$10,619.32"	59.52%	"$6,320.62"
33208	Insrt heart pm atrial & vent		J1	5223	"$10,619.32"	62.88%	"$6,677.43"
33210	Insert electrd/pm cath sngl		J1	5222	"$8,332.37"	16.73%	"$1,394.01"
33211	Insert card electrodes dual		J1	5222	"$8,332.37"	33.06%	"$2,754.68"
33212	Insert pulse gen sngl lead		J1	5222	"$8,332.37"	58.94%	"$4,911.10"
33213	Insert pulse gen dual leads		J1	5223	"$10,619.32"	63.32%	"$6,724.15"
33214	Upgrade of pacemaker system		J1	5223	"$10,619.32"	60.31%	"$6,404.51"
33215	Reposition pacing-defib lead		J1	5183	"$2,923.63"	12.67%	$370.42
33216	Insert 1 electrode pm-defib		J1	5222	"$8,332.37"	37.08%	"$3,089.64"
33217	Insert 2 electrode pm-defib		J1	5222	"$8,332.37"	51.44%	"$4,286.17"
33218	Repair lead pace-defib one		T	5221	"$3,516.82"	27.44%	$965.02
33220	Repair lead pace-defib dual		T	5221	"$3,516.82"	34.52%	"$1,214.01"
33221	Insert pulse gen mult leads		J1	5224	"$19,020.79"	65.16%	"$12,393.95"
33222	Relocation pocket pacemaker		T	5054	"$1,749.26"	15.03%	$262.91
33223	Relocate pocket for defib		T	5054	"$1,749.26"	14.85%	$259.77
33224	Insert pacing lead & connect		J1	5223	"$10,619.32"	53.53%	"$5,684.52"
33226	Reposition l ventric lead		J1	5183	"$2,923.63"	29.38%	$858.96
33227	Remove&replace pm gen singl		J1	5222	"$8,332.37"	60.00%	"$4,999.42"
33228	Remv&replc pm gen dual lead		J1	5223	"$10,619.32"	61.11%	"$6,489.47"
33229	Remv&replc pm gen mult leads		J1	5224	"$19,020.79"	65.55%	"$12,468.13"
33230	Insrt pulse gen w/dual leads		J1	5231	"$23,550.85"	74.05%	"$17,439.40"
33231	Insrt pulse gen w/mult leads		J1	5232	"$33,547.03"	69.50%	"$23,315.19"
33233	Removal of pm generator		Q2	5222	"$8,332.37"	44.03%	"$3,668.74"
33234	Removal of pacemaker system		Q2	5221	"$3,516.82"	36.64%	"$1,288.56"
33235	Removal pacemaker electrode		Q2	5221	"$3,516.82"	36.31%	"$1,276.96"
33240	Insrt pulse gen w/singl lead		J1	5231	"$23,550.85"	75.69%	"$17,825.64"
33241	Remove pulse generator		Q2	5221	"$3,516.82"	21.65%	$761.39
33244	Remove elctrd transvenously		Q2	5221	"$3,516.82"	38.72%	"$1,361.71"
33249	Insj/rplcmt defib w/lead(s)		J1	5232	"$33,547.03"	74.56%	"$25,012.67"
33262	Rmvl& replc pulse gen 1 lead		J1	5231	"$23,550.85"	72.42%	"$17,055.53"
33263	Rmvl & rplcmt dfb gen 2 lead		J1	5231	"$23,550.85"	74.23%	"$17,481.80"
33264	Rmvl & rplcmt dfb gen mlt ld		J1	5232	"$33,547.03"	75.26%	"$25,247.49"
33270	Ins/rep subq defibrillator		J1	5232	"$33,547.03"	76.33%	"$25,606.45"
33271	Insj subq impltbl dfb elctrd		J1	5222	"$8,332.37"	63.91%	"$5,325.22"
33272	Rmvl of subq defibrillator		Q2	5221	"$3,516.82"	22.66%	$796.91
33273	Repos prev impltbl subq dfb		T	5221	"$3,516.82"	17.13%	$602.43
33274	Tcat insj/rpl perm ldls pm		J1	5194	"$16,402.31"	65.73%	"$10,781.24"
33275	Tcat rmvl perm ldls pm w/img		J1	5183	"$2,923.63"	85.00%	"$2,485.09"
33285	Insj subq car rhythm mntr		J1	5222	"$8,332.37"	73.99%	"$6,165.12"
33286	Rmvl subq car rhythm mntr		Q2	5071	$635.54	1.60%	$10.17
33289	Tcat impl wrls p-art prs snr		J1	5200	"$29,460.00"	82.04%	"$24,168.98"
33999	Cardiac surgery procedure		T	5181	$552.04	72.62%	$400.89
34101	Removal of artery clot		J1	5184	"$4,870.25"	5.47%	$266.40
34111	Removal of arm artery clot		J1	5184	"$4,870.25"	6.21%	$302.44
34201	Removal of artery clot		J1	5184	"$4,870.25"	17.91%	$872.26
34203	Removal of leg artery clot		J1	5184	"$4,870.25"	18.50%	$901.00
34490	Removal of vein clot		J1	5183	"$2,923.63"	1.60%	$46.78
34510	Transposition of vein valve		J1	5184	"$4,870.25"	5.83%	$283.94
34520	Cross-over vein graft		J1	5184	"$4,870.25"	22.47%	"$1,094.35"
35011	Repair defect of artery		J1	5184	"$4,870.25"	5.36%	$261.05
35045	Repair defect of arm artery		J1	5184	"$4,870.25"	2.00%	$97.41
35180	Repair blood vessel lesion		J1	5182	"$1,436.16"	0.00%	$0.00
35184	Repair blood vessel lesion		J1	5183	"$2,923.63"	2.75%	$80.40
35188	Repair blood vessel lesion		J1	5184	"$4,870.25"	10.24%	$498.71
35190	Repair blood vessel lesion		J1	5184	"$4,870.25"	6.27%	$305.36
35201	Repair blood vessel lesion		J1	5184	"$4,870.25"	6.26%	$304.88
35206	Repair blood vessel lesion		J1	5183	"$2,923.63"	1.58%	$46.19
35207	Repair blood vessel lesion		J1	5183	"$2,923.63"	3.91%	$114.31
35226	Repair blood vessel lesion		T	5071	$635.54	4.87%	$30.95
35231	Repair blood vessel lesion		J1	5183	"$2,923.63"	0.00%	$0.00
35236	Repair blood vessel lesion		J1	5184	"$4,870.25"	4.52%	$220.14
35256	Repair blood vessel lesion		J1	5184	"$4,870.25"	2.20%	$107.15
35266	Repair blood vessel lesion		J1	5184	"$4,870.25"	11.20%	$545.47
35286	Repair blood vessel lesion		J1	5184	"$4,870.25"	12.18%	$593.20
35321	Rechanneling of artery		J1	5184	"$4,870.25"	6.08%	$296.11
35860	Explore limb vessels		J1	5183	"$2,923.63"	2.99%	$87.42
35875	Removal of clot in graft		J1	5184	"$4,870.25"	10.95%	$533.29
35876	Removal of clot in graft		J1	5184	"$4,870.25"	14.02%	$682.81
35879	Revise graft w/vein		J1	5184	"$4,870.25"	14.83%	$722.26
35881	Revise graft w/vein		J1	5184	"$4,870.25"	0.53%	$25.81
35883	Revise graft w/nonauto graft		J1	5184	"$4,870.25"	12.11%	$589.79
35884	Revise graft w/vein		J1	5184	"$4,870.25"	7.76%	$377.93
35903	Excision graft extremity		J1	5183	"$2,923.63"	1.10%	$32.16
36002	Pseudoaneurysm injection trt		T	5181	$552.04	1.70%	$9.38
36221	Place cath thoracic aorta		Q2	5183	"$2,923.63"	19.23%	$562.21
36222	Place cath carotid/inom art		Q2	5183	"$2,923.63"	17.79%	$520.11
36223	Place cath carotid/inom art		Q2	5184	"$4,870.25"	12.08%	$588.33
36224	Place cath carotd art		Q2	5184	"$4,870.25"	9.97%	$485.56
36225	Place cath subclavian art		Q2	5183	"$2,923.63"	25.17%	$735.88
36226	Place cath vertebral art		Q2	5184	"$4,870.25"	14.50%	$706.19
36251	Ins cath ren art 1st unilat		Q2	5183	"$2,923.63"	28.27%	$826.51
36252	Ins cath ren art 1st bilat		Q2	5183	"$2,923.63"	22.37%	$654.02
36253	Ins cath ren art 2nd+ unilat		Q2	5184	"$4,870.25"	33.15%	"$1,614.49"
36254	Ins cath ren art 2nd+ bilat		Q2	5183	"$2,923.63"	19.89%	$581.51
36260	Insertion of infusion pump		J1	5184	"$4,870.25"	0.70%	$34.09
36261	Revision of infusion pump		T	5221	"$3,516.82"	51.85%	"$1,823.47"
36262	Removal of infusion pump		Q2	5221	"$3,516.82"	0.44%	$15.47
36420	Vein access cutdown < 1 yr		Q1	5734	$115.16	0.00%	$0.00
36425	Vein access cutdown > 1 yr		Q1	5735	$277.18	0.00%	$0.00
36430	Blood transfusion service		S	5241	$405.37	0.03%	$0.12
36440	Bl push transfuse 2 yr/<		S	5241	$405.37	0.00%	$0.00
36450	Bl exchange/transfuse nb		S	5241	$405.37	0.00%	$0.00
36455	Bl exchange/transfuse non-nb		S	5241	$405.37	0.00%	$0.00
36456	Prtl exchange transfuse nb		S	5241	$405.37	91.05%	$369.09
36460	Transfusion service fetal		S	5241	$405.37	0.00%	$0.00
36465	Njx noncmpnd sclrsnt 1 vein		T	5054	"$1,749.26"	3.42%	$59.82
36466	Njx noncmpnd sclrsnt mlt vn		T	5054	"$1,749.26"	0.88%	$15.39
36468	Njx sclrsnt spider veins		Q1	5052	$353.00	5.91%	$20.86
36470	Njx sclrsnt 1 incmptnt vein		T	5052	$353.00	3.01%	$10.63
36471	Njx sclrsnt mlt incmptnt vn		T	5052	$353.00	0.67%	$2.37
36473	Endovenous mchnchem 1st vein		J1	5183	"$2,923.63"	9.58%	$280.08
36475	Endovenous rf 1st vein		J1	5183	"$2,923.63"	21.93%	$641.15
36478	Endovenous laser 1st vein		J1	5183	"$2,923.63"	7.64%	$223.37
36482	Endoven ther chem adhes 1st		J1	5184	"$4,870.25"	14.00%	$681.84
36511	Apheresis wbc		S	5242	"$1,393.02"	0.00%	$0.00
36512	Apheresis rbc		S	5242	"$1,393.02"	0.04%	$0.56
36513	Apheresis platelets		S	5241	$405.37	0.00%	$0.00
36514	Apheresis plasma		S	5242	"$1,393.02"	0.02%	$0.28
36516	Apheresis immunoads slctv		S	5243	"$4,130.46"	0.07%	$2.89
36522	Photopheresis		S	5243	"$4,130.46"	0.00%	$0.00
36555	Insert non-tunnel cv cath		J1	5183	"$2,923.63"	6.82%	$199.39
36556	Insert non-tunnel cv cath		J1	5183	"$2,923.63"	4.76%	$139.16
36557	Insert tunneled cv cath		J1	5184	"$4,870.25"	18.70%	$910.74
36558	Insert tunneled cv cath		J1	5183	"$2,923.63"	22.20%	$649.05
36560	Insert tunneled cv cath		J1	5183	"$2,923.63"	16.33%	$477.43
36561	Insert tunneled cv cath		J1	5183	"$2,923.63"	22.43%	$655.77
36563	Insert tunneled cv cath		J1	5184	"$4,870.25"	23.72%	"$1,155.22"
36565	Insert tunneled cv cath		J1	5183	"$2,923.63"	19.62%	$573.62
36566	Insert tunneled cv cath		J1	5184	"$4,870.25"	18.29%	$890.77
36568	Insj picc <5 yr w/o imaging		J1	5182	"$1,436.16"	14.10%	$202.50
36569	Insj picc 5 yr+ w/o imaging		J1	5182	"$1,436.16"	16.04%	$230.36
36570	Insert picvad cath		J1	5183	"$2,923.63"	11.79%	$344.70
36571	Insert picvad cath		J1	5183	"$2,923.63"	20.16%	$589.40
36572	Insj picc rs&i <5 yr		T	5181	$552.04	23.91%	$131.99
36573	Insj picc rs&i 5 yr+		J1	5182	"$1,436.16"	19.47%	$279.62
36575	Repair tunneled cv cath		T	5181	$552.04	7.66%	$42.29
36576	Repair tunneled cv cath		J1	5182	"$1,436.16"	4.61%	$66.21
36578	Replace tunneled cv cath		J1	5183	"$2,923.63"	23.98%	$701.09
36580	Replace cvad cath		J1	5182	"$1,436.16"	30.74%	$441.48
36581	Replace tunneled cv cath		J1	5183	"$2,923.63"	29.30%	$856.62
36582	Replace tunneled cv cath		J1	5183	"$2,923.63"	24.85%	$726.52
36583	Replace tunneled cv cath		J1	5184	"$4,870.25"	29.72%	"$1,447.44"
36584	Compl rplcmt picc rs&i		J1	5182	"$1,436.16"	23.80%	$341.81
36585	Replace picvad cath		J1	5183	"$2,923.63"	20.77%	$607.24
36589	Removal tunneled cv cath		Q2	5181	$552.04	0.41%	$2.26
36590	Removal tunneled cv cath		Q2	5182	"$1,436.16"	0.52%	$7.47
36591	Draw blood off venous device		Q1	5734	$115.16	0.04%	$0.05
36592	Collect blood from picc		Q1	5734	$115.16	0.15%	$0.17
36593	Declot vascular device		T	5694	$325.64	0.14%	$0.46
36595	Mech remov tunneled cv cath		J1	5183	"$2,923.63"	30.89%	$903.11
36596	Mech remov tunneled cv cath		J1	5182	"$1,436.16"	15.79%	$226.77
36597	Reposition venous catheter		J1	5182	"$1,436.16"	16.06%	$230.65
36598	Inj w/fluor eval cv device		T	5693	$208.93	0.90%	$1.88
36600	Withdrawal of arterial blood		Q1	5734	$115.16	0.28%	$0.32
36640	Insertion catheter artery		J1	5183	"$2,923.63"	2.34%	$68.41
36680	Insert needle bone cavity		Q1	5735	$277.18	0.00%	$0.00
36800	Insertion of cannula		J1	5184	"$4,870.25"	12.00%	$584.43
36810	Insertion of cannula		J1	5183	"$2,923.63"	15.06%	$440.30
36815	Insertion of cannula		J1	5184	"$4,870.25"	4.84%	$235.72
36818	Av fuse uppr arm cephalic		J1	5184	"$4,870.25"	1.55%	$75.49
36819	Av fuse uppr arm basilic		J1	5184	"$4,870.25"	2.13%	$103.74
36820	Av fusion/forearm vein		J1	5184	"$4,870.25"	3.87%	$188.48
36821	Av fusion direct any site		J1	5183	"$2,923.63"	2.14%	$62.57
36825	Artery-vein autograft		J1	5184	"$4,870.25"	15.42%	$750.99
36830	Artery-vein nonautograft		J1	5184	"$4,870.25"	26.67%	"$1,298.90"
36831	Open thrombect av fistula		J1	5184	"$4,870.25"	19.54%	$951.65
36832	Av fistula revision open		J1	5184	"$4,870.25"	10.19%	$496.28
36833	Av fistula revision		J1	5184	"$4,870.25"	21.90%	"$1,066.58"
36838	Dist revas ligation hemo		J1	5184	"$4,870.25"	11.61%	$565.44
36860	External cannula declotting		J1	5182	"$1,436.16"	12.54%	$180.09
36861	Cannula declotting		J1	5184	"$4,870.25"	26.74%	"$1,302.30"
36901	Intro cath dialysis circuit		J1	5182	"$1,436.16"	14.84%	$213.13
36902	Intro cath dialysis circuit		J1	5192	"$5,061.89"	25.11%	"$1,271.04"
36903	Intro cath dialysis circuit		J1	5193	"$10,258.49"	51.54%	"$5,287.23"
36904	Thrmbc/nfs dialysis circuit		J1	5192	"$5,061.89"	29.48%	"$1,492.25"
36905	Thrmbc/nfs dialysis circuit		J1	5193	"$10,258.49"	28.56%	"$2,929.82"
36906	Thrmbc/nfs dialysis circuit		J1	5194	"$16,402.31"	49.42%	"$8,106.02"
37183	Remove hepatic shunt (tips)		J1	5192	"$5,061.89"	35.54%	"$1,799.00"
37184	Prim art m-thrmbc 1st vsl		J1	5193	"$10,258.49"	42.07%	"$4,315.75"
37187	Venous mech thrombectomy		J1	5193	"$10,258.49"	42.82%	"$4,392.69"
37191	Ins endovas vena cava filtr		J1	5184	"$4,870.25"	40.51%	"$1,972.94"
37192	Redo endovas vena cava filtr		J1	5183	"$2,923.63"	34.05%	$995.50
37193	Rem endovas vena cava filter		J1	5183	"$2,923.63"	26.08%	$762.48
37195	Thrombolytic therapy stroke		T	5694	$325.64	0.00%	$0.00
37197	Remove intrvas foreign body		J1	5183	"$2,923.63"	24.13%	$705.47
37200	Transcatheter biopsy		J1	5184	"$4,870.25"	13.79%	$671.61
37211	Thrombolytic art therapy		J1	5184	"$4,870.25"	24.86%	"$1,210.74"
37212	Thrombolytic venous therapy		J1	5183	"$2,923.63"	10.57%	$309.03
37213	Thromblytic art/ven therapy		J1	5183	"$2,923.63"	14.29%	$417.79
37214	Cessj therapy cath removal		J1	5183	"$2,923.63"	25.90%	$757.22
37220	Iliac revasc		J1	5192	"$5,061.89"	28.65%	"$1,450.23"
37221	Iliac revasc w/stent		J1	5193	"$10,258.49"	40.13%	"$4,116.73"
37224	Fem/popl revas w/tla		J1	5192	"$5,061.89"	37.60%	"$1,903.27"
37225	Fem/popl revas w/ather		J1	5193	"$10,258.49"	55.19%	"$5,661.66"
37226	Fem/popl revasc w/stent		J1	5193	"$10,258.49"	48.23%	"$4,947.67"
37227	Fem/popl revasc stnt & ather		J1	5194	"$16,402.31"	55.43%	"$9,091.80"
37228	Tib/per revasc w/tla		J1	5193	"$10,258.49"	32.98%	"$3,383.25"
37229	Tib/per revasc w/ather		J1	5194	"$16,402.31"	47.44%	"$7,781.26"
37230	Tib/per revasc w/stent		J1	5194	"$16,402.31"	44.15%	"$7,241.62"
37231	Tib/per revasc stent & ather		J1	5194	"$16,402.31"	49.91%	"$8,186.39"
37236	Open/perq place stent 1st		J1	5193	"$10,258.49"	38.26%	"$3,924.90"
37238	Open/perq place stent same		J1	5193	"$10,258.49"	43.28%	"$4,439.87"
37241	Vasc embolize/occlude venous		J1	5193	"$10,258.49"	30.06%	"$3,083.70"
37242	Vasc embolize/occlude artery		J1	5193	"$10,258.49"	39.86%	"$4,089.03"
37243	Vasc embolize/occlude organ		J1	5193	"$10,258.49"	21.78%	"$2,234.30"
37244	Vasc embolize/occlude bleed		J1	5193	"$10,258.49"	32.91%	"$3,376.07"
37246	Trluml balo angiop 1st art		J1	5192	"$5,061.89"	27.07%	"$1,370.25"
37248	Trluml balo angiop 1st vein		J1	5192	"$5,061.89"	24.89%	"$1,259.90"
37500	Endoscopy ligate perf veins		J1	5184	"$4,870.25"	0.25%	$12.18
37501	Vascular endoscopy procedure		T	5181	$552.04	0.00%	$0.00
37565	Ligation of neck vein		J1	5183	"$2,923.63"	9.32%	$272.48
37600	Ligation of neck artery		J1	5183	"$2,923.63"	0.00%	$0.00
37605	Ligation of neck artery		J1	5183	"$2,923.63"	0.00%	$0.00
37607	Ligation of a-v fistula		J1	5183	"$2,923.63"	2.75%	$80.40
37609	Temporal artery procedure		J1	5072	"$1,436.99"	0.17%	$2.44
37615	Ligation of neck artery		J1	5183	"$2,923.63"	0.24%	$7.02
37619	Ligation of inf vena cava		J1	5184	"$4,870.25"	28.90%	"$1,407.50"
37650	Revision of major vein		J1	5183	"$2,923.63"	0.00%	$0.00
37700	Revise leg vein		J1	5183	"$2,923.63"	2.37%	$69.29
37718	Ligate/strip short leg vein		J1	5183	"$2,923.63"	0.74%	$21.63
37722	Ligate/strip long leg vein		J1	5183	"$2,923.63"	1.97%	$57.60
37735	Removal of leg veins/lesion		J1	5183	"$2,923.63"	5.58%	$163.14
37760	Ligate leg veins radical		J1	5183	"$2,923.63"	5.55%	$162.26
37761	Ligate leg veins open		J1	5183	"$2,923.63"	1.27%	$37.13
37765	Stab phleb veins xtr 10-20		J1	5183	"$2,923.63"	1.76%	$51.46
37766	Phleb veins - extrem 20+		J1	5183	"$2,923.63"	1.39%	$40.64
37780	Revision of leg vein		J1	5183	"$2,923.63"	0.44%	$12.86
37785	Ligate/divide/excise vein		J1	5183	"$2,923.63"	1.12%	$32.74
37799	Vascular surgery procedure		T	5181	$552.04	7.68%	$42.40
38120	Laparoscopy splenectomy		J1	5362	"$9,096.46"	1.23%	$111.89
38129	Laparoscope proc spleen		J1	5361	"$5,167.69"	1.02%	$52.71
38206	Harvest auto stem cells		S	5242	"$1,393.02"	0.02%	$0.28
38207	Cryopreserve stem cells		S	5241	$405.37	0.00%	$0.00
38208	Thaw preserved stem cells		S	5241	$405.37	0.00%	$0.00
38209	Wash harvest stem cells		S	5241	$405.37	0.00%	$0.00
38210	T-cell depletion of harvest		S	5241	$405.37	0.00%	$0.00
38212	Rbc depletion of harvest		S	5241	$405.37	0.00%	$0.00
38213	Platelet deplete of harvest		S	5241	$405.37	0.00%	$0.00
38214	Volume deplete of harvest		S	5241	$405.37	0.00%	$0.00
38215	Harvest stem cell concentrte		S	5241	$405.37	0.00%	$0.00
38220	Dx bone marrow aspirations		J1	5072	"$1,436.99"	0.55%	$7.90
38221	Dx bone marrow biopsies		J1	5072	"$1,436.99"	1.65%	$23.71
38222	Dx bone marrow bx & aspir		J1	5073	"$2,421.55"	1.28%	$31.00
38230	Bone marrow harvest allogen		S	5242	"$1,393.02"	0.00%	$0.00
38232	Bone marrow harvest autolog		S	5243	"$4,130.46"	20.72%	$855.83
38240	Transplt allo hct/donor		J1	5244	"$41,026.98"	0.00%	$0.00
38241	Transplt autol hct/donor		S	5242	"$1,393.02"	1.86%	$25.91
38242	Transplt allo lymphocytes		S	5242	"$1,393.02"	0.00%	$0.00
38243	Transplj hematopoietic boost		S	5242	"$1,393.02"	0.00%	$0.00
38300	Drainage lymph node lesion		J1	5073	"$2,421.55"	2.56%	$61.99
38305	Drainage lymph node lesion		J1	5073	"$2,421.55"	0.00%	$0.00
38308	Incision of lymph channels		J1	5091	"$3,225.00"	0.56%	$18.06
38500	Biopsy/removal lymph nodes		J1	5091	"$3,225.00"	0.75%	$24.19
38505	Needle biopsy lymph nodes		J1	5072	"$1,436.99"	1.00%	$14.37
38510	Biopsy/removal lymph nodes		J1	5091	"$3,225.00"	0.66%	$21.29
38520	Biopsy/removal lymph nodes		J1	5091	"$3,225.00"	0.87%	$28.06
38525	Biopsy/removal lymph nodes		J1	5091	"$3,225.00"	0.53%	$17.09
38530	Biopsy/removal lymph nodes		J1	5091	"$3,225.00"	0.73%	$23.54
38531	Open bx/exc inguinofem nodes		J1	5091	"$3,225.00"	0.61%	$19.67
38542	Explore deep node(s) neck		J1	5361	"$5,167.69"	0.16%	$8.27
38550	Removal neck/armpit lesion		J1	5091	"$3,225.00"	0.00%	$0.00
38555	Removal neck/armpit lesion		J1	5092	"$5,652.10"	0.89%	$50.30
38570	Laparoscopy lymph node biop		J1	5361	"$5,167.69"	1.30%	$67.18
38571	Laparoscopy lymphadenectomy		J1	5362	"$9,096.46"	0.95%	$86.42
38572	Laparoscopy lymphadenectomy		J1	5362	"$9,096.46"	0.97%	$88.24
38573	Laps pelvic lymphadec		J1	5362	"$9,096.46"	0.80%	$72.77
38589	Laparoscope proc lymphatic		J1	5361	"$5,167.69"	2.30%	$118.86
38700	Removal of lymph nodes neck		J1	5092	"$5,652.10"	0.57%	$32.22
38720	Removal of lymph nodes neck		J1	5093	"$9,106.41"	1.11%	$101.08
38740	Remove armpit lymph nodes		J1	5361	"$5,167.69"	0.48%	$24.80
38745	Remove armpit lymph nodes		J1	5361	"$5,167.69"	0.98%	$50.64
38760	Remove groin lymph nodes		J1	5092	"$5,652.10"	0.74%	$41.83
38792	Ra tracer id of sentinl node		Q1	5591	$384.99	0.02%	$0.08
38999	Blood/lymph system procedure		S	5241	$405.37	2.38%	$9.65
39401	Mediastinoscpy w/medstnl bx		J1	5361	"$5,167.69"	0.93%	$48.06
39402	Mediastinoscpy w/lmph nod bx		J1	5361	"$5,167.69"	0.93%	$48.06
40490	Biopsy of lip		T	5161	$216.07	0.00%	$0.00
40500	Partial excision of lip		J1	5164	"$2,793.98"	0.00%	$0.00
40510	Partial excision of lip		J1	5164	"$2,793.98"	0.18%	$5.03
40520	Partial excision of lip		J1	5164	"$2,793.98"	0.14%	$3.91
40525	Reconstruct lip with flap		J1	5164	"$2,793.98"	0.08%	$2.24
40527	Reconstruct lip with flap		J1	5165	"$5,194.27"	0.00%	$0.00
40530	Partial removal of lip		J1	5164	"$2,793.98"	0.01%	$0.28
40650	Repair lip		T	5162	$461.90	0.00%	$0.00
40652	Repair lip		T	5162	$461.90	0.00%	$0.00
40654	Repair lip		J1	5163	"$1,381.54"	0.00%	$0.00
40700	Repair cleft lip/nasal		J1	5165	"$5,194.27"	0.20%	$10.39
40720	Repair cleft lip/nasal		J1	5164	"$2,793.98"	8.02%	$224.08
40761	Repair cleft lip/nasal		J1	5165	"$5,194.27"	0.00%	$0.00
40799	Lip surgery procedure		T	5161	$216.07	0.41%	$0.89
40800	Drainage of mouth lesion		T	5071	$635.54	0.00%	$0.00
40801	Drainage of mouth lesion		T	5162	$461.90	0.00%	$0.00
40804	Removal foreign body mouth		Q1	5301	$826.39	0.00%	$0.00
40805	Removal foreign body mouth		T	5162	$461.90	0.00%	$0.00
40806	Incision of lip fold		T	5162	$461.90	0.00%	$0.00
40808	Biopsy of mouth lesion		T	5162	$461.90	0.17%	$0.79
40810	Excision of mouth lesion		J1	5164	"$2,793.98"	0.29%	$8.10
40812	Excise/repair mouth lesion		J1	5163	"$1,381.54"	0.30%	$4.14
40814	Excise/repair mouth lesion		J1	5164	"$2,793.98"	1.10%	$30.73
40816	Excision of mouth lesion		J1	5164	"$2,793.98"	0.70%	$19.56
40818	Excise oral mucosa for graft		T	5162	$461.90	1.60%	$7.39
40819	Excise lip or cheek fold		J1	5163	"$1,381.54"	4.12%	$56.92
40820	Treatment of mouth lesion		J1	5164	"$2,793.98"	0.01%	$0.28
40830	Repair mouth laceration		T	5161	$216.07	0.00%	$0.00
40831	Repair mouth laceration		T	5162	$461.90	0.00%	$0.00
40840	Reconstruction of mouth		J1	5165	"$5,194.27"	3.72%	$193.23
40842	Reconstruction of mouth		J1	5165	"$5,194.27"	1.81%	$94.02
40843	Reconstruction of mouth		J1	5165	"$5,194.27"	0.83%	$43.11
40844	Reconstruction of mouth		J1	5165	"$5,194.27"	0.00%	$0.00
40845	Reconstruction of mouth		J1	5165	"$5,194.27"	1.24%	$64.41
40899	Mouth surgery procedure		T	5161	$216.07	0.00%	$0.00
41000	Drainage of mouth lesion		T	5162	$461.90	0.00%	$0.00
41005	Drainage of mouth lesion		T	5161	$216.07	0.00%	$0.00
41006	Drainage of mouth lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41007	Drainage of mouth lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41008	Drainage of mouth lesion		J1	5164	"$2,793.98"	0.00%	$0.00
41009	Drainage of mouth lesion		T	5162	$461.90	0.00%	$0.00
41010	Incision of tongue fold		J1	5163	"$1,381.54"	0.02%	$0.28
41016	Drainage of mouth lesion		J1	5165	"$5,194.27"	0.30%	$15.58
41017	Drainage of mouth lesion		J1	5164	"$2,793.98"	0.05%	$1.40
41018	Drainage of mouth lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41019	Place needles h&n for rt		J1	5165	"$5,194.27"	6.98%	$362.56
41100	Biopsy of tongue		T	5162	$461.90	0.03%	$0.14
41105	Biopsy of tongue		J1	5164	"$2,793.98"	0.12%	$3.35
41108	Biopsy of floor of mouth		J1	5072	"$1,436.99"	0.01%	$0.14
41110	Excision of tongue lesion		J1	5164	"$2,793.98"	0.73%	$20.40
41112	Excision of tongue lesion		J1	5164	"$2,793.98"	0.03%	$0.84
41113	Excision of tongue lesion		J1	5164	"$2,793.98"	0.16%	$4.47
41114	Excision of tongue lesion		J1	5164	"$2,793.98"	0.01%	$0.28
41115	Excision of tongue fold		J1	5163	"$1,381.54"	0.00%	$0.00
41116	Excision of mouth lesion		J1	5164	"$2,793.98"	0.44%	$12.29
41120	Partial removal of tongue		J1	5165	"$5,194.27"	0.57%	$29.61
41250	Repair tongue laceration		Q1	5735	$277.18	0.00%	$0.00
41251	Repair tongue laceration		T	5161	$216.07	0.00%	$0.00
41252	Repair tongue laceration		T	5161	$216.07	0.00%	$0.00
41512	Tongue suspension		J1	5165	"$5,194.27"	32.35%	"$1,680.35"
41520	Reconstruction tongue fold		J1	5164	"$2,793.98"	0.00%	$0.00
41530	Tongue base vol reduction		J1	5164	"$2,793.98"	0.99%	$27.66
41599	Tongue and mouth surgery		T	5161	$216.07	0.22%	$0.48
41800	Drainage of gum lesion		Q1	5734	$115.16	0.00%	$0.00
41805	Removal foreign body gum		J1	5163	"$1,381.54"	0.00%	$0.00
41806	Removal foreign body jawbone		J1	5163	"$1,381.54"	0.00%	$0.00
41820	Excision gum each quadrant		J1	5164	"$2,793.98"	0.00%	$0.00
41822	Excision of gum lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41823	Excision of gum lesion		J1	5165	"$5,194.27"	8.58%	$445.67
41825	Excision of gum lesion		J1	5164	"$2,793.98"	0.61%	$17.04
41826	Excision of gum lesion		J1	5164	"$2,793.98"	0.81%	$22.63
41827	Excision of gum lesion		J1	5165	"$5,194.27"	6.71%	$348.54
41828	Excision of gum lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41830	Removal of gum tissue		J1	5164	"$2,793.98"	2.41%	$67.33
41850	Treatment of gum lesion		J1	5163	"$1,381.54"	0.00%	$0.00
41872	Repair gum		J1	5164	"$2,793.98"	0.00%	$0.00
41874	Repair tooth socket		J1	5164	"$2,793.98"	0.36%	$10.06
41899	Dental surgery procedure		T	5161	$216.07	0.52%	$1.12
42000	Drainage mouth roof lesion		T	5161	$216.07	0.00%	$0.00
42100	Biopsy roof of mouth		J1	5163	"$1,381.54"	0.01%	$0.14
42104	Excision lesion mouth roof		J1	5164	"$2,793.98"	0.14%	$3.91
42106	Excision lesion mouth roof		J1	5164	"$2,793.98"	0.20%	$5.59
42107	Excision lesion mouth roof		J1	5165	"$5,194.27"	0.00%	$0.00
42120	Remove palate/lesion		J1	5165	"$5,194.27"	0.29%	$15.06
42140	Excision of uvula		J1	5164	"$2,793.98"	0.06%	$1.68
42145	Repair palate pharynx/uvula		J1	5165	"$5,194.27"	2.11%	$109.60
42160	Treatment mouth roof lesion		J1	5164	"$2,793.98"	0.59%	$16.48
42180	Repair palate		T	5162	$461.90	0.00%	$0.00
42182	Repair palate		J1	5165	"$5,194.27"	1.36%	$70.64
42200	Reconstruct cleft palate		J1	5165	"$5,194.27"	15.46%	$803.03
42205	Reconstruct cleft palate		J1	5164	"$2,793.98"	2.40%	$67.06
42210	Reconstruct cleft palate		J1	5165	"$5,194.27"	47.39%	"$2,461.56"
42215	Reconstruct cleft palate		J1	5165	"$5,194.27"	1.98%	$102.85
42220	Reconstruct cleft palate		J1	5165	"$5,194.27"	0.00%	$0.00
42225	Reconstruct cleft palate		J1	5165	"$5,194.27"	13.05%	$677.85
42226	Lengthening of palate		J1	5165	"$5,194.27"	0.00%	$0.00
42227	Lengthening of palate		J1	5165	"$5,194.27"	0.63%	$32.72
42235	Repair palate		J1	5165	"$5,194.27"	0.00%	$0.00
42260	Repair nose to lip fistula		J1	5165	"$5,194.27"	18.84%	$978.60
42281	Insertion palate prosthesis		J1	5165	"$5,194.27"	4.49%	$233.22
42299	Palate/uvula surgery		T	5161	$216.07	0.00%	$0.00
42300	Drainage of salivary gland		J1	5163	"$1,381.54"	0.00%	$0.00
42305	Drainage of salivary gland		J1	5164	"$2,793.98"	0.67%	$18.72
42310	Drainage of salivary gland		T	5162	$461.90	0.00%	$0.00
42320	Drainage of salivary gland		T	5162	$461.90	0.00%	$0.00
