"File Description: 
*List of the device offset percentages and device offset amounts for all HCPCS code with CY 2024 claims data.
*The CY 2026 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 a 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 the HCPCS code device offset percentage. 

*Device costs statistics reflect the data from CY 2024 used for ratesetting for this CY 2026 OPPS/ASC proposed rule. Device cost statistics for HCPCS codes established in CY 2025 or CY 2026 do not appear in this file."							
HCPCS	Short Descriptor	SI	APC	APC Device Offset Percentage	Proposed CY 2026 Payment Rate	Device Offset Percentage	Device Offset Amount
0101T	Esw muscskel sys nos	T	5111	0.04%	$254.56	0.00%	$0.00
0184T	Exc rectal tumor endoscopic	J1	5331	33.33%	"$6,276.20"	0.75%	$47.07
0200T	Perq sacral augmt unilat inj	J1	5114	25.81%	"$7,533.87"	30.94%	"$2,330.98"
0201T	Perq sacral augmt bilat inj	J1	5114	25.81%	"$7,533.87"	27.16%	"$2,046.20"
0202T	Post vert arthrplst 1 lumbar	J1	5115	45.04%	"$13,254.37"	59.21%	"$7,847.91"
0207T	Clear eyelid gland w/heat	Q1	5734	0.07%	$136.31	0.50%	$0.68
0213T	Njx paravert w/us cer/thor	T	5443	0.28%	$904.38	0.00%	$0.00
0219T	Plmt post facet implt cerv	J1	5115	45.04%	"$13,254.37"	71.19%	"$9,435.79"
0221T	Plmt post facet implt lumb	J1	5114	25.81%	"$7,533.87"	71.61%	"$5,395.00"
0232T	Njx platelet plasma	Q1	5735	0.31%	$451.59	0.73%	$3.30
0234T	Trluml perip athrc renal art	J1	5193	37.37%	"$11,873.70"	3.78%	$448.83
0237T	Trluml perip athrc brchiocph	J1	5193	37.37%	"$11,873.70"	56.29%	"$6,683.71"
0238T	Trluml perip athrc iliac art	J1	5194	53.20%	"$18,791.32"	45.37%	"$8,525.62"
0263T	Im b1 mrw cel ther cmpl	S	5243	0.01%	"$4,504.91"	0.00%	$0.00
0266T	Implt/rpl crtd sns dev total	D				85.61%	
0267T	Implt/rpl crtd sns dev lead	D				53.03%	
0268T	Implt/rpl crtd sns dev gen	D				84.61%	
0269T	Rev/remvl crtd sns dev total	D				0.45%	
0270T	Rev/remvl crtd sns dev lead	D				0.04%	
0271T	Rev/remvl crtd sns dev gen	D				0.12%	
0272T	Interrogate crtd sns dev	D				0.00%	
0273T	Interrogate crtd sns w/pgrmg	D				0.00%	
0274T	Prq lamot/lam dcmpr crv/thrc	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
0275T	Perq lamot/lam lumbar	D				59.04%	
0278T	Tempr	Q1	5721	0.04%	$132.89	0.00%	$0.00
0308T	Insj ocular telescope prosth	J1	5496	70.73%	"$16,645.08"	41.62%	"$6,927.68"
0330T	Tear film img uni/bi w/i&r	Q1	5732	0.00%	$38.91	0.00%	$0.00
0332T	Heart symp image plnr spect	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