42330	Removal of salivary stone		J1	5164	"$2,793.98"	0.52%	$14.53
42335	Removal of salivary stone		J1	5164	"$2,793.98"	1.19%	$33.25
42340	Removal of salivary stone		J1	5164	"$2,793.98"	0.93%	$25.98
42400	Biopsy of salivary gland		T	5071	$635.54	0.08%	$0.51
42405	Biopsy of salivary gland		J1	5163	"$1,381.54"	0.21%	$2.90
42408	Excision of salivary cyst		J1	5164	"$2,793.98"	0.59%	$16.48
42409	Drainage of salivary cyst		J1	5164	"$2,793.98"	0.29%	$8.10
42410	Excise parotid gland/lesion		J1	5165	"$5,194.27"	0.35%	$18.18
42415	Excise parotid gland/lesion		J1	5165	"$5,194.27"	0.66%	$34.28
42420	Excise parotid gland/lesion		J1	5165	"$5,194.27"	0.97%	$50.38
42425	Excise parotid gland/lesion		J1	5165	"$5,194.27"	1.07%	$55.58
42440	Excise submaxillary gland		J1	5165	"$5,194.27"	0.49%	$25.45
42450	Excise sublingual gland		J1	5165	"$5,194.27"	0.68%	$35.32
42500	Repair salivary duct		J1	5165	"$5,194.27"	3.02%	$156.87
42505	Repair salivary duct		J1	5165	"$5,194.27"	3.26%	$169.33
42507	Parotid duct diversion		J1	5165	"$5,194.27"	0.00%	$0.00
42600	Closure of salivary fistula		J1	5164	"$2,793.98"	1.23%	$34.37
42650	Dilation of salivary duct		J1	5163	"$1,381.54"	2.07%	$28.60
42660	Dilation of salivary duct		T	5162	$461.90	2.56%	$11.82
42699	Salivary surgery procedure		T	5161	$216.07	2.99%	$6.46
42700	Drainage of tonsil abscess		T	5161	$216.07	0.00%	$0.00
42720	Drainage of throat abscess		J1	5164	"$2,793.98"	0.06%	$1.68
42725	Drainage of throat abscess		J1	5165	"$5,194.27"	0.00%	$0.00
42800	Biopsy of throat		J1	5163	"$1,381.54"	0.05%	$0.69
42804	Biopsy of upper nose/throat		J1	5164	"$2,793.98"	0.24%	$6.71
42806	Biopsy of upper nose/throat		J1	5164	"$2,793.98"	1.01%	$28.22
42808	Excise pharynx lesion		J1	5164	"$2,793.98"	1.07%	$29.90
42809	Remove pharynx foreign body		Q1	5735	$277.18	0.00%	$0.00
42810	Excision of neck cyst		J1	5164	"$2,793.98"	0.73%	$20.40
42815	Excision of neck cyst		J1	5165	"$5,194.27"	0.41%	$21.30
42820	Remove tonsils and adenoids		J1	5165	"$5,194.27"	0.41%	$21.30
42821	Remove tonsils and adenoids		J1	5164	"$2,793.98"	0.29%	$8.10
42826	Removal of tonsils		J1	5164	"$2,793.98"	0.39%	$10.90
42830	Removal of adenoids		J1	5164	"$2,793.98"	1.42%	$39.67
42831	Removal of adenoids		J1	5164	"$2,793.98"	3.80%	$106.17
42835	Removal of adenoids		J1	5164	"$2,793.98"	0.00%	$0.00
42836	Removal of adenoids		J1	5164	"$2,793.98"	1.18%	$32.97
42842	Extensive surgery of throat		J1	5165	"$5,194.27"	1.14%	$59.21
42844	Extensive surgery of throat		J1	5165	"$5,194.27"	0.00%	$0.00
42860	Excision of tonsil tags		J1	5164	"$2,793.98"	0.00%	$0.00
42870	Excision of lingual tonsil		J1	5165	"$5,194.27"	0.71%	$36.88
42890	Partial removal of pharynx		J1	5165	"$5,194.27"	0.58%	$30.13
42892	Revision of pharyngeal walls		J1	5165	"$5,194.27"	1.03%	$53.50
42900	Repair throat wound		J1	5163	"$1,381.54"	79.50%	"$1,098.32"
42950	Reconstruction of throat		J1	5165	"$5,194.27"	8.41%	$436.84
42960	Control throat bleeding		T	5162	$461.90	6.78%	$31.32
42962	Control throat bleeding		J1	5164	"$2,793.98"	0.24%	$6.71
42972	Control nose/throat bleeding		J1	5164	"$2,793.98"	0.00%	$0.00
42999	Throat surgery procedure		T	5161	$216.07	1.13%	$2.44
43020	Incision of esophagus		J1	5163	"$1,381.54"	0.00%	$0.00
43030	Throat muscle surgery		J1	5165	"$5,194.27"	3.02%	$156.87
43130	Removal of esophagus pouch		J1	5165	"$5,194.27"	0.59%	$30.65
43180	Esophagoscopy rigid trnso		J1	5165	"$5,194.27"	1.34%	$69.60
43191	Esophagoscopy rigid trnso dx		J1	5302	"$1,658.81"	0.54%	$8.96
43192	Esophagoscp rig trnso inject		J1	5302	"$1,658.81"	0.85%	$14.10
43193	Esophagoscp rig trnso biopsy		J1	5302	"$1,658.81"	0.14%	$2.32
43194	Esophagoscp rig trnso rem fb		J1	5302	"$1,658.81"	0.17%	$2.82
43195	Esophagoscopy rigid balloon		J1	5303	"$3,135.90"	14.75%	$462.55
43196	Esophagoscp guide wire dilat		J1	5303	"$3,135.90"	3.82%	$119.79
43197	Esophagoscopy flex dx brush		T	5301	$826.39	0.95%	$7.85
43198	Esophagosc flex trnsn biopsy		T	5301	$826.39	0.37%	$3.06
43200	Esophagoscopy flexible brush		T	5301	$826.39	1.65%	$13.64
43201	Esoph scope w/submucous inj		J1	5302	"$1,658.81"	1.82%	$30.19
43202	Esophagoscopy flex biopsy		J1	5302	"$1,658.81"	1.13%	$18.74
43205	Esophagus endoscopy/ligation		J1	5302	"$1,658.81"	1.15%	$19.08
43210	Egd esophagogastrc fndoplsty		J1	5362	"$9,096.46"	26.42%	"$2,403.28"
43211	Esophagoscop mucosal resect		J1	5302	"$1,658.81"	1.04%	$17.25
43212	Esophagoscop stent placement		J1	5331	"$5,140.85"	57.07%	"$2,933.88"
43213	Esophagoscopy retro balloon		J1	5302	"$1,658.81"	3.60%	$59.72
43214	Esophagosc dilate balloon 30		J1	5302	"$1,658.81"	10.54%	$174.84
43215	Esophagoscopy flex remove fb		J1	5302	"$1,658.81"	1.44%	$23.89
43216	Esophagoscopy lesion removal		J1	5302	"$1,658.81"	0.00%	$0.00
43217	Esophagoscopy snare les remv		J1	5302	"$1,658.81"	0.23%	$3.82
43220	Esophagoscopy balloon <30mm		J1	5302	"$1,658.81"	21.48%	$356.31
43226	Esoph endoscopy dilation		J1	5302	"$1,658.81"	5.69%	$94.39
43227	Esophagoscopy control bleed		J1	5302	"$1,658.81"	0.00%	$0.00
43229	Esophagoscopy lesion ablate		J1	5303	"$3,135.90"	30.69%	$962.41
43231	Esophagoscop ultrasound exam		J1	5302	"$1,658.81"	1.01%	$16.75
43232	Esophagoscopy w/us needle bx		J1	5302	"$1,658.81"	0.89%	$14.76
43233	Egd balloon dil esoph30 mm/>		J1	5302	"$1,658.81"	16.08%	$266.74
43235	Egd diagnostic brush wash		T	5301	$826.39	0.43%	$3.55
43236	Uppr gi scope w/submuc inj		T	5301	$826.39	0.44%	$3.64
43237	Endoscopic us exam esoph		J1	5302	"$1,658.81"	0.90%	$14.93
43238	Egd us fine needle bx/aspir		J1	5302	"$1,658.81"	1.15%	$19.08
43239	Egd biopsy single/multiple		T	5301	$826.39	0.29%	$2.40
43240	Egd w/transmural drain cyst		J1	5331	"$5,140.85"	61.46%	"$3,159.57"
43241	Egd tube/cath insertion		J1	5302	"$1,658.81"	3.73%	$61.87
43242	Egd us fine needle bx/aspir		J1	5302	"$1,658.81"	1.14%	$18.91
43243	Egd injection varices		J1	5302	"$1,658.81"	2.78%	$46.11
43244	Egd varices ligation		J1	5302	"$1,658.81"	1.99%	$33.01
43245	Egd dilate stricture		J1	5302	"$1,658.81"	18.41%	$305.39
43246	Egd place gastrostomy tube		J1	5302	"$1,658.81"	3.00%	$49.76
43247	Egd remove foreign body		T	5301	$826.39	1.03%	$8.51
43248	Egd guide wire insertion		T	5301	$826.39	4.11%	$33.96
43249	Esoph egd dilation <30 mm		J1	5302	"$1,658.81"	17.14%	$284.32
43250	Egd cautery tumor polyp		J1	5302	"$1,658.81"	0.65%	$10.78
43251	Egd remove lesion snare		J1	5302	"$1,658.81"	2.91%	$48.27
43252	Egd optical endomicroscopy		J1	5303	"$3,135.90"	10.29%	$322.68
43253	Egd us transmural injxn/mark		J1	5302	"$1,658.81"	3.57%	$59.22
43254	Egd endo mucosal resection		J1	5302	"$1,658.81"	4.27%	$70.83
43255	Egd control bleeding any		J1	5302	"$1,658.81"	2.59%	$42.96
43257	Egd w/thrml txmnt gerd		J1	5303	"$3,135.90"	11.62%	$364.39
43259	Egd us exam duodenum/jejunum		J1	5302	"$1,658.81"	0.91%	$15.10
43260	Ercp w/specimen collection		J1	5303	"$3,135.90"	13.45%	$421.78
43261	Endo cholangiopancreatograph		J1	5303	"$3,135.90"	12.27%	$384.77
43262	Endo cholangiopancreatograph		J1	5303	"$3,135.90"	13.11%	$411.12
43263	Ercp sphincter pressure meas		J1	5303	"$3,135.90"	7.09%	$222.34
43264	Ercp remove duct calculi		J1	5303	"$3,135.90"	13.22%	$414.57
43265	Ercp lithotripsy calculi		J1	5331	"$5,140.85"	16.77%	$862.12
43266	Egd endoscopic stent place		J1	5331	"$5,140.85"	58.52%	"$3,008.43"
43270	Egd lesion ablation		J1	5302	"$1,658.81"	24.56%	$407.40
43274	Ercp duct stent placement		J1	5331	"$5,140.85"	27.69%	"$1,423.50"
43275	Ercp remove forgn body duct		J1	5303	"$3,135.90"	10.84%	$339.93
43276	Ercp stent exchange w/dilate		J1	5331	"$5,140.85"	29.67%	"$1,525.29"
43277	Ercp ea duct/ampulla dilate		J1	5303	"$3,135.90"	16.88%	$529.34
43278	Ercp lesion ablate w/dilate		J1	5303	"$3,135.90"	13.36%	$418.96
43280	Laparoscopy fundoplasty		J1	5362	"$9,096.46"	5.02%	$456.64
43281	Lap paraesophag hern repair		J1	5362	"$9,096.46"	7.58%	$689.51
43282	Lap paraesoph her rpr w/mesh		J1	5362	"$9,096.46"	18.38%	"$1,671.93"
43284	Laps esophgl sphnctr agmntj		J1	5362	"$9,096.46"	51.72%	"$4,704.69"
43285	Rmvl esophgl sphnctr dev		Q2	5361	"$5,167.69"	0.03%	$1.55
43289	Laparoscope proc esoph		J1	5361	"$5,167.69"	4.88%	$252.18
43420	Repair esophagus opening		J1	5164	"$2,793.98"	0.63%	$17.60
43450	Dilate esophagus 1/mult pass		T	5301	$826.39	0.83%	$6.86
43453	Dilate esophagus		J1	5302	"$1,658.81"	3.61%	$59.88
43499	Esophagus surgery procedure		T	5301	$826.39	7.19%	$59.42
43647	Lap impl electrode antrum		J1	5463	"$11,483.38"	62.09%	"$7,130.03"
43648	Lap revise/remv eltrd antrum		J1	5361	"$5,167.69"	10.39%	$536.92
43651	Laparoscopy vagus nerve		J1	5361	"$5,167.69"	1.21%	$62.53
43653	Laparoscopy gastrostomy		J1	5361	"$5,167.69"	3.95%	$204.12
43659	Laparoscope proc stom		J1	5361	"$5,167.69"	2.93%	$151.41
43752	Nasal/orogastric w/tube plmt		Q1	5735	$277.18	15.74%	$43.63
43753	Tx gastro intub w/asp		Q1	5722	$270.29	3.01%	$8.14
43754	Dx gastr intub w/asp spec		Q1	5722	$270.29	17.90%	$48.38
43755	Dx gastr intub w/asp specs		S	5721	$142.59	0.00%	$0.00
43757	Dx duod intub w/asp specs		T	5301	$826.39	0.00%	$0.00
43761	Reposition gastrostomy tube		T	5371	$271.77	7.28%	$19.78
43762	Rplc gtube no revj trc		T	5371	$271.77	2.40%	$6.52
43763	Rplc gtube revj gstrst trc		T	5371	$271.77	4.92%	$13.37
43770	Lap place gastr adj device		J1	5362	"$9,096.46"	46.31%	"$4,212.57"
43772	Lap rmvl gastr adj device		J1	5303	"$3,135.90"	1.49%	$46.72
43773	Lap replace gastr adj device		J1	5361	"$5,167.69"	14.48%	$748.28
43774	Lap rmvl gastr adj all parts		J1	5303	"$3,135.90"	1.03%	$32.30
43830	Place gastrostomy tube		J1	5302	"$1,658.81"	0.95%	$15.76
43870	Repair stomach opening		J1	5303	"$3,135.90"	2.03%	$63.66
43886	Revise gastric port open		T	5055	"$3,596.22"	5.59%	$201.03
43887	Remove gastric port open		Q2	5054	"$1,749.26"	10.69%	$187.00
43888	Change gastric port open		T	5055	"$3,596.22"	16.47%	$592.30
43999	Stomach surgery procedure		T	5301	$826.39	3.75%	$30.99
44100	Biopsy of bowel		T	5301	$826.39	0.32%	$2.64
44180	Lap enterolysis		J1	5361	"$5,167.69"	1.76%	$90.95
44186	Lap jejunostomy		J1	5361	"$5,167.69"	2.08%	$107.49
44238	Laparoscope proc intestine		J1	5361	"$5,167.69"	1.11%	$57.36
44312	Revision of ileostomy		T	5055	"$3,596.22"	0.75%	$26.97
44340	Revision of colostomy		T	5055	"$3,596.22"	0.10%	$3.60
44360	Small bowel endoscopy		J1	5302	"$1,658.81"	1.41%	$23.39
44361	Small bowel endoscopy/biopsy		J1	5302	"$1,658.81"	0.98%	$16.26
44363	Small bowel endoscopy		J1	5302	"$1,658.81"	3.70%	$61.38
44364	Small bowel endoscopy		J1	5302	"$1,658.81"	3.01%	$49.93
44365	Small bowel endoscopy		J1	5302	"$1,658.81"	2.41%	$39.98
44366	Small bowel endoscopy		J1	5302	"$1,658.81"	1.29%	$21.40
44369	Small bowel endoscopy		J1	5302	"$1,658.81"	2.43%	$40.31
44370	Small bowel endoscopy/stent		J1	5331	"$5,140.85"	64.00%	"$3,290.14"
44372	Small bowel endoscopy		J1	5302	"$1,658.81"	4.92%	$81.61
44373	Small bowel endoscopy		J1	5302	"$1,658.81"	6.71%	$111.31
44376	Small bowel endoscopy		J1	5302	"$1,658.81"	1.03%	$17.09
44377	Small bowel endoscopy/biopsy		J1	5302	"$1,658.81"	1.52%	$25.21
44378	Small bowel endoscopy		J1	5302	"$1,658.81"	2.81%	$46.61
44379	S bowel endoscope w/stent		J1	5331	"$5,140.85"	0.00%	$0.00
44380	Small bowel endoscopy br/wa		T	5301	$826.39	0.62%	$5.12
44381	Small bowel endoscopy br/wa		J1	5302	"$1,658.81"	18.19%	$301.74
44382	Small bowel endoscopy		T	5301	$826.39	0.28%	$2.31
44384	Small bowel endoscopy		J1	5303	"$3,135.90"	16.81%	$527.14
44385	Endoscopy of bowel pouch		T	5311	$810.48	1.30%	$10.54
44386	Endoscopy bowel pouch/biop		T	5311	$810.48	0.31%	$2.51
44388	Colonoscopy thru stoma spx		T	5311	$810.48	0.13%	$1.05
44389	Colonoscopy with biopsy		T	5312	"$1,059.06"	0.19%	$2.01
44390	Colonoscopy for foreign body		T	5311	$810.48	0.00%	$0.00
44391	Colonoscopy for bleeding		T	5312	"$1,059.06"	0.00%	$0.00
44392	Colonoscopy & polypectomy		T	5312	"$1,059.06"	0.12%	$1.27
44394	Colonoscopy w/snare		T	5312	"$1,059.06"	0.67%	$7.10
44401	Colonoscopy with ablation		T	5312	"$1,059.06"	0.00%	$0.00
44402	Colonoscopy w/stent plcmt		J1	5331	"$5,140.85"	75.44%	"$3,878.26"
44403	Colonoscopy w/resection		T	5312	"$1,059.06"	4.82%	$51.05
44404	Colonoscopy w/injection		T	5312	"$1,059.06"	0.00%	$0.00
44405	Colonoscopy w/dilation		T	5312	"$1,059.06"	25.47%	$269.74
44406	Colonoscopy w/ultrasound		T	5312	"$1,059.06"	0.00%	$0.00
44407	Colonoscopy w/ndl aspir/bx		T	5312	"$1,059.06"	0.00%	$0.00
44408	Colonoscopy w/decompression		T	5311	$810.48	0.00%	$0.00
44500	Intro gastrointestinal tube		T	5301	$826.39	7.87%	$65.04
44799	Unlisted px small intestine		T	5301	$826.39	4.67%	$38.59
44950	Appendectomy		J1	5341	"$3,249.35"	0.67%	$21.77
44970	Laparoscopy appendectomy		J1	5361	"$5,167.69"	1.21%	$62.53
44979	Laparoscope proc app		J1	5361	"$5,167.69"	3.41%	$176.22
45000	Drainage of pelvic abscess		T	5312	"$1,059.06"	1.21%	$12.81
45005	Drainage of rectal abscess		T	5312	"$1,059.06"	0.03%	$0.32
45020	Drainage of rectal abscess		J1	5313	"$2,495.04"	0.10%	$2.50
45100	Biopsy of rectum		J1	5313	"$2,495.04"	0.15%	$3.74
45108	Removal of anorectal lesion		J1	5313	"$2,495.04"	0.00%	$0.00
45150	Excision of rectal stricture		T	5312	"$1,059.06"	0.00%	$0.00
45160	Excision of rectal lesion		J1	5313	"$2,495.04"	6.36%	$158.68
45171	Exc rect tum transanal part		J1	5313	"$2,495.04"	0.30%	$7.49
45172	Exc rect tum transanal full		J1	5313	"$2,495.04"	0.47%	$11.73
45190	Destruction rectal tumor		J1	5313	"$2,495.04"	0.10%	$2.50
45300	Proctosigmoidoscopy dx		T	5311	$810.48	0.02%	$0.16
45303	Proctosigmoidoscopy dilate		T	5312	"$1,059.06"	5.75%	$60.90
45305	Proctosigmoidoscopy w/bx		T	5312	"$1,059.06"	0.14%	$1.48
45307	Proctosigmoidoscopy fb		J1	5313	"$2,495.04"	0.00%	$0.00
45308	Proctosigmoidoscopy removal		J1	5313	"$2,495.04"	0.00%	$0.00
45309	Proctosigmoidoscopy removal		T	5312	"$1,059.06"	0.00%	$0.00
45315	Proctosigmoidoscopy removal		T	5312	"$1,059.06"	0.38%	$4.02
45317	Proctosigmoidoscopy bleed		T	5312	"$1,059.06"	0.00%	$0.00
45320	Proctosigmoidoscopy ablate		J1	5313	"$2,495.04"	0.00%	$0.00
45330	Diagnostic sigmoidoscopy		T	5311	$810.48	0.24%	$1.95
45331	Sigmoidoscopy and biopsy		T	5311	$810.48	0.23%	$1.86
45332	Sigmoidoscopy w/fb removal		T	5312	"$1,059.06"	3.28%	$34.74
45333	Sigmoidoscopy & polypectomy		T	5311	$810.48	0.45%	$3.65
45334	Sigmoidoscopy for bleeding		T	5312	"$1,059.06"	2.97%	$31.45
45335	Sigmoidoscopy w/submuc inj		T	5311	$810.48	0.54%	$4.38
45337	Sigmoidoscopy & decompress		T	5311	$810.48	0.54%	$4.38
45338	Sigmoidoscopy w/tumr remove		T	5312	"$1,059.06"	1.14%	$12.07
45340	Sig w/tndsc balloon dilation		T	5312	"$1,059.06"	27.70%	$293.36
45341	Sigmoidoscopy w/ultrasound		T	5311	$810.48	0.72%	$5.84
45342	Sigmoidoscopy w/us guide bx		T	5312	"$1,059.06"	0.85%	$9.00
45346	Sigmoidoscopy w/ablation		T	5312	"$1,059.06"	8.97%	$95.00
45347	Sigmoidoscopy w/plcmt stent		J1	5331	"$5,140.85"	64.04%	"$3,292.20"
45349	Sigmoidoscopy w/resection		J1	5313	"$2,495.04"	3.40%	$84.83
45350	Sgmdsc w/band ligation		T	5312	"$1,059.06"	0.94%	$9.96
45378	Diagnostic colonoscopy		T	5311	$810.48	0.16%	$1.30
45379	Colonoscopy w/fb removal		T	5312	"$1,059.06"	0.78%	$8.26
45380	Colonoscopy and biopsy		T	5312	"$1,059.06"	0.14%	$1.48
45381	Colonoscopy submucous njx		T	5312	"$1,059.06"	1.42%	$15.04
45382	Colonoscopy w/control bleed		T	5312	"$1,059.06"	3.72%	$39.40
45384	Colonoscopy w/lesion removal		T	5312	"$1,059.06"	0.17%	$1.80
45385	Colonoscopy w/lesion removal		T	5312	"$1,059.06"	0.58%	$6.14
45386	Colonoscopy w/balloon dilat		T	5312	"$1,059.06"	23.64%	$250.36
45388	Colonoscopy w/ablation		T	5312	"$1,059.06"	0.93%	$9.85
45389	Colonoscopy w/stent plcmt		J1	5331	"$5,140.85"	61.76%	"$3,174.99"
45390	Colonoscopy w/resection		J1	5313	"$2,495.04"	5.03%	$125.50
45391	Colonoscopy w/endoscope us		T	5312	"$1,059.06"	0.77%	$8.15
45392	Colonoscopy w/endoscopic fnb		T	5312	"$1,059.06"	0.82%	$8.68
45393	Colonoscopy w/decompression		T	5312	"$1,059.06"	2.22%	$23.51
45398	Colonoscopy w/band ligation		T	5312	"$1,059.06"	0.68%	$7.20
45399	Unlisted procedure colon		T	5311	$810.48	6.81%	$55.19
45499	Laparoscope proc rectum		J1	5361	"$5,167.69"	2.27%	$117.31
45500	Repair of rectum		J1	5313	"$2,495.04"	0.00%	$0.00
45505	Repair of rectum		J1	5313	"$2,495.04"	0.45%	$11.23
45541	Correct rectal prolapse		J1	5313	"$2,495.04"	0.40%	$9.98
45560	Repair of rectocele		J1	5313	"$2,495.04"	4.05%	$101.05
45900	Reduction of rectal prolapse		T	5311	$810.48	0.00%	$0.00
45905	Dilation of anal sphincter		T	5312	"$1,059.06"	0.41%	$4.34
45910	Dilation of rectal narrowing		T	5312	"$1,059.06"	1.09%	$11.54
45915	Remove rectal obstruction		T	5312	"$1,059.06"	0.01%	$0.11
45990	Surg dx exam anorectal		J1	5313	"$2,495.04"	0.51%	$12.72
45999	Rectum surgery procedure		T	5311	$810.48	2.35%	$19.05
46020	Placement of seton		J1	5313	"$2,495.04"	0.17%	$4.24
46030	Removal of rectal marker		T	5312	"$1,059.06"	0.04%	$0.42
46040	Incision of rectal abscess		T	5312	"$1,059.06"	0.15%	$1.59
46045	Incision of rectal abscess		J1	5313	"$2,495.04"	0.08%	$2.00
46050	Incision of anal abscess		T	5311	$810.48	0.05%	$0.41
46060	Incision of rectal abscess		J1	5313	"$2,495.04"	0.37%	$9.23
46080	Incision of anal sphincter		J1	5313	"$2,495.04"	0.18%	$4.49
46083	Incise external hemorrhoid		T	5371	$271.77	0.00%	$0.00
46200	Removal of anal fissure		J1	5313	"$2,495.04"	0.10%	$2.50
46220	Excise anal ext tag/papilla		T	5312	"$1,059.06"	0.03%	$0.32
46221	Ligation of hemorrhoid(s)		T	5311	$810.48	0.06%	$0.49
46230	Removal of anal tags		J1	5313	"$2,495.04"	0.04%	$1.00
46250	Remove ext hem groups 2+		J1	5313	"$2,495.04"	0.37%	$9.23
46255	Remove int/ext hem 1 group		J1	5313	"$2,495.04"	0.20%	$4.99
46257	Remove in/ex hem grp & fiss		J1	5313	"$2,495.04"	0.00%	$0.00
46258	Remove in/ex hem grp w/fistu		J1	5313	"$2,495.04"	1.99%	$49.65
46260	Remove in/ex hem groups 2+		J1	5313	"$2,495.04"	0.24%	$5.99
46261	Remove in/ex hem grps & fiss		J1	5313	"$2,495.04"	0.22%	$5.49
46262	Remove in/ex hem grps w/fist		J1	5313	"$2,495.04"	0.47%	$11.73
46270	Remove anal fist subq		J1	5313	"$2,495.04"	0.32%	$7.98
46275	Remove anal fist inter		J1	5313	"$2,495.04"	0.21%	$5.24
46280	Remove anal fist complex		J1	5313	"$2,495.04"	0.71%	$17.71
46285	Remove anal fist 2 stage		J1	5313	"$2,495.04"	0.19%	$4.74
46288	Repair anal fistula		J1	5313	"$2,495.04"	3.42%	$85.33
46320	Removal of hemorrhoid clot		T	5312	"$1,059.06"	0.07%	$0.74
46500	Injection into hemorrhoid(s)		T	5311	$810.48	0.00%	$0.00
46505	Chemodenervation anal musc		T	5312	"$1,059.06"	0.24%	$2.54
46600	Diagnostic anoscopy spx		Q1	5734	$115.16	0.00%	$0.00
46601	Diagnostic anoscopy		Q1	5734	$115.16	0.00%	$0.00
46604	Anoscopy and dilation		T	5312	"$1,059.06"	1.45%	$15.36
46606	Anoscopy and biopsy		T	5312	"$1,059.06"	0.16%	$1.69
46607	Diagnostic anoscopy & biopsy		T	5312	"$1,059.06"	0.00%	$0.00
46608	Anoscopy remove for body		T	5311	$810.48	0.00%	$0.00
46610	Anoscopy remove lesion		J1	5313	"$2,495.04"	0.04%	$1.00
46611	Anoscopy		T	5311	$810.48	0.62%	$5.02
46612	Anoscopy remove lesions		J1	5313	"$2,495.04"	0.40%	$9.98
46614	Anoscopy control bleeding		T	5312	"$1,059.06"	0.03%	$0.32
46615	Anoscopy		J1	5313	"$2,495.04"	0.11%	$2.74
46700	Repair of anal stricture		J1	5313	"$2,495.04"	0.03%	$0.75
46706	Repr of anal fistula w/glue		J1	5313	"$2,495.04"	1.43%	$35.68
46707	Repair anorectal fist w/plug		J1	5313	"$2,495.04"	30.50%	$760.99
46750	Repair of anal sphincter		J1	5313	"$2,495.04"	0.01%	$0.25
46753	Reconstruction of anus		J1	5313	"$2,495.04"	1.66%	$41.42
46754	Removal of suture from anus		J1	5313	"$2,495.04"	0.00%	$0.00
46761	Repair of anal sphincter		J1	5313	"$2,495.04"	15.93%	$397.46
46900	Destruction anal lesion(s)		T	5052	$353.00	0.00%	$0.00
46910	Destruction anal lesion(s)		T	5054	"$1,749.26"	0.08%	$1.40
46916	Cryosurgery anal lesion(s)		T	5051	$183.40	0.00%	$0.00
46917	Laser surgery anal lesions		J1	5313	"$2,495.04"	0.04%	$1.00
46922	Excision of anal lesion(s)		J1	5313	"$2,495.04"	0.18%	$4.49
46924	Destruction anal lesion(s)		J1	5313	"$2,495.04"	0.08%	$2.00
46930	Destroy internal hemorrhoids		T	5312	"$1,059.06"	0.00%	$0.00
46940	Treatment of anal fissure		J1	5313	"$2,495.04"	0.03%	$0.75
46945	Int hrhc lig 1 hroid w/o img		J1	5313	"$2,495.04"	0.36%	$8.98
46946	Int hrhc lig 2+hroid w/o img		J1	5313	"$2,495.04"	0.42%	$10.48
46947	Hemorrhoidopexy by stapling		J1	5313	"$2,495.04"	0.37%	$9.23
46999	Anus surgery procedure		T	5311	$810.48	0.59%	$4.78
47000	Needle biopsy of liver		J1	5072	"$1,436.99"	0.50%	$7.18
47370	Laparo ablate liver tumor rf		J1	5362	"$9,096.46"	6.42%	$583.99
47371	Laparo ablate liver cryosurg		J1	5362	"$9,096.46"	0.17%	$15.46
47379	Laparoscope procedure liver		J1	5361	"$5,167.69"	1.68%	$86.82
47382	Percut ablate liver rf		J1	5361	"$5,167.69"	17.95%	$927.60
47383	Perq abltj lvr cryoablation		J1	5361	"$5,167.69"	48.70%	"$2,516.67"
47399	Liver surgery procedure		T	5071	$635.54	9.77%	$62.09
47490	Incision of gallbladder		J1	5341	"$3,249.35"	13.67%	$444.19
47531	Injection for cholangiogram		Q2	5341	"$3,249.35"	2.41%	$78.31
47532	Injection for cholangiogram		Q2	5341	"$3,249.35"	14.20%	$461.41
47533	Plmt biliary drainage cath		J1	5341	"$3,249.35"	15.51%	$503.97
47534	Plmt biliary drainage cath		J1	5341	"$3,249.35"	18.02%	$585.53
47535	Conversion ext bil drg cath		J1	5341	"$3,249.35"	23.07%	$749.63
47536	Exchange biliary drg cath		J1	5341	"$3,249.35"	15.56%	$505.60
47537	Removal biliary drg cath		Q2	5301	$826.39	8.48%	$70.08
47538	Perq plmt bile duct stent		J1	5361	"$5,167.69"	48.73%	"$2,518.22"
47539	Perq plmt bile duct stent		J1	5361	"$5,167.69"	29.62%	"$1,530.67"
47540	Perq plmt bile duct stent		J1	5361	"$5,167.69"	40.23%	"$2,078.96"
47541	Plmt access bil tree sm bwl		J1	5341	"$3,249.35"	18.60%	$604.38
47552	Biliary endo perq dx w/speci		J1	5341	"$3,249.35"	9.69%	$314.86
47553	Biliary endoscopy thru skin		J1	5341	"$3,249.35"	8.20%	$266.45
47554	Biliary endoscopy thru skin		J1	5361	"$5,167.69"	5.67%	$293.01
47555	Biliary endoscopy thru skin		J1	5341	"$3,249.35"	24.50%	$796.09
47556	Biliary endoscopy thru skin		J1	5361	"$5,167.69"	38.77%	"$2,003.51"
47562	Laparoscopic cholecystectomy		J1	5361	"$5,167.69"	0.69%	$35.66
47563	Laparo cholecystectomy/graph		J1	5361	"$5,167.69"	1.07%	$55.29
47564	Laparo cholecystectomy/explr		J1	5361	"$5,167.69"	2.95%	$152.45
47579	Laparoscope proc biliary		J1	5361	"$5,167.69"	1.03%	$53.23
47999	Bile tract surgery procedure		T	5301	$826.39	16.06%	$132.72
48102	Needle biopsy pancreas		J1	5072	"$1,436.99"	0.24%	$3.45
48999	Pancreas surgery procedure		T	5071	$635.54	7.29%	$46.33
49082	Abd paracentesis		T	5301	$826.39	1.05%	$8.68
49083	Abd paracentesis w/imaging		T	5301	$826.39	4.61%	$38.10
49084	Peritoneal lavage		T	5301	$826.39	0.98%	$8.10
49180	Biopsy abdominal mass		J1	5072	"$1,436.99"	0.39%	$5.60
49185	Sclerotx fluid collection		T	5071	$635.54	2.15%	$13.66
49250	Excision of umbilicus		J1	5341	"$3,249.35"	1.59%	$51.66
49320	Diag laparo separate proc		J1	5361	"$5,167.69"	2.63%	$135.91
49321	Laparoscopy biopsy		J1	5361	"$5,167.69"	1.69%	$87.33
49322	Laparoscopy aspiration		J1	5361	"$5,167.69"	0.92%	$47.54
49323	Laparo drain lymphocele		J1	5361	"$5,167.69"	1.31%	$67.70
49324	Lap insert tunnel ip cath		J1	5361	"$5,167.69"	7.56%	$390.68
49325	Lap revision perm ip cath		J1	5361	"$5,167.69"	2.40%	$124.02
49329	Laparo proc abdm/per/oment		J1	5361	"$5,167.69"	2.30%	$118.86
49402	Remove foreign body adbomen		J1	5341	"$3,249.35"	0.86%	$27.94
49405	Image cath fluid colxn visc		J1	5072	"$1,436.99"	9.57%	$137.52
49406	Image cath fluid peri/retro		J1	5072	"$1,436.99"	11.18%	$160.66
49407	Image cath fluid trns/vgnl		J1	5072	"$1,436.99"	6.40%	$91.97
49411	Ins mark abd/pel for rt perq		S	5613	"$1,289.67"	13.50%	$174.11
49418	Insert tun ip cath perc		J1	5341	"$3,249.35"	26.35%	$856.20
49419	Insert tun ip cath w/port		J1	5184	"$4,870.25"	17.62%	$858.14
49421	Ins tun ip cath for dial opn		J1	5341	"$3,249.35"	8.04%	$261.25
49422	Remove tunneled ip cath		Q2	5183	"$2,923.63"	0.76%	$22.22
49423	Exchange drainage catheter		J1	5302	"$1,658.81"	14.68%	$243.51
49426	Revise abdomen-venous shunt		J1	5341	"$3,249.35"	10.47%	$340.21
49429	Removal of shunt		Q2	5183	"$2,923.63"	5.68%	$166.06
49436	Embedded ip cath exit-site		J1	5302	"$1,658.81"	2.16%	$35.83
49440	Place gastrostomy tube perc		J1	5302	"$1,658.81"	12.49%	$207.19
49441	Place duod/jej tube perc		J1	5302	"$1,658.81"	15.43%	$255.95
49442	Place cecostomy tube perc		T	5312	"$1,059.06"	17.15%	$181.63
49446	Change g-tube to g-j perc		J1	5302	"$1,658.81"	18.84%	$312.52
49450	Replace g/c tube perc		T	5301	$826.39	15.03%	$124.21
49451	Replace duod/jej tube perc		T	5301	$826.39	19.03%	$157.26
49452	Replace g-j tube perc		T	5301	$826.39	19.11%	$157.92
49460	Fix g/colon tube w/device		T	5301	$826.39	11.72%	$96.85
49465	Fluoro exam of g/colon tube		Q1	5523	$235.00	3.26%	$7.66
49492	Rpr ing hern premie blocked		J1	5341	"$3,249.35"	9.45%	$307.06
49496	Rpr ing hernia baby blocked		J1	5341	"$3,249.35"	8.43%	$273.92
49500	Rpr ing hernia init reduce		J1	5341	"$3,249.35"	0.00%	$0.00
49501	Rpr ing hernia init blocked		J1	5341	"$3,249.35"	4.01%	$130.30
49505	Prp i/hern init reduc >5 yr		J1	5341	"$3,249.35"	9.23%	$299.92
49507	Prp i/hern init block >5 yr		J1	5341	"$3,249.35"	8.47%	$275.22
49520	Rerepair ing hernia reduce		J1	5341	"$3,249.35"	8.72%	$283.34
49521	Rerepair ing hernia blocked		J1	5341	"$3,249.35"	8.42%	$273.60
49525	Repair ing hernia sliding		J1	5341	"$3,249.35"	8.27%	$268.72
49540	Repair lumbar hernia		J1	5361	"$5,167.69"	12.85%	$664.05
49550	Rpr rem hernia init reduce		J1	5341	"$3,249.35"	8.70%	$282.69
49553	Rpr fem hernia init blocked		J1	5341	"$3,249.35"	7.65%	$248.58
49555	Rerepair fem hernia reduce		J1	5341	"$3,249.35"	10.52%	$341.83
49557	Rerepair fem hernia blocked		J1	5341	"$3,249.35"	6.20%	$201.46
49560	Rpr ventral hern init reduc		J1	5341	"$3,249.35"	14.20%	$461.41
49561	Rpr ventral hern init block		J1	5341	"$3,249.35"	13.72%	$445.81
49565	Rerepair ventrl hern reduce		J1	5361	"$5,167.69"	15.03%	$776.70
49566	Rerepair ventrl hern block		J1	5361	"$5,167.69"	14.63%	$756.03
49570	Rpr epigastric hern reduce		J1	5341	"$3,249.35"	11.53%	$374.65
49572	Rpr epigastric hern blocked		J1	5341	"$3,249.35"	7.88%	$256.05
49585	Rpr umbil hern reduc > 5 yr		J1	5341	"$3,249.35"	12.60%	$409.42
49587	Rpr umbil hern block > 5 yr		J1	5341	"$3,249.35"	12.15%	$394.80
49590	Repair spigelian hernia		J1	5341	"$3,249.35"	13.04%	$423.72
49650	Lap ing hernia repair init		J1	5361	"$5,167.69"	12.09%	$624.77
49651	Lap ing hernia repair recur		J1	5361	"$5,167.69"	11.69%	$604.10
49652	Lap vent/abd hernia repair		J1	5361	"$5,167.69"	13.70%	$707.97
49653	Lap vent/abd hern proc comp		J1	5361	"$5,167.69"	14.51%	$749.83
49654	Lap inc hernia repair		J1	5362	"$9,096.46"	15.91%	"$1,447.25"
49655	Lap inc hern repair comp		J1	5362	"$9,096.46"	16.04%	"$1,459.07"
49656	Lap inc hernia repair recur		J1	5362	"$9,096.46"	15.64%	"$1,422.69"
49657	Lap inc hern recur comp		J1	5362	"$9,096.46"	15.97%	"$1,452.70"
49659	Laparo proc hernia repair		J1	5361	"$5,167.69"	11.17%	$577.23
49999	Abdomen surgery procedure		T	5301	$826.39	10.09%	$83.38
50020	Renal abscess open drain		J1	5373	"$1,828.65"	0.64%	$11.70
50080	Removal of kidney stone		J1	5376	"$8,428.82"	11.83%	$997.13
50081	Removal of kidney stone		J1	5376	"$8,428.82"	12.25%	"$1,032.53"
50200	Renal biopsy perq		J1	5072	"$1,436.99"	0.63%	$9.05
50382	Change ureter stent percut		J1	5373	"$1,828.65"	23.59%	$431.38
50384	Remove ureter stent percut		Q2	5373	"$1,828.65"	11.23%	$205.36
50385	Change stent via transureth		J1	5373	"$1,828.65"	16.72%	$305.75
50386	Remove stent via transureth		Q2	5373	"$1,828.65"	4.24%	$77.53
50387	Change nephroureteral cath		J1	5373	"$1,828.65"	23.95%	$437.96
50389	Remove renal tube w/fluoro		Q2	5372	$587.56	7.59%	$44.60
50390	Drainage of kidney lesion		T	5071	$635.54	5.92%	$37.62
50391	Instll rx agnt into rnal tub		T	5371	$271.77	0.00%	$0.00
50396	Measure kidney pressure		T	5372	$587.56	0.31%	$1.82
50430	Njx px nfrosgrm &/urtrgrm		Q2	5372	$587.56	11.24%	$66.04
50431	Njx px nfrosgrm &/urtrgrm		Q2	5372	$587.56	2.94%	$17.27
50432	Plmt nephrostomy catheter		J1	5373	"$1,828.65"	17.20%	$314.53
50433	Plmt nephroureteral catheter		J1	5374	"$3,140.04"	22.62%	$710.28
50434	Convert nephrostomy catheter		J1	5373	"$1,828.65"	27.91%	$510.38
50435	Exchange nephrostomy cath		J1	5373	"$1,828.65"	22.00%	$402.30
50436	Dilat xst trc ndurlgc px		J1	5374	"$3,140.04"	19.75%	$620.16
50437	Dilat xst trc new access rcs		J1	5374	"$3,140.04"	16.69%	$524.07
50541	Laparo ablate renal cyst		J1	5361	"$5,167.69"	1.40%	$72.35
50542	Laparo ablate renal mass		J1	5362	"$9,096.46"	22.38%	"$2,035.79"
50543	Laparo partial nephrectomy		J1	5362	"$9,096.46"	2.10%	$191.03
50544	Laparoscopy pyeloplasty		J1	5362	"$9,096.46"	3.48%	$316.56
50549	Laparoscope proc renal		J1	5361	"$5,167.69"	2.55%	$131.78
50551	Kidney endoscopy		J1	5375	"$4,505.89"	9.86%	$444.28
50553	Kidney endoscopy		J1	5375	"$4,505.89"	12.51%	$563.69
50555	Kidney endoscopy & biopsy		J1	5376	"$8,428.82"	10.60%	$893.45
50557	Kidney endoscopy & treatment		J1	5376	"$8,428.82"	7.27%	$612.78
50561	Kidney endoscopy & treatment		J1	5375	"$4,505.89"	9.44%	$425.36
50562	Renal scope w/tumor resect		J1	5376	"$8,428.82"	11.27%	$949.93
50570	Kidney endoscopy		J1	5374	"$3,140.04"	12.06%	$378.69
50574	Kidney endoscopy & biopsy		J1	5374	"$3,140.04"	5.42%	$170.19
50575	Kidney endoscopy		J1	5375	"$4,505.89"	13.38%	$602.89
50576	Kidney endoscopy & treatment		J1	5375	"$4,505.89"	20.18%	$909.29
50580	Kidney endoscopy & treatment		J1	5375	"$4,505.89"	14.15%	$637.58
50590	Fragmenting of kidney stone		J1	5374	"$3,140.04"	1.23%	$38.62
50592	Perc rf ablate renal tumor		J1	5361	"$5,167.69"	17.25%	$891.43
50593	Perc cryo ablate renal tum		J1	5362	"$9,096.46"	48.28%	"$4,391.77"
50688	Change of ureter tube/stent		J1	5373	"$1,828.65"	20.47%	$374.32
50693	Plmt ureteral stent prq		J1	5374	"$3,140.04"	25.53%	$801.65
50694	Plmt ureteral stent prq		J1	5374	"$3,140.04"	22.92%	$719.70
50695	Plmt ureteral stent prq		J1	5374	"$3,140.04"	27.00%	$847.81
50727	Revise ureter		J1	5374	"$3,140.04"	1.05%	$32.97
50945	Laparoscopy ureterolithotomy		J1	5361	"$5,167.69"	6.78%	$350.37
50947	Laparo new ureter/bladder		J1	5361	"$5,167.69"	4.18%	$216.01
50948	Laparo new ureter/bladder		J1	5362	"$9,096.46"	3.48%	$316.56
50949	Laparoscope proc ureter		J1	5361	"$5,167.69"	2.72%	$140.56
50951	Endoscopy of ureter		J1	5374	"$3,140.04"	6.58%	$206.61
50953	Endoscopy of ureter		J1	5374	"$3,140.04"	13.40%	$420.77
50955	Ureter endoscopy & biopsy		J1	5375	"$4,505.89"	8.81%	$396.97
50957	Ureter endoscopy & treatment		J1	5375	"$4,505.89"	7.32%	$329.83
50961	Ureter endoscopy & treatment		J1	5375	"$4,505.89"	9.47%	$426.71
50970	Ureter endoscopy		J1	5374	"$3,140.04"	7.81%	$245.24
50972	Ureter endoscopy & catheter		J1	5374	"$3,140.04"	9.14%	$287.00
50974	Ureter endoscopy & biopsy		J1	5375	"$4,505.89"	11.45%	$515.92
50976	Ureter endoscopy & treatment		J1	5375	"$4,505.89"	6.84%	$308.20
50980	Ureter endoscopy & treatment		J1	5375	"$4,505.89"	14.85%	$669.12
51020	Incise & treat bladder		J1	5374	"$3,140.04"	0.26%	$8.16
51040	Incise & drain bladder		J1	5373	"$1,828.65"	2.68%	$49.01
51045	Incise bladder/drain ureter		J1	5373	"$1,828.65"	3.22%	$58.88
51050	Removal of bladder stone		J1	5375	"$4,505.89"	2.11%	$95.07
51065	Remove ureter calculus		J1	5374	"$3,140.04"	4.74%	$148.84
51080	Drainage of bladder abscess		J1	5073	"$2,421.55"	17.08%	$413.60
51100	Drain bladder by needle		T	5371	$271.77	0.00%	$0.00
51101	Drain bladder by trocar/cath		S	5724	$939.61	3.12%	$29.32
51102	Drain bl w/cath insertion		J1	5373	"$1,828.65"	7.44%	$136.05
51500	Removal of bladder cyst		J1	5361	"$5,167.69"	1.83%	$94.57
51520	Removal of bladder lesion		J1	5374	"$3,140.04"	0.00%	$0.00
51535	Repair of ureter lesion		J1	5374	"$3,140.04"	1.42%	$44.59
51700	Irrigation of bladder		T	5371	$271.77	0.10%	$0.27
51701	Insert bladder catheter		Q1	5734	$115.16	0.17%	$0.20
51702	Insert temp bladder cath		Q1	5734	$115.16	0.43%	$0.50
51703	Insert bladder cath complex		S	5721	$142.59	0.81%	$1.15
51705	Change of bladder tube		T	5371	$271.77	2.77%	$7.53
51710	Change of bladder tube		T	5372	$587.56	5.45%	$32.02
51715	Endoscopic injection/implant		J1	5374	"$3,140.04"	36.42%	"$1,143.60"
51720	Treatment of bladder lesion		T	5371	$271.77	0.28%	$0.76
51725	Simple cystometrogram		T	5371	$271.77	0.23%	$0.63
51726	Complex cystometrogram		T	5371	$271.77	0.28%	$0.76
51727	Cystometrogram w/up		T	5372	$587.56	0.00%	$0.00
51728	Cystometrogram w/vp		T	5372	$587.56	0.74%	$4.35
51729	Cystometrogram w/vp&up		T	5372	$587.56	0.56%	$3.29
51736	Urine flow measurement		Q1	5734	$115.16	0.13%	$0.15
51741	Electro-uroflowmetry first		Q1	5721	$142.59	0.01%	$0.01
51784	Anal/urinary muscle study		S	5721	$142.59	0.00%	$0.00
51785	Anal/urinary muscle study		T	5371	$271.77	0.00%	$0.00
51792	Urinary reflex study		Q1	5733	$56.85	0.00%	$0.00
51798	Us urine capacity measure		Q1	5733	$56.85	0.07%	$0.04
51845	Repair bladder neck		J1	5415	"$4,503.49"	0.00%	$0.00
51860	Repair of bladder wound		J1	5375	"$4,505.89"	6.67%	$300.54
51880	Repair of bladder opening		J1	5374	"$3,140.04"	3.01%	$94.52
51990	Laparo urethral suspension		J1	5361	"$5,167.69"	12.71%	$656.81
51992	Laparo sling operation		J1	5361	"$5,167.69"	33.04%	"$1,707.40"
51999	Laparoscope proc bla		J1	5361	"$5,167.69"	2.66%	$137.46
52000	Cystoscopy		T	5372	$587.56	0.14%	$0.82
52001	Cystoscopy removal of clots		J1	5374	"$3,140.04"	1.63%	$51.18
52005	Cystoscopy & ureter catheter		J1	5373	"$1,828.65"	3.28%	$59.98
52007	Cystoscopy and biopsy		J1	5374	"$3,140.04"	7.33%	$230.16
52010	Cystoscopy & duct catheter		T	5372	$587.56	0.00%	$0.00
52204	Cystoscopy w/biopsy(s)		J1	5373	"$1,828.65"	0.97%	$17.74
52214	Cystoscopy and treatment		J1	5374	"$3,140.04"	1.22%	$38.31
52224	Cystoscopy and treatment		J1	5374	"$3,140.04"	0.81%	$25.43
52234	Cystoscopy and treatment		J1	5374	"$3,140.04"	1.31%	$41.13
52235	Cystoscopy and treatment		J1	5374	"$3,140.04"	1.57%	$49.30
52240	Cystoscopy and treatment		J1	5375	"$4,505.89"	1.75%	$78.85
52250	Cystoscopy and radiotracer		J1	5374	"$3,140.04"	1.90%	$59.66
52260	Cystoscopy and treatment		J1	5373	"$1,828.65"	0.61%	$11.15
52265	Cystoscopy and treatment		J1	5373	"$1,828.65"	0.91%	$16.64
52270	Cystoscopy & revise urethra		J1	5373	"$1,828.65"	0.37%	$6.77
52275	Cystoscopy & revise urethra		J1	5373	"$1,828.65"	3.13%	$57.24
52276	Cystoscopy and treatment		J1	5373	"$1,828.65"	3.36%	$61.44
52277	Cystoscopy and treatment		J1	5374	"$3,140.04"	3.23%	$101.42
52281	Cystoscopy and treatment		J1	5373	"$1,828.65"	3.56%	$65.10
52282	Cystoscopy implant stent		J1	5374	"$3,140.04"	16.24%	$509.94
52283	Cystoscopy and treatment		J1	5373	"$1,828.65"	1.86%	$34.01
52285	Cystoscopy and treatment		T	5372	$587.56	0.56%	$3.29
52287	Cystoscopy chemodenervation		J1	5373	"$1,828.65"	0.73%	$13.35
52290	Cystoscopy and treatment		J1	5373	"$1,828.65"	2.80%	$51.20
52300	Cystoscopy and treatment		J1	5374	"$3,140.04"	2.16%	$67.82
52301	Cystoscopy and treatment		J1	5374	"$3,140.04"	2.68%	$84.15
52305	Cystoscopy and treatment		J1	5375	"$4,505.89"	3.00%	$135.18
52310	Cystoscopy and treatment		J1	5373	"$1,828.65"	0.83%	$15.18
52315	Cystoscopy and treatment		J1	5373	"$1,828.65"	1.93%	$35.29
52317	Remove bladder stone		J1	5374	"$3,140.04"	3.04%	$95.46
52318	Remove bladder stone		J1	5374	"$3,140.04"	2.34%	$73.48
52320	Cystoscopy and treatment		J1	5374	"$3,140.04"	8.58%	$269.42
52325	Cystoscopy stone removal		J1	5375	"$4,505.89"	9.53%	$429.41
52327	Cystoscopy inject material		J1	5375	"$4,505.89"	49.65%	"$2,237.17"
52330	Cystoscopy and treatment		J1	5374	"$3,140.04"	11.08%	$347.92
52332	Cystoscopy and treatment		J1	5374	"$3,140.04"	13.32%	$418.25
52334	Create passage to kidney		J1	5374	"$3,140.04"	11.46%	$359.85
52341	Cysto w/ureter stricture tx		J1	5374	"$3,140.04"	7.63%	$239.59
52342	Cysto w/up stricture tx		J1	5374	"$3,140.04"	18.17%	$570.55
52343	Cysto w/renal stricture tx		J1	5374	"$3,140.04"	15.24%	$478.54
52344	Cysto/uretero stricture tx		J1	5374	"$3,140.04"	15.48%	$486.08
52345	Cysto/uretero w/up stricture		J1	5374	"$3,140.04"	15.06%	$472.89
52346	Cystouretero w/renal strict		J1	5375	"$4,505.89"	12.61%	$568.19
52351	Cystouretero & or pyeloscope		J1	5374	"$3,140.04"	5.42%	$170.19
52352	Cystouretero w/stone remove		J1	5374	"$3,140.04"	9.73%	$305.53
52353	Cystouretero w/lithotripsy		J1	5375	"$4,505.89"	5.42%	$244.22
52354	Cystouretero w/biopsy		J1	5375	"$4,505.89"	9.06%	$408.23
52355	Cystouretero w/excise tumor		J1	5375	"$4,505.89"	8.43%	$379.85
52356	Cysto/uretero w/lithotripsy		J1	5375	"$4,505.89"	10.25%	$461.85
52400	Cystouretero w/congen repr		J1	5374	"$3,140.04"	0.52%	$16.33
52402	Cystourethro cut ejacul duct		J1	5374	"$3,140.04"	2.50%	$78.50
52450	Incision of prostate		J1	5374	"$3,140.04"	1.73%	$54.32
52500	Revision of bladder neck		J1	5374	"$3,140.04"	2.16%	$67.82
52601	Prostatectomy (turp)		J1	5375	"$4,505.89"	0.89%	$40.10
52630	Remove prostate regrowth		J1	5375	"$4,505.89"	1.09%	$49.11
52640	Relieve bladder contracture		J1	5374	"$3,140.04"	2.20%	$69.08
52647	Laser surgery of prostate		J1	5375	"$4,505.89"	1.53%	$68.94
52648	Laser surgery of prostate		J1	5375	"$4,505.89"	1.34%	$60.38
52649	Prostate laser enucleation		J1	5375	"$4,505.89"	2.17%	$97.78
52700	Drainage of prostate abscess		J1	5374	"$3,140.04"	0.35%	$10.99
53000	Incision of urethra		J1	5373	"$1,828.65"	0.50%	$9.14
53010	Incision of urethra		J1	5375	"$4,505.89"	1.71%	$77.05
53020	Incision of urethra		J1	5373	"$1,828.65"	0.71%	$12.98
53040	Drainage of urethra abscess		J1	5374	"$3,140.04"	2.03%	$63.74
53060	Drainage of urethra abscess		J1	5373	"$1,828.65"	0.00%	$0.00
53080	Drainage of urinary leakage		T	5372	$587.56	0.00%	$0.00
53200	Biopsy of urethra		J1	5373	"$1,828.65"	1.17%	$21.40
53210	Removal of urethra		J1	5374	"$3,140.04"	0.77%	$24.18
53215	Removal of urethra		J1	5375	"$4,505.89"	0.39%	$17.57
53220	Treatment of urethra lesion		J1	5374	"$3,140.04"	0.67%	$21.04
53230	Removal of urethra lesion		J1	5375	"$4,505.89"	1.43%	$64.43
53235	Removal of urethra lesion		J1	5375	"$4,505.89"	0.99%	$44.61
53250	Removal of urethra gland		J1	5374	"$3,140.04"	0.00%	$0.00
53260	Treatment of urethra lesion		J1	5374	"$3,140.04"	0.47%	$14.76
53265	Treatment of urethra lesion		J1	5373	"$1,828.65"	0.29%	$5.30
53270	Removal of urethra gland		J1	5374	"$3,140.04"	0.00%	$0.00
53275	Repair of urethra defect		J1	5374	"$3,140.04"	0.34%	$10.68
53400	Revise urethra stage 1		J1	5375	"$4,505.89"	2.11%	$95.07
53405	Revise urethra stage 2		J1	5375	"$4,505.89"	0.69%	$31.09
53410	Reconstruction of urethra		J1	5375	"$4,505.89"	2.00%	$90.12
53420	Reconstruct urethra stage 1		J1	5375	"$4,505.89"	0.88%	$39.65
53425	Reconstruct urethra stage 2		J1	5375	"$4,505.89"	2.04%	$91.92
53430	Reconstruction of urethra		J1	5375	"$4,505.89"	3.69%	$166.27
53431	Reconstruct urethra/bladder		J1	5375	"$4,505.89"	1.04%	$46.86
53440	Male sling procedure		J1	5377	"$11,729.96"	64.25%	"$7,536.50"
53442	Remove/revise male sling		J1	5375	"$4,505.89"	27.96%	"$1,259.85"
53444	Insert tandem cuff		J1	5378	"$18,653.03"	62.61%	"$11,678.66"
53445	Insert uro/ves nck sphincter		J1	5378	"$18,653.03"	71.75%	"$13,383.55"
53446	Remove uro sphincter		Q2	5375	"$4,505.89"	1.37%	$61.73
53447	Remove/replace ur sphincter		J1	5378	"$18,653.03"	69.50%	"$12,963.86"
53449	Repair uro sphincter		J1	5375	"$4,505.89"	27.22%	"$1,226.50"
53450	Revision of urethra		J1	5374	"$3,140.04"	1.66%	$52.12
53460	Revision of urethra		J1	5374	"$3,140.04"	0.99%	$31.09
53500	Urethrlys transvag w/ scope		J1	5374	"$3,140.04"	2.61%	$81.96
53502	Repair of urethra injury		J1	5374	"$3,140.04"	0.80%	$25.12
53505	Repair of urethra injury		J1	5375	"$4,505.89"	4.88%	$219.89
53510	Repair of urethra injury		J1	5375	"$4,505.89"	0.35%	$15.77
53515	Repair of urethra injury		J1	5375	"$4,505.89"	0.00%	$0.00
53520	Repair of urethra defect		J1	5375	"$4,505.89"	2.29%	$103.18
53600	Dilate urethra stricture		T	5371	$271.77	1.41%	$3.83
53601	Dilate urethra stricture		Q1	5734	$115.16	1.77%	$2.04
53605	Dilate urethra stricture		J1	5374	"$3,140.04"	4.30%	$135.02
53620	Dilate urethra stricture		T	5372	$587.56	0.60%	$3.53
53621	Dilate urethra stricture		T	5371	$271.77	0.00%	$0.00
53660	Dilation of urethra		S	5721	$142.59	0.13%	$0.19
53661	Dilation of urethra		Q1	5734	$115.16	0.00%	$0.00
53665	Dilation of urethra		J1	5373	"$1,828.65"	0.91%	$16.64
53850	Prostatic microwave thermotx		J1	5374	"$3,140.04"	0.03%	$0.94
53852	Prostatic rf thermotx		J1	5374	"$3,140.04"	0.56%	$17.58
53854	Trurl dstrj prst8 tiss rf wv		J1	5374	"$3,140.04"	0.58%	$18.21
53855	Insert prost urethral stent		J1	5373	"$1,828.65"	6.21%	$113.56
53899	Urology surgery procedure		T	5371	$271.77	5.04%	$13.70
54000	Slitting of prepuce		J1	5374	"$3,140.04"	19.23%	$603.83
54001	Slitting of prepuce		J1	5373	"$1,828.65"	0.59%	$10.79
54015	Drain penis lesion		J1	5072	"$1,436.99"	0.00%	$0.00
54050	Destruction penis lesion(s)		Q1	5052	$353.00	0.00%	$0.00
54055	Destruction penis lesion(s)		T	5054	"$1,749.26"	2.11%	$36.91
54056	Cryosurgery penis lesion(s)		Q1	5051	$183.40	0.00%	$0.00
54057	Laser surg penis lesion(s)		T	5054	"$1,749.26"	0.00%	$0.00
54060	Excision of penis lesion(s)		T	5054	"$1,749.26"	0.17%	$2.97
54065	Destruction penis lesion(s)		T	5054	"$1,749.26"	0.02%	$0.35
54100	Biopsy of penis		J1	5072	"$1,436.99"	0.10%	$1.44
54105	Biopsy of penis		J1	5073	"$2,421.55"	0.25%	$6.05
54110	Treatment of penis lesion		J1	5374	"$3,140.04"	8.51%	$267.22
54111	Treat penis lesion graft		J1	5375	"$4,505.89"	20.27%	$913.34
54112	Treat penis lesion graft		J1	5376	"$8,428.82"	19.85%	"$1,673.12"
54115	Treatment of penis lesion		J1	5073	"$2,421.55"	5.14%	$124.47
54120	Partial removal of penis		J1	5374	"$3,140.04"	0.49%	$15.39
54150	Circumcision w/regionl block		J1	5373	"$1,828.65"	0.11%	$2.01
54160	Circumcision neonate		T	5372	$587.56	0.00%	$0.00
54161	Circum 28 days or older		J1	5373	"$1,828.65"	0.13%	$2.38
54162	Lysis penil circumic lesion		J1	5373	"$1,828.65"	0.07%	$1.28
54163	Repair of circumcision		J1	5373	"$1,828.65"	1.18%	$21.58
54164	Frenulotomy of penis		J1	5373	"$1,828.65"	0.02%	$0.37
54200	Treatment of penis lesion		T	5371	$271.77	0.00%	$0.00
54205	Treatment of penis lesion		J1	5375	"$4,505.89"	0.00%	$0.00
54220	Treatment of penis lesion		T	5371	$271.77	0.00%	$0.00
54231	Dynamic cavernosometry		T	5371	$271.77	0.00%	$0.00
54235	Penile injection		T	5371	$271.77	0.00%	$0.00
54240	Penis study		S	5722	$270.29	0.00%	$0.00
54250	Penis study		T	5371	$271.77	75.37%	$204.83
54300	Revision of penis		J1	5374	"$3,140.04"	0.05%	$1.57
54304	Revision of penis		J1	5374	"$3,140.04"	0.09%	$2.83
54312	Reconstruction of urethra		J1	5374	"$3,140.04"	0.00%	$0.00
54322	Reconstruction of urethra		J1	5374	"$3,140.04"	3.67%	$115.24
54324	Reconstruction of urethra		J1	5374	"$3,140.04"	7.73%	$242.73
54326	Reconstruction of urethra		J1	5374	"$3,140.04"	0.10%	$3.14
54328	Revise penis/urethra		J1	5374	"$3,140.04"	42.44%	"$1,332.63"
54332	Revise penis/urethra		J1	5374	"$3,140.04"	2.89%	$90.75
54340	Rpr hypspad comp simple		J1	5374	"$3,140.04"	0.00%	$0.00
54344	Rrp hypspad comp moblj&urtp		J1	5375	"$4,505.89"	0.00%	$0.00
54352	Revj prior hypspad repair		J1	5375	"$4,505.89"	0.00%	$0.00
54360	Penis plastic surgery		J1	5374	"$3,140.04"	1.57%	$49.30
54380	Repair penis		J1	5373	"$1,828.65"	0.00%	$0.00
54385	Repair penis		J1	5373	"$1,828.65"	0.00%	$0.00
54400	Insert semi-rigid prosthesis		J1	5377	"$11,729.96"	67.14%	"$7,875.50"
54401	Insert self-contd prosthesis		J1	5378	"$18,653.03"	69.66%	"$12,993.70"
54405	Insert multi-comp penis pros		J1	5378	"$18,653.03"	71.14%	"$13,269.77"
54406	Remove muti-comp penis pros		Q2	5374	"$3,140.04"	3.24%	$101.74
54408	Repair multi-comp penis pros		J1	5375	"$4,505.89"	20.65%	$930.47
54410	Remove/replace penis prosth		J1	5378	"$18,653.03"	67.45%	"$12,581.47"
54411	Remov/replc penis pros comp		J1	5378	"$18,653.03"	65.92%	"$12,296.08"
54415	Remove self-contd penis pros		Q2	5374	"$3,140.04"	0.15%	$4.71
54416	Remv/repl penis contain pros		J1	5378	"$18,653.03"	68.00%	"$12,684.06"
54417	Remv/replc penis pros compl		J1	5377	"$11,729.96"	63.89%	"$7,494.27"
54420	Revision of penis		J1	5374	"$3,140.04"	0.17%	$5.34
54435	Revision of penis		J1	5374	"$3,140.04"	0.11%	$3.45
54437	Repair corporeal tear		J1	5374	"$3,140.04"	0.12%	$3.77
54440	Repair of penis		J1	5374	"$3,140.04"	0.12%	$3.77
54450	Preputial stretching		T	5371	$271.77	0.17%	$0.46
54500	Biopsy of testis		J1	5073	"$2,421.55"	0.49%	$11.87
54505	Biopsy of testis		J1	5374	"$3,140.04"	0.05%	$1.57
54512	Excise lesion testis		J1	5374	"$3,140.04"	0.00%	$0.00
54520	Removal of testis		J1	5374	"$3,140.04"	1.17%	$36.74
54522	Orchiectomy partial		J1	5374	"$3,140.04"	1.25%	$39.25
54530	Removal of testis		J1	5341	"$3,249.35"	0.87%	$28.27
54535	Extensive testis surgery		J1	5374	"$3,140.04"	0.00%	$0.00
54550	Exploration for testis		J1	5341	"$3,249.35"	0.00%	$0.00
54600	Reduce testis torsion		J1	5374	"$3,140.04"	0.03%	$0.94
54620	Suspension of testis		J1	5374	"$3,140.04"	0.00%	$0.00
54640	Orchiopexy ingun/scrot appr		J1	5341	"$3,249.35"	0.43%	$13.97
54650	Orchiopexy (fowler-stephens)		J1	5341	"$3,249.35"	0.00%	$0.00
54660	Revision of testis		J1	5375	"$4,505.89"	50.66%	"$2,282.68"
54670	Repair testis injury		J1	5374	"$3,140.04"	0.00%	$0.00
54690	Laparoscopy orchiectomy		J1	5361	"$5,167.69"	0.30%	$15.50
54700	Drainage of scrotum		J1	5373	"$1,828.65"	0.06%	$1.10
54830	Remove epididymis lesion		J1	5374	"$3,140.04"	0.07%	$2.20
54840	Remove epididymis lesion		J1	5373	"$1,828.65"	0.07%	$1.28
54860	Removal of epididymis		J1	5374	"$3,140.04"	0.41%	$12.87
54861	Removal of epididymis		J1	5374	"$3,140.04"	0.00%	$0.00
54865	Explore epididymis		J1	5374	"$3,140.04"	0.00%	$0.00
54901	Fusion of spermatic ducts		J1	5374	"$3,140.04"	1.27%	$39.88
55000	Drainage of hydrocele		T	5071	$635.54	0.15%	$0.95
55040	Removal of hydrocele		J1	5341	"$3,249.35"	0.17%	$5.52
55041	Removal of hydroceles		J1	5341	"$3,249.35"	0.21%	$6.82
55060	Repair of hydrocele		J1	5374	"$3,140.04"	0.06%	$1.88
55100	Drainage of scrotum abscess		J1	5072	"$1,436.99"	0.18%	$2.59
55110	Explore scrotum		J1	5374	"$3,140.04"	0.34%	$10.68
55120	Removal of scrotum lesion		J1	5373	"$1,828.65"	0.00%	$0.00
55150	Removal of scrotum		J1	5374	"$3,140.04"	1.02%	$32.03
55175	Revision of scrotum		J1	5374	"$3,140.04"	2.41%	$75.67
55180	Revision of scrotum		J1	5375	"$4,505.89"	0.48%	$21.63
55200	Incision of sperm duct		J1	5374	"$3,140.04"	0.00%	$0.00
55250	Removal of sperm duct(s)		J1	5373	"$1,828.65"	0.08%	$1.46
55400	Repair of sperm duct		J1	5374	"$3,140.04"	0.30%	$9.42
55500	Removal of hydrocele		J1	5374	"$3,140.04"	0.16%	$5.02
55520	Removal of sperm cord lesion		J1	5374	"$3,140.04"	1.50%	$47.10
55530	Revise spermatic cord veins		J1	5374	"$3,140.04"	0.05%	$1.57
55535	Revise spermatic cord veins		J1	5341	"$3,249.35"	0.10%	$3.25
55540	Revise hernia & sperm veins		J1	5341	"$3,249.35"	7.65%	$248.58
55550	Laparo ligate spermatic vein		J1	5361	"$5,167.69"	0.00%	$0.00
55559	Laparo proc spermatic cord		J1	5361	"$5,167.69"	5.81%	$300.24
55700	Biopsy of prostate		J1	5373	"$1,828.65"	0.10%	$1.83
55705	Biopsy of prostate		J1	5374	"$3,140.04"	0.10%	$3.14
55706	Prostate saturation sampling		J1	5374	"$3,140.04"	0.76%	$23.86
55720	Drainage of prostate abscess		J1	5374	"$3,140.04"	2.26%	$70.96
55860	Surgical exposure prostate		J1	5375	"$4,505.89"	4.81%	$216.73
55866	Laparo radical prostatectomy		J1	5362	"$9,096.46"	1.65%	$150.09
55870	Electroejaculation		T	5413	$647.47	0.00%	$0.00
55873	Cryoablate prostate		J1	5376	"$8,428.82"	48.34%	"$4,074.49"
55874	Tprnl plmt biodegrdabl matrl		T	5375	"$4,505.89"	43.59%	"$1,964.12"
55875	Transperi needle place pros		J1	5375	"$4,505.89"	14.73%	$663.72
55876	Place rt device/marker pros		S	5613	"$1,289.67"	23.51%	$303.20
55899	Genital surgery procedure		T	5371	$271.77	4.19%	$11.39
55920	Place needles pelvic for rt		J1	5415	"$4,503.49"	7.56%	$340.46
55970	Sex transformation m to f		J1	5415	"$4,503.49"	0.00%	$0.00
55980	Sex transformation f to m		J1	5374	"$3,140.04"	0.00%	$0.00
56405	I & d of vulva/perineum		T	5412	$288.04	0.03%	$0.09
56420	Drainage of gland abscess		T	5411	$173.99	0.00%	$0.00
56440	Surgery for vulva lesion		J1	5414	"$2,679.56"	0.01%	$0.27
56441	Lysis of labial lesion(s)		J1	5414	"$2,679.56"	0.23%	$6.16
56442	Hymenotomy		J1	5414	"$2,679.56"	0.00%	$0.00
56501	Destroy vulva lesions sim		T	5054	"$1,749.26"	0.13%	$2.27
56515	Destroy vulva lesion/s compl		T	5054	"$1,749.26"	0.22%	$3.85
56605	Biopsy of vulva/perineum		T	5413	$647.47	0.04%	$0.26
56620	Partial removal of vulva		J1	5414	"$2,679.56"	0.21%	$5.63
56625	Complete removal of vulva		J1	5414	"$2,679.56"	0.36%	$9.65
56700	Partial removal of hymen		J1	5414	"$2,679.56"	0.04%	$1.07
56740	Remove vagina gland lesion		J1	5414	"$2,679.56"	0.40%	$10.72
56800	Repair of vagina		J1	5414	"$2,679.56"	0.33%	$8.84
56805	Repair clitoris		J1	5414	"$2,679.56"	0.00%	$0.00
56810	Repair of perineum		J1	5414	"$2,679.56"	1.70%	$45.55
56820	Exam of vulva w/scope		T	5411	$173.99	0.00%	$0.00
56821	Exam/biopsy of vulva w/scope		T	5412	$288.04	0.47%	$1.35
57000	Exploration of vagina		J1	5414	"$2,679.56"	1.30%	$34.83
57010	Drainage of pelvic abscess		J1	5414	"$2,679.56"	0.00%	$0.00