0335T	Insj sinus tarsi implant	J1	5114	25.81%	"$7,533.87"	28.45%	"$2,143.39"
0338T	Trnscth renal symp denrv unl	J1	5192	30.02%	"$5,880.65"	78.15%	"$4,595.73"
0339T	Trnscth renal symp denrv bil	J1	5192	30.02%	"$5,880.65"	55.95%	"$3,290.22"
0350T	Rsa lower extr exam	Q1	5521	0.08%	$89.39	0.00%	$0.00
0358T	Bia whole body	Q1	5731	0.03%	$30.81	0.00%	$0.00
0394T	Hdr elctrnc skn surf brchytx	D				0.00%	
0395T	Hdr elctr ntrst/ntrcv brchtx	S	5624	0.05%	$715.83	0.00%	$0.00
0402T	Colgn crs-link crn&pachymtry	J1	5503	0.92%	"$2,468.55"	4.35%	$107.38
0408T	Insj/rplc cardiac modulj sys	J1	5232	69.36%	"$32,328.74"	76.55%	"$24,747.65"
0409T	Insj/rplc car modulj pls gn	J1	5231	67.20%	"$23,012.91"	73.51%	"$16,916.79"
0411T	Insj/rplc car modulj vnt elt	J1	5222	66.67%	"$8,478.87"	37.99%	"$3,221.12"
0412T	Rmvl cardiac modulj pls gen	Q2	5221	21.78%	"$3,917.96"	40.91%	"$1,602.84"
0415T	Repos car modulj tranvns elt	T	5181	3.32%	$645.88	82.81%	$534.85
0417T	Prgrmg eval cardiac modulj	Q1	5741	0.00%	$38.02	0.00%	$0.00
0418T	Interro eval cardiac modulj	Q1	5741	0.00%	$38.02	0.00%	$0.00
0421T	Waterjet prostate abltj cmpl	D				45.17%	
0440T	Abltj perc uxtr/perph nrv	J1	5431	1.04%	"$1,999.82"	61.87%	"$1,237.29"
0441T	Abltj perc lxtr/perph nrv	J1	5431	1.04%	"$1,999.82"	59.33%	"$1,186.49"
0442T	Abltj perc plex/trncl nrv	J1	5432	15.05%	"$4,670.04"	58.24%	"$2,719.83"
0448T	Remvl insj impltbl gluc sens	T	1561		"$3,250.50"	0.00%	$0.00
0449T	Insj aqueous drain dev 1st	J1	5493	35.50%	"$5,385.81"	51.16%	"$2,755.38"
0479T	Fxjl abl lsr 1st 100 sq cm	T	5053	0.05%	$746.61	0.00%	$0.00
0505T	Ev fempop artl revsc	J1	5193	37.37%	"$11,873.70"	61.04%	"$7,247.71"
0509T	Pattern erg w/i&r	S	5722	0.01%	$221.14	0.00%	$0.00
0510T	Rmvl sinus tarsi implant	Q2	5113	6.24%	"$3,377.20"	0.00%	$0.00
0511T	Rmvl&rinsj sinus tarsi implt	J1	5114	25.81%	"$7,533.87"	38.78%	"$2,921.63"
0512T	Esw integ wnd hlg 1st wnd	S	5051	0.01%	$203.69	0.00%	$0.00
0515T	Insj wcs lv compl sys	J1	5231	67.20%	"$23,012.91"	58.02%	"$13,352.09"
0519T	Rmv&rplcmt pg wcs lv both	J1	5223	55.19%	"$10,733.67"	4.90%	$525.95
0520T	Rmv&rplcmt pg wcs lv battery	J1	5223	55.19%	"$10,733.67"	45.24%	"$4,855.91"
0527T	Insj/rplcmt iims implt mntr	J1	5222	66.67%	"$8,478.87"	62.02%	"$5,258.60"
0530T	Removal complete iims	Q2	5221	21.78%	"$3,917.96"	0.00%	$0.00
0541T	Myocardial imaging mcg	S	5723	0.04%	$381.96	0.00%	$0.00
0555T	B1 str&fx rsk transmis data	S	5731	0.03%	$30.81	0.00%	$0.00