57020	Drainage of pelvic fluid		J1	5415	"$4,503.49"	3.33%	$149.97
57023	I & d vag hematoma non-ob		J1	5073	"$2,421.55"	1.26%	$30.51
57061	Destroy vag lesions simple		J1	5414	"$2,679.56"	0.07%	$1.88
57065	Destroy vag lesions complex		J1	5414	"$2,679.56"	0.23%	$6.16
57100	Biopsy of vagina		T	5413	$647.47	0.03%	$0.19
57105	Biopsy of vagina		J1	5414	"$2,679.56"	0.03%	$0.80
57106	Remove vagina wall partial		J1	5414	"$2,679.56"	0.94%	$25.19
57107	Remove vagina tissue part		J1	5414	"$2,679.56"	1.18%	$31.62
57120	Closure of vagina		J1	5415	"$4,503.49"	1.31%	$59.00
57130	Remove vagina lesion		J1	5414	"$2,679.56"	0.00%	$0.00
57135	Remove vagina lesion		J1	5414	"$2,679.56"	0.45%	$12.06
57150	Treat vagina infection		Q1	5733	$56.85	0.00%	$0.00
57155	Insert uteri tandem/ovoids		J1	5415	"$4,503.49"	0.68%	$30.62
57156	Ins vag brachytx device		T	5412	$288.04	0.02%	$0.06
57160	Insert pessary/other device		T	5411	$173.99	0.29%	$0.50
57170	Fitting of diaphragm/cap		T	5411	$173.99	0.00%	$0.00
57180	Treat vaginal bleeding		T	5411	$173.99	0.00%	$0.00
57200	Repair of vagina		J1	5414	"$2,679.56"	0.50%	$13.40
57210	Repair vagina/perineum		J1	5414	"$2,679.56"	0.47%	$12.59
57220	Revision of urethra		J1	5415	"$4,503.49"	0.79%	$35.58
57230	Repair of urethral lesion		J1	5414	"$2,679.56"	0.00%	$0.00
57240	Anterior colporrhaphy		J1	5415	"$4,503.49"	6.88%	$309.84
57250	Repair rectum & vagina		J1	5415	"$4,503.49"	4.21%	$189.60
57260	Cmbn ant pst colprhy		J1	5415	"$4,503.49"	4.00%	$180.14
57265	Cmbn ap colprhy w/ntrcl rpr		J1	5415	"$4,503.49"	13.84%	$623.28
57268	Repair of bowel bulge		J1	5415	"$4,503.49"	6.53%	$294.08
57282	Colpopexy extraperitoneal		J1	5416	"$6,933.22"	23.09%	"$1,600.88"
57283	Colpopexy intraperitoneal		J1	5416	"$6,933.22"	10.35%	$717.59
57284	Repair paravag defect open		J1	5415	"$4,503.49"	2.92%	$131.50
57285	Repair paravag defect vag		J1	5416	"$6,933.22"	21.13%	"$1,464.99"
57287	Revise/remove sling repair		Q2	5414	"$2,679.56"	5.34%	$143.09
57288	Repair bladder defect		J1	5415	"$4,503.49"	32.69%	"$1,472.19"
57289	Repair bladder & vagina		J1	5416	"$6,933.22"	3.35%	$232.26
57291	Construction of vagina		J1	5415	"$4,503.49"	0.00%	$0.00
57292	Construct vagina with graft		J1	5415	"$4,503.49"	23.70%	"$1,067.33"
57295	Revise vag graft via vagina		J1	5414	"$2,679.56"	2.82%	$75.56
57300	Repair rectum-vagina fistula		J1	5414	"$2,679.56"	2.85%	$76.37
57310	Repair urethrovaginal lesion		J1	5416	"$6,933.22"	4.24%	$293.97
57320	Repair bladder-vagina lesion		J1	5415	"$4,503.49"	2.28%	$102.68
57330	Repair bladder-vagina lesion		J1	5416	"$6,933.22"	1.05%	$72.80
57335	Repair vagina		J1	5415	"$4,503.49"	18.89%	$850.71
57400	Dilation of vagina		J1	5414	"$2,679.56"	2.68%	$71.81
57410	Pelvic examination		J1	5414	"$2,679.56"	0.31%	$8.31
57415	Remove vaginal foreign body		J1	5414	"$2,679.56"	0.14%	$3.75
57420	Exam of vagina w/scope		T	5412	$288.04	0.02%	$0.06
57421	Exam/biopsy of vag w/scope		T	5413	$647.47	0.02%	$0.13
57423	Repair paravag defect lap		J1	5362	"$9,096.46"	13.85%	"$1,259.86"
57425	Laparoscopy surg colpopexy		J1	5362	"$9,096.46"	16.24%	"$1,477.27"
57426	Revise prosth vag graft lap		J1	5416	"$6,933.22"	4.64%	$321.70
57452	Exam of cervix w/scope		T	5411	$173.99	0.03%	$0.05
57454	Bx/curett of cervix w/scope		T	5412	$288.04	0.10%	$0.29
57455	Biopsy of cervix w/scope		T	5412	$288.04	0.00%	$0.00
57456	Endocerv curettage w/scope		T	5412	$288.04	0.00%	$0.00
57460	Bx of cervix w/scope leep		J1	5414	"$2,679.56"	0.03%	$0.80
57461	Conz of cervix w/scope leep		J1	5414	"$2,679.56"	0.00%	$0.00
57500	Biopsy of cervix		T	5413	$647.47	0.25%	$1.62
57505	Endocervical curettage		T	5413	$647.47	0.09%	$0.58
57510	Cauterization of cervix		J1	5414	"$2,679.56"	0.00%	$0.00
57511	Cryocautery of cervix		T	5412	$288.04	0.00%	$0.00
57513	Laser surgery of cervix		J1	5414	"$2,679.56"	0.00%	$0.00
57520	Conization of cervix		J1	5414	"$2,679.56"	0.18%	$4.82
57522	Conization of cervix		J1	5414	"$2,679.56"	0.18%	$4.82
57530	Removal of cervix		J1	5415	"$4,503.49"	0.48%	$21.62
57550	Removal of residual cervix		J1	5415	"$4,503.49"	0.00%	$0.00
57555	Remove cervix/repair vagina		J1	5415	"$4,503.49"	25.22%	"$1,135.78"
57558	D&c of cervical stump		J1	5414	"$2,679.56"	0.00%	$0.00
57700	Revision of cervix		J1	5414	"$2,679.56"	0.00%	$0.00
57720	Revision of cervix		J1	5414	"$2,679.56"	0.00%	$0.00
57800	Dilation of cervical canal		J1	5414	"$2,679.56"	1.07%	$28.67
58100	Biopsy of uterus lining		T	5411	$173.99	0.05%	$0.09
58120	Dilation and curettage		J1	5414	"$2,679.56"	0.49%	$13.13
58145	Myomectomy vag method		J1	5414	"$2,679.56"	1.32%	$35.37
58260	Vaginal hysterectomy		J1	5415	"$4,503.49"	1.96%	$88.27
58262	Vag hyst including t/o		J1	5415	"$4,503.49"	1.64%	$73.86
58263	Vag hyst w/t/o & vag repair		J1	5415	"$4,503.49"	4.42%	$199.05
58270	Vag hyst w/enterocele repair		J1	5415	"$4,503.49"	2.69%	$121.14
58290	Vag hyst complex		J1	5416	"$6,933.22"	1.53%	$106.08
58291	Vag hyst incl t/o complex		J1	5415	"$4,503.49"	6.21%	$279.67
58292	Vag hyst t/o & repair compl		J1	5416	"$6,933.22"	12.10%	$838.92
58294	Vag hyst w/enterocele compl		J1	5415	"$4,503.49"	5.40%	$243.19
58301	Remove intrauterine device		Q2	5412	$288.04	0.34%	$0.98
58321	Artificial insemination		T	5412	$288.04	0.00%	$0.00
58322	Artificial insemination		T	5411	$173.99	0.00%	$0.00
58323	Sperm washing		T	5411	$173.99	0.00%	$0.00
58345	Reopen fallopian tube		J1	5414	"$2,679.56"	11.71%	$313.78
58346	Insert heyman uteri capsule		J1	5415	"$4,503.49"	0.44%	$19.82
58350	Reopen fallopian tube		J1	5415	"$4,503.49"	0.00%	$0.00
58353	Endometr ablate thermal		J1	5415	"$4,503.49"	2.82%	$127.00
58356	Endometrial cryoablation		J1	5415	"$4,503.49"	0.00%	$0.00
58541	Lsh uterus 250 g or less		J1	5361	"$5,167.69"	8.25%	$426.33
58542	Lsh w/t/o ut 250 g or less		J1	5362	"$9,096.46"	10.54%	$958.77
58543	Lsh uterus above 250 g		J1	5362	"$9,096.46"	3.51%	$319.29
58544	Lsh w/t/o uterus above 250 g		J1	5362	"$9,096.46"	4.06%	$369.32
58545	Laparoscopic myomectomy		J1	5361	"$5,167.69"	1.40%	$72.35
58546	Laparo-myomectomy complex		J1	5362	"$9,096.46"	1.76%	$160.10
58550	Laparo-asst vag hysterectomy		J1	5361	"$5,167.69"	4.53%	$234.10
58552	Laparo-vag hyst incl t/o		J1	5362	"$9,096.46"	3.48%	$316.56
58553	Laparo-vag hyst complex		J1	5362	"$9,096.46"	0.00%	$0.00
58554	Laparo-vag hyst w/t/o compl		J1	5362	"$9,096.46"	1.43%	$130.08
58555	Hysteroscopy dx sep proc		J1	5414	"$2,679.56"	1.24%	$33.23
58558	Hysteroscopy biopsy		J1	5414	"$2,679.56"	1.90%	$50.91
58559	Hysteroscopy lysis		J1	5415	"$4,503.49"	1.54%	$69.35
58560	Hysteroscopy resect septum		J1	5415	"$4,503.49"	6.17%	$277.87
58561	Hysteroscopy remove myoma		J1	5415	"$4,503.49"	4.72%	$212.56
58562	Hysteroscopy remove fb		J1	5414	"$2,679.56"	2.73%	$73.15
58563	Hysteroscopy ablation		J1	5415	"$4,503.49"	3.65%	$164.38
58565	Hysteroscopy sterilization		J1	5415	"$4,503.49"	57.21%	"$2,576.45"
58570	Tlh uterus 250 g or less		J1	5362	"$9,096.46"	1.60%	$145.54
58571	Tlh w/t/o 250 g or less		J1	5362	"$9,096.46"	1.59%	$144.63
58572	Tlh uterus over 250 g		J1	5362	"$9,096.46"	1.24%	$112.80
58573	Tlh w/t/o uterus over 250 g		J1	5362	"$9,096.46"	1.30%	$118.25
58578	Laparo proc uterus		J1	5361	"$5,167.69"	4.44%	$229.45
58579	Hysteroscope procedure		T	5411	$173.99	4.81%	$8.37
58600	Division of fallopian tube		J1	5414	"$2,679.56"	0.00%	$0.00
58615	Occlude fallopian tube(s)		J1	5414	"$2,679.56"	3.42%	$91.64
58660	Laparoscopy lysis		J1	5361	"$5,167.69"	1.50%	$77.52
58661	Laparoscopy remove adnexa		J1	5361	"$5,167.69"	0.78%	$40.31
58662	Laparoscopy excise lesions		J1	5361	"$5,167.69"	1.44%	$74.41
58670	Laparoscopy tubal cautery		J1	5361	"$5,167.69"	1.21%	$62.53
58671	Laparoscopy tubal block		J1	5361	"$5,167.69"	4.19%	$216.53
58673	Laparoscopy salpingostomy		J1	5361	"$5,167.69"	1.65%	$85.27
58674	Laps abltj uterine fibroids		J1	5362	"$9,096.46"	18.77%	"$1,707.41"
58679	Laparo proc oviduct-ovary		J1	5361	"$5,167.69"	0.77%	$39.79
58800	Drainage of ovarian cyst(s)		J1	5414	"$2,679.56"	14.14%	$378.89
58805	Drainage of ovarian cyst(s)		J1	5414	"$2,679.56"	1.73%	$46.36
58900	Biopsy of ovary(s)		J1	5414	"$2,679.56"	0.00%	$0.00
58920	Partial removal of ovary(s)		J1	5416	"$6,933.22"	0.00%	$0.00
58925	Removal of ovarian cyst(s)		J1	5415	"$4,503.49"	0.81%	$36.48
58970	Retrieval of oocyte		T	5413	$647.47	0.00%	$0.00
58974	Transfer of embryo		T	5413	$647.47	0.00%	$0.00
58999	Genital surgery procedure		T	5411	$173.99	1.85%	$3.22
59000	Amniocentesis diagnostic		T	5413	$647.47	0.00%	$0.00
59001	Amniocentesis therapeutic		T	5412	$288.04	0.00%	$0.00
59015	Chorion biopsy		T	5413	$647.47	0.00%	$0.00
59020	Fetal contract stress test		T	5411	$173.99	0.00%	$0.00
59025	Fetal non-stress test		T	5411	$173.99	0.00%	$0.00
59150	Treat ectopic pregnancy		J1	5361	"$5,167.69"	1.09%	$56.33
59151	Treat ectopic pregnancy		J1	5361	"$5,167.69"	0.81%	$41.86
59160	D & c after delivery		J1	5414	"$2,679.56"	0.38%	$10.18
59200	Insert cervical dilator		T	5412	$288.04	0.00%	$0.00
59300	Episiotomy or vaginal repair		J1	5414	"$2,679.56"	0.00%	$0.00
59320	Revision of cervix		J1	5414	"$2,679.56"	0.04%	$1.07
59409	Obstetrical care		J1	5414	"$2,679.56"	0.00%	$0.00
59412	Antepartum manipulation		J1	5414	"$2,679.56"	0.00%	$0.00
59414	Deliver placenta		J1	5414	"$2,679.56"	0.00%	$0.00
59612	Vbac delivery only		J1	5414	"$2,679.56"	0.00%	$0.00
59812	Treatment of miscarriage		J1	5414	"$2,679.56"	0.64%	$17.15
59820	Care of miscarriage		J1	5414	"$2,679.56"	0.04%	$1.07
59821	Treatment of miscarriage		J1	5414	"$2,679.56"	0.06%	$1.61
59840	Abortion		J1	5414	"$2,679.56"	0.26%	$6.97
59841	Abortion		J1	5414	"$2,679.56"	1.04%	$27.87
59870	Evacuate mole of uterus		J1	5414	"$2,679.56"	0.00%	$0.00
59871	Remove cerclage suture		Q2	5414	"$2,679.56"	0.01%	$0.27
59897	Fetal invas px w/us		T	5411	$173.99	0.00%	$0.00
59899	Maternity care procedure		T	5411	$173.99	0.00%	$0.00
60100	Biopsy of thyroid		T	5071	$635.54	0.16%	$1.02
60200	Remove thyroid lesion		J1	5361	"$5,167.69"	0.80%	$41.34
60210	Partial thyroid excision		J1	5361	"$5,167.69"	0.72%	$37.21
60212	Partial thyroid excision		J1	5361	"$5,167.69"	1.28%	$66.15
60220	Partial removal of thyroid		J1	5361	"$5,167.69"	0.78%	$40.31
60225	Partial removal of thyroid		J1	5361	"$5,167.69"	0.88%	$45.48
60240	Removal of thyroid		J1	5361	"$5,167.69"	0.62%	$32.04
60252	Removal of thyroid		J1	5165	"$5,194.27"	0.56%	$29.09
60260	Repeat thyroid surgery		J1	5165	"$5,194.27"	0.78%	$40.52
60271	Removal of thyroid		J1	5165	"$5,194.27"	0.55%	$28.57
60280	Remove thyroid duct lesion		J1	5361	"$5,167.69"	0.34%	$17.57
60281	Remove thyroid duct lesion		J1	5361	"$5,167.69"	0.00%	$0.00
60300	Aspir/inj thyroid cyst		T	5071	$635.54	0.06%	$0.38
60500	Explore parathyroid glands		J1	5165	"$5,194.27"	0.48%	$24.93
60502	Re-explore parathyroids		J1	5165	"$5,194.27"	0.26%	$13.51
60520	Removal of thymus gland		J1	5165	"$5,194.27"	0.29%	$15.06
60659	Laparo proc endocrine		J1	5361	"$5,167.69"	0.16%	$8.27
60699	Endocrine surgery procedure		J1	5361	"$5,167.69"	4.23%	$218.59
61000	Remove cranial cavity fluid		T	5442	$648.52	0.00%	$0.00
61020	Remove brain cavity fluid		T	5443	$840.73	0.00%	$0.00
61026	Injection into brain canal		T	5442	$648.52	0.00%	$0.00
61050	Remove brain canal fluid		T	5441	$266.83	0.00%	$0.00
61055	Injection into brain canal		T	5441	$266.83	0.00%	$0.00
61070	Brain canal shunt procedure		T	5442	$648.52	0.20%	$1.30
61215	Insert brain-fluid device		J1	5432	"$5,823.95"	11.30%	$658.11
61330	Decompress eye socket		J1	5164	"$2,793.98"	0.75%	$20.95
61623	Endovasc tempory vessel occl		J1	5193	"$10,258.49"	33.70%	"$3,457.11"
61626	Transcath occlusion non-cns		J1	5193	"$10,258.49"	37.49%	"$3,845.91"
61720	Incise skull/brain surgery		J1	5432	"$5,823.95"	6.28%	$365.74
61790	Treat trigeminal nerve		J1	5431	"$1,793.31"	1.47%	$26.36
61791	Treat trigeminal tract		J1	5431	"$1,793.31"	1.05%	$18.83
61880	Revise/remove neuroelectrode		J1	5461	"$3,345.73"	15.25%	$510.22
61885	Insrt/redo neurostim 1 array		J1	5464	"$20,912.55"	86.18%	"$18,022.44"
61886	Implant neurostim arrays		J1	5465	"$30,063.48"	85.46%	"$25,692.25"
61888	Revise/remove neuroreceiver		J1	5463	"$11,483.38"	55.46%	"$6,368.68"
62000	Treat skull fracture		J1	5164	"$2,793.98"	10.04%	$280.52
62194	Replace/irrigate catheter		J1	5431	"$1,793.31"	0.00%	$0.00
62225	Replace/irrigate catheter		J1	5432	"$5,823.95"	29.31%	"$1,707.00"
62230	Replace/revise brain shunt		J1	5432	"$5,823.95"	24.71%	"$1,439.10"
62252	Csf shunt reprogram		S	5743	$278.86	0.00%	$0.00
62263	Epidural lysis mult sessions		T	5443	$840.73	3.06%	$25.73
62264	Epidural lysis on single day		T	5443	$840.73	2.29%	$19.25
62267	Interdiscal perq aspir dx		T	5071	$635.54	1.28%	$8.13
62268	Drain spinal cord cyst		T	5443	$840.73	0.81%	$6.81
62269	Needle biopsy spinal cord		J1	5072	"$1,436.99"	1.44%	$20.69
62270	Dx lmbr spi pnxr		T	5442	$648.52	0.09%	$0.58
62272	Ther spi pnxr drg csf		T	5442	$648.52	0.49%	$3.18
62273	Inject epidural patch		T	5442	$648.52	0.58%	$3.76
62281	Treat spinal cord lesion		T	5443	$840.73	0.14%	$1.18
62282	Treat spinal canal lesion		T	5443	$840.73	0.21%	$1.77
62287	Dcmprn px perq 1/mlt lumbar		J1	5431	"$1,793.31"	17.54%	$314.55
62292	Njx chemonucleolysis lmbr		J1	5431	"$1,793.31"	2.60%	$46.63
62302	Myelography lumbar injection		Q2	5573	$730.67	0.13%	$0.95
62303	Myelography lumbar injection		Q2	5573	$730.67	0.00%	$0.00
62304	Myelography lumbar injection		Q2	5573	$730.67	0.02%	$0.15
62305	Myelography lumbar injection		Q2	5573	$730.67	0.06%	$0.44
62320	Njx interlaminar crv/thrc		T	5442	$648.52	0.10%	$0.65
62321	Njx interlaminar crv/thrc		T	5442	$648.52	0.27%	$1.75
62322	Njx interlaminar lmbr/sac		T	5442	$648.52	0.22%	$1.43
62323	Njx interlaminar lmbr/sac		T	5442	$648.52	0.20%	$1.30
62324	Njx interlaminar crv/thrc		T	5443	$840.73	0.18%	$1.51
62325	Njx interlaminar crv/thrc		T	5443	$840.73	0.94%	$7.90
62326	Njx interlaminar lmbr/sac		T	5443	$840.73	4.87%	$40.94
62327	Njx interlaminar lmbr/sac		T	5443	$840.73	0.72%	$6.05
62350	Implant spinal canal cath		J1	5432	"$5,823.95"	41.65%	"$2,425.68"
62351	Implant spinal canal cath		J1	5114	"$6,397.05"	20.94%	"$1,339.54"
62355	Remove spinal canal catheter		Q2	5431	"$1,793.31"	0.91%	$16.32
62360	Insert spine infusion device		J1	5471	"$17,405.31"	72.23%	"$12,571.86"
62361	Implant spine infusion pump		J1	5471	"$17,405.31"	74.36%	"$12,942.59"
62362	Implant spine infusion pump		J1	5471	"$17,405.31"	74.11%	"$12,899.08"
62365	Remove spine infusion device		Q2	5432	"$5,823.95"	1.12%	$65.23
62367	Analyze spine infus pump		S	5743	$278.86	0.01%	$0.03
62368	Analyze sp inf pump w/reprog		S	5743	$278.86	0.01%	$0.03
62369	Anal sp inf pmp w/reprg&fill		S	5743	$278.86	0.00%	$0.00
62370	Anl sp inf pmp w/mdreprg&fil		S	5743	$278.86	0.09%	$0.25
62380	Ndsc dcmprn 1 ntrspc lumbar		J1	5114	"$6,397.05"	0.79%	$50.54
63001	Remove spine lamina 1/2 crvl		J1	5114	"$6,397.05"	2.66%	$170.16
63003	Remove spine lamina 1/2 thrc		J1	5114	"$6,397.05"	6.40%	$409.41
63005	Remove spine lamina 1/2 lmbr		J1	5114	"$6,397.05"	5.07%	$324.33
63011	Remove spine lamina 1/2 scrl		J1	5114	"$6,397.05"	2.07%	$132.42
63012	Remove lamina/facets lumbar		J1	5114	"$6,397.05"	5.63%	$360.15
63015	Remove spine lamina >2 crvcl		J1	5114	"$6,397.05"	2.01%	$128.58
63016	Remove spine lamina >2 thrc		J1	5114	"$6,397.05"	0.78%	$49.90
63017	Remove spine lamina >2 lmbr		J1	5114	"$6,397.05"	2.88%	$184.24
63020	Neck spine disk surgery		J1	5114	"$6,397.05"	3.04%	$194.47
63030	Low back disk surgery		J1	5114	"$6,397.05"	1.84%	$117.71
63040	Laminotomy single cervical		J1	5114	"$6,397.05"	0.25%	$15.99
63042	Laminotomy single lumbar		J1	5114	"$6,397.05"	2.15%	$137.54
63045	Lam facetec & foramot crv		J1	5114	"$6,397.05"	1.87%	$119.62
63046	Lam facetec & foramot thrc		J1	5114	"$6,397.05"	2.36%	$150.97
63047	Lam facetec & foramot lumbar		J1	5114	"$6,397.05"	2.26%	$144.57
63055	Decompress spinal cord thrc		J1	5114	"$6,397.05"	1.38%	$88.28
63056	Decompress spinal cord lmbr		J1	5114	"$6,397.05"	1.44%	$92.12
63064	Decompress spinal cord thrc		J1	5114	"$6,397.05"	0.00%	$0.00
63075	Neck spine disk surgery		J1	5114	"$6,397.05"	31.13%	"$1,991.40"
63265	Excise intraspinl lesion crv		J1	5114	"$6,397.05"	1.65%	$105.55
63266	Excise intrspinl lesion thrc		J1	5114	"$6,397.05"	15.28%	$977.47
63267	Excise intrspinl lesion lmbr		J1	5114	"$6,397.05"	2.54%	$162.49
63268	Excise intrspinl lesion scrl		J1	5114	"$6,397.05"	1.02%	$65.25
63600	Remove spinal cord lesion		J1	5431	"$1,793.31"	0.00%	$0.00
63650	Implant neuroelectrodes		J1	5462	"$6,295.45"	48.22%	"$3,035.67"
63655	Implant neuroelectrodes		J1	5464	"$20,912.55"	67.81%	"$14,180.80"
63661	Remove spine eltrd perq aray		Q2	5431	"$1,793.31"	0.68%	$12.19
63662	Remove spine eltrd plate		J1	5461	"$3,345.73"	1.01%	$33.79
63663	Revise spine eltrd perq aray		J1	5462	"$6,295.45"	46.15%	"$2,905.35"
63664	Revise spine eltrd plate		J1	5463	"$11,483.38"	44.48%	"$5,107.81"
63685	Insrt/redo spine n generator		J1	5465	"$30,063.48"	82.22%	"$24,718.19"
63688	Revise/remove neuroreceiver		J1	5461	"$3,345.73"	19.50%	$652.42
63741	Install spinal shunt		J1	5432	"$5,823.95"	37.46%	"$2,181.65"
63744	Revision of spinal shunt		J1	5432	"$5,823.95"	40.35%	"$2,349.96"
63746	Removal of spinal shunt		Q2	5431	"$1,793.31"	0.52%	$9.33
64400	Njx aa&/strd trigeminal nrv		T	5441	$266.83	0.13%	$0.35
64405	Njx aa&/strd gr ocpl nrv		T	5441	$266.83	0.02%	$0.05
64408	Njx aa&/strd vagus nrv		T	5441	$266.83	0.00%	$0.00
64415	Njx aa&/strd brach plexus		T	5443	$840.73	10.78%	$90.63
64416	Njx aa&/strd brach plex nfs		T	5443	$840.73	7.66%	$64.40
64417	Njx aa&/strd axillary nrv		T	5443	$840.73	3.01%	$25.31
64418	Njx aa&/strd sprscap nrv		T	5442	$648.52	0.00%	$0.00
64420	Njx aa&/strd ntrcost nrv 1		T	5442	$648.52	0.03%	$0.19
64421	Njx aa&/strd ntrcost nrv ea		T	5443	$840.73	0.03%	$0.25
64425	Njx aa&/strd ii ih nerves		T	5442	$648.52	0.19%	$1.23
64430	Njx aa&/strd pudendal nerve		T	5443	$840.73	0.40%	$3.36
64435	Njx aa&/strd paracrv nrv		T	5442	$648.52	0.00%	$0.00
64445	Njx aa&/strd sciatic nerve		T	5442	$648.52	0.26%	$1.69
64446	Njx aa&/strd sciatic nrv nfs		T	5443	$840.73	16.44%	$138.22
64447	Njx aa&/strd femoral nerve		T	5442	$648.52	9.27%	$60.12
64448	Njx aa&/strd fem nerve nfs		T	5443	$840.73	35.99%	$302.58
64449	Njx aa&/strd lmbr plex nfs		T	5443	$840.73	1.45%	$12.19
64450	Njx aa&/strd other pn/branch		T	5442	$648.52	0.25%	$1.62
64455	Njx aa&/strd pltr com dg nrv		T	5441	$266.83	0.00%	$0.00
64461	Pvb thoracic single inj site		T	5442	$648.52	0.10%	$0.65
64463	Pvb thoracic cont infusion		T	5442	$648.52	0.00%	$0.00
64479	Njx aa&/strd tfrm epi c/t 1		T	5443	$840.73	0.07%	$0.59
64483	Njx aa&/strd tfrm epi l/s 1		T	5443	$840.73	0.05%	$0.42
64490	Inj paravert f jnt c/t 1 lev		T	5443	$840.73	0.05%	$0.42
64493	Inj paravert f jnt l/s 1 lev		T	5443	$840.73	0.03%	$0.25
64505	N block spenopalatine gangl		T	5441	$266.83	0.49%	$1.31
64510	N block stellate ganglion		T	5443	$840.73	0.05%	$0.42
64517	N block inj hypogas plxs		T	5443	$840.73	0.13%	$1.09
64520	N block lumbar/thoracic		T	5443	$840.73	0.07%	$0.59
64530	N block inj celiac pelus		T	5443	$840.73	0.05%	$0.42
64553	Implant neuroelectrodes		J1	5463	"$11,483.38"	66.48%	"$7,634.15"
64555	Implant neuroelectrodes		J1	5462	"$6,295.45"	63.99%	"$4,028.46"
64561	Implant neuroelectrodes		J1	5462	"$6,295.45"	49.84%	"$3,137.65"
64566	Neuroeltrd stim post tibial		T	5441	$266.83	0.21%	$0.56
64568	Opn impltj crnl nrv nea&pg		J1	5465	"$30,063.48"	85.71%	"$25,767.41"
64569	Revise/repl vagus n eltrd		J1	5463	"$11,483.38"	79.87%	"$9,171.78"
64570	Remove vagus n eltrd		Q2	5432	"$5,823.95"	0.22%	$12.81
64575	Opn impltj nea perph nerve		J1	5463	"$11,483.38"	61.29%	"$7,038.16"
64580	Opn impltj nea neuromuscular		J1	5464	"$20,912.55"	72.95%	"$15,255.71"
64581	Opn impltj nea sacral nerve		J1	5462	"$6,295.45"	63.11%	"$3,973.06"
64585	Revise/remove neuroelectrode		J1	5461	"$3,345.73"	12.77%	$427.25
64590	Insrt/redo pn/gastr stimul		J1	5464	"$20,912.55"	83.29%	"$17,418.06"
64595	Revise/rmv pn/gastr stimul		J1	5461	"$3,345.73"	19.64%	$657.10
64600	Injection treatment of nerve		T	5443	$840.73	0.25%	$2.10
64605	Injection treatment of nerve		J1	5431	"$1,793.31"	1.03%	$18.47
64610	Injection treatment of nerve		J1	5431	"$1,793.31"	1.90%	$34.07
64611	Chemodenerv saliv glands		T	5441	$266.83	0.00%	$0.00
64612	Destroy nerve face muscle		T	5441	$266.83	0.00%	$0.00
64615	Chemodenerv musc migraine		T	5441	$266.83	0.01%	$0.03
64616	Chemodenerv musc neck dyston		T	5441	$266.83	0.00%	$0.00
64617	Chemodener muscle larynx emg		T	5441	$266.83	0.00%	$0.00
64620	Injection treatment of nerve		T	5443	$840.73	0.10%	$0.84
64630	Injection treatment of nerve		T	5443	$840.73	6.00%	$50.44
64632	N block inj common digit		T	5441	$266.83	0.01%	$0.03
64633	Destroy cerv/thor facet jnt		J1	5431	"$1,793.31"	0.19%	$3.41
64635	Destroy lumb/sac facet jnt		J1	5431	"$1,793.31"	0.33%	$5.92
64640	Injection treatment of nerve		T	5443	$840.73	7.46%	$62.72
64642	Chemodenerv 1 extremity 1-4		T	5442	$648.52	0.00%	$0.00
64644	Chemodenerv 1 extrem 5/> mus		T	5442	$648.52	0.00%	$0.00
64646	Chemodenerv trunk musc 1-5		T	5442	$648.52	0.00%	$0.00
64647	Chemodenerv trunk musc 6/>		T	5442	$648.52	0.05%	$0.32
64650	Chemodenerv eccrine glands		T	5441	$266.83	0.00%	$0.00
64653	Chemodenerv eccrine glands		T	5441	$266.83	0.00%	$0.00
64680	Injection treatment of nerve		T	5443	$840.73	0.09%	$0.76
64681	Injection treatment of nerve		T	5443	$840.73	0.00%	$0.00
64702	Revise finger/toe nerve		J1	5431	"$1,793.31"	4.89%	$87.69
64704	Revise hand/foot nerve		J1	5431	"$1,793.31"	13.84%	$248.19
64708	Revise arm/leg nerve		J1	5431	"$1,793.31"	4.35%	$78.01
64712	Revision of sciatic nerve		J1	5431	"$1,793.31"	8.33%	$149.38
64713	Revision of arm nerve(s)		J1	5431	"$1,793.31"	10.85%	$194.57
64714	Revise low back nerve(s)		J1	5431	"$1,793.31"	3.15%	$56.49
64716	Revision of cranial nerve		J1	5431	"$1,793.31"	14.76%	$264.69
64718	Revise ulnar nerve at elbow		J1	5431	"$1,793.31"	0.93%	$16.68
64719	Revise ulnar nerve at wrist		J1	5431	"$1,793.31"	1.24%	$22.24
64721	Carpal tunnel surgery		J1	5431	"$1,793.31"	0.40%	$7.17
64722	Relieve pressure on nerve(s)		J1	5431	"$1,793.31"	5.30%	$95.05
64726	Release foot/toe nerve		J1	5431	"$1,793.31"	5.72%	$102.58
64732	Incision of brow nerve		J1	5431	"$1,793.31"	0.00%	$0.00
64734	Incision of cheek nerve		J1	5431	"$1,793.31"	2.61%	$46.81
64736	Incision of chin nerve		J1	5431	"$1,793.31"	15.27%	$273.84
64738	Incision of jaw nerve		J1	5431	"$1,793.31"	5.52%	$98.99
64742	Incision of facial nerve		J1	5431	"$1,793.31"	2.69%	$48.24
64744	Incise nerve back of head		J1	5431	"$1,793.31"	6.94%	$124.46
64746	Incise diaphragm nerve		J1	5431	"$1,793.31"	0.00%	$0.00
64763	Incise hip/thigh nerve		J1	5431	"$1,793.31"	0.00%	$0.00
64766	Incise hip/thigh nerve		J1	5431	"$1,793.31"	0.00%	$0.00
64771	Sever cranial nerve		J1	5431	"$1,793.31"	16.22%	$290.87
64772	Incision of spinal nerve		J1	5431	"$1,793.31"	1.77%	$31.74
64774	Remove skin nerve lesion		J1	5431	"$1,793.31"	1.87%	$33.53
64776	Remove digit nerve lesion		J1	5431	"$1,793.31"	2.66%	$47.70
64782	Remove limb nerve lesion		J1	5431	"$1,793.31"	6.85%	$122.84
64784	Remove nerve lesion		J1	5431	"$1,793.31"	3.95%	$70.84
64786	Remove sciatic nerve lesion		J1	5432	"$5,823.95"	3.94%	$229.46
64788	Remove skin nerve lesion		J1	5431	"$1,793.31"	0.86%	$15.42
64790	Removal of nerve lesion		J1	5431	"$1,793.31"	1.29%	$23.13
64792	Removal of nerve lesion		J1	5432	"$5,823.95"	1.13%	$65.81
64795	Biopsy of nerve		J1	5431	"$1,793.31"	2.43%	$43.58
64820	Sympathectomy digital artery		J1	5431	"$1,793.31"	0.00%	$0.00
64821	Remove sympathetic nerves		J1	5113	"$2,892.28"	0.03%	$0.87
64822	Remove sympathetic nerves		J1	5113	"$2,892.28"	0.00%	$0.00
64823	Sympathectomy supfc palmar		J1	5113	"$2,892.28"	0.75%	$21.69
64831	Repair of digit nerve		J1	5431	"$1,793.31"	14.36%	$257.52
64834	Repair of hand or foot nerve		J1	5432	"$5,823.95"	11.26%	$655.78
64835	Repair of hand or foot nerve		J1	5432	"$5,823.95"	15.75%	$917.27
64836	Repair of hand or foot nerve		J1	5432	"$5,823.95"	9.49%	$552.69
64840	Repair of leg nerve		J1	5432	"$5,823.95"	0.00%	$0.00
64856	Repair/transpose nerve		J1	5432	"$5,823.95"	16.20%	$943.48
64857	Repair arm/leg nerve		J1	5432	"$5,823.95"	11.80%	$687.23
64858	Repair sciatic nerve		J1	5431	"$1,793.31"	79.72%	"$1,429.63"
64864	Repair of facial nerve		J1	5432	"$5,823.95"	4.34%	$252.76
64865	Repair of facial nerve		J1	5432	"$5,823.95"	0.64%	$37.27
64885	Nerve graft head/neck </4 cm		J1	5432	"$5,823.95"	24.40%	"$1,421.04"
64886	Nerve graft head/neck >4 cm		J1	5432	"$5,823.95"	44.33%	"$2,581.76"
64890	Nerve graft hand/foot </4 cm		J1	5432	"$5,823.95"	43.99%	"$2,561.96"
64892	Nerve graft arm/leg <4 cm		J1	5432	"$5,823.95"	21.54%	"$1,254.48"
64893	Nerve graft arm/leg >4 cm		J1	5432	"$5,823.95"	0.00%	$0.00
64895	Nerve graft hand/foot </4 cm		J1	5432	"$5,823.95"	0.00%	$0.00
64896	Nerve graft hand/foot >4 cm		J1	5432	"$5,823.95"	20.06%	"$1,168.28"
64897	Nerve graft arm/leg </4 cm		J1	5432	"$5,823.95"	7.81%	$454.85
64898	Nerve graft arm/leg >4 cm		J1	5432	"$5,823.95"	17.44%	"$1,015.70"
64905	Nerve pedicle transfer		J1	5432	"$5,823.95"	7.38%	$429.81
64910	Nerve repair w/allograft		J1	5432	"$5,823.95"	45.91%	"$2,673.78"
64911	Neurorraphy w/vein autograft		J1	5432	"$5,823.95"	18.64%	"$1,085.58"
64912	Nrv rpr w/nrv algrft 1st		J1	5432	"$5,823.95"	50.79%	"$2,957.98"
64999	Nervous system surgery		T	5441	$266.83	1.47%	$3.92
65091	Revise eye		J1	5504	"$3,376.68"	4.81%	$162.42
65093	Revise eye with implant		J1	5504	"$3,376.68"	11.35%	$383.25
65101	Removal of eye		J1	5504	"$3,376.68"	1.72%	$58.08
65103	Remove eye/insert implant		J1	5504	"$3,376.68"	12.63%	$426.47
65105	Remove eye/attach implant		J1	5504	"$3,376.68"	18.02%	$608.48
65110	Removal of eye		J1	5504	"$3,376.68"	0.27%	$9.12
65112	Remove eye/revise socket		J1	5504	"$3,376.68"	0.00%	$0.00
65114	Remove eye/revise socket		J1	5504	"$3,376.68"	8.92%	$301.20
65125	Revise ocular implant		J1	5503	"$2,043.70"	8.03%	$164.11
65130	Insert ocular implant		J1	5504	"$3,376.68"	11.11%	$375.15
65135	Insert ocular implant		J1	5504	"$3,376.68"	7.20%	$243.12
65140	Attach ocular implant		J1	5504	"$3,376.68"	23.35%	$788.45
65150	Revise ocular implant		J1	5504	"$3,376.68"	12.11%	$408.92
65155	Reinsert ocular implant		J1	5504	"$3,376.68"	12.78%	$431.54
65175	Removal of ocular implant		J1	5504	"$3,376.68"	2.16%	$72.94
65205	Remove foreign body from eye		Q1	5734	$115.16	0.00%	$0.00
65210	Remove foreign body from eye		Q1	5735	$277.18	0.00%	$0.00
65220	Remove foreign body from eye		Q1	5735	$277.18	1.94%	$5.38
65222	Remove foreign body from eye		Q1	5734	$115.16	0.00%	$0.00
65235	Remove foreign body from eye		J1	5491	"$2,120.86"	0.01%	$0.21
65260	Remove foreign body from eye		J1	5491	"$2,120.86"	0.00%	$0.00
65265	Remove foreign body from eye		J1	5491	"$2,120.86"	1.86%	$39.45
65270	Repair of eye wound		J1	5503	"$2,043.70"	0.59%	$12.06
65272	Repair of eye wound		J1	5503	"$2,043.70"	0.00%	$0.00
65275	Repair of eye wound		J1	5504	"$3,376.68"	0.14%	$4.73
65280	Repair of eye wound		J1	5492	"$3,999.59"	1.82%	$72.79
65285	Repair of eye wound		J1	5492	"$3,999.59"	0.55%	$22.00
65286	Repair of eye wound		J1	5491	"$2,120.86"	0.07%	$1.48
65290	Repair of eye socket wound		J1	5504	"$3,376.68"	0.00%	$0.00
65400	Removal of eye lesion		T	5502	$827.06	3.35%	$27.71
65410	Biopsy of cornea		J1	5503	"$2,043.70"	0.71%	$14.51
65420	Removal of eye lesion		J1	5503	"$2,043.70"	2.58%	$52.73
65426	Removal of eye lesion		J1	5503	"$2,043.70"	13.74%	$280.80
65430	Corneal smear		Q1	5735	$277.18	0.00%	$0.00
65435	Curette/treat cornea		T	5502	$827.06	0.48%	$3.97
65436	Curette/treat cornea		J1	5503	"$2,043.70"	2.69%	$54.98
65450	Treatment of corneal lesion		T	5501	$267.16	0.52%	$1.39
65600	Revision of cornea		J1	5503	"$2,043.70"	1.69%	$34.54
65710	Corneal transplant		J1	5492	"$3,999.59"	13.37%	$534.75
65730	Corneal transplant		J1	5492	"$3,999.59"	10.80%	$431.96
65750	Corneal transplant		J1	5492	"$3,999.59"	12.03%	$481.15
65755	Corneal transplant		J1	5492	"$3,999.59"	9.12%	$364.76
65756	Corneal trnspl endothelial		J1	5492	"$3,999.59"	12.90%	$515.95
65770	Revise cornea with implant		J1	5493	"$7,494.26"	49.41%	"$3,702.91"
65772	Correction of astigmatism		T	5502	$827.06	2.43%	$20.10
65775	Correction of astigmatism		J1	5503	"$2,043.70"	0.00%	$0.00
65778	Cover eye w/membrane		Q2	5502	$827.06	16.41%	$135.72
65779	Cover eye w/membrane suture		Q2	5504	"$3,376.68"	30.18%	"$1,019.08"
65780	Ocular reconst transplant		J1	5504	"$3,376.68"	29.63%	"$1,000.51"
65781	Ocular reconst transplant		J1	5492	"$3,999.59"	35.18%	"$1,407.06"
65782	Ocular reconst transplant		J1	5504	"$3,376.68"	9.78%	$330.24
65785	Impltj ntrstrml crnl rng seg		J1	5492	"$3,999.59"	10.84%	$433.56
65800	Drainage of eye		J1	5491	"$2,120.86"	0.19%	$4.03
65810	Drainage of eye		J1	5491	"$2,120.86"	2.29%	$48.57
65815	Drainage of eye		J1	5491	"$2,120.86"	0.64%	$13.57
65820	Relieve inner eye pressure		J1	5492	"$3,999.59"	10.43%	$417.16
65850	Incision of eye		J1	5491	"$2,120.86"	12.33%	$261.50
65855	Trabeculoplasty laser surg		T	5481	$513.98	0.01%	$0.05
65860	Incise inner eye adhesions		T	5481	$513.98	0.00%	$0.00
65865	Incise inner eye adhesions		J1	5491	"$2,120.86"	9.38%	$198.94
65870	Incise inner eye adhesions		J1	5491	"$2,120.86"	4.00%	$84.83
65875	Incise inner eye adhesions		J1	5491	"$2,120.86"	8.17%	$173.27
65880	Incise inner eye adhesions		J1	5492	"$3,999.59"	0.00%	$0.00
65900	Remove eye lesion		J1	5491	"$2,120.86"	0.00%	$0.00
65920	Remove implant of eye		J1	5491	"$2,120.86"	2.10%	$44.54
65930	Remove blood clot from eye		J1	5491	"$2,120.86"	1.00%	$21.21
66020	Injection treatment of eye		J1	5491	"$2,120.86"	1.33%	$28.21
66030	Injection treatment of eye		J1	5491	"$2,120.86"	0.20%	$4.24
66130	Remove eye lesion		J1	5503	"$2,043.70"	13.85%	$283.05
66155	Glaucoma surgery		J1	5492	"$3,999.59"	25.22%	"$1,008.70"
66160	Glaucoma surgery		J1	5491	"$2,120.86"	2.20%	$46.66
66170	Glaucoma surgery		J1	5491	"$2,120.86"	4.93%	$104.56
66172	Incision of eye		J1	5491	"$2,120.86"	2.40%	$50.90
66174	Translum dil eye canal		J1	5492	"$3,999.59"	18.34%	$733.52
66175	Trnslum dil eye canal w/stnt		J1	5492	"$3,999.59"	28.28%	"$1,131.08"
66179	Aqueous shunt eye w/o graft		J1	5492	"$3,999.59"	32.78%	"$1,311.07"
66180	Aqueous shunt eye w/graft		J1	5492	"$3,999.59"	34.78%	"$1,391.06"
66183	Insert ant drainage device		J1	5492	"$3,999.59"	49.29%	"$1,971.40"
66184	Revision of aqueous shunt		J1	5491	"$2,120.86"	4.15%	$88.02
66185	Revise aqueous shunt eye		J1	5491	"$2,120.86"	14.80%	$313.89
66225	Repair/graft eye lesion		J1	5492	"$3,999.59"	29.71%	"$1,188.28"
66250	Follow-up surgery of eye		J1	5503	"$2,043.70"	1.94%	$39.65
66500	Incision of iris		J1	5491	"$2,120.86"	0.00%	$0.00
66505	Incision of iris		J1	5491	"$2,120.86"	0.00%	$0.00
66600	Remove iris and lesion		J1	5492	"$3,999.59"	0.93%	$37.20
66605	Removal of iris		J1	5491	"$2,120.86"	0.00%	$0.00
66625	Removal of iris		J1	5491	"$2,120.86"	2.47%	$52.39
66635	Removal of iris		J1	5491	"$2,120.86"	1.64%	$34.78
66680	Repair iris & ciliary body		J1	5491	"$2,120.86"	2.80%	$59.38
66682	Repair iris & ciliary body		J1	5491	"$2,120.86"	1.08%	$22.91
66700	Destruction ciliary body		J1	5491	"$2,120.86"	0.00%	$0.00
66710	Ciliary transsleral therapy		J1	5503	"$2,043.70"	0.29%	$5.93
66711	Ecp ciliary body destruction		J1	5491	"$2,120.86"	0.79%	$16.75
66720	Destruction ciliary body		J1	5503	"$2,043.70"	0.00%	$0.00
66740	Destruction ciliary body		J1	5503	"$2,043.70"	0.00%	$0.00
66761	Revision of iris		T	5481	$513.98	0.00%	$0.00
66762	Revision of iris		T	5481	$513.98	0.00%	$0.00
66770	Removal of inner eye lesion		T	5481	$513.98	0.00%	$0.00
66820	Incision secondary cataract		J1	5491	"$2,120.86"	0.63%	$13.36
66821	After cataract laser surgery		T	5481	$513.98	0.01%	$0.05
66825	Reposition intraocular lens		J1	5491	"$2,120.86"	1.58%	$33.51
66830	Removal of lens lesion		J1	5491	"$2,120.86"	0.09%	$1.91
66840	Removal of lens material		J1	5491	"$2,120.86"	0.38%	$8.06
66850	Removal of lens material		J1	5491	"$2,120.86"	6.33%	$134.25
66852	Removal of lens material		J1	5492	"$3,999.59"	1.74%	$69.59
66920	Extraction of lens		J1	5491	"$2,120.86"	1.36%	$28.84
66930	Extraction of lens		J1	5492	"$3,999.59"	3.40%	$135.99
66940	Extraction of lens		J1	5491	"$2,120.86"	1.12%	$23.75
66982	Xcapsl ctrc rmvl cplx wo ecp		J1	5491	"$2,120.86"	12.52%	$265.53
66983	Cataract surg w/iol 1 stage		J1	5491	"$2,120.86"	10.04%	$212.93
66984	Xcapsl ctrc rmvl w/o ecp		J1	5491	"$2,120.86"	12.86%	$272.74
66985	Insert lens prosthesis		J1	5491	"$2,120.86"	8.64%	$183.24
66986	Exchange lens prosthesis		J1	5491	"$2,120.86"	8.49%	$180.06
66987	Xcapsl ctrc rmvl cplx w/ecp	**	J1	5492	"$3,999.59"	12.51%	$500.35
66988	Xcapsl ctrc rmvl w/ecp	**	J1	5492	"$3,999.59"	10.72%	$428.76
66999	Eye surgery procedure		J1	5491	"$2,120.86"	10.17%	$215.69
67005	Partial removal of eye fluid		J1	5491	"$2,120.86"	6.47%	$137.22
67010	Partial removal of eye fluid		J1	5491	"$2,120.86"	5.14%	$109.01
67015	Release of eye fluid		J1	5491	"$2,120.86"	0.53%	$11.24
67025	Replace eye fluid		J1	5491	"$2,120.86"	2.09%	$44.33
67027	Implant eye drug system		J1	5494	"$17,054.97"	1.99%	$339.39
67028	Injection eye drug		S	5694	$325.64	0.00%	$0.00
67030	Incise inner eye strands		J1	5491	"$2,120.86"	0.96%	$20.36
67031	Laser surgery eye strands		T	5481	$513.98	0.03%	$0.15
67036	Removal of inner eye fluid		J1	5492	"$3,999.59"	1.92%	$76.79
67039	Laser treatment of retina		J1	5492	"$3,999.59"	1.89%	$75.59
67040	Laser treatment of retina		J1	5492	"$3,999.59"	1.13%	$45.20
67041	Vit for macular pucker		J1	5492	"$3,999.59"	0.91%	$36.40
67042	Vit for macular hole		J1	5492	"$3,999.59"	1.05%	$42.00
67043	Vit for membrane dissect		J1	5492	"$3,999.59"	2.10%	$83.99
67101	Repair detached retina crtx		J1	5491	"$2,120.86"	4.59%	$97.35
67105	Repair detached retina pc		T	5481	$513.98	0.52%	$2.67
67107	Repair detached retina		J1	5492	"$3,999.59"	2.58%	$103.19
67108	Repair detached retina		J1	5492	"$3,999.59"	3.22%	$128.79
67110	Repair detached retina		J1	5491	"$2,120.86"	0.69%	$14.63
67113	Repair retinal detach cplx		J1	5492	"$3,999.59"	5.13%	$205.18
67115	Release encircling material		J1	5492	"$3,999.59"	0.00%	$0.00
67120	Remove eye implant material		J1	5491	"$2,120.86"	1.41%	$29.90
67121	Remove eye implant material		J1	5491	"$2,120.86"	0.68%	$14.42
67141	Proph rta dtchmnt crtx dthrm		T	5501	$267.16	0.00%	$0.00
67145	Proph rta dtchmnt pc		T	5481	$513.98	0.00%	$0.00
67208	Treatment of retinal lesion		T	5501	$267.16	0.00%	$0.00
67210	Treatment of retinal lesion		T	5481	$513.98	0.00%	$0.00
67218	Treatment of retinal lesion		J1	5504	"$3,376.68"	4.34%	$146.55
67220	Treatment of choroid lesion		T	5481	$513.98	0.00%	$0.00
67221	Ocular photodynamic ther		T	5481	$513.98	0.00%	$0.00
67227	Dstrj extensive retinopathy		J1	5504	"$3,376.68"	0.47%	$15.87
67228	Treatment x10sv retinopathy		T	5481	$513.98	0.01%	$0.05
67250	Reinforce eye wall		J1	5503	"$2,043.70"	5.88%	$120.17
67255	Reinforce/graft eye wall		J1	5491	"$2,120.86"	23.24%	$492.89
67299	Eye surgery procedure		J1	5491	"$2,120.86"	3.09%	$65.53
67311	Revise eye muscle		J1	5503	"$2,043.70"	0.07%	$1.43
67312	Revise two eye muscles		J1	5504	"$3,376.68"	0.09%	$3.04
67314	Revise eye muscle		J1	5503	"$2,043.70"	0.02%	$0.41
67316	Revise two eye muscles		J1	5503	"$2,043.70"	0.34%	$6.95
67318	Revise eye muscle(s)		J1	5503	"$2,043.70"	1.55%	$31.68
67343	Release eye tissue		J1	5503	"$2,043.70"	2.97%	$60.70
67345	Destroy nerve of eye muscle		T	5501	$267.16	0.00%	$0.00
67346	Biopsy eye muscle		J1	5504	"$3,376.68"	0.00%	$0.00
67399	Unlisted px extraocular musc		T	5501	$267.16	0.00%	$0.00
67400	Explore/biopsy eye socket		J1	5504	"$3,376.68"	1.07%	$36.13
67405	Explore/drain eye socket		J1	5503	"$2,043.70"	0.76%	$15.53
67412	Explore/treat eye socket		J1	5503	"$2,043.70"	0.26%	$5.31
67413	Explore/treat eye socket		J1	5503	"$2,043.70"	1.68%	$34.33
67414	Explr/decompress eye socket		J1	5504	"$3,376.68"	1.89%	$63.82
67415	Aspiration orbital contents		J1	5503	"$2,043.70"	4.81%	$98.30
67420	Explore/treat eye socket		J1	5504	"$3,376.68"	3.33%	$112.44
67430	Explore/treat eye socket		J1	5504	"$3,376.68"	0.00%	$0.00
67445	Explr/decompress eye socket		J1	5504	"$3,376.68"	0.59%	$19.92
67450	Explore/biopsy eye socket		J1	5504	"$3,376.68"	1.10%	$37.14
67500	Inject/treat eye socket		T	5501	$267.16	0.33%	$0.88
67505	Inject/treat eye socket		T	5501	$267.16	0.00%	$0.00
67515	Inject/treat eye socket		T	5501	$267.16	0.02%	$0.05
67550	Insert eye socket implant		J1	5504	"$3,376.68"	21.06%	$711.13
67560	Revise eye socket implant		J1	5504	"$3,376.68"	9.03%	$304.91
67570	Decompress optic nerve		J1	5504	"$3,376.68"	1.59%	$53.69
67599	Orbit surgery procedure		T	5501	$267.16	25.64%	$68.50
67700	Drainage of eyelid abscess		T	5501	$267.16	0.00%	$0.00
67710	Incision of eyelid		T	5502	$827.06	0.52%	$4.30
67715	Incision of eyelid fold		J1	5503	"$2,043.70"	1.06%	$21.66
67800	Remove eyelid lesion		T	5501	$267.16	0.00%	$0.00
67801	Remove eyelid lesions		T	5502	$827.06	0.00%	$0.00
67805	Remove eyelid lesions		T	5501	$267.16	0.00%	$0.00
67808	Remove eyelid lesion(s)		J1	5503	"$2,043.70"	0.00%	$0.00
67810	Biopsy eyelid & lid margin		T	5501	$267.16	0.00%	$0.00
67820	Revise eyelashes		Q1	5734	$115.16	0.00%	$0.00
67825	Revise eyelashes		T	5501	$267.16	0.00%	$0.00
67830	Revise eyelashes		T	5502	$827.06	0.00%	$0.00
67835	Revise eyelashes		J1	5503	"$2,043.70"	2.81%	$57.43
67840	Remove eyelid lesion		T	5502	$827.06	0.08%	$0.66
67850	Treat eyelid lesion		T	5502	$827.06	0.12%	$0.99
67875	Closure of eyelid by suture		T	5502	$827.06	5.19%	$42.92
67880	Revision of eyelid		J1	5503	"$2,043.70"	1.37%	$28.00
67882	Revision of eyelid		J1	5503	"$2,043.70"	1.59%	$32.49
67900	Repair brow defect		J1	5503	"$2,043.70"	1.10%	$22.48
67901	Repair eyelid defect		J1	5503	"$2,043.70"	2.17%	$44.35
67902	Repair eyelid defect		J1	5504	"$3,376.68"	2.53%	$85.43
67903	Repair eyelid defect		J1	5503	"$2,043.70"	0.19%	$3.88
67904	Repair eyelid defect		J1	5503	"$2,043.70"	0.08%	$1.63
67906	Repair eyelid defect		J1	5504	"$3,376.68"	5.07%	$171.20
67908	Repair eyelid defect		J1	5503	"$2,043.70"	0.06%	$1.23
67909	Revise eyelid defect		J1	5503	"$2,043.70"	0.00%	$0.00
67911	Revise eyelid defect		J1	5503	"$2,043.70"	5.64%	$115.26
67912	Correction eyelid w/implant		J1	5503	"$2,043.70"	18.25%	$372.98
67914	Repair eyelid defect		J1	5503	"$2,043.70"	0.30%	$6.13
67915	Repair eyelid defect		J1	5503	"$2,043.70"	0.00%	$0.00
67916	Repair eyelid defect		J1	5503	"$2,043.70"	0.51%	$10.42
67917	Repair eyelid defect		J1	5503	"$2,043.70"	0.36%	$7.36
67921	Repair eyelid defect		J1	5503	"$2,043.70"	0.12%	$2.45
67922	Repair eyelid defect		J1	5503	"$2,043.70"	0.00%	$0.00
67923	Repair eyelid defect		J1	5503	"$2,043.70"	0.14%	$2.86
67924	Repair eyelid defect		J1	5503	"$2,043.70"	0.26%	$5.31
67930	Repair eyelid wound		J1	5503	"$2,043.70"	0.00%	$0.00
67935	Repair eyelid wound		J1	5503	"$2,043.70"	0.10%	$2.04
67938	Remove eyelid foreign body		T	5501	$267.16	2.28%	$6.09
67950	Revision of eyelid		J1	5503	"$2,043.70"	1.92%	$39.24
67961	Revision of eyelid		J1	5503	"$2,043.70"	0.35%	$7.15
67966	Revision of eyelid		J1	5503	"$2,043.70"	0.10%	$2.04
67971	Reconstruction of eyelid		J1	5503	"$2,043.70"	0.82%	$16.76
67973	Reconstruction of eyelid		J1	5503	"$2,043.70"	1.11%	$22.69
67974	Reconstruction of eyelid		J1	5504	"$3,376.68"	1.46%	$49.30
67975	Reconstruction of eyelid		J1	5503	"$2,043.70"	2.52%	$51.50
67999	Revision of eyelid		T	5501	$267.16	5.07%	$13.55
68020	Incise/drain eyelid lining		T	5502	$827.06	0.00%	$0.00
68040	Treatment of eyelid lesions		T	5501	$267.16	0.00%	$0.00
68100	Biopsy of eyelid lining		J1	5503	"$2,043.70"	2.50%	$51.09
68110	Remove eyelid lining lesion		J1	5503	"$2,043.70"	5.70%	$116.49
68115	Remove eyelid lining lesion		J1	5503	"$2,043.70"	8.82%	$180.25
68130	Remove eyelid lining lesion		J1	5503	"$2,043.70"	11.20%	$228.89
68135	Remove eyelid lining lesion		J1	5503	"$2,043.70"	4.90%	$100.14
68200	Treat eyelid by injection		Q1	5735	$277.18	0.25%	$0.69
68320	Revise/graft eyelid lining		J1	5503	"$2,043.70"	3.99%	$81.54
68325	Revise/graft eyelid lining		J1	5504	"$3,376.68"	7.20%	$243.12
68326	Revise/graft eyelid lining		J1	5504	"$3,376.68"	5.37%	$181.33
68328	Revise/graft eyelid lining		J1	5503	"$2,043.70"	5.82%	$118.94
68330	Revise eyelid lining		J1	5491	"$2,120.86"	4.93%	$104.56
68335	Revise/graft eyelid lining		J1	5504	"$3,376.68"	14.86%	$501.77
68340	Separate eyelid adhesions		J1	5503	"$2,043.70"	9.22%	$188.43
68360	Revise eyelid lining		J1	5504	"$3,376.68"	4.21%	$142.16
68362	Revise eyelid lining		J1	5503	"$2,043.70"	6.49%	$132.64
68371	Harvest eye tissue alograft		J1	5503	"$2,043.70"	5.03%	$102.80
68399	Eyelid lining surgery		T	5501	$267.16	2.63%	$7.03
68400	Incise/drain tear gland		T	5502	$827.06	0.00%	$0.00
68420	Incise/drain tear sac		J1	5503	"$2,043.70"	0.48%	$9.81
68440	Incise tear duct opening		T	5501	$267.16	0.16%	$0.43
68500	Removal of tear gland		J1	5504	"$3,376.68"	0.00%	$0.00
68505	Partial removal tear gland		J1	5504	"$3,376.68"	0.47%	$15.87
68510	Biopsy of tear gland		J1	5503	"$2,043.70"	0.00%	$0.00
68520	Removal of tear sac		J1	5504	"$3,376.68"	1.86%	$62.81
68525	Biopsy of tear sac		J1	5503	"$2,043.70"	2.28%	$46.60
68530	Clearance of tear duct		T	5501	$267.16	0.41%	$1.10
68540	Remove tear gland lesion		J1	5503	"$2,043.70"	0.00%	$0.00
68550	Remove tear gland lesion		J1	5504	"$3,376.68"	0.00%	$0.00
68700	Repair tear ducts		J1	5503	"$2,043.70"	2.68%	$54.77
68705	Revise tear duct opening		T	5501	$267.16	0.00%	$0.00
68720	Create tear sac drain		J1	5504	"$3,376.68"	2.16%	$72.94
68745	Create tear duct drain		J1	5504	"$3,376.68"	0.96%	$32.42
68750	Create tear duct drain		J1	5504	"$3,376.68"	5.78%	$195.17
68760	Close tear duct opening		T	5501	$267.16	0.00%	$0.00
68761	Close tear duct opening		T	5501	$267.16	0.89%	$2.38
68770	Close tear system fistula		J1	5503	"$2,043.70"	0.00%	$0.00
68801	Dilate tear duct opening		Q1	5735	$277.18	0.34%	$0.94
68810	Probe nasolacrimal duct		T	5501	$267.16	0.00%	$0.00
68811	Probe nasolacrimal duct		J1	5503	"$2,043.70"	0.82%	$16.76
68815	Probe nasolacrimal duct		J1	5503	"$2,043.70"	6.02%	$123.03
68816	Probe nl duct w/balloon		J1	5503	"$2,043.70"	7.62%	$155.73
68840	Explore/irrigate tear ducts		T	5501	$267.16	0.11%	$0.29
68899	Tear duct system surgery		T	5501	$267.16	1.57%	$4.19
69000	Drain external ear lesion		T	5071	$635.54	0.16%	$1.02
69005	Drain external ear lesion		J1	5072	"$1,436.99"	0.00%	$0.00
69020	Drain outer ear canal lesion		T	5071	$635.54	0.00%	$0.00
69100	Biopsy of external ear		T	5161	$216.07	0.00%	$0.00
69105	Biopsy of external ear canal		J1	5163	"$1,381.54"	0.21%	$2.90
69110	Remove external ear partial		J1	5073	"$2,421.55"	0.32%	$7.75
69120	Removal of external ear		J1	5165	"$5,194.27"	0.02%	$1.04
69140	Remove ear canal lesion(s)		J1	5165	"$5,194.27"	1.70%	$88.30
69145	Remove ear canal lesion(s)		J1	5073	"$2,421.55"	0.20%	$4.84
69150	Extensive ear canal surgery		J1	5165	"$5,194.27"	0.09%	$4.67
69200	Clear outer ear canal		Q1	5734	$115.16	0.00%	$0.00
69205	Clear outer ear canal		J1	5072	"$1,436.99"	0.74%	$10.63
69209	Remove impacted ear wax uni		Q1	5733	$56.85	0.00%	$0.00
69210	Remove impacted ear wax uni		Q1	5733	$56.85	0.00%	$0.00
69220	Clean out mastoid cavity		Q1	5051	$183.40	0.00%	$0.00
69222	Clean out mastoid cavity		T	5162	$461.90	0.00%	$0.00
69300	Revise external ear		J1	5164	"$2,793.98"	0.02%	$0.56
69310	Rebuild outer ear canal		J1	5165	"$5,194.27"	2.03%	$105.44
69320	Rebuild outer ear canal		J1	5165	"$5,194.27"	3.27%	$169.85
69399	Outer ear surgery procedure		T	5161	$216.07	5.43%	$11.73
69420	Incision of eardrum		T	5161	$216.07	0.02%	$0.04
69421	Incision of eardrum		J1	5164	"$2,793.98"	8.91%	$248.94
69424	Remove ventilating tube		Q2	5164	"$2,793.98"	0.87%	$24.31
69433	Create eardrum opening		T	5162	$461.90	0.15%	$0.69
69436	Create eardrum opening		J1	5163	"$1,381.54"	4.47%	$61.75
69440	Exploration of middle ear		J1	5164	"$2,793.98"	1.54%	$43.03
69450	Eardrum revision		J1	5164	"$2,793.98"	1.14%	$31.85
69501	Mastoidectomy		J1	5165	"$5,194.27"	2.86%	$148.56
69502	Mastoidectomy		J1	5165	"$5,194.27"	5.37%	$278.93
69505	Remove mastoid structures		J1	5165	"$5,194.27"	0.72%	$37.40
69511	Extensive mastoid surgery		J1	5165	"$5,194.27"	2.83%	$147.00
69530	Extensive mastoid surgery		J1	5165	"$5,194.27"	2.74%	$142.32
69540	Remove ear lesion		J1	5163	"$1,381.54"	0.05%	$0.69
69550	Remove ear lesion		J1	5165	"$5,194.27"	2.01%	$104.40
69552	Remove ear lesion		J1	5165	"$5,194.27"	1.49%	$77.39
69601	Mastoid surgery revision		J1	5165	"$5,194.27"	1.21%	$62.85
69602	Mastoid surgery revision		J1	5165	"$5,194.27"	2.54%	$131.93
69603	Mastoid surgery revision		J1	5165	"$5,194.27"	0.85%	$44.15
69604	Mastoid surgery revision		J1	5165	"$5,194.27"	3.77%	$195.82
69610	Repair of eardrum		J1	5163	"$1,381.54"	2.08%	$28.74
69620	Repair of eardrum		J1	5164	"$2,793.98"	2.65%	$74.04
69631	Repair eardrum structures		J1	5165	"$5,194.27"	2.67%	$138.69
69632	Rebuild eardrum structures		J1	5165	"$5,194.27"	8.42%	$437.36
69633	Rebuild eardrum structures		J1	5165	"$5,194.27"	12.07%	$626.95
69635	Repair eardrum structures		J1	5165	"$5,194.27"	1.61%	$83.63
69636	Rebuild eardrum structures		J1	5165	"$5,194.27"	6.73%	$349.57
69637	Rebuild eardrum structures		J1	5165	"$5,194.27"	12.97%	$673.70
69641	Revise middle ear & mastoid		J1	5165	"$5,194.27"	2.16%	$112.20
69642	Revise middle ear & mastoid		J1	5165	"$5,194.27"	5.95%	$309.06
69643	Revise middle ear & mastoid		J1	5165	"$5,194.27"	2.54%	$131.93
69644	Revise middle ear & mastoid		J1	5165	"$5,194.27"	6.66%	$345.94
69645	Revise middle ear & mastoid		J1	5165	"$5,194.27"	2.38%	$123.62
69646	Revise middle ear & mastoid		J1	5165	"$5,194.27"	6.65%	$345.42
69650	Release middle ear bone		J1	5164	"$2,793.98"	1.54%	$43.03
69660	Revise middle ear bone		J1	5165	"$5,194.27"	9.81%	$509.56
69661	Revise middle ear bone		J1	5165	"$5,194.27"	8.12%	$421.77
69662	Revise middle ear bone		J1	5165	"$5,194.27"	10.83%	$562.54
69666	Repair middle ear structures		J1	5164	"$2,793.98"	0.94%	$26.26
69667	Repair middle ear structures		J1	5164	"$2,793.98"	0.08%	$2.24
69670	Remove mastoid air cells		J1	5165	"$5,194.27"	4.66%	$242.05
69676	Remove middle ear nerve		J1	5164	"$2,793.98"	2.81%	$78.51
69700	Close mastoid fistula		J1	5163	"$1,381.54"	0.00%	$0.00
69711	Remove/repair hearing aid		J1	5164	"$2,793.98"	9.28%	$259.28
69714	Impltj oi implt skl perq esp		J1	5115	"$12,593.29"	64.13%	"$8,076.08"
69715	Temple bne implnt w/stimulat		D			55.49%	
69717	Revj/rplcmt oi implt prq esp		J1	5114	"$6,397.05"	60.72%	"$3,884.29"
69720	Release facial nerve		J1	5165	"$5,194.27"	0.00%	$0.00
69725	Release facial nerve		J1	5165	"$5,194.27"	0.00%	$0.00
69799	Middle ear surgery procedure		T	5161	$216.07	22.85%	$49.37
69801	Incise inner ear		J1	5163	"$1,381.54"	0.04%	$0.55
69805	Explore inner ear		J1	5165	"$5,194.27"	2.23%	$115.83
69806	Explore inner ear		J1	5165	"$5,194.27"	5.43%	$282.05
69905	Remove inner ear		J1	5165	"$5,194.27"	1.49%	$77.39
69910	Remove inner ear & mastoid		J1	5165	"$5,194.27"	2.06%	$107.00
69930	Implant cochlear device		J1	5166	"$35,202.61"	81.32%	"$28,626.76"
69949	Inner ear surgery procedure		T	5161	$216.07	2.98%	$6.44
69955	Release facial nerve		J1	5165	"$5,194.27"	0.24%	$12.47
69960	Release inner ear canal		J1	5165	"$5,194.27"	13.87%	$720.45
69970	Remove inner ear lesion		J1	5165	"$5,194.27"	0.67%	$34.80
69979	Temporal bone surgery		T	5161	$216.07	0.00%	$0.00
70010	Contrast x-ray of brain		Q2	5572	$376.09	0.00%	$0.00
70015	Contrast x-ray of brain		Q2	5573	$730.67	0.00%	$0.00
70030	X-ray eye for foreign body		Q1	5521	$82.61	0.00%	$0.00
70100	X-ray exam of jaw <4views		Q1	5521	$82.61	0.08%	$0.07
70110	X-ray exam of jaw 4/> views		Q1	5522	$111.19	0.00%	$0.00
70120	X-ray exam of mastoids		Q1	5522	$111.19	0.00%	$0.00
70130	X-ray exam of mastoids		Q1	5522	$111.19	0.01%	$0.01
70134	X-ray exam of middle ear		Q1	5524	$493.48	0.00%	$0.00
70140	X-ray exam of facial bones		Q1	5521	$82.61	0.00%	$0.00
70150	X-ray exam of facial bones		Q1	5522	$111.19	0.00%	$0.00
70160	X-ray exam of nasal bones		Q1	5521	$82.61	0.00%	$0.00
70170	X-ray exam of tear duct		Q2	5523	$235.00	2.40%	$5.64
70190	X-ray exam of eye sockets		Q1	5521	$82.61	0.00%	$0.00
70200	X-ray exam of eye sockets		Q1	5522	$111.19	0.00%	$0.00
70210	X-ray exam of sinuses		Q1	5521	$82.61	0.00%	$0.00
70220	X-ray exam of sinuses		Q1	5521	$82.61	0.00%	$0.00
70240	X-ray exam pituitary saddle		Q1	5521	$82.61	0.00%	$0.00
70250	X-ray exam of skull		Q1	5522	$111.19	0.03%	$0.03
70260	X-ray exam of skull		Q1	5522	$111.19	0.00%	$0.00
70300	X-ray exam of teeth		Q1	5521	$82.61	0.00%	$0.00
70310	X-ray exam of teeth		Q1	5523	$235.00	0.03%	$0.07
70320	Full mouth x-ray of teeth		Q1	5523	$235.00	0.15%	$0.35
70328	X-ray exam of jaw joint		Q1	5521	$82.61	0.00%	$0.00
70330	X-ray exam of jaw joints		Q1	5521	$82.61	0.00%	$0.00
70332	X-ray exam of jaw joint		Q2	5523	$235.00	0.00%	$0.00
70336	Magnetic image jaw joint		Q3	5523	$235.00	0.00%	$0.00
70350	X-ray head for orthodontia		Q1	5521	$82.61	0.00%	$0.00
70355	Panoramic x-ray of jaws		Q1	5521	$82.61	0.00%	$0.00
70360	X-ray exam of neck		Q1	5521	$82.61	0.00%	$0.00