0556T	B1 str & fx rsk assessment	S	5523	0.07%	$245.72	0.00%	$0.00
0559T	Antmc mdl 3d print 1st cmpnt	Q1	5733	0.06%	$60.59	0.00%	$0.00
0561T	Antmc guide 3d print 1st gd	Q1	5733	0.06%	$60.59	0.00%	$0.00
0564T	Onc chemo rx cytotox csc 14	D				0.00%	
0571T	Insj/rplcmt icds ss eltrd	J1	5232	69.36%	"$32,328.74"	68.77%	"$22,232.47"
0573T	Removal ss dfb electrode	Q2	5221	21.78%	"$3,917.96"	0.00%	$0.00
0575T	Prgrmg dev eval icds ss ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
0579T	Rem interrog dev icds tech	Q1	5741	0.00%	$38.02	0.00%	$0.00
0581T	Abltj mal brst tum perq crtx	J1	5091	1.54%	"$4,049.20"	50.37%	"$2,039.58"
0587T	Perq impltj/rplcmt isdns ptn	J1	5462	49.47%	"$6,560.51"	84.70%	"$5,556.75"
0588T	Revision/removal isdns ptn	J1	5461	10.24%	"$3,722.72"	0.00%	$0.00
0598T	R-t fluor wound img 1st site	T	5722	0.01%	$221.14	0.00%	$0.00
0600T	Abltj ire 1+tum organ perq	J1	5362	9.03%	"$10,966.50"	57.02%	"$6,253.10"
0601T	Ire abltj 1+tumors open	J1	5362	9.03%	"$10,966.50"	57.07%	"$6,258.58"
0611T	Mrs disc pain alg alys data	S	5523	0.07%	$245.72	0.00%	$0.00
0614T	Rmvl&rplcmt ss impl dfb pg	J1	5231	67.20%	"$23,012.91"	85.04%	"$19,570.18"
0617T	Insj iris prosth w/rmvl&insj	D				61.48%	
0618T	Insj iris prosth sec io lens	D				73.72%	
0619T	Cysto w/prst8 commissurotomy	D				59.01%	
0620T	Evasc ven artlz tibl/prnl vn	S	1579		"$35,000.50"	68.56%	"$23,996.34"
0621T	Trabeculostomy interno laser	J1	5492	6.44%	"$4,243.38"	0.00%	$0.00
0625T	Auto quan c plaq cptr alys	D				0.00%	
0627T	Perq njx algc fluor lmbr 1st	J1	5115	45.04%	"$13,254.37"	84.43%	"$11,190.66"
0629T	Perq njx algc ct lmbr 1st	J1	5115	45.04%	"$13,254.37"	95.42%	"$12,647.32"
0640T	Ncntc ifr spctrsc o/t pad 1	T	5732	0.00%	$38.91	0.00%	$0.00
0644T	Tcat rmvl/dblk icar mas perq	J1	5192	30.02%	"$5,880.65"	35.97%	"$2,115.27"
0645T	Tcat impltj c sins rdctj dev	J1	5194	53.20%	"$18,791.32"	11.08%	"$2,082.08"
0647T	Insj gtube perq mag gastrpxy	J1	5302	10.97%	"$1,975.59"	3.37%	$66.58
0648T	Quan mr tis wo mri 1orgn	S	1511		$950.50	0.00%	$0.00
0649T	Quan mr tiss w/mri 1orgn	S	1511		$950.50	0.00%	$0.00
0650T	Prgrmg dev eval scrms remote	Q1	5741	0.00%	$38.02	0.00%	$0.00
0652T	Egd flx transnasal dx br/wa	J1	5302	10.97%	"$1,975.59"	2.67%	$52.75
0653T	Egd flx transnasal bx 1/mlt	J1	5302	10.97%	"$1,975.59"	0.88%	$17.39
0654T	Egd flx transnasal tube/cath	J1	5303	17.68%	"$4,002.57"	4.25%	$170.11
0655T	Tprnl focal abltj mal prst8	J1	5375	15.32%	"$5,517.86"	21.24%	"$1,171.99"