70370	Throat x-ray & fluoroscopy		Q1	5521	$82.61	0.00%	$0.00
70371	Speech evaluation complex		Q1	5523	$235.00	0.00%	$0.00
70380	X-ray exam of salivary gland		Q1	5521	$82.61	0.00%	$0.00
70390	X-ray exam of salivary duct		Q2	5523	$235.00	1.97%	$4.63
70450	Ct head/brain w/o dye		Q3	5522	$111.19	0.00%	$0.00
70460	Ct head/brain w/dye		Q3	5571	$182.43	0.02%	$0.04
70470	Ct head/brain w/o & w/dye		Q3	5571	$182.43	0.03%	$0.05
70480	Ct orbit/ear/fossa w/o dye		Q3	5522	$111.19	0.00%	$0.00
70481	Ct orbit/ear/fossa w/dye		Q3	5571	$182.43	0.07%	$0.13
70482	Ct orbit/ear/fossa w/o&w/dye		Q3	5571	$182.43	0.01%	$0.02
70486	Ct maxillofacial w/o dye		Q3	5522	$111.19	0.00%	$0.00
70487	Ct maxillofacial w/dye		Q3	5571	$182.43	0.03%	$0.05
70488	Ct maxillofacial w/o & w/dye		Q3	5571	$182.43	0.00%	$0.00
70490	Ct soft tissue neck w/o dye		Q3	5522	$111.19	0.00%	$0.00
70491	Ct soft tissue neck w/dye		Q3	5571	$182.43	0.03%	$0.05
70492	Ct sft tsue nck w/o & w/dye		Q3	5571	$182.43	0.06%	$0.11
70496	Ct angiography head		Q3	5571	$182.43	0.05%	$0.09
70498	Ct angiography neck		Q3	5571	$182.43	0.09%	$0.16
70540	Mri orbit/face/neck w/o dye		Q3	5523	$235.00	0.00%	$0.00
70542	Mri orbit/face/neck w/dye		Q3	5572	$376.09	0.00%	$0.00
70543	Mri orbt/fac/nck w/o &w/dye		Q3	5572	$376.09	0.00%	$0.00
70544	Mr angiography head w/o dye		Q3	5523	$235.00	0.00%	$0.00
70545	Mr angiography head w/dye		Q3	5572	$376.09	0.00%	$0.00
70546	Mr angiograph head w/o&w/dye		Q3	5572	$376.09	0.00%	$0.00
70547	Mr angiography neck w/o dye		Q3	5523	$235.00	0.00%	$0.00
70548	Mr angiography neck w/dye		Q3	5572	$376.09	0.03%	$0.11
70549	Mr angiograph neck w/o&w/dye		Q3	5572	$376.09	0.00%	$0.00
70551	Mri brain stem w/o dye		Q3	5523	$235.00	0.00%	$0.00
70552	Mri brain stem w/dye		Q3	5572	$376.09	0.02%	$0.08
70553	Mri brain stem w/o & w/dye		Q3	5572	$376.09	0.00%	$0.00
70554	Fmri brain by tech		Q3	5523	$235.00	0.00%	$0.00
70555	Fmri brain by phys/psych		S	5523	$235.00	0.00%	$0.00
70557	Mri brain w/o dye		S	5524	$493.48	0.00%	$0.00
70558	Mri brain w/dye		S	5571	$182.43	25.44%	$46.41
70559	Mri brain w/o & w/dye		S	5571	$182.43	0.00%	$0.00
71045	X-ray exam chest 1 view		Q3	5521	$82.61	0.81%	$0.67
71046	X-ray exam chest 2 views		Q3	5521	$82.61	0.01%	$0.01
71047	X-ray exam chest 3 views		Q1	5521	$82.61	0.00%	$0.00
71048	X-ray exam chest 4+ views		Q1	5522	$111.19	0.00%	$0.00
71100	X-ray exam ribs uni 2 views		Q1	5521	$82.61	0.00%	$0.00
71101	X-ray exam unilat ribs/chest		Q1	5522	$111.19	0.00%	$0.00
71110	X-ray exam ribs bil 3 views		Q1	5522	$111.19	0.00%	$0.00
71111	X-ray exam ribs/chest4/> vws		Q1	5522	$111.19	0.00%	$0.00
71120	X-ray exam breastbone 2/>vws		Q1	5521	$82.61	0.00%	$0.00
71130	X-ray strenoclavic jt 3/>vws		Q1	5521	$82.61	0.00%	$0.00
71250	Ct thorax dx c-		Q3	5522	$111.19	0.00%	$0.00
71260	Ct thorax dx c+		Q3	5571	$182.43	0.04%	$0.07
71270	Ct thorax dx c-/c+		Q3	5571	$182.43	0.08%	$0.15
71275	Ct angiography chest		Q3	5571	$182.43	0.07%	$0.13
71550	Mri chest w/o dye		Q3	5523	$235.00	0.00%	$0.00
71551	Mri chest w/dye		Q3	5573	$730.67	0.00%	$0.00
71552	Mri chest w/o & w/dye		Q3	5572	$376.09	0.01%	$0.04
72020	X-ray exam of spine 1 view		Q1	5521	$82.61	0.24%	$0.20
72040	X-ray exam neck spine 2-3 vw		Q1	5521	$82.61	0.00%	$0.00
72050	X-ray exam neck spine 4/5vws		Q1	5522	$111.19	0.00%	$0.00
72052	X-ray exam neck spine 6/>vws		Q1	5522	$111.19	0.00%	$0.00
72070	X-ray exam thorac spine 2vws		Q1	5522	$111.19	0.00%	$0.00
72072	X-ray exam thorac spine 3vws		Q1	5522	$111.19	0.00%	$0.00
72074	X-ray exam thorac spine4/>vw		Q1	5522	$111.19	0.00%	$0.00
72080	X-ray exam thoracolmb 2/> vw		Q1	5521	$82.61	0.00%	$0.00
72081	X-ray exam entire spi 1 vw		Q1	5521	$82.61	0.00%	$0.00
72082	X-ray exam entire spi 2/3 vw		Q1	5522	$111.19	0.01%	$0.01
72083	X-ray exam entire spi 4/5 vw		S	5522	$111.19	0.00%	$0.00
72084	X-ray exam entire spi 6/> vw		S	5522	$111.19	0.00%	$0.00
72100	X-ray exam l-s spine 2/3 vws		Q1	5522	$111.19	0.00%	$0.00
72110	X-ray exam l-2 spine 4/>vws		Q1	5522	$111.19	0.00%	$0.00
72114	X-ray exam l-s spine bending		Q1	5522	$111.19	0.00%	$0.00
72120	X-ray bend only l-s spine		Q1	5522	$111.19	0.00%	$0.00
72125	Ct neck spine w/o dye		Q3	5522	$111.19	0.00%	$0.00
72126	Ct neck spine w/dye		Q3	5572	$376.09	0.10%	$0.38
72127	Ct neck spine w/o & w/dye		Q3	5571	$182.43	0.00%	$0.00
72128	Ct chest spine w/o dye		Q3	5522	$111.19	0.00%	$0.00
72129	Ct chest spine w/dye		Q3	5571	$182.43	0.05%	$0.09
72130	Ct chest spine w/o & w/dye		Q3	5571	$182.43	0.00%	$0.00
72131	Ct lumbar spine w/o dye		Q3	5522	$111.19	0.00%	$0.00
72132	Ct lumbar spine w/dye		Q3	5572	$376.09	0.08%	$0.30
72133	Ct lumbar spine w/o & w/dye		Q3	5571	$182.43	0.00%	$0.00
72141	Mri neck spine w/o dye		Q3	5523	$235.00	0.00%	$0.00
72142	Mri neck spine w/dye		Q3	5572	$376.09	0.00%	$0.00
72146	Mri chest spine w/o dye		Q3	5523	$235.00	0.00%	$0.00
72147	Mri chest spine w/dye		Q3	5572	$376.09	0.02%	$0.08
72148	Mri lumbar spine w/o dye		Q3	5523	$235.00	0.00%	$0.00
72149	Mri lumbar spine w/dye		Q3	5572	$376.09	0.03%	$0.11
72156	Mri neck spine w/o & w/dye		Q3	5572	$376.09	0.00%	$0.00
72157	Mri chest spine w/o & w/dye		Q3	5572	$376.09	0.00%	$0.00
72158	Mri lumbar spine w/o & w/dye		Q3	5572	$376.09	0.00%	$0.00
72170	X-ray exam of pelvis		Q1	5522	$111.19	0.02%	$0.02
72190	X-ray exam of pelvis		Q1	5522	$111.19	0.00%	$0.00
72191	Ct angiograph pelv w/o&w/dye		Q3	5571	$182.43	0.47%	$0.86
72192	Ct pelvis w/o dye		Q3	5522	$111.19	0.01%	$0.01
72193	Ct pelvis w/dye		Q3	5571	$182.43	0.05%	$0.09
72194	Ct pelvis w/o & w/dye		Q3	5571	$182.43	0.02%	$0.04
72195	Mri pelvis w/o dye		Q3	5523	$235.00	0.06%	$0.14
72196	Mri pelvis w/dye		Q3	5572	$376.09	0.00%	$0.00
72197	Mri pelvis w/o & w/dye		Q3	5572	$376.09	0.75%	$2.82
72200	X-ray exam si joints		Q1	5522	$111.19	0.00%	$0.00
72202	X-ray exam si joints 3/> vws		Q1	5522	$111.19	0.00%	$0.00
72220	X-ray exam sacrum tailbone		Q1	5521	$82.61	0.01%	$0.01
72240	Myelography neck spine		Q2	5573	$730.67	0.00%	$0.00
72255	Myelography thoracic spine		Q2	5573	$730.67	0.00%	$0.00
72265	Myelography l-s spine		Q2	5573	$730.67	0.11%	$0.80
72270	Myelogphy 2/> spine regions		Q2	5573	$730.67	0.00%	$0.00
72285	Discography cerv/thor spine		Q2	5431	"$1,793.31"	0.00%	$0.00
72295	X-ray of lower spine disk		Q2	5431	"$1,793.31"	0.31%	$5.56
73000	X-ray exam of collar bone		Q1	5521	$82.61	0.00%	$0.00
73010	X-ray exam of shoulder blade		Q1	5522	$111.19	0.00%	$0.00
73020	X-ray exam of shoulder		Q1	5521	$82.61	0.12%	$0.10
73030	X-ray exam of shoulder		Q1	5521	$82.61	0.00%	$0.00
73040	Contrast x-ray of shoulder		Q2	5572	$376.09	0.01%	$0.04
73050	X-ray exam of shoulders		Q1	5521	$82.61	0.00%	$0.00
73060	X-ray exam of humerus		Q1	5521	$82.61	0.00%	$0.00
73070	X-ray exam of elbow		Q1	5521	$82.61	0.01%	$0.01
73080	X-ray exam of elbow		Q1	5521	$82.61	0.00%	$0.00
73085	Contrast x-ray of elbow		Q2	5572	$376.09	0.00%	$0.00
73090	X-ray exam of forearm		Q1	5521	$82.61	0.00%	$0.00
73100	X-ray exam of wrist		Q1	5521	$82.61	0.00%	$0.00
73110	X-ray exam of wrist		Q1	5521	$82.61	0.00%	$0.00
73115	Contrast x-ray of wrist		Q2	5572	$376.09	0.00%	$0.00
73120	X-ray exam of hand		Q1	5522	$111.19	0.01%	$0.01
73130	X-ray exam of hand		Q1	5521	$82.61	0.00%	$0.00
73140	X-ray exam of finger(s)		Q1	5521	$82.61	0.00%	$0.00
73200	Ct upper extremity w/o dye		Q3	5522	$111.19	0.00%	$0.00
73201	Ct upper extremity w/dye		Q3	5572	$376.09	0.02%	$0.08
73202	Ct uppr extremity w/o&w/dye		Q3	5571	$182.43	0.26%	$0.47
73206	Ct angio upr extrm w/o&w/dye		Q3	5571	$182.43	0.57%	$1.04
73218	Mri upper extremity w/o dye		Q3	5523	$235.00	0.00%	$0.00
73219	Mri upper extremity w/dye		Q3	5572	$376.09	0.06%	$0.23
73220	Mri uppr extremity w/o&w/dye		Q3	5572	$376.09	0.00%	$0.00
73221	Mri joint upr extrem w/o dye		Q3	5523	$235.00	0.00%	$0.00
73222	Mri joint upr extrem w/dye		Q3	5573	$730.67	0.05%	$0.37
73223	Mri joint upr extr w/o&w/dye		Q3	5572	$376.09	0.00%	$0.00
73501	X-ray exam hip uni 1 view		Q1	5521	$82.61	0.02%	$0.02
73502	X-ray exam hip uni 2-3 views		Q1	5521	$82.61	0.00%	$0.00
73503	X-ray exam hip uni 4/> views		Q1	5522	$111.19	0.00%	$0.00
73521	X-ray exam hips bi 2 views		Q1	5522	$111.19	0.01%	$0.01
73522	X-ray exam hips bi 3-4 views		Q1	5522	$111.19	0.00%	$0.00
73523	X-ray exam hips bi 5/> views		S	5522	$111.19	0.00%	$0.00
73525	Contrast x-ray of hip		Q2	5572	$376.09	0.18%	$0.68
73551	X-ray exam of femur 1		Q1	5521	$82.61	0.00%	$0.00
73552	X-ray exam of femur 2/>		Q1	5521	$82.61	0.00%	$0.00
73560	X-ray exam of knee 1 or 2		Q1	5521	$82.61	0.01%	$0.01
73562	X-ray exam of knee 3		Q1	5521	$82.61	0.00%	$0.00
73564	X-ray exam knee 4 or more		Q1	5522	$111.19	0.00%	$0.00
73565	X-ray exam of knees		Q1	5521	$82.61	0.00%	$0.00
73580	Contrast x-ray of knee joint		Q2	5572	$376.09	0.00%	$0.00
73590	X-ray exam of lower leg		Q1	5521	$82.61	0.00%	$0.00
73600	X-ray exam of ankle		Q1	5521	$82.61	0.00%	$0.00
73610	X-ray exam of ankle		Q1	5521	$82.61	0.00%	$0.00
73615	Contrast x-ray of ankle		Q2	5572	$376.09	0.00%	$0.00
73620	X-ray exam of foot		Q1	5521	$82.61	0.02%	$0.02
73630	X-ray exam of foot		Q1	5521	$82.61	0.00%	$0.00
73650	X-ray exam of heel		Q1	5521	$82.61	0.00%	$0.00
73660	X-ray exam of toe(s)		Q1	5521	$82.61	0.00%	$0.00
73700	Ct lower extremity w/o dye		Q3	5522	$111.19	0.00%	$0.00
73701	Ct lower extremity w/dye		Q3	5571	$182.43	0.08%	$0.15
73702	Ct lwr extremity w/o&w/dye		Q3	5571	$182.43	0.00%	$0.00
73706	Ct angio lwr extr w/o&w/dye		Q3	5571	$182.43	0.10%	$0.18
73718	Mri lower extremity w/o dye		Q3	5523	$235.00	0.00%	$0.00
73719	Mri lower extremity w/dye		Q3	5572	$376.09	0.00%	$0.00
73720	Mri lwr extremity w/o&w/dye		Q3	5572	$376.09	0.01%	$0.04
73721	Mri jnt of lwr extre w/o dye		Q3	5523	$235.00	0.00%	$0.00
73722	Mri joint of lwr extr w/dye		Q3	5573	$730.67	0.00%	$0.00
73723	Mri joint lwr extr w/o&w/dye		Q3	5572	$376.09	0.00%	$0.00
74018	X-ray exam abdomen 1 view		Q1	5521	$82.61	0.02%	$0.02
74019	X-ray exam abdomen 2 views		Q1	5522	$111.19	0.01%	$0.01
74021	X-ray exam abdomen 3+ views		Q1	5522	$111.19	0.01%	$0.01
74022	X-ray exam complete abdomen		Q1	5522	$111.19	0.03%	$0.03
74150	Ct abdomen w/o dye		Q3	5522	$111.19	0.04%	$0.04
74160	Ct abdomen w/dye		Q3	5571	$182.43	0.06%	$0.11
74170	Ct abdomen w/o & w/dye		Q3	5571	$182.43	0.06%	$0.11
74174	Ct angio abd&pelv w/o&w/dye		S	5572	$376.09	0.07%	$0.26
74175	Ct angio abdom w/o & w/dye		Q3	5571	$182.43	0.09%	$0.16
74176	Ct abd & pelvis w/o contrast		Q3	5523	$235.00	0.03%	$0.07
74177	Ct abd & pelv w/contrast		Q3	5572	$376.09	0.04%	$0.15
74178	Ct abd & pelv 1/> regns		Q3	5572	$376.09	0.04%	$0.15
74181	Mri abdomen w/o dye		Q3	5523	$235.00	0.02%	$0.05
74182	Mri abdomen w/dye		Q3	5572	$376.09	0.08%	$0.30
74183	Mri abdomen w/o & w/dye		Q3	5572	$376.09	0.01%	$0.04
74190	X-ray exam of peritoneum		Q2	5524	$493.48	16.65%	$82.16
74210	X-ray xm phrnx&/crv esoph c+		Q1	5571	$182.43	0.00%	$0.00
74220	X-ray xm esophagus 1cntrst		Q1	5571	$182.43	0.00%	$0.00
74230	X-ray xm swlng funcj c+		Q1	5571	$182.43	0.01%	$0.02
74240	X-ray xm upr gi trc 1cntrst		Q1	5571	$182.43	0.02%	$0.04
74246	X-ray xm upr gi trc 2cntrst		Q1	5571	$182.43	0.00%	$0.00
74250	X-ray xm sm int 1cntrst std		Q1	5571	$182.43	0.01%	$0.02
74251	X-ray xm sm int 2cntrst std		Q1	5571	$182.43	0.00%	$0.00
74261	Ct colonography dx		Q3	5522	$111.19	0.00%	$0.00
74262	Ct colonography dx w/dye		Q3	5571	$182.43	0.00%	$0.00
74270	X-ray xm colon 1cntrst std		Q1	5571	$182.43	0.01%	$0.02
74280	X-ray xm colon 2cntrst std		Q1	5571	$182.43	0.00%	$0.00
74283	Ther nma rdctj intus/obstrcj		S	5571	$182.43	0.00%	$0.00
74290	Contrast x-ray gallbladder		Q1	5571	$182.43	0.00%	$0.00
74400	Urography iv +-kub tomog		S	5571	$182.43	0.01%	$0.02
74410	Urography nfs drip&/bolus		S	5571	$182.43	0.00%	$0.00
74415	Urography nfs drip&/bls w/nf		S	5571	$182.43	0.00%	$0.00
74420	Urography rtrgr +-kub		S	5572	$376.09	11.19%	$42.08
74425	Urography antegrade rs&i		Q2	5572	$376.09	3.51%	$13.20
74430	Contrast x-ray bladder		Q2	5572	$376.09	0.16%	$0.60
74450	X-ray urethra/bladder		Q2	5523	$235.00	0.74%	$1.74
74455	X-ray urethra/bladder		Q2	5523	$235.00	0.11%	$0.26
74470	X-ray exam of kidney lesion		Q2	5524	$493.48	4.25%	$20.97
74485	Dilation urtr/urt rs&i		Q2	5373	"$1,828.65"	16.15%	$295.33
74712	Mri fetal sngl/1st gestation		S	5523	$235.00	0.00%	$0.00
74740	X-ray female genital tract		Q2	5523	$235.00	0.86%	$2.02
74775	X-ray exam of perineum		S	5523	$235.00	0.55%	$1.29
75557	Cardiac mri for morph		Q3	5523	$235.00	0.00%	$0.00
75559	Cardiac mri w/stress img		Q3	5524	$493.48	0.00%	$0.00
75561	Cardiac mri for morph w/dye		Q3	5572	$376.09	0.00%	$0.00
75563	Card mri w/stress img & dye		Q3	5573	$730.67	0.00%	$0.00
75571	Ct hrt w/o dye w/ca test		Q1	5521	$82.61	0.00%	$0.00
75572	Ct hrt w/3d image		S	5571	$182.43	0.07%	$0.13
75573	Ct hrt c+ strux cgen hrt ds		S	5571	$182.43	0.10%	$0.18
75574	Ct angio hrt w/3d image		S	5571	$182.43	0.04%	$0.07
75600	Contrast exam thoracic aorta		Q2	5183	"$2,923.63"	12.20%	$356.68
75605	Contrast exam thoracic aorta		Q2	5184	"$4,870.25"	17.59%	$856.68
75625	Contrast exam abdominl aorta		Q2	5183	"$2,923.63"	16.58%	$484.74
75630	X-ray aorta leg arteries		Q2	5183	"$2,923.63"	18.48%	$540.29
75635	Ct angio abdominal arteries		Q2	5571	$182.43	0.09%	$0.16
75705	Artery x-rays spine		Q2	5184	"$4,870.25"	7.19%	$350.17
75710	Artery x-rays arm/leg		Q2	5183	"$2,923.63"	24.76%	$723.89
75716	Artery x-rays arms/legs		Q2	5183	"$2,923.63"	20.73%	$606.07
75726	Artery x-rays abdomen		Q2	5184	"$4,870.25"	23.37%	"$1,138.18"
75731	Artery x-rays adrenal gland		J1	5183	"$2,923.63"	5.41%	$158.17
75733	Artery x-rays adrenals		Q2	5183	"$2,923.63"	3.41%	$99.70
75736	Artery x-rays pelvis		Q2	5184	"$4,870.25"	23.20%	"$1,129.90"
75741	Artery x-rays lung		Q2	5183	"$2,923.63"	32.21%	$941.70
75743	Artery x-rays lungs		Q2	5183	"$2,923.63"	13.32%	$389.43
75746	Artery x-rays lung		J1	5183	"$2,923.63"	24.68%	$721.55
75756	Artery x-rays chest		Q2	5183	"$2,923.63"	34.33%	"$1,003.68"
75801	Lymph vessel x-ray arm/leg		Q2	5181	$552.04	0.65%	$3.59
75803	Lymph vessel x-ray arms/legs		J1	5182	"$1,436.16"	0.37%	$5.31
75805	Lymph vessel x-ray trunk		J1	5183	"$2,923.63"	10.57%	$309.03
75807	Lymph vessel x-ray trunk		Q2	5183	"$2,923.63"	23.32%	$681.79
75809	Nonvascular shunt x-ray		Q2	5522	$111.19	0.28%	$0.31
75810	Vein x-ray spleen/liver		J1	5183	"$2,923.63"	15.34%	$448.48
75820	Vein x-ray arm/leg		Q2	5182	"$1,436.16"	13.11%	$188.28
75822	Vein x-ray arms/legs		J1	5182	"$1,436.16"	7.17%	$102.97
75825	Vein x-ray trunk		Q2	5183	"$2,923.63"	26.78%	$782.95
75827	Vein x-ray chest		Q2	5182	"$1,436.16"	13.91%	$199.77
75831	Vein x-ray kidney		Q2	5183	"$2,923.63"	32.56%	$951.93
75833	Vein x-ray kidneys		Q2	5183	"$2,923.63"	22.43%	$655.77
75842	Vein x-ray adrenal glands		Q2	5184	"$4,870.25"	15.73%	$766.09
75860	Vein x-ray neck		Q2	5183	"$2,923.63"	22.47%	$656.94
75870	Vein x-ray skull		J1	5183	"$2,923.63"	33.68%	$984.68
75885	Vein x-ray liver w/hemodynam		Q2	5183	"$2,923.63"	14.66%	$428.60
75887	Vein x-ray liver w/o hemodyn		J1	5183	"$2,923.63"	13.98%	$408.72
75889	Vein x-ray liver w/hemodynam		Q2	5183	"$2,923.63"	17.29%	$505.50
75891	Vein x-ray liver		Q2	5183	"$2,923.63"	19.59%	$572.74
75893	Venous sampling by catheter		Q2	5184	"$4,870.25"	17.42%	$848.40
75898	Follow-up angiography		J1	5183	"$2,923.63"	47.45%	"$1,387.26"
76000	Fluoroscopy <1 hr phys/qhp		S	5523	$235.00	10.42%	$24.49
76010	X-ray nose to rectum		Q1	5521	$82.61	0.00%	$0.00
76080	X-ray exam of fistula		Q2	5524	$493.48	2.36%	$11.65
76098	X-ray exam surgical specimen		Q2	5524	$493.48	5.40%	$26.65
76100	X-ray exam of body section		Q1	5522	$111.19	0.00%	$0.00
76102	Complex body section x-rays		D			0.00%	
76120	Cine/video x-rays		Q1	5522	$111.19	2.24%	$2.49
76380	Cat scan follow-up study		Q1	5521	$82.61	0.36%	$0.30
76390	Mr spectroscopy		S	5521	$82.61	0.00%	$0.00
76391	Mr elastography		Q3	5523	$235.00	0.00%	$0.00
76496	Fluoroscopic procedure		Q1	5521	$82.61	15.19%	$12.55
76497	Ct procedure		Q1	5521	$82.61	0.00%	$0.00
76498	Mri procedure		S	5521	$82.61	0.00%	$0.00
76499	Radiographic procedure		Q1	5521	$82.61	0.96%	$0.79
76506	Echo exam of head		Q1	5522	$111.19	0.00%	$0.00
76510	Oph us dx b-scan&quan a-scan		Q1	5734	$115.16	0.00%	$0.00
76511	Oph us dx quan a-scan only		Q1	5522	$111.19	0.00%	$0.00
76512	Oph us dx b-scan		Q1	5522	$111.19	0.00%	$0.00
76513	Oph us dx ant sgm us uni/bi		Q1	5522	$111.19	0.00%	$0.00
76514	Echo exam of eye thickness		Q1	5731	$25.23	0.00%	$0.00
76516	Echo exam of eye		Q1	5522	$111.19	0.00%	$0.00
76519	Echo exam of eye		Q1	5522	$111.19	0.00%	$0.00
76536	Us exam of head and neck		Q1	5522	$111.19	0.00%	$0.00
76604	Us exam chest		Q1	5522	$111.19	0.14%	$0.16
76641	Ultrasound breast complete		Q1	5522	$111.19	0.01%	$0.01
76642	Ultrasound breast limited		Q1	5521	$82.61	0.01%	$0.01
76700	Us exam abdom complete		Q3	5522	$111.19	0.00%	$0.00
76705	Echo exam of abdomen		Q3	5522	$111.19	0.01%	$0.01
76706	Us abdl aorta screen aaa		S	5522	$111.19	0.00%	$0.00
76770	Us exam abdo back wall comp		Q3	5522	$111.19	0.00%	$0.00
76775	Us exam abdo back wall lim		Q1	5522	$111.19	0.00%	$0.00
76776	Us exam k transpl w/doppler		Q3	5522	$111.19	0.01%	$0.01
76800	Us exam spinal canal		Q1	5522	$111.19	0.00%	$0.00
76801	Ob us < 14 wks single fetus		S	5522	$111.19	0.01%	$0.01
76805	Ob us >= 14 wks sngl fetus		S	5522	$111.19	0.00%	$0.00
76811	Ob us detailed sngl fetus		S	5523	$235.00	0.00%	$0.00
76813	Ob us nuchal meas 1 gest		Q1	5522	$111.19	0.00%	$0.00
76815	Ob us limited fetus(s)		Q1	5522	$111.19	0.04%	$0.04
76816	Ob us follow-up per fetus		Q1	5522	$111.19	0.00%	$0.00
76817	Transvaginal us obstetric		Q1	5522	$111.19	0.00%	$0.00
76818	Fetal biophys profile w/nst		S	5522	$111.19	0.00%	$0.00
76819	Fetal biophys profil w/o nst		S	5522	$111.19	0.00%	$0.00
76820	Umbilical artery echo		Q1	5522	$111.19	0.00%	$0.00
76821	Middle cerebral artery echo		Q1	5522	$111.19	0.00%	$0.00
76825	Echo exam of fetal heart		S	5524	$493.48	0.00%	$0.00
76826	Echo exam of fetal heart		S	5523	$235.00	0.00%	$0.00
76827	Echo exam of fetal heart		Q1	5522	$111.19	0.00%	$0.00
76828	Echo exam of fetal heart		Q1	5522	$111.19	0.00%	$0.00
76830	Transvaginal us non-ob		S	5522	$111.19	0.00%	$0.00
76831	Echo exam uterus		Q3	5523	$235.00	0.09%	$0.21
76856	Us exam pelvic complete		Q3	5522	$111.19	0.00%	$0.00
76857	Us exam pelvic limited		Q3	5522	$111.19	0.00%	$0.00
76870	Us exam scrotum		Q1	5522	$111.19	0.01%	$0.01
76872	Us transrectal		S	5522	$111.19	0.13%	$0.14
76873	Echograp trans r pros study		S	5522	$111.19	0.26%	$0.29
76881	Us compl joint r-t w/img		S	5522	$111.19	0.01%	$0.01
76882	Us lmtd jt/nonvasc xtr strux		Q1	5522	$111.19	0.01%	$0.01
76886	Us exam infant hips static		Q1	5521	$82.61	0.00%	$0.00
76936	Echo guide for artery repair		S	5722	$270.29	0.10%	$0.27
76975	Gi endoscopic ultrasound		Q2	5523	$235.00	0.00%	$0.00
76977	Us bone density measure		S	5522	$111.19	0.00%	$0.00
76978	Us trgt dyn mbubb 1st les		S	5571	$182.43	0.02%	$0.04
76981	Use parenchyma		Q3	5522	$111.19	0.00%	$0.00
76982	Use 1st target lesion		Q3	5522	$111.19	0.00%	$0.00
76999	Echo examination procedure		Q1	5521	$82.61	0.10%	$0.08
77046	Mri breast c- unilateral		Q3	5523	$235.00	0.00%	$0.00
77047	Mri breast c- bilateral		Q3	5523	$235.00	0.00%	$0.00
77053	X-ray of mammary duct		Q2	5523	$235.00	0.32%	$0.75
77054	X-ray of mammary ducts		Q2	5523	$235.00	1.58%	$3.71
77071	X-ray stress view		Q1	5521	$82.61	0.00%	$0.00
77072	X-rays for bone age		Q1	5522	$111.19	0.00%	$0.00
77073	X-rays bone length studies		Q1	5522	$111.19	0.00%	$0.00
77074	X-rays bone survey limited		Q1	5522	$111.19	0.00%	$0.00
77075	X-rays bone survey complete		Q1	5522	$111.19	0.00%	$0.00
77076	X-rays bone survey infant		Q1	5522	$111.19	0.00%	$0.00
77077	Joint survey single view		Q1	5522	$111.19	0.00%	$0.00
77078	Ct bone density axial		S	5521	$82.61	0.00%	$0.00
77080	Dxa bone density axial		S	5522	$111.19	0.01%	$0.01
77081	Dxa bone density/peripheral		S	5521	$82.61	0.00%	$0.00
77084	Magnetic image bone marrow		S	5523	$235.00	0.00%	$0.00
77085	Dxa bone density study		Q1	5522	$111.19	0.00%	$0.00
77086	Fracture assessment via dxa		Q1	5521	$82.61	0.00%	$0.00
77280	Set radiation therapy field		S	5611	$129.59	0.01%	$0.01
77285	Set radiation therapy field		S	5612	$345.85	0.00%	$0.00
77290	Set radiation therapy field		S	5612	$345.85	0.00%	$0.00
77295	3-d radiotherapy plan		S	5613	"$1,289.67"	0.00%	$0.00
77299	Radiation therapy planning		S	5611	$129.59	0.00%	$0.00
77300	Radiation therapy dose plan		S	5611	$129.59	0.00%	$0.00
77301	Radiotherapy dose plan imrt		S	5613	"$1,289.67"	0.00%	$0.00
77306	Telethx isodose plan simple		S	5612	$345.85	0.00%	$0.00
77307	Telethx isodose plan cplx		S	5612	$345.85	0.00%	$0.00
77316	Brachytx isodose plan simple		S	5612	$345.85	0.00%	$0.00
77317	Brachytx isodose intermed		S	5612	$345.85	0.57%	$1.97
77318	Brachytx isodose complex		S	5612	$345.85	0.10%	$0.35
77321	Special teletx port plan		S	5612	$345.85	0.00%	$0.00
77331	Special radiation dosimetry		S	5611	$129.59	0.00%	$0.00
77332	Radiation treatment aid(s)		S	5611	$129.59	0.01%	$0.01
77333	Radiation treatment aid(s)		S	5611	$129.59	0.00%	$0.00
77334	Radiation treatment aid(s)		S	5612	$345.85	0.01%	$0.03
77336	Radiation physics consult		S	5611	$129.59	0.00%	$0.00
77338	Design mlc device for imrt		S	5612	$345.85	0.00%	$0.00
77370	Radiation physics consult		S	5611	$129.59	0.00%	$0.00
77371	Srs multisource		J1	5627	"$7,942.98"	0.02%	$1.59
77372	Srs linear based		J1	5627	"$7,942.98"	0.01%	$0.79
77373	Sbrt delivery		S	5626	"$1,771.28"	0.00%	$0.00
77385	Ntsty modul rad tx dlvr smpl		S	5623	$554.12	0.00%	$0.00
77386	Ntsty modul rad tx dlvr cplx		S	5623	$554.12	0.00%	$0.00
77399	External radiation dosimetry		S	5611	$129.59	0.00%	$0.00
77401	Radiation treatment delivery		S	5621	$122.34	0.00%	$0.00
77402	Radiation treatment delivery		S	5621	$122.34	0.00%	$0.00
77407	Radiation treatment delivery		S	5622	$246.87	0.00%	$0.00
77412	Radiation treatment delivery		S	5622	$246.87	0.00%	$0.00
77423	Neutron beam tx complex		S	5623	$554.12	0.00%	$0.00
77424	Io rad tx delivery by x-ray		J1	5627	"$7,942.98"	6.38%	$506.76
77425	Io rad tx deliver by elctrns		J1	5627	"$7,942.98"	0.46%	$36.54
77470	Special radiation treatment		S	5623	$554.12	0.00%	$0.00
77520	Proton trmt simple w/o comp		S	5623	$554.12	0.00%	$0.00
77522	Proton trmt simple w/comp		S	5625	"$1,321.12"	0.00%	$0.00
77523	Proton trmt intermediate		S	5625	"$1,321.12"	0.55%	$7.27
77525	Proton treatment complex		S	5625	"$1,321.12"	0.00%	$0.00
77600	Hyperthermia treatment		S	5622	$246.87	0.00%	$0.00
77605	Hyperthermia treatment		S	5624	$724.50	0.00%	$0.00
77620	Hyperthermia treatment		S	5623	$554.12	0.00%	$0.00
77750	Infuse radioactive materials		S	5622	$246.87	0.06%	$0.15
77761	Apply intrcav radiat simple		S	5623	$554.12	0.00%	$0.00
77763	Apply intrcav radiat compl		S	5624	$724.50	0.56%	$4.06
77767	Hdr rdncl skn surf brachytx		S	5622	$246.87	0.00%	$0.00
77768	Hdr rdncl skn surf brachytx		S	5622	$246.87	0.03%	$0.07
77770	Hdr rdncl ntrstl/icav brchtx		S	5624	$724.50	0.00%	$0.00
77771	Hdr rdncl ntrstl/icav brchtx		S	5624	$724.50	0.17%	$1.23
77772	Hdr rdncl ntrstl/icav brchtx		S	5624	$724.50	0.82%	$5.94
77778	Apply interstit radiat compl		S	5624	$724.50	1.74%	$12.61
77789	Apply surf ldr radionuclide		S	5621	$122.34	0.00%	$0.00
77799	Radium/radioisotope therapy		S	5621	$122.34	0.00%	$0.00
78012	Thyroid uptake measurement		S	5591	$384.99	0.00%	$0.00
78013	Thyroid imaging w/blood flow		S	5591	$384.99	0.00%	$0.00
78014	Thyroid imaging w/blood flow		S	5591	$384.99	0.00%	$0.00
78015	Thyroid met imaging		S	5591	$384.99	0.00%	$0.00
78016	Thyroid met imaging/studies		S	5591	$384.99	0.00%	$0.00
78018	Thyroid met imaging body		S	5592	$499.78	0.00%	$0.00
78070	Parathyroid planar imaging		S	5591	$384.99	0.00%	$0.00
78071	Parathyrd planar w/wo subtrj		S	5591	$384.99	0.01%	$0.04
78072	Parathyrd planar w/spect&ct		S	5592	$499.78	0.00%	$0.00
78075	Adrenal cortex & medulla img		S	5593	"$1,334.62"	0.00%	$0.00
78099	Endocrine nuclear procedure		S	5591	$384.99	0.00%	$0.00
78102	Bone marrow imaging ltd		S	5591	$384.99	0.00%	$0.00
78103	Bone marrow imaging mult		S	5591	$384.99	0.00%	$0.00
78104	Bone marrow imaging body		S	5591	$384.99	0.00%	$0.00
78110	Plasma volume single		S	5593	"$1,334.62"	0.00%	$0.00
78120	Red cell mass single		S	5591	$384.99	0.00%	$0.00
78122	Blood volume		S	5592	$499.78	0.00%	$0.00
78140	Red cell sequestration		S	5591	$384.99	0.00%	$0.00
78185	Spleen imaging		S	5591	$384.99	0.00%	$0.00
78195	Lymph system imaging		S	5592	$499.78	1.03%	$5.15
78199	Blood/lymph nuclear exam		S	5591	$384.99	0.00%	$0.00
78201	Liver imaging		S	5592	$499.78	10.91%	$54.53
78202	Liver imaging with flow		S	5592	$499.78	0.00%	$0.00
78215	Liver and spleen imaging		S	5591	$384.99	0.07%	$0.27
78216	Liver & spleen image/flow		S	5591	$384.99	0.00%	$0.00
78226	Hepatobiliary system imaging		S	5591	$384.99	0.04%	$0.15
78227	Hepatobil syst image w/drug		S	5592	$499.78	0.01%	$0.05
78230	Salivary gland imaging		S	5591	$384.99	0.00%	$0.00
78231	Serial salivary imaging		S	5591	$384.99	0.00%	$0.00
78232	Salivary gland function exam		S	5591	$384.99	0.00%	$0.00
78258	Esophageal motility study		S	5591	$384.99	0.00%	$0.00
78261	Gastric mucosa imaging		S	5591	$384.99	0.00%	$0.00
78262	Gastroesophageal reflux exam		S	5591	$384.99	0.00%	$0.00
78264	Gastric emptying imag study		S	5591	$384.99	0.00%	$0.00
78265	Gastric emptying imag study		S	5591	$384.99	0.00%	$0.00
78266	Gastric emptying imag study		S	5592	$499.78	0.00%	$0.00
78278	Acute gi blood loss imaging		S	5591	$384.99	0.28%	$1.08
78282	Gi protein loss exam		S	5591	$384.99	0.00%	$0.00
78290	Meckels divert exam		S	5591	$384.99	0.00%	$0.00
78291	Leveen/shunt patency exam		S	5591	$384.99	0.00%	$0.00
78299	Gi nuclear procedure		S	5591	$384.99	0.00%	$0.00
78300	Bone imaging limited area		S	5591	$384.99	0.01%	$0.04
78305	Bone imaging multiple areas		S	5591	$384.99	0.00%	$0.00
78306	Bone imaging whole body		S	5591	$384.99	0.00%	$0.00
78315	Bone imaging 3 phase		S	5591	$384.99	0.01%	$0.04
78399	Musculoskeletal nuclear exam		S	5591	$384.99	0.00%	$0.00
78414	Non-imaging heart function		S	5592	$499.78	0.00%	$0.00
78428	Cardiac shunt imaging		S	5591	$384.99	0.00%	$0.00
78445	Vascular flow imaging		S	5591	$384.99	0.00%	$0.00
78451	Ht muscle image spect sing		S	5593	"$1,334.62"	0.02%	$0.27
78452	Ht muscle image spect mult		S	5593	"$1,334.62"	0.01%	$0.13
78453	Ht muscle image planar sing		S	5593	"$1,334.62"	0.00%	$0.00
78454	Ht musc image planar mult		S	5593	"$1,334.62"	0.02%	$0.27
78457	Venous thrombosis imaging		S	5592	$499.78	0.00%	$0.00
78458	Ven thrombosis images bilat		S	5591	$384.99	0.00%	$0.00
78459	Myocrd img pet single study		S	5593	"$1,334.62"	0.00%	$0.00
78466	Heart infarct image		S	5591	$384.99	0.00%	$0.00
78468	Heart infarct image (ef)		S	5592	$499.78	0.00%	$0.00
78469	Heart infarct image (3d)		S	5592	$499.78	0.00%	$0.00
78472	Gated heart planar single		S	5591	$384.99	0.01%	$0.04
78473	Gated heart multiple		S	5591	$384.99	0.00%	$0.00
78481	Heart first pass single		S	5592	$499.78	0.00%	$0.00
78483	Heart first pass multiple		S	5592	$499.78	0.00%	$0.00
78491	Myocrd img pet 1std rst/strs		S	5594	"$1,511.56"	0.00%	$0.00
78492	Myocrd img pet mlt rst&strs		S	5594	"$1,511.56"	0.00%	$0.00
78494	Heart image spect		S	5591	$384.99	0.00%	$0.00
78499	Cardiovascular nuclear exam		S	5591	$384.99	0.00%	$0.00
78579	Lung ventilation imaging		S	5591	$384.99	0.00%	$0.00
78580	Lung perfusion imaging		S	5591	$384.99	0.00%	$0.00
78582	Lung ventilat&perfus imaging		S	5592	$499.78	0.05%	$0.25
78597	Lung perfusion differential		S	5591	$384.99	0.00%	$0.00
78598	Lung perf&ventilat diferentl		S	5592	$499.78	0.03%	$0.15
78599	Respiratory nuclear exam		S	5591	$384.99	0.00%	$0.00
78601	Brain image w/flow < 4 views		S	5591	$384.99	0.00%	$0.00
78605	Brain image 4+ views		S	5592	$499.78	0.00%	$0.00
78606	Brain image w/flow 4 + views		S	5592	$499.78	0.00%	$0.00
78608	Brain imaging (pet)		S	5594	"$1,511.56"	0.00%	$0.00
78610	Brain flow imaging only		S	5592	$499.78	0.00%	$0.00
78630	Cerebrospinal fluid scan		S	5592	$499.78	0.00%	$0.00
78635	Csf ventriculography		S	5592	$499.78	0.00%	$0.00
78645	Csf shunt evaluation		S	5592	$499.78	0.00%	$0.00
78650	Csf leakage imaging		S	5593	"$1,334.62"	0.01%	$0.13
78660	Nuclear exam of tear flow		S	5591	$384.99	0.00%	$0.00
78699	Nervous system nuclear exam		S	5591	$384.99	0.00%	$0.00
78700	Kidney imaging morphol		S	5591	$384.99	0.00%	$0.00
78701	Kidney imaging with flow		S	5591	$384.99	0.00%	$0.00
78707	K flow/funct image w/o drug		S	5592	$499.78	0.00%	$0.00
78708	K flow/funct image w/drug		S	5592	$499.78	0.02%	$0.10
78709	K flow/funct image multiple		S	5592	$499.78	0.01%	$0.05
78725	Kidney function study		S	5591	$384.99	0.00%	$0.00
78740	Ureteral reflux study		S	5591	$384.99	0.00%	$0.00
78761	Testicular imaging w/flow		S	5591	$384.99	0.00%	$0.00
78800	Rp loclzj tum 1 area 1 d img		S	5591	$384.99	0.05%	$0.19
78801	Rp loclzj tum 2+area 1+d img		S	5591	$384.99	0.00%	$0.00
78802	Rp loclzj tum whbdy 1 d img		S	5593	"$1,334.62"	0.18%	$2.40
78803	Rp loclzj tum spect 1 area		S	5593	"$1,334.62"	0.01%	$0.13
78804	Rp loclzj tum whbdy 2+d img		S	5593	"$1,334.62"	0.00%	$0.00
78808	Iv inj ra drug dx study		Q1	5591	$384.99	0.00%	$0.00
78811	Pet image ltd area		S	5593	"$1,334.62"	0.00%	$0.00
78812	Pet image skull-thigh		S	5594	"$1,511.56"	0.00%	$0.00
78813	Pet image full body		S	5594	"$1,511.56"	0.00%	$0.00
78814	Pet image w/ct lmtd		S	5594	"$1,511.56"	0.00%	$0.00
78815	Pet image w/ct skull-thigh		S	5594	"$1,511.56"	0.00%	$0.00
78816	Pet image w/ct full body		S	5594	"$1,511.56"	0.01%	$0.15
78999	Nuclear diagnostic exam		S	5591	$384.99	0.00%	$0.00
79005	Nuclear rx oral admin		S	5661	$258.42	0.00%	$0.00
79101	Nuclear rx iv admin		S	5661	$258.42	0.03%	$0.08
79200	Nuclear rx intracav admin		S	5661	$258.42	0.00%	$0.00
79403	Hematopoietic nuclear tx		S	5661	$258.42	0.00%	$0.00
79440	Nuclear rx intra-articular		S	5661	$258.42	0.00%	$0.00
79445	Nuclear rx intra-arterial		S	5661	$258.42	17.06%	$44.09
79999	Nuclear medicine therapy		S	5661	$258.42	0.00%	$0.00
80500	Lab pathology consultation		D			0.00%	
80502	Lab pathology consultation		D			0.00%	
85097	Bone marrow interpretation		Q2	5674	$669.29	0.11%	$0.74
86077	Phys blood bank serv xmatch		Q1	5731	$25.23	0.00%	$0.00
86078	Phys blood bank serv reactj		Q1	5672	$152.32	6.65%	$10.13
86079	Phys blood bank serv authrj		Q1	5671	$50.75	0.00%	$0.00
86485	Skin test candida		Q1	5731	$25.23	0.00%	$0.00
86486	Skin test nos antigen		Q1	5731	$25.23	0.00%	$0.00
86510	Histoplasmosis skin test		Q1	5733	$56.85	0.00%	$0.00
86580	Tb intradermal test		Q1	5731	$25.23	0.00%	$0.00
86850	Rbc antibody screen		Q1	5671	$50.75	0.47%	$0.24
86860	Rbc antibody elution		Q1	5672	$152.32	0.00%	$0.00
86870	Rbc antibody identification		Q2	5673	$297.45	0.08%	$0.24
86880	Coombs test direct		Q1	5733	$56.85	0.00%	$0.00
86885	Coombs test indirect qual		Q1	5672	$152.32	0.06%	$0.09
86886	Coombs test indirect titer		Q1	5672	$152.32	0.06%	$0.09
86890	Autologous blood process		Q1	5672	$152.32	0.00%	$0.00
86891	Autologous blood op salvage		Q1	5674	$669.29	83.43%	$558.39
86900	Blood typing serologic abo		Q1	5734	$115.16	0.07%	$0.08
86901	Blood typing serologic rh(d)		Q1	5732	$34.57	1.38%	$0.48
86902	Blood type antigen donor ea		Q1	5673	$297.45	0.11%	$0.33
86904	Blood typing patient serum		Q1	5732	$34.57	0.00%	$0.00
86905	Blood typing rbc antigens		Q1	5673	$297.45	0.19%	$0.57
86906	Bld typing serologic rh phnt		Q1	5732	$34.57	0.00%	$0.00
86920	Compatibility test spin		Q1	5672	$152.32	0.12%	$0.18
86921	Compatibility test incubate		Q1	5672	$152.32	0.19%	$0.29
86922	Compatibility test antiglob		Q1	5672	$152.32	0.16%	$0.24
86923	Compatibility test electric		Q1	5672	$152.32	0.15%	$0.23
86927	Plasma fresh frozen		S	5672	$152.32	0.45%	$0.69
86930	Frozen blood prep		Q1	5673	$297.45	0.00%	$0.00
86931	Frozen blood thaw		Q1	5673	$297.45	0.00%	$0.00
86945	Blood product/irradiation		Q1	5732	$34.57	0.00%	$0.00
86950	Leukacyte transfusion		Q1	5672	$152.32	0.00%	$0.00
86960	Vol reduction of blood/prod		Q1	5672	$152.32	0.00%	$0.00
86965	Pooling blood platelets		Q1	5672	$152.32	0.00%	$0.00
86970	Rbc pretx incubatj w/chemicl		Q1	5732	$34.57	0.00%	$0.00
86971	Rbc pretx incubatj w/enzymes		Q1	5673	$297.45	0.00%	$0.00
86972	Rbc pretx incubatj w/density		Q1	5672	$152.32	0.00%	$0.00
86975	Rbc serum pretx incubj drugs		Q1	5735	$277.18	0.00%	$0.00
86976	Rbc serum pretx id dilution		Q1	5731	$25.23	0.00%	$0.00
86977	Rbc serum pretx incubj/inhib		Q1	5672	$152.32	0.00%	$0.00
86978	Rbc pretreatment serum		Q1	5732	$34.57	0.00%	$0.00
86985	Split blood or products		Q1	5672	$152.32	0.00%	$0.00
86999	Transfusion procedure		Q1	5731	$25.23	0.10%	$0.03
88104	Cytopath fl nongyn smears		Q1	5732	$34.57	0.00%	$0.00
88106	Cytopath fl nongyn filter		Q1	5731	$25.23	0.00%	$0.00
88108	Cytopath concentrate tech		Q1	5732	$34.57	0.00%	$0.00
88112	Cytopath cell enhance tech		Q1	5671	$50.75	0.03%	$0.02
88120	Cytp urne 3-5 probes ea spec		Q2	5672	$152.32	0.02%	$0.03
88121	Cytp urine 3-5 probes cmptr		Q1	5673	$297.45	0.00%	$0.00
88160	Cytopath smear other source		Q1	5731	$25.23	0.00%	$0.00
88161	Cytopath smear other source		Q1	5731	$25.23	0.00%	$0.00
88162	Cytopath smear other source		Q1	5671	$50.75	0.00%	$0.00
88172	Cytp dx eval fna 1st ea site		Q1	5672	$152.32	0.28%	$0.43
88173	Cytopath eval fna report		Q1	5671	$50.75	0.02%	$0.01
88182	Cell marker study		Q2	5671	$50.75	0.00%	$0.00
88184	Flowcytometry/ tc 1 marker		Q2	5673	$297.45	0.04%	$0.12
88199	Cytopathology procedure		Q1	5671	$50.75	0.00%	$0.00
88299	Cytogenetic study		Q1	5671	$50.75	0.00%	$0.00
88300	Surgical path gross		Q1	5731	$25.23	0.62%	$0.16
88302	Tissue exam by pathologist		Q1	5731	$25.23	1.20%	$0.30
88304	Tissue exam by pathologist		Q1	5671	$50.75	0.03%	$0.02
88305	Tissue exam by pathologist		Q1	5671	$50.75	0.10%	$0.05
88307	Tissue exam by pathologist		Q2	5673	$297.45	2.16%	$6.42
88309	Tissue exam by pathologist		Q2	5674	$669.29	4.55%	$30.45
88312	Special stains group 1		Q1	5671	$50.75	0.10%	$0.05
88313	Special stains group 2		Q1	5732	$34.57	0.00%	$0.00
88319	Enzyme histochemistry		Q2	5674	$669.29	0.01%	$0.07
88321	Microslide consultation		Q1	5732	$34.57	0.00%	$0.00
88323	Microslide consultation		Q1	5671	$50.75	0.00%	$0.00
88325	Comprehensive review of data		Q1	5672	$152.32	0.00%	$0.00
88329	Path consult introp		Q1	5732	$34.57	0.00%	$0.00
88331	Path consult intraop 1 bloc		Q1	5672	$152.32	0.02%	$0.03
88333	Intraop cyto path consult 1		Q2	5674	$669.29	1.38%	$9.24
88342	Immunohisto antb 1st stain		Q2	5672	$152.32	0.18%	$0.27
88344	Immunohisto antibody slide		Q1	5673	$297.45	0.04%	$0.12
88346	Immunofluor antb 1st stain		Q2	5673	$297.45	0.08%	$0.24
88348	Electron microscopy		Q2	5674	$669.29	0.11%	$0.74
88355	Analysis skeletal muscle		Q1	5672	$152.32	0.00%	$0.00
88358	Analysis tumor		Q2	5672	$152.32	0.00%	$0.00
88360	Tumor immunohistochem/manual		Q2	5672	$152.32	0.18%	$0.27
88361	Tumor immunohistochem/comput		Q2	5673	$297.45	0.48%	$1.43
88362	Nerve teasing preparations		Q2	5674	$669.29	0.00%	$0.00
88363	Xm archive tissue molec anal		Q1	5731	$25.23	0.00%	$0.00
88365	Insitu hybridization (fish)		Q1	5672	$152.32	0.00%	$0.00
88366	Insitu hybridization (fish)		Q1	5673	$297.45	0.00%	$0.00
88367	Insitu hybridization auto		Q2	5673	$297.45	0.04%	$0.12
88368	Insitu hybridization manual		Q2	5673	$297.45	0.18%	$0.54
88374	M/phmtrc alys ishquant/semiq		Q1	5672	$152.32	0.05%	$0.08
88377	M/phmtrc alys ishquant/semiq		Q1	5672	$152.32	0.00%	$0.00
88399	Surgical pathology procedure		Q1	5671	$50.75	0.00%	$0.00
89049	Chct for mal hyperthermia		Q1	5672	$152.32	0.00%	$0.00
89220	Sputum specimen collection		Q1	5672	$152.32	0.00%	$0.00
89230	Collect sweat for test		Q1	5671	$50.75	0.00%	$0.00
89240	Pathology lab procedure		Q1	5671	$50.75	0.00%	$0.00
89259	Cryopreservation sperm		Q1	5672	$152.32	0.00%	$0.00
89260	Sperm isolation simple		Q1	5671	$50.75	0.00%	$0.00
89261	Sperm isolation complex		Q1	5671	$50.75	0.00%	$0.00
89272	Extended culture of oocytes		Q2	5674	$669.29	0.00%	$0.00
89342	Storage/year embryo(s)		Q1	5672	$152.32	0.00%	$0.00
89343	Storage/year sperm/semen		Q1	5672	$152.32	0.00%	$0.00
89344	Storage/year reprod tissue		Q1	5672	$152.32	0.00%	$0.00
89346	Storage/year oocyte(s)		Q2	5673	$297.45	0.00%	$0.00
89353	Thawing cryopresrved sperm		Q1	5671	$50.75	0.00%	$0.00
89398	Unlisted reprod med lab proc		Q1	5671	$50.75	0.00%	$0.00
90471	Immunization admin		Q1	5692	$63.32	0.00%	$0.00
90473	Immune admin oral/nasal		Q1	5692	$63.32	0.00%	$0.00
90791	Psych diagnostic evaluation		Q3	5823	$136.65	0.00%	$0.00
90792	Psych diag eval w/med srvcs		Q3	5823	$136.65	0.00%	$0.00
90832	Psytx w pt 30 minutes		Q3	5823	$136.65	0.00%	$0.00
90834	Psytx w pt 45 minutes		Q3	5823	$136.65	0.00%	$0.00
90837	Psytx w pt 60 minutes		Q3	5823	$136.65	0.00%	$0.00
90839	Psytx crisis initial 60 min		Q3	5823	$136.65	0.00%	$0.00
90845	Psychoanalysis		Q3	5823	$136.65	0.00%	$0.00
90846	Family psytx w/o pt 50 min		Q3	5823	$136.65	0.00%	$0.00
90847	Family psytx w/pt 50 min		Q3	5823	$136.65	0.00%	$0.00
90849	Multiple family group psytx		Q3	5823	$136.65	0.00%	$0.00
90853	Group psychotherapy		Q3	5822	$76.42	0.00%	$0.00
90865	Narcosynthesis		Q3	5823	$136.65	0.00%	$0.00
90867	Tcranial magn stim tx plan		S	5722	$270.29	0.00%	$0.00
90868	Tcranial magn stim tx deli		S	5722	$270.29	0.00%	$0.00
90869	Tcran magn stim redetemine		S	5722	$270.29	0.00%	$0.00
90870	Electroconvulsive therapy		S	5723	$498.53	0.01%	$0.05
90880	Hypnotherapy		Q3	5822	$76.42	0.00%	$0.00
90899	Psychiatric service/therapy		Q3	5821	$26.84	0.00%	$0.00
90935	Hemodialysis one evaluation		S	5401	$668.91	0.47%	$3.14
90945	Dialysis one evaluation		V	5024	$371.52	0.25%	$0.93
91010	Esophagus motility study		S	5723	$498.53	0.62%	$3.09
91020	Gastric motility studies		S	5723	$498.53	0.00%	$0.00
91022	Duodenal motility study		S	5723	$498.53	5.64%	$28.12
91034	Gastroesophageal reflux test		S	5723	$498.53	1.72%	$8.57
91035	G-esoph reflx tst w/electrod		S	5723	$498.53	3.93%	$19.59
91037	Esoph imped function test		S	5722	$270.29	0.05%	$0.14
91038	Esoph imped funct test > 1hr		S	5723	$498.53	0.31%	$1.55
91040	Esoph balloon distension tst		S	5723	$498.53	48.04%	$239.49
91065	Breath hydrogen/methane test		S	5721	$142.59	0.00%	$0.00
91110	Gi trc img intral esoph-ile		T	5301	$826.39	3.17%	$26.20
91111	Gi trc img intral esophagus		T	5301	$826.39	2.34%	$19.34
91112	Gi wireless capsule measure		T	5301	$826.39	3.13%	$25.87
91117	Colon motility 6 hr study		T	5371	$271.77	0.00%	$0.00
91120	Rectal sensation test		S	5722	$270.29	0.01%	$0.03
91122	Anal pressure record		T	5371	$271.77	1.37%	$3.72
91132	Electrogastrography		S	5722	$270.29	0.00%	$0.00
91133	Electrogastrography w/test		Q1	5734	$115.16	0.00%	$0.00
91200	Liver elastography		Q1	5721	$142.59	0.00%	$0.00
91299	Gastroenterology procedure		S	5721	$142.59	0.16%	$0.23
92002	Eye exam new patient		V	5012	$121.35	0.00%	$0.00
92004	Eye exam new patient		V	5012	$121.35	0.00%	$0.00
92012	Eye exam establish patient		V	5012	$121.35	0.01%	$0.01
92014	Eye exam&tx estab pt 1/>vst		V	5012	$121.35	0.00%	$0.00
92018	New eye exam & treatment		J1	5503	"$2,043.70"	0.01%	$0.20
92019	Eye exam & treatment		J1	5503	"$2,043.70"	0.00%	$0.00
92020	Special eye evaluation		Q1	5734	$115.16	0.00%	$0.00
92025	Corneal topography		Q1	5733	$56.85	0.00%	$0.00
92060	Special eye evaluation		Q1	5733	$56.85	0.00%	$0.00
92065	Orthoptic training		Q1	5733	$56.85	0.00%	$0.00
92081	Visual field examination(s)		Q1	5733	$56.85	0.00%	$0.00
92082	Visual field examination(s)		Q1	5733	$56.85	0.00%	$0.00
92083	Visual field examination(s)		Q1	5734	$115.16	0.00%	$0.00
92132	Cmptr ophth dx img ant segmt		Q1	5733	$56.85	0.00%	$0.00
92133	Cmptr ophth img optic nerve		Q1	5733	$56.85	0.00%	$0.00
92134	Cptr ophth dx img post segmt		Q1	5733	$56.85	0.00%	$0.00
92136	Ophthalmic biometry		Q1	5734	$115.16	0.00%	$0.00
92145	Corneal hysteresis deter		Q1	5732	$34.57	0.01%	$0.00
92227	Img rta detcj/mntr ds staff		Q1	5732	$34.57	0.00%	$0.00
92228	Img rta detc/mntr ds phy/qhp		Q1	5732	$34.57	0.00%	$0.00
92230	Eye exam with photos		Q1	5723	$498.53	0.00%	$0.00
92235	Fluorescein angrph uni/bi		S	5722	$270.29	0.00%	$0.00
92240	Icg angiography uni/bi		S	5722	$270.29	0.00%	$0.00
92242	Fluorescein icg angiography		S	5722	$270.29	0.00%	$0.00
92250	Eye exam with photos		Q1	5734	$115.16	0.00%	$0.00
92270	Electro-oculography		Q1	5734	$115.16	0.00%	$0.00
92273	Full field erg w/i&r		S	5722	$270.29	0.00%	$0.00
92274	Multifocal erg w/i&r		S	5721	$142.59	0.00%	$0.00
92283	Color vision examination		Q1	5733	$56.85	0.00%	$0.00
92284	Dark adaptation eye exam		Q1	5735	$277.18	0.00%	$0.00
92285	Eye photography		Q1	5733	$56.85	0.39%	$0.22
92286	Internal eye photography		Q1	5734	$115.16	0.00%	$0.00
92311	Contact lens fitting		Q1	5735	$277.18	0.00%	$0.00
92313	Contact lens fitting		Q1	5734	$115.16	0.00%	$0.00
92315	Rx cntact lens aphakia 1 eye		Q1	5734	$115.16	0.00%	$0.00
92316	Rx cntact lens aphakia 2 eye		Q1	5734	$115.16	0.00%	$0.00
92325	Modification of contact lens		Q1	5734	$115.16	0.00%	$0.00
92326	Replacement of contact lens		Q1	5733	$56.85	0.00%	$0.00
92499	Eye service or procedure		Q1	5731	$25.23	1.22%	$0.31
92502	Ear and throat examination		T	5162	$461.90	0.74%	$3.42
92511	Nasopharyngoscopy		T	5151	$168.12	0.06%	$0.10
92512	Nasal function studies		S	5722	$270.29	0.00%	$0.00
92516	Facial nerve function test		S	5722	$270.29	0.00%	$0.00
92520	Laryngeal function studies		Q1	5734	$115.16	0.00%	$0.00
92537	Caloric vstblr test w/rec		S	5721	$142.59	0.00%	$0.00
92538	Caloric vstblr test w/rec		S	5721	$142.59	0.00%	$0.00
92540	Basic vestibular evaluation		S	5721	$142.59	0.00%	$0.00
92541	Spontaneous nystagmus test		Q1	5734	$115.16	0.00%	$0.00
92542	Positional nystagmus test		Q1	5734	$115.16	0.00%	$0.00
92544	Optokinetic nystagmus test		S	5721	$142.59	0.00%	$0.00
92545	Oscillating tracking test		S	5722	$270.29	0.00%	$0.00
92546	Sinusoidal rotational test		S	5721	$142.59	0.00%	$0.00
92548	Cdp-sot 6 cond w/i&r		Q1	5734	$115.16	0.00%	$0.00
92550	Tympanometry & reflex thresh		Q1	5721	$142.59	0.00%	$0.00
92552	Pure tone audiometry air		Q1	5734	$115.16	0.00%	$0.00
92553	Audiometry air & bone		Q1	5721	$142.59	0.00%	$0.00
92555	Speech threshold audiometry		Q1	5732	$34.57	0.00%	$0.00
92556	Speech audiometry complete		Q1	5733	$56.85	0.00%	$0.00
92557	Comprehensive hearing test		Q1	5721	$142.59	0.00%	$0.00
92561	Bekesy audiometry diagnosis		D			0.00%	
92564	Sisi hearing test		D			0.00%	
92565	Stenger test pure tone		Q1	5732	$34.57	0.00%	$0.00
92567	Tympanometry		Q1	5732	$34.57	0.00%	$0.00
92568	Acoustic refl threshold tst		Q1	5732	$34.57	0.00%	$0.00
92570	Acoustic immitance testing		Q1	5721	$142.59	0.00%	$0.00
92576	Synthetic sentence test		Q1	5732	$34.57	0.00%	$0.00
92577	Stenger test speech		Q1	5723	$498.53	0.00%	$0.00
92579	Visual audiometry (vra)		Q1	5721	$142.59	0.00%	$0.00
92582	Conditioning play audiometry		Q1	5721	$142.59	0.00%	$0.00
92583	Select picture audiometry		Q1	5733	$56.85	0.00%	$0.00
92584	Electrocochleography		S	5721	$142.59	0.00%	$0.00
92587	Evoked auditory test limited		S	5722	$270.29	0.00%	$0.00
92588	Evoked auditory tst complete		S	5722	$270.29	0.00%	$0.00
92596	Ear protector evaluation		Q1	5732	$34.57	0.00%	$0.00
92601	Cochlear implt f/up exam <7		S	5721	$142.59	0.00%	$0.00
92602	Reprogram cochlear implt <7		S	5721	$142.59	0.00%	$0.00
92603	Cochlear implt f/up exam 7/>		S	5721	$142.59	0.00%	$0.00
92604	Reprogram cochlear implt 7/>		S	5721	$142.59	0.01%	$0.01
92620	Auditory function 60 min		Q1	5721	$142.59	0.00%	$0.00
92625	Tinnitus assessment		Q1	5721	$142.59	0.00%	$0.00
92626	Eval aud funcj 1st hour		Q1	5721	$142.59	0.00%	$0.00
92640	Aud brainstem implt programg		S	5721	$142.59	0.00%	$0.00
92700	Ent procedure/service		Q1	5731	$25.23	0.11%	$0.03
92920	Prq cardiac angioplast 1 art		J1	5192	"$5,061.89"	30.62%	"$1,549.95"
92924	Prq card angio/athrect 1 art		J1	5193	"$10,258.49"	52.64%	"$5,400.07"
92928	Prq card stent w/angio 1 vsl		J1	5193	"$10,258.49"	35.92%	"$3,684.85"
92933	Prq card stent/ath/angio		J1	5194	"$16,402.31"	54.65%	"$8,963.86"
92937	Prq revasc byp graft 1 vsl		J1	5193	"$10,258.49"	34.96%	"$3,586.37"
92943	Prq card revasc chronic 1vsl		J1	5193	"$10,258.49"	42.63%	"$4,373.19"
92950	Heart/lung resuscitation cpr		S	5722	$270.29	0.05%	$0.14
92953	Temporary external pacing		Q3	5781	$573.73	8.73%	$50.09
92960	Cardioversion electric ext		S	5781	$573.73	0.03%	$0.17
92961	Cardioversion electric int		S	5781	$573.73	1.98%	$11.36
92977	Dissolve clot heart vessel		T	5694	$325.64	5.13%	$16.71
92986	Revision of aortic valve		J1	5192	"$5,061.89"	37.53%	"$1,899.73"
92987	Revision of mitral valve		J1	5193	"$10,258.49"	33.41%	"$3,427.36"
92990	Revision of pulmonary valve		J1	5193	"$10,258.49"	17.26%	"$1,770.62"
92997	Pul art balloon repr percut		J1	5193	"$10,258.49"	22.82%	"$2,340.99"
93005	Electrocardiogram tracing		Q1	5733	$56.85	0.05%	$0.03
93017	Cardiovascular stress test		Q1	5722	$270.29	0.01%	$0.03
93024	Cardiac drug stress test		Q1	5735	$277.18	27.67%	$76.70
93025	Microvolt t-wave assess		S	5721	$142.59	0.00%	$0.00
93041	Rhythm ecg tracing		Q1	5733	$56.85	0.20%	$0.11
93050	Art pressure waveform analys		Q1	5731	$25.23	0.00%	$0.00
93225	Ecg monit/reprt up to 48 hrs		Q1	5734	$115.16	0.00%	$0.00
93226	Ecg monit/reprt up to 48 hrs		Q1	5734	$115.16	0.00%	$0.00
93229	Remote 30 day ecg tech supp		S	5721	$142.59	0.00%	$0.00
93260	Prgrmg dev eval impltbl sys		Q1	5741	$38.03	0.00%	$0.00
93261	Interrogate subq defib		Q1	5741	$38.03	0.00%	$0.00
93270	Remote 30 day ecg rev/report		Q1	5741	$38.03	0.00%	$0.00
93271	Ecg/monitoring and analysis		S	5742	$102.53	0.00%	$0.00
93278	Ecg/signal-averaged		Q1	5733	$56.85	0.00%	$0.00
93279	Prgrmg dev eval pm/ldls pm		Q1	5741	$38.03	0.00%	$0.00
93280	Pm device progr eval dual		Q1	5741	$38.03	0.00%	$0.00
93281	Pm device progr eval multi		Q1	5741	$38.03	0.00%	$0.00
93282	Prgrmg eval implantable dfb		Q1	5741	$38.03	0.00%	$0.00
93283	Prgrmg eval implantable dfb		Q1	5741	$38.03	0.02%	$0.01
93284	Prgrmg eval implantable dfb		Q1	5741	$38.03	0.00%	$0.00
93285	Prgrmg dev eval scrms ip		Q1	5741	$38.03	0.00%	$0.00
93288	Interrog evl pm/ldls pm ip		Q1	5741	$38.03	0.00%	$0.00
93289	Interrog device eval heart		Q1	5741	$38.03	0.00%	$0.00
93290	Interrog dev eval icpms ip		Q1	5741	$38.03	0.00%	$0.00
93291	Interrog dev eval scrms ip		Q1	5731	$25.23	0.00%	$0.00
93292	Wcd device interrogate		Q1	5741	$38.03	0.00%	$0.00
93293	Pm phone r-strip device eval		Q1	5741	$38.03	0.00%	$0.00
93296	Rem interrog evl pm/ids		Q1	5741	$38.03	0.00%	$0.00
93303	Echo transthoracic		S	5524	$493.48	0.00%	$0.00
93304	Echo transthoracic		S	5524	$493.48	0.00%	$0.00
93306	Tte w/doppler complete		S	5524	$493.48	0.00%	$0.00
93307	Tte w/o doppler complete		S	5523	$235.00	0.00%	$0.00
93308	Tte f-up or lmtd		S	5523	$235.00	0.02%	$0.05
93312	Echo transesophageal		S	5524	$493.48	0.07%	$0.35
93313	Echo transesophageal		S	5524	$493.48	0.00%	$0.00
93315	Echo transesophageal		S	5524	$493.48	0.23%	$1.14
93316	Echo transesophageal		S	5524	$493.48	0.00%	$0.00
93318	Echo transesophageal intraop		S	5524	$493.48	0.90%	$4.44
93350	Stress tte only		S	5524	$493.48	0.00%	$0.00
93351	Stress tte complete		S	5524	$493.48	0.00%	$0.00
93451	Right heart cath		J1	5191	"$2,961.52"	10.36%	$306.81
93452	Left hrt cath w/ventrclgrphy		J1	5191	"$2,961.52"	16.75%	$496.05
93453	R&l hrt cath w/ventriclgrphy		J1	5191	"$2,961.52"	15.36%	$454.89
93454	Coronary artery angio s&i		J1	5191	"$2,961.52"	12.43%	$368.12
93455	Coronary art/grft angio s&i		J1	5191	"$2,961.52"	14.39%	$426.16
93456	R hrt coronary artery angio		J1	5191	"$2,961.52"	14.68%	$434.75
93457	R hrt art/grft angio		J1	5191	"$2,961.52"	15.54%	$460.22
93458	L hrt artery/ventricle angio		J1	5191	"$2,961.52"	11.01%	$326.06
93459	L hrt art/grft angio		J1	5191	"$2,961.52"	12.67%	$375.22
93460	R&l hrt art/ventricle angio		J1	5191	"$2,961.52"	15.99%	$473.55
93461	R&l hrt art/ventricle angio		J1	5191	"$2,961.52"	17.26%	$511.16
93503	Insert/place heart catheter		J1	5182	"$1,436.16"	16.22%	$232.95
93505	Biopsy of heart lining		J1	5183	"$2,923.63"	7.43%	$217.23
93530	Rt heart cath congenital		D			14.76%	
93531	R & l heart cath congenital		D			13.65%	
93532	R & l heart cath congenital		D			46.74%	
93533	R & l heart cath congenital		D			8.23%	
93580	Transcath closure of asd		J1	5194	"$16,402.31"	68.42%	"$11,222.46"
93581	Transcath closure of vsd		J1	5194	"$16,402.31"	51.35%	"$8,422.59"
93582	Perq transcath closure pda		J1	5194	"$16,402.31"	42.91%	"$7,038.23"
93590	Perq transcath cls mitral		J1	5194	"$16,402.31"	42.37%	"$6,949.66"
93591	Perq transcath cls aortic		J1	5194	"$16,402.31"	35.08%	"$5,753.93"
93600	Bundle of his recording		J1	5212	"$6,207.84"	39.16%	"$2,430.99"
93602	Intra-atrial recording		J1	5212	"$6,207.84"	20.60%	"$1,278.82"
93603	Right ventricular recording		J1	5211	"$1,137.52"	41.52%	$472.30
93610	Intra-atrial pacing		J1	5212	"$6,207.84"	40.93%	"$2,540.87"
93612	Intraventricular pacing		J1	5212	"$6,207.84"	21.60%	"$1,340.89"
93615	Esophageal recording		J1	5211	"$1,137.52"	0.00%	$0.00
93618	Heart rhythm pacing		J1	5211	"$1,137.52"	47.69%	$542.48
93619	Electrophysiology evaluation		J1	5212	"$6,207.84"	28.33%	"$1,758.68"