0660T	Implt ant sgm io nbio rx sys	J1	5492	6.44%	"$4,243.38"	0.00%	$0.00
0662T	Scalp cool 1st meas&calbrj	D				0.00%	
0671T	Insj ant sgm aq drg dev 1+	J1	5493	35.50%	"$5,385.81"	65.33%	"$3,518.55"
0673T	Abltj b9 thyr ndul perq lasr	J1	5072	3.86%	"$1,692.22"	7.45%	$126.07
0674T	Laps insj nw/rpcmt prm isdss	J1	5465	82.24%	"$31,751.65"	77.72%	"$24,677.38"
0679T	Laps rmvl lead isdss	J1	5362	9.03%	"$10,966.50"	1.97%	$216.04
0686T	Histotripsy mal hepatcel tis	S	1579		"$35,000.50"	0.00%	$0.00
0689T	Quan us tis charac w/o dx us	S	5521	0.08%	$89.39	0.00%	$0.00
0698T	Quan mr tiss w/mri mlt orgn	S	1511		$950.50	0.00%	$0.00
0699T	Njx pst chmbr eye medication	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
0707T	Njx b1 sub mtrl sbchdrl dfct	J1	5113	6.24%	"$3,377.20"	47.44%	"$1,602.14"
0714T	Tpla b9 prst8 hyprplsa<50ml	J1	5375	15.32%	"$5,517.86"	22.99%	"$1,268.56"
0721T	Quan ct tiss charac w/o ct	S	1508		$650.50	0.00%	$0.00
0722T	Quan ct tiss charac w/ct	S	1508		$650.50	0.00%	$0.00
0724T	Qmrcp w/dx mri same anatomy	S	1511		$950.50	0.00%	$0.00
0737T	Xenograft impltj artclr surf	J1	5115	45.04%	"$13,254.37"	64.71%	"$8,576.90"
0780T	Instlj fecal microbiota ssp	S	5734	0.07%	$136.31	0.00%	$0.00
0784T	Ins/rplmt eltrd ra spi nstim	J1	5463	27.08%	"$11,703.42"	68.53%	"$8,020.35"
0785T	Revj/rmvl nea spi w/nstim	J1	5461	10.24%	"$3,722.72"	12.09%	$450.08
0787T	Revj/rmvl nea sac w/nstim	J1	5461	10.24%	"$3,722.72"	6.36%	$236.76
0795T	Tcat ins 2chmbr ldls pm cmpl	J1	5224	61.70%	"$19,874.36"	60.59%	"$12,041.87"
0796T	Tcat ins 2chmbr ldls pm ra	J1	5224	61.70%	"$19,874.36"	73.39%	"$14,585.79"
0797T	Tcat ins 2chmbr ldls pm rv	J1	5224	61.70%	"$19,874.36"	67.91%	"$13,496.68"
0799T	Tcat rmvl 2chmbr ldls pm ra	J1	5183	16.69%	"$3,254.23"	24.08%	$783.62
0802T	Tcat rmv&rpl2chmb ldls pm ra	J1	5224	61.70%	"$19,874.36"	53.75%	"$10,682.47"
0803T	Tcat rmv&rpl2chmb ldls pm rv	J1	5224	61.70%	"$19,874.36"	52.70%	"$10,473.79"
0804T	Prgrmg evl ldls pm 2chmbr ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
0810T	Subrta njx rx agt w/vtrc	T	1563		"$4,250.50"	0.00%	$0.00
0816T	Opn insj/rplcmt ins ptn subq	J1	5464	80.24%	"$20,126.69"	88.52%	"$17,816.15"
0817T	Opn insj/rplcmt ins ptn subf	J1	5464	80.24%	"$20,126.69"	88.65%	"$17,842.31"
0818T	Revj/rmvl ins ptn subq	J1	5461	10.24%	"$3,722.72"	0.00%	$0.00
0823T	Tcat ins 1chmbr ldls pm ra	J1	5224	61.70%	"$19,874.36"	66.60%	"$13,236.32"