93620	Electrophysiology evaluation		J1	5212	"$6,207.84"	27.40%	"$1,700.95"
93624	Electrophysiologic study		J1	5212	"$6,207.84"	4.97%	$308.53
93642	Electrophysiology evaluation		J1	5211	"$1,137.52"	0.83%	$9.44
93650	Ablate heart dysrhythm focus		J1	5212	"$6,207.84"	45.25%	"$2,809.05"
93653	Compre ep eval tx svt		J1	5213	"$21,915.58"	37.53%	"$8,224.92"
93654	Compre ep eval tx vt		J1	5213	"$21,915.58"	44.29%	"$9,706.41"
93656	Compre ep eval abltj atr fib		J1	5213	"$21,915.58"	47.15%	"$10,333.20"
93660	Tilt table evaluation		S	5723	$498.53	0.02%	$0.10
93668	Peripheral vascular rehab		S	5733	$56.85	0.00%	$0.00
93701	Bioimpedance cv analysis		Q1	5734	$115.16	1.14%	$1.31
93702	Bis xtracell fluid analysis		S	5721	$142.59	0.00%	$0.00
93724	Analyze pacemaker system		S	5743	$278.86	0.10%	$0.28
93750	Interrogation vad in person		S	5742	$102.53	0.07%	$0.07
93786	Ambl bp mntr w/sw rec only		Q1	5734	$115.16	0.00%	$0.00
93788	Ambl bp mntr w/sw a/r		Q1	5734	$115.16	0.00%	$0.00
93797	Cardiac rehab		S	5771	$118.55	0.00%	$0.00
93798	Cardiac rehab/monitor		S	5771	$118.55	0.00%	$0.00
93799	Cardiovascular procedure		S	5721	$142.59	3.41%	$4.86
93880	Extracranial bilat study		S	5523	$235.00	0.00%	$0.00
93882	Extracranial uni/ltd study		S	5522	$111.19	0.00%	$0.00
93886	Intracranial complete study		S	5523	$235.00	0.00%	$0.00
93888	Intracranial limited study		S	5522	$111.19	0.00%	$0.00
93890	Tcd vasoreactivity study		Q1	5523	$235.00	0.00%	$0.00
93892	Tcd emboli detect w/o inj		Q1	5522	$111.19	0.00%	$0.00
93893	Tcd emboli detect w/inj		Q1	5522	$111.19	0.00%	$0.00
93922	Upr/l xtremity art 2 levels		Q1	5734	$115.16	0.00%	$0.00
93923	Upr/lxtr art stdy 3+ lvls		S	5721	$142.59	0.00%	$0.00
93924	Lwr xtr vasc stdy bilat		S	5722	$270.29	0.00%	$0.00
93925	Lower extremity study		S	5523	$235.00	0.00%	$0.00
93926	Lower extremity study		S	5522	$111.19	0.01%	$0.01
93930	Upper extremity study		S	5523	$235.00	0.00%	$0.00
93931	Upper extremity study		S	5522	$111.19	0.01%	$0.01
93970	Extremity study		S	5523	$235.00	0.00%	$0.00
93971	Extremity study		S	5522	$111.19	0.00%	$0.00
93975	Vascular study		S	5523	$235.00	0.00%	$0.00
93976	Vascular study		S	5522	$111.19	0.00%	$0.00
93978	Vascular study		S	5523	$235.00	0.00%	$0.00
93979	Vascular study		Q1	5522	$111.19	0.00%	$0.00
93980	Penile vascular study		S	5522	$111.19	0.00%	$0.00
93981	Penile vascular study		S	5522	$111.19	0.00%	$0.00
93990	Doppler flow testing		Q1	5522	$111.19	0.03%	$0.03
93998	Noninvas vasc dx study proc		Q1	5731	$25.23	0.00%	$0.00
94002	Vent mgmt inpat init day		Q3	5801	$497.54	2.15%	$10.70
94003	Vent mgmt inpat subq day		Q3	5801	$497.54	0.22%	$1.09
94010	Breathing capacity test		Q1	5721	$142.59	0.01%	$0.01
94014	Patient recorded spirometry		Q1	5735	$277.18	0.00%	$0.00
94015	Patient recorded spirometry		Q1	5722	$270.29	0.00%	$0.00
94060	Evaluation of wheezing		S	5722	$270.29	0.00%	$0.00
94070	Evaluation of wheezing		S	5722	$270.29	0.00%	$0.00
94150	Vital capacity test		Q1	5721	$142.59	1.10%	$1.57
94200	Lung function test (mbc/mvv)		Q1	5733	$56.85	0.00%	$0.00
94375	Respiratory flow volume loop		Q1	5722	$270.29	0.00%	$0.00
94450	Hypoxia response curve		Q1	5722	$270.29	0.00%	$0.00
94452	Hast w/report		Q1	5734	$115.16	0.00%	$0.00
94453	Hast w/oxygen titrate		Q1	5734	$115.16	0.00%	$0.00
94610	Surfactant admin thru tube		Q1	5791	$191.97	0.00%	$0.00
94617	Exercise tst brncspsm w/ecg		Q1	5734	$115.16	0.00%	$0.00
94618	Pulmonary stress testing		Q1	5734	$115.16	0.00%	$0.00
94621	Cardiopulm exercise testing		S	5722	$270.29	0.04%	$0.11
94640	Airway inhalation treatment		Q1	5791	$191.97	0.12%	$0.23
94642	Aerosol inhalation treatment		Q1	5791	$191.97	0.01%	$0.02
94644	Cbt 1st hour		Q1	5734	$115.16	0.25%	$0.29
94660	Pos airway pressure cpap		Q1 	5791	$191.97	0.12%	$0.23
94662	Neg press ventilation cnp		Q3	5801	$497.54	0.00%	$0.00
94664	Evaluate pt use of inhaler		Q1	5791	$191.97	0.09%	$0.17
94667	Chest wall manipulation		Q1	5734	$115.16	0.01%	$0.01
94668	Chest wall manipulation		Q1	5734	$115.16	0.41%	$0.47
94669	Mechanical chest wall oscill		Q1	5791	$191.97	0.00%	$0.00
94680	Exhaled air analysis o2		Q1	5721	$142.59	0.00%	$0.00
94681	Exhaled air analysis o2/co2		Q1	5722	$270.29	0.13%	$0.35
94690	Exhaled air analysis		Q1	5733	$56.85	0.00%	$0.00
94726	Pulm funct tst plethysmograp		Q1	5722	$270.29	0.00%	$0.00
94727	Pulm function test by gas		Q1	5721	$142.59	0.00%	$0.00
94728	Airwy resist by oscillometry		Q1	5722	$270.29	0.00%	$0.00
94762	Measure blood oxygen level		Q3	5721	$142.59	0.09%	$0.13
94772	Breath recording infant		S	5723	$498.53	0.00%	$0.00
94799	Pulmonary service/procedure		Q1	5721	$142.59	1.34%	$1.91
95004	Percut allergy skin tests		Q1	5724	$939.61	0.00%	$0.00
95012	Exhaled nitric oxide meas		Q1	5732	$34.57	0.00%	$0.00
95017	Perq & icut allg test venoms		Q1	5731	$25.23	0.00%	$0.00
95018	Perq&ic allg test drugs/biol		Q1	5732	$34.57	0.00%	$0.00
95024	Icut allergy test drug/bug		Q1	5733	$56.85	0.00%	$0.00
95027	Icut allergy titrate-airborn		Q1	5731	$25.23	0.00%	$0.00
95028	Icut allergy test-delayed		Q1	5732	$34.57	0.00%	$0.00
95044	Allergy patch tests		Q1	5724	$939.61	0.00%	$0.00
95052	Photo patch test		Q1	5733	$56.85	0.00%	$0.00
95056	Photosensitivity tests		Q1	5734	$115.16	0.00%	$0.00
95060	Eye allergy tests		Q1	5734	$115.16	0.00%	$0.00
95070	Bronchial allergy tests		S	5723	$498.53	0.08%	$0.40
95076	Ingest challenge ini 120 min		S	5723	$498.53	0.00%	$0.00
95115	Immunotherapy one injection		Q1	5691	$40.87	0.00%	$0.00
95117	Immunotherapy injections		Q1	5691	$40.87	0.00%	$0.00
95144	Antigen therapy services		Q1	5691	$40.87	0.00%	$0.00
95145	Antigen therapy services		Q1	5691	$40.87	0.00%	$0.00
95146	Antigen therapy services		Q1	5691	$40.87	0.00%	$0.00
95147	Antigen therapy services		Q1	5692	$63.32	0.00%	$0.00
95148	Antigen therapy services		Q1	5692	$63.32	0.00%	$0.00
95149	Antigen therapy services		Q1	5692	$63.32	0.00%	$0.00
95165	Antigen therapy services		Q1	5691	$40.87	0.00%	$0.00
95170	Antigen therapy services		Q1	5691	$40.87	0.00%	$0.00
95180	Rapid desensitization		Q1	5735	$277.18	0.00%	$0.00
95199	Allergy immunology services		Q1	5731	$25.23	0.00%	$0.00
95249	Cont gluc mntr pt prov eqp		S	5733	$56.85	0.00%	$0.00
95250	Cont gluc mntr phys/qhp eqp		V	5012	$121.35	0.00%	$0.00
95782	Polysom <6 yrs 4/> paramtrs		S	5724	$939.61	0.00%	$0.00
95783	Polysom <6 yrs cpap/bilvl		S	5724	$939.61	0.00%	$0.00
95800	Slp stdy unattended		S	5721	$142.59	0.00%	$0.00
95801	Slp stdy unatnd w/anal		Q1	5734	$115.16	0.00%	$0.00
95803	Actigraphy testing		Q1	5733	$56.85	0.00%	$0.00
95805	Multiple sleep latency test		S	5723	$498.53	0.00%	$0.00
95806	Sleep study unatt&resp efft		S	5721	$142.59	0.00%	$0.00
95807	Sleep study attended		S	5723	$498.53	0.00%	$0.00
95808	Polysom any age 1-3> param		S	5724	$939.61	0.00%	$0.00
95810	Polysom 6/> yrs 4/> param		S	5724	$939.61	0.00%	$0.00
95811	Polysom 6/>yrs cpap 4/> parm		S	5724	$939.61	0.00%	$0.00
95812	Eeg 41-60 minutes		S	5722	$270.29	0.00%	$0.00
95813	Eeg extnd mntr 61-119 min		S	5722	$270.29	0.00%	$0.00
95816	Eeg awake and drowsy		S	5722	$270.29	0.00%	$0.00
95819	Eeg awake and asleep		S	5722	$270.29	0.00%	$0.00
95822	Eeg coma or sleep only		S	5722	$270.29	0.00%	$0.00
95824	Eeg cerebral death only		S	5723	$498.53	0.00%	$0.00
95836	Ecog impltd brn npgt <30 d		Q1	5741	$38.03	0.00%	$0.00
95857	Cholinesterase challenge		S	5722	$270.29	0.00%	$0.00
95860	Muscle test one limb		Q1	5734	$115.16	0.00%	$0.00
95861	Muscle test 2 limbs		Q1	5734	$115.16	0.00%	$0.00
95863	Muscle test 3 limbs		S	5721	$142.59	0.00%	$0.00
95864	Muscle test 4 limbs		S	5721	$142.59	0.00%	$0.00
95865	Muscle test larynx		Q1	5734	$115.16	0.00%	$0.00
95866	Muscle test hemidiaphragm		Q1	5721	$142.59	0.00%	$0.00
95867	Muscle test cran nerv unilat		S	5722	$270.29	22.40%	$60.54
95868	Muscle test cran nerve bilat		S	5722	$270.29	0.47%	$1.27
95869	Muscle test thor paraspinal		Q1	5721	$142.59	0.00%	$0.00
95870	Muscle test nonparaspinal		Q1	5734	$115.16	0.00%	$0.00
95872	Muscle test one fiber		S	5721	$142.59	0.00%	$0.00
95875	Limb exercise test		S	5721	$142.59	0.00%	$0.00
95905	Motor &/ sens nrve cndj test		Q1	5735	$277.18	0.00%	$0.00
95907	Nvr cndj tst 1-2 studies		S	5721	$142.59	0.00%	$0.00
95908	Nrv cndj tst 3-4 studies		S	5722	$270.29	0.00%	$0.00
95909	Nrv cndj tst 5-6 studies		S	5722	$270.29	0.00%	$0.00
95910	Nrv cndj test 7-8 studies		S	5722	$270.29	0.00%	$0.00
95911	Nrv cndj test 9-10 studies		S	5723	$498.53	0.00%	$0.00
95912	Nrv cndj test 11-12 studies		S	5723	$498.53	0.00%	$0.00
95913	Nrv cndj test 13/> studies		S	5723	$498.53	0.02%	$0.10
95921	Autonomic nrv parasym inervj		S	5721	$142.59	0.00%	$0.00
95922	Autonomic nrv adrenrg inervj		Q1	5734	$115.16	0.00%	$0.00
95923	Autonomic nrv syst funj test		Q1	5734	$115.16	0.00%	$0.00
95924	Ans parasymp & symp w/tilt		S	5722	$270.29	0.00%	$0.00
95925	Somatosensory testing		S	5722	$270.29	0.00%	$0.00
95926	Somatosensory testing		S	5722	$270.29	0.00%	$0.00
95927	Somatosensory testing		S	5722	$270.29	0.00%	$0.00
95928	C motor evoked uppr limbs		S	5724	$939.61	56.30%	$529.00
95929	C motor evoked lwr limbs		S	5723	$498.53	0.00%	$0.00
95930	Visual ep test cns w/i&r		S	5722	$270.29	0.00%	$0.00
95933	Blink reflex test		Q1	5733	$56.85	0.00%	$0.00
95937	Neuromuscular junction test		S	5721	$142.59	0.00%	$0.00
95938	Somatosensory testing		S	5723	$498.53	16.57%	$82.61
95939	C motor evoked upr&lwr limbs		S	5724	$939.61	0.00%	$0.00
95943	Parasymp&symp hrt rate test		D			0.00%	
95954	Eeg monitoring/giving drugs		S	5723	$498.53	0.00%	$0.00
95958	Eeg monitoring/function test		S	5724	$939.61	20.61%	$193.65
95965	Meg spontaneous		S	5724	$939.61	0.00%	$0.00
95966	Meg evoked single		S	5724	$939.61	0.00%	$0.00
95970	Alys npgt w/o prgrmg		Q1	5734	$115.16	0.00%	$0.00
95971	Alys smpl sp/pn npgt w/prgrm		S	5742	$102.53	0.11%	$0.11
95972	Alys cplx sp/pn npgt w/prgrm		S	5742	$102.53	0.00%	$0.00
95976	Alys smpl cn npgt prgrmg		S	5741	$38.03	0.00%	$0.00
95977	Alys cplx cn npgt prgrmg		S	5742	$102.53	0.00%	$0.00
95981	Io anal gast n-stim subsq		Q1	5734	$115.16	0.00%	$0.00
95982	Io ga n-stim subsq w/reprog		Q1	5741	$38.03	0.00%	$0.00
95983	Alys brn npgt prgrmg 15 min		S	5742	$102.53	0.00%	$0.00
95990	Spin/brain pump refil & main		S	5694	$325.64	0.09%	$0.29
95991	Spin/brain pump refil & main		T	5441	$266.83	0.98%	$2.61
95999	Neurological procedure		Q1	5721	$142.59	0.00%	$0.00
96000	Motion analysis video/3d		S	5723	$498.53	0.00%	$0.00
96001	Motion test w/ft press meas		S	5724	$939.61	0.00%	$0.00
96002	Dynamic surface emg		S	5721	$142.59	0.00%	$0.00
96003	Dynamic fine wire emg		Q1	5722	$270.29	0.00%	$0.00
96112	Devel tst phys/qhp 1st hr		Q3	5722	$270.29	0.00%	$0.00
96116	Nubhvl xm phys/qhp 1st hr		Q3	5722	$270.29	0.00%	$0.00
96127	Brief emotional/behav assmt		Q1	5732	$34.57	0.00%	$0.00
96130	Psycl tst eval phys/qhp 1st		Q3	5722	$270.29	0.00%	$0.00
96132	Nrpsyc tst eval phys/qhp 1st		Q3	5722	$270.29	0.00%	$0.00
96136	Psycl/nrpsyc tst phy/qhp 1st		Q3	5734	$115.16	0.00%	$0.00
96138	Psycl/nrpsyc tech 1st		Q3	5735	$277.18	0.00%	$0.00
96146	Psycl/nrpsyc tst auto result		Q3	5731	$25.23	0.00%	$0.00
96160	Pt-focused hlth risk assmt		S	5821	$26.84	0.00%	$0.00
96161	Caregiver health risk assmt		S	5821	$26.84	0.00%	$0.00
96360	Hydration iv infusion init		S	5693	$208.93	0.01%	$0.02
96361	Hydrate iv infusion add-on		S	5691	$40.87	0.00%	$0.00
96365	Ther/proph/diag iv inf init		S	5693	$208.93	0.07%	$0.15
96366	Ther/proph/diag iv inf addon		S	5691	$40.87	0.00%	$0.00
96367	Tx/proph/dg addl seq iv inf		S	5692	$63.32	0.00%	$0.00
96369	Sc ther infusion up to 1 hr		S	5693	$208.93	0.00%	$0.00
96370	Sc ther infusion addl hr		S	5691	$40.87	0.00%	$0.00
96371	Sc ther infusion reset pump		Q1	5692	$63.32	0.00%	$0.00
96372	Ther/proph/diag inj sc/im		Q1	5692	$63.32	0.02%	$0.01
96373	Ther/proph/diag inj ia		S	5693	$208.93	0.25%	$0.52
96374	Ther/proph/diag inj iv push		S	5693	$208.93	0.06%	$0.13
96375	Tx/pro/dx inj new drug addon		S	5691	$40.87	0.00%	$0.00
96377	Applicaton on-body injector		Q1	5691	$40.87	0.00%	$0.00
96379	Ther/prop/diag inj/inf proc		Q1	5691	$40.87	0.00%	$0.00
96401	Chemo anti-neopl sq/im		Q1	5692	$63.32	0.01%	$0.01
96402	Chemo hormon antineopl sq/im		Q1	5692	$63.32	0.00%	$0.00
96405	Chemo intralesional up to 7		Q1	5692	$63.32	0.00%	$0.00
96406	Chemo intralesional over 7		S	5693	$208.93	0.00%	$0.00
96409	Chemo iv push sngl drug		S	5693	$208.93	0.04%	$0.08
96411	Chemo iv push addl drug		S	5692	$63.32	0.00%	$0.00
96413	Chemo iv infusion 1 hr		S	5694	$325.64	0.02%	$0.07
96415	Chemo iv infusion addl hr		S	5692	$63.32	0.00%	$0.00
96416	Chemo prolong infuse w/pump		S	5694	$325.64	0.00%	$0.00
96417	Chemo iv infus each addl seq		S	5692	$63.32	0.00%	$0.00
96420	Chemo ia push tecnique		S	5694	$325.64	21.69%	$70.63
96422	Chemo ia infusion up to 1 hr		S	5693	$208.93	2.97%	$6.21
96423	Chemo ia infuse each addl hr		S	5691	$40.87	0.00%	$0.00
96425	Chemotherapy infusion method		S	5694	$325.64	0.00%	$0.00
96440	Chemotherapy intracavitary		S	5694	$325.64	0.00%	$0.00
96446	Chemotx admn prtl cavity		S	5694	$325.64	0.00%	$0.00
96450	Chemotherapy into cns		S	5694	$325.64	0.11%	$0.36
96521	Refill/maint portable pump		S	5693	$208.93	0.04%	$0.08
96522	Refill/maint pump/resvr syst		S	5693	$208.93	0.00%	$0.00
96523	Irrig drug delivery device		Q1	5733	$56.85	0.04%	$0.02
96542	Chemotherapy injection		S	5693	$208.93	0.00%	$0.00
96549	Chemotherapy unspecified		Q1	5691	$40.87	0.00%	$0.00
96567	Pdt dstr prmlg les skn		Q1	5051	$183.40	0.00%	$0.00
96573	Pdt dstr prmlg les phys/qhp		Q1	5051	$183.40	0.00%	$0.00
96574	Dbrdmt prmlg les w/pdt		Q1	5051	$183.40	0.00%	$0.00
96900	Ultraviolet light therapy		Q1	5732	$34.57	0.00%	$0.00
96910	Photochemotherapy with uv-b		Q1	5733	$56.85	0.00%	$0.00
96912	Photochemotherapy with uv-a		Q1	5733	$56.85	0.00%	$0.00
96913	Photochemotherapy uv-a or b		T	5052	$353.00	0.00%	$0.00
96920	Laser tx skin < 250 sq cm		Q1	5051	$183.40	0.00%	$0.00
96921	Laser tx skin 250-500 sq cm		Q1	5051	$183.40	0.00%	$0.00
96922	Laser tx skin >500 sq cm		Q1	5052	$353.00	0.00%	$0.00
96999	Dermatological procedure		Q1	5051	$183.40	0.00%	$0.00
97151	Bhv id assmt by phys/qhp		Q3	5822	$76.42	0.00%	$0.00
97152	Bhv id suprt assmt by 1 tech		Q3	5822	$76.42	0.00%	$0.00
97153	Adaptive behavior tx by tech		Q3	5822	$76.42	0.00%	$0.00
97155	Adapt behavior tx phys/qhp		Q3	5822	$76.42	0.00%	$0.00
97156	Fam adapt bhv tx gdn phy/qhp		Q3	5821	$26.84	0.00%	$0.00
97597	Rmvl devital tis 20 cm/<		T	5051	$183.40	0.01%	$0.02
97602	Wound(s) care non-selective		Q1	5051	$183.40	0.00%	$0.00
97605	Neg press wound tx <=50 cm		Q1	5051	$183.40	0.01%	$0.02
97606	Neg press wound tx >50 cm		Q1	5052	$353.00	0.07%	$0.25
97607	Neg press wnd tx <=50 sq cm		T	5052	$353.00	0.03%	$0.11
97608	Neg press wound tx >50 cm		T	5052	$353.00	0.00%	$0.00
97610	Low frequency non-thermal us		Q1	5051	$183.40	0.00%	$0.00
97810	Acupunct w/o stimul 15 min		S	5731	$25.23	0.00%	$0.00
97813	Acupunct w/stimul 15 min		S	5731	$25.23	0.00%	$0.00
98925	Osteopath manj 1-2 regions		Q1	5811	$27.24	0.00%	$0.00
98926	Osteopath manj 3-4 regions		Q1	5811	$27.24	0.00%	$0.00
98927	Osteopath manj 5-6 regions		Q1	5811	$27.24	0.00%	$0.00
98928	Osteopath manj 7-8 regions		Q1	5811	$27.24	0.00%	$0.00
98929	Osteopath manj 9-10 regions		Q1	5811	$27.24	0.00%	$0.00
98940	Chiropract manj 1-2 regions		Q1	5811	$27.24	0.00%	$0.00
98941	Chiropract manj 3-4 regions		Q1	5811	$27.24	0.00%	$0.00
98942	Chiropractic manj 5 regions		Q1	5811	$27.24	0.00%	$0.00
99170	Anogenital exam child w imag		T	5411	$173.99	0.00%	$0.00
99195	Phlebotomy		Q1	5734	$115.16	0.02%	$0.02
99281	Emergency dept visit		J2	5021	$74.08	0.03%	$0.02
99282	Emergency dept visit		J2	5022	$134.15	0.02%	$0.03
99283	Emergency dept visit		J2	5023	$236.35	0.02%	$0.05
99284	Emergency dept visit		J2	5024	$371.52	0.01%	$0.04
99285	Emergency dept visit		J2	5025	$533.27	0.01%	$0.05
99291	Critical care first hour		J2	5041	$760.74	0.01%	$0.08
99406	Behav chng smoking 3-10 min		S	5821	$26.84	0.00%	$0.00
99407	Behav chng smoking > 10 min		S	5821	$26.84	0.00%	$0.00
99453	Rem mntr physiol param setup		V	5012	$121.35	0.00%	$0.00
99454	Rem mntr physiol param dev		Q1	5741	$38.03	0.00%	$0.00
99463	Same day nb discharge		V	5012	$121.35	0.00%	$0.00
99465	Nb resuscitation		S	5781	$573.73	0.00%	$0.00
99483	Assmt & care pln pt cog imp		S	5822	$76.42	0.00%	$0.00
99484	Care mgmt svc bhvl hlth cond		S	5821	$26.84	0.00%	$0.00
99487	Cplx chrnc care 1st 60 min		S	5823	$136.65	0.00%	$0.00
99490	Chrnc care mgmt staff 1st 20		S	5822	$76.42	0.00%	$0.00
99492	1st psyc collab care mgmt		S	5822	$76.42	0.00%	$0.00
99493	Sbsq psyc collab care mgmt		S	5822	$76.42	0.00%	$0.00
99495	Trans care mgmt 14 day disch		V	5012	$121.35	0.00%	$0.00
99496	Trans care mgmt 7 day disch		V	5012	$121.35	0.00%	$0.00
99497	Advncd care plan 30 min		Q1	5822	$76.42	0.00%	$0.00
C8900	"Mra w/cont, abd"		Q3	5572	$376.09	0.00%	$0.00
C8901	"Mra w/o cont, abd"		Q3	5523	$235.00	0.00%	$0.00
C8902	"Mra w/o fol w/cont, abd"		Q3	5572	$376.09	0.00%	$0.00
C8903	"Mri w/cont, breast,  uni"		Q3	5571	$182.43	0.00%	$0.00
C8905	"Mri w/o fol w/cont, brst, un"		Q3	5572	$376.09	0.23%	$0.87
C8906	"Mri w/cont, breast,  bi"		Q3	5572	$376.09	0.01%	$0.04
C8908	"Mri w/o fol w/cont, breast,"		Q3	5572	$376.09	0.01%	$0.04
C8909	"Mra w/cont, chest"		Q3	5572	$376.09	0.00%	$0.00
C8910	"Mra w/o cont, chest"		Q3	5523	$235.00	0.03%	$0.07
C8911	"Mra w/o fol w/cont, chest"		Q3	5572	$376.09	0.02%	$0.08
C8912	"Mra w/cont, lwr ext"		Q3	5572	$376.09	0.00%	$0.00
C8913	"Mra w/o cont, lwr ext"		Q3	5523	$235.00	0.00%	$0.00
C8914	"Mra w/o fol w/cont, lwr ext"		Q3	5572	$376.09	0.00%	$0.00
C8918	"Mra w/cont, pelvis"		Q3	5572	$376.09	0.00%	$0.00
C8919	"Mra w/o cont, pelvis"		Q3	5523	$235.00	0.00%	$0.00
C8920	"Mra w/o fol w/cont, pelvis"		Q3	5572	$376.09	0.00%	$0.00
C8921	"Tte w or w/o fol w/cont, com"		S	5573	$730.67	0.00%	$0.00
C8922	"Tte w or w/o fol w/cont, f/u"		S	5573	$730.67	0.00%	$0.00
C8923	"2d tte w or w/o fol w/con,co"		S	5573	$730.67	0.01%	$0.07
C8924	"2d tte w or w/o fol w/con,fu"		S	5572	$376.09	0.04%	$0.15
C8925	"2d tee w or w/o fol w/con,in"		S	5573	$730.67	0.08%	$0.58
C8926	"Tee w or w/o fol w/cont,cong"		S	5573	$730.67	0.00%	$0.00
C8927	"Tee w or w/o fol w/cont, mon"		S	5573	$730.67	0.00%	$0.00
C8928	"Tte w or w/o fol w/con,stres"		S	5573	$730.67	0.01%	$0.07
C8929	"Tte w or wo fol wcon,doppler"		S	5573	$730.67	0.01%	$0.07
C8930	"Tte w or w/o contr, cont ecg"		S	5573	$730.67	0.01%	$0.07
C8931	"Mra, w/dye, spinal canal"		Q3	5572	$376.09	0.00%	$0.00
C8932	"Mra, w/o dye, spinal canal"		Q3	5523	$235.00	0.00%	$0.00
C8933	"Mra, w/o&w/dye, spinal canal"		Q3	5572	$376.09	0.00%	$0.00
C8934	"Mra, w/dye, upper extremity"		Q3	5572	$376.09	0.00%	$0.00
C8935	"Mra, w/o dye, upper extr"		Q3	5523	$235.00	0.00%	$0.00
C8936	"Mra, w/o&w/dye, upper extr"		Q3	5572	$376.09	0.00%	$0.00
C8957	"Prolonged iv inf, req pump"		S	5694	$325.64	0.00%	$0.00
C9600	Perc drug-el cor stent sing		J1	5193	"$10,258.49"	39.12%	"$4,013.12"
C9602	Perc d-e cor stent ather s		J1	5194	"$16,402.31"	56.83%	"$9,321.43"
C9604	Perc d-e cor revasc t cabg s		J1	5193	"$10,258.49"	40.58%	"$4,162.90"
C9607	Perc d-e cor revasc chro sin		J1	5194	"$16,402.31"	54.02%	"$8,860.53"
C9728	"Place device/marker, non pro"		S	5613	"$1,289.67"	35.97%	$463.89
C9733	Non-ophthalmic fva		Q2	5572	$376.09	0.00%	$0.00
C9734	"U/s trtmt, not leiomyomata"		J1	5115	"$12,593.29"	0.00%	$0.00
C9739	Cystoscopy prostatic imp 1-3		J1	5375	"$4,505.89"	65.13%	"$2,934.69"
C9740	Cysto impl 4 or more		J1	5376	"$8,428.82"	74.11%	"$6,246.60"
C9751	"Microwave bronch, 3d, ebus"		T	1562	"$3,750.50"	0.00%	$0.00
C9752	Intraosseous des lumb/sacrum		D			57.05%	
C9757	Spine/lumbar disk surgery	**	J1	5115	"$12,593.29"	25.61%	"$3,225.14"
C9765	Revasc intra lithotrip-stent	**	J1	5194	"$16,402.31"	55.27%	"$9,065.56"
C9767	Revasc lithotrip-stent-ather	**	J1	5194	"$16,402.31"	59.29%	"$9,724.93"
D0150	Comprehensve oral evaluation		S	5871	"$1,416.62"	0.09%	$1.27
D0240	Intraoral occlusal film		S	5871	"$1,416.62"	0.00%	$0.00
D0272	Dental bitewings two images		S	5871	"$1,416.62"	0.00%	$0.00
D0274	Bitewings four images		S	5871	"$1,416.62"	0.00%	$0.00
D2999	Dental unspec restorative pr		S	5871	"$1,416.62"	0.00%	$0.00
D7140	Extraction erupted tooth/exr		S	5871	"$1,416.62"	0.25%	$3.54
D7210	Rem imp tooth w mucoper flp		S	5871	"$1,416.62"	2.49%	$35.27
D7220	Impact tooth remov soft tiss		S	5871	"$1,416.62"	0.00%	$0.00
D7240	Impact tooth remov comp bony		S	5871	"$1,416.62"	0.00%	$0.00
D7250	Tooth root removal		S	5871	"$1,416.62"	0.00%	$0.00
D7260	Oral antral fistula closure		S	5871	"$1,416.62"	0.00%	$0.00
G0008	Admin influenza virus vac		S	5691	$40.87	0.00%	$0.00
G0009	Admin pneumococcal vaccine		S	5691	$40.87	0.02%	$0.01
G0010	Admin hepatitis b vaccine		S	5691	$40.87	0.00%	$0.00
G0101	Ca screen;pelvic/breast exam		S	5822	$76.42	0.00%	$0.00
G0104	Ca screen;flexi sigmoidscope		T	5311	$810.48	0.07%	$0.57
G0105	Colorectal scrn; hi risk ind		T	5311	$810.48	0.04%	$0.32
G0106	Colon ca screen;barium enema		S	5571	$182.43	0.00%	$0.00
G0120	Colon ca scrn; barium enema		S	5572	$376.09	0.00%	$0.00
G0121	Colon ca scrn not hi rsk ind		T	5311	$810.48	0.05%	$0.41
G0127	Trim nail(s)		Q1	5733	$56.85	0.00%	$0.00
G0130	Single energy x-ray study		S	5522	$111.19	0.00%	$0.00
G0166	"Extrnl counterpulse, per tx"		Q1	5734	$115.16	0.00%	$0.00
G0175	"Opps service,sched team conf"		V	5024	$371.52	0.00%	$0.00
G0235	Pet not otherwise specified		S	5591	$384.99	0.00%	$0.00
G0237	Therapeutic procd strg endur		S	5731	$25.23	0.00%	$0.00
G0238	"Oth resp proc, indiv"		S	5731	$25.23	0.00%	$0.00
G0239	"Oth resp proc, group"		S	5732	$34.57	0.00%	$0.00
G0245	Initial foot exam pt lops		V	5012	$121.35	0.00%	$0.00
G0246	Followup eval of foot pt lop		V	5012	$121.35	0.00%	$0.00
G0247	Routine footcare pt w lops		Q1	5051	$183.40	0.00%	$0.00
G0248	Demonstrate use home inr mon		V	5012	$121.35	0.00%	$0.00
G0249	Provide inr test mater/equip		V	5012	$121.35	0.00%	$0.00
G0257	Unsched dialysis esrd pt hos		S	5401	$668.91	0.33%	$2.21
G0260	Inj for sacroiliac jt anesth		T	5442	$648.52	0.07%	$0.45
G0276	Pild/placebo control clin tr		J1	5114	"$6,397.05"	3.83%	$245.01
G0277	"Hbot, full body chamber, 30m"		S	5061	$121.80	0.00%	$0.00
G0296	Visit to determ ldct elig		S	5822	$76.42	0.00%	$0.00
G0302	Pre-op service lvrs complete		S	5723	$498.53	0.00%	$0.00
G0303	Pre-op service lvrs 10-15dos		S	5722	$270.29	0.00%	$0.00
G0305	Post op service lvrs min 6		S	5723	$498.53	0.00%	$0.00
G0379	Direct refer hospital observ		J2	5025	$533.27	0.09%	$0.48
G0380	Lev 1 hosp type b ed visit		J2	5031	$72.14	0.00%	$0.00
G0381	Lev 2 hosp type b ed visit		J2	5032	$97.75	0.00%	$0.00
G0382	Lev 3 hosp type b ed visit		J2	5033	$184.86	0.00%	$0.00
G0383	Lev 4 hosp type b ed visit		J2	5034	$233.55	0.00%	$0.00
G0384	Lev 5 hosp type b ed visit		J2	5035	$325.47	0.00%	$0.00
G0390	Trauma respons w/hosp criti		S	5045	$972.94	0.00%	$0.00
G0396	Alcohol/subs interv 15-30mn		S	5821	$26.84	0.00%	$0.00
G0397	Alcohol/subs interv >30 min		S	5823	$136.65	0.00%	$0.00
G0398	Home sleep test/type 2 porta		S	5721	$142.59	0.00%	$0.00
G0399	Home sleep test/type 3 porta		S	5721	$142.59	0.00%	$0.00
G0400	Home sleep test/type 4 porta		S	5722	$270.29	0.00%	$0.00
G0402	Initial preventive exam		V	5012	$121.35	0.00%	$0.00
G0404	Ekg tracing for initial prev		S	5731	$25.23	0.00%	$0.00
G0413	Pelvic ring fracture uni/bil		J1	5114	"$6,397.05"	18.98%	"$1,214.16"
G0416	"Prostate biopsy, any mthd"		Q2	5673	$297.45	0.00%	$0.00
G0422	Intens cardiac rehab w/exerc		S	5771	$118.55	0.00%	$0.00
G0423	Intens cardiac rehab no exer		S	5771	$118.55	0.00%	$0.00
G0424	Pulmonary rehab w exer		D			0.00%	
G0429	Dermal filler injection(s)		T	5054	"$1,749.26"	2.93%	$51.25
G0442	Annual alcohol screen 15 min		S	5821	$26.84	0.00%	$0.00
G0443	Brief alcohol misuse counsel		S	5822	$76.42	0.00%	$0.00
G0444	Depression screen annual		S	5821	$26.84	0.00%	$0.00
G0446	Intens behave ther cardio dx		S	5821	$26.84	0.00%	$0.00
G0447	Behavior counsel obesity 15m		S	5822	$76.42	0.00%	$0.00
G0451	Devlopment test interpt&rep		Q3	5822	$76.42	0.00%	$0.00
G0455	Fecal microbiota prep instil		Q1	5301	$826.39	15.14%	$125.12
G0460	Autologous prp for non-ulcers		T	5054	"$1,749.26"	0.00%	$0.00
G0463	Hospital outpt clinic visit		J2	5012	$121.35	0.00%	$0.00
G0473	Group behave couns 2-10		S	5821	$26.84	0.00%	$0.00
G0498	Chemo extend iv infus w/pump		S	5694	$325.64	0.00%	$0.00
G2011	Alcohol/sub misuse assess		S	5731	$25.23	0.00%	$0.00
P9100	Pathogen test for platelets		S	5733	$56.85	0.00%	$0.00
Q0091	Obtaining screen pap smear		S	5731	$25.23	0.00%	$0.00