0826T	Prgrmg evl ldls pm 1chmbr ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
0865T	Quan mri alys brn w/o dx mri	S	5523	0.07%	$245.72	0.00%	$0.00
0866T	Quan mri alys brn w/dx mri	S	5523	0.07%	$245.72	0.00%	$0.00
0868T	Hi-res gastric ep mapping	S	5723	0.04%	$381.96	0.00%	$0.00
0869T	Njx b1 sub mtrl hw fixj aug	J1	5113	6.24%	"$3,377.20"	56.04%	"$1,892.58"
0888T	Histotripsy mal renal tissue	S	1576		"$17,500.50"	0.00%	$0.00
0889T	Prsnlz trgt dvl arhfcmrigtbs	S	1511		$950.50	0.00%	$0.00
0890T	Arhfcmrigtbs 1st tx day	S	1521		"$1,950.50"	0.00%	$0.00
0891T	Arhfcmrigtbs sbsq tx day	S	1522		"$2,250.50"	0.00%	$0.00
0892T	Arhfcmrigtbs sbsq per tx day	S	1525		"$3,750.50"	0.00%	$0.00
0932T	N-invs det hrt fail aug echo	S	5743	0.44%	$316.08	0.00%	$0.00
10005	Fna bx w/us gdn 1st les	T	5071	9.91%	$730.32	0.14%	$1.02
10007	Fna bx w/fluor gdn 1st les	T	5071	9.91%	$730.32	0.00%	$0.00
10009	Fna bx w/ct gdn 1st les	T	5071	9.91%	$730.32	1.52%	$11.10
10011	Fna bx w/mr gdn 1st les	T	5071	9.91%	$730.32	5.36%	$39.15
10021	Fna bx w/o img gdn 1st les	T	5052	0.04%	$414.63	0.07%	$0.29
10030	Img gid flu coll drg sft tis	T	5071	9.91%	$730.32	15.30%	$111.74
10035	Plmt sft tiss loclzj dev 1st	T	5071	9.91%	$730.32	47.89%	$349.75
10040	Extraction	Q1	5051	0.01%	$203.69	0.00%	$0.00
10060	I&d abscess simple/single	T	5051	0.01%	$203.69	0.06%	$0.12
10061	I&d abscess comp/multiple	T	5052	0.04%	$414.63	0.09%	$0.37
10080	I&d pilonidal cyst simple	T	5071	9.91%	$730.32	0.00%	$0.00
10081	I&d pilonidal cyst comp	T	5071	9.91%	$730.32	0.00%	$0.00
10120	Inc&rmvl fb subq tiss smpl	T	5052	0.04%	$414.63	0.09%	$0.37
10121	Inc&rmvl fb subq tiss comp	J1	5072	3.86%	"$1,692.22"	0.10%	$1.69
10140	I&d hmtma seroma/fluid collj	J1	5072	3.86%	"$1,692.22"	1.21%	$20.48
10160	Pnxr aspir absc hmtma bulla	T	5052	0.04%	$414.63	3.21%	$13.31
10180	I&d complex po wound infctj	J1	5073	2.26%	"$2,970.38"	1.64%	$48.71
11000	Dbrdmt ecz/infected skin<10%	T	5052	0.04%	$414.63	0.09%	$0.37
11010	Debride skin at fx site	T	5071	9.91%	$730.32	2.45%	$17.89
11011	Debride skin musc at fx site	T	5071	9.91%	$730.32	0.10%	$0.73
11012	Deb skin bone at fx site	J1	5073	2.26%	"$2,970.38"	1.85%	$54.95
11042	Dbrdmt subq tis 1st 20sqcm/<	T	5052	0.04%	$414.63	0.01%	$0.04
11043	Dbrdmt musc&/fsca 1st 20/<	T	5053	0.05%	$746.61	0.08%	$0.60
11044	Dbrdmt bone 1st 20 sq cm/<	J1	5072	3.86%	"$1,692.22"	0.52%	$8.80
11055	Paring/cutg b9 hyprker les 1	Q1	5051	0.01%	$203.69	0.04%	$0.08
11056	Parng/cutg b9 hyprkr les 2-4	Q1	5051	0.01%	$203.69	0.00%	$0.00
11057	Parng/cutg b9 hyprkr les >4	T	5051	0.01%	$203.69	0.00%	$0.00
11102	Tangntl bx skin single les	T	5052	0.04%	$414.63	0.00%	$0.00
11104	Punch bx skin single lesion	T	5052	0.04%	$414.63	0.05%	$0.21
11106	Incal bx skn single les	T	5053	0.05%	$746.61	0.03%	$0.22
11200	Rmvl skin tags up to&inc 15	Q1	5051	0.01%	$203.69	0.00%	$0.00
11300	Shave skin lesion 0.5 cm/<	Q1	5052	0.04%	$414.63	0.00%	$0.00
11301	Shave skin lesion 0.6-1.0 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
11302	Shave skin lesion 1.1-2.0 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
11303	Shave skin lesion >2.0 cm	Q1	5052	0.04%	$414.63	0.00%	$0.00
11305	Shave skin lesion 0.5 cm/<	Q1	5051	0.01%	$203.69	0.00%	$0.00
11306	Shave skin lesion 0.6-1.0 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
11307	Shave skin lesion 1.1-2.0 cm	T	5051	0.01%	$203.69	0.00%	$0.00
11308	Shave skin lesion >2.0 cm	Q1	5052	0.04%	$414.63	0.00%	$0.00
11310	Shave skin lesion 0.5 cm/<	T	5051	0.01%	$203.69	0.00%	$0.00
11311	Shave skin lesion 0.6-1.0 cm	T	5051	0.01%	$203.69	0.00%	$0.00
11312	Shave skin lesion 1.1-2.0 cm	T	5052	0.04%	$414.63	0.00%	$0.00
11313	Shave skin lesion >2.0 cm	T	5052	0.04%	$414.63	0.00%	$0.00
11400	Exc tr-ext b9+marg 0.5 cm<	T	5071	9.91%	$730.32	0.21%	$1.53
11401	Exc tr-ext b9+marg 0.6-1 cm	T	5052	0.04%	$414.63	0.02%	$0.08
11402	Exc tr-ext b9+marg 1.1-2 cm	T	5071	9.91%	$730.32	0.02%	$0.15
11403	Exc tr-ext b9+marg 2.1-3cm	T	5071	9.91%	$730.32	0.03%	$0.22
11404	Exc tr-ext b9+marg 3.1-4 cm	J1	5072	3.86%	"$1,692.22"	0.17%	$2.88
11406	Exc tr-ext b9+marg >4.0 cm	J1	5072	3.86%	"$1,692.22"	0.15%	$2.54
11420	Exc h-f-nk-sp b9+marg 0.5/<	J1	5072	3.86%	"$1,692.22"	0.28%	$4.74
11421	Exc h-f-nk-sp b9+marg 0.6-1	T	5071	9.91%	$730.32	0.08%	$0.58
11422	Exc h-f-nk-sp b9+marg 1.1-2	J1	5072	3.86%	"$1,692.22"	0.21%	$3.55
11423	Exc h-f-nk-sp b9+marg 2.1-3	J1	5072	3.86%	"$1,692.22"	0.01%	$0.17
11424	Exc h-f-nk-sp b9+marg 3.1-4	J1	5072	3.86%	"$1,692.22"	0.01%	$0.17
11426	Exc h-f-nk-sp b9+marg >4 cm	J1	5073	2.26%	"$2,970.38"	0.22%	$6.53
11440	Exc face-mm b9+marg 0.5 cm/<	T	5071	9.91%	$730.32	0.18%	$1.31
11441	Exc face-mm b9+marg 0.6-1 cm	T	5071	9.91%	$730.32	0.05%	$0.37
11442	Exc face-mm b9+marg 1.1-2 cm	T	5071	9.91%	$730.32	0.13%	$0.95
11443	Exc face-mm b9+marg 2.1-3 cm	J1	5072	3.86%	"$1,692.22"	0.24%	$4.06
11444	Exc face-mm b9+marg 3.1-4 cm	J1	5072	3.86%	"$1,692.22"	0.18%	$3.05
11446	Exc face-mm b9+marg >4 cm	J1	5073	2.26%	"$2,970.38"	0.03%	$0.89
11450	Exc skn hdrdnt ax smpl/ntrm	J1	5073	2.26%	"$2,970.38"	0.04%	$1.19
11451	Exc skn hdrdnt ax complex	J1	5073	2.26%	"$2,970.38"	1.16%	$34.46
11462	Exc skn hdrdnt ing smpl/ntrm	J1	5073	2.26%	"$2,970.38"	1.75%	$51.98
11463	Exc skn hdrdnt ing complex	J1	5073	2.26%	"$2,970.38"	0.07%	$2.08
11470	Exc skn h/p/p/u smpl/ntrm	J1	5073	2.26%	"$2,970.38"	1.87%	$55.55
11471	Exc skn h/p/p/u complex	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
11600	Exc tr-ext mal+marg 0.5 cm/<	T	5071	9.91%	$730.32	0.03%	$0.22
11601	Exc tr-ext mal+marg 0.6-1 cm	T	5071	9.91%	$730.32	0.00%	$0.00
11602	Exc tr-ext mal+marg 1.1-2 cm	T	5052	0.04%	$414.63	0.01%	$0.04
11603	Exc tr-ext mal+marg 2.1-3 cm	T	5071	9.91%	$730.32	0.01%	$0.07
11604	Exc tr-ext mal+marg 3.1-4 cm	T	5071	9.91%	$730.32	0.17%	$1.24
11606	Exc tr-ext mal+marg >4 cm	J1	5072	3.86%	"$1,692.22"	0.22%	$3.72
11620	Exc h-f-nk-sp mal+marg 0.5/<	J1	5072	3.86%	"$1,692.22"	0.02%	$0.34
11621	Exc s/n/h/f/g mal+mrg 0.6-1	T	5071	9.91%	$730.32	0.26%	$1.90
11622	Exc s/n/h/f/g mal+mrg 1.1-2	T	5071	9.91%	$730.32	0.19%	$1.39
11623	Exc s/n/h/f/g mal+mrg 2.1-3	J1	5072	3.86%	"$1,692.22"	0.10%	$1.69
11624	Exc s/n/h/f/g mal+mrg 3.1-4	J1	5072	3.86%	"$1,692.22"	0.27%	$4.57
11626	Exc s/n/h/f/g mal+mrg >4 cm	J1	5073	2.26%	"$2,970.38"	0.41%	$12.18
11640	Exc f/e/e/n/l mal+mrg 0.5cm<	T	5071	9.91%	$730.32	0.03%	$0.22
11641	Exc f/e/e/n/l mal+mrg 0.6-1	T	5071	9.91%	$730.32	0.01%	$0.07
11642	Exc f/e/e/n/l mal+mrg 1.1-2	T	5071	9.91%	$730.32	0.03%	$0.22
11643	Exc f/e/e/n/l mal+mrg 2.1-3	J1	5072	3.86%	"$1,692.22"	0.09%	$1.52
11644	Exc f/e/e/n/l mal+mrg 3.1-4	J1	5072	3.86%	"$1,692.22"	0.07%	$1.18
11646	Exc f/e/e/n/l mal+mrg >4 cm	J1	5073	2.26%	"$2,970.38"	0.23%	$6.83
11719	Trim nail(s) any number	Q1	5733	0.06%	$60.59	0.00%	$0.00
11720	Debride nail 1-5	Q1	5733	0.06%	$60.59	0.00%	$0.00
11721	Debride nail 6 or more	Q1	5733	0.06%	$60.59	0.00%	$0.00
11730	Removal of nail plate	Q1	5051	0.01%	$203.69	0.02%	$0.04
11740	Drain blood from under nail	Q1	5734	0.07%	$136.31	0.00%	$0.00
11750	Removal of nail bed	T	5052	0.04%	$414.63	0.01%	$0.04
11755	Biopsy nail unit	T	5071	9.91%	$730.32	0.00%	$0.00
11760	Repair of nail bed	T	5053	0.05%	$746.61	0.14%	$1.05
11762	Reconstruction of nail bed	T	5054	0.98%	"$2,137.45"	7.03%	$150.26
11765	Excision of nail fold toe	Q1	5052	0.04%	$414.63	0.00%	$0.00
11770	Remove pilonidal cyst simple	J1	5073	2.26%	"$2,970.38"	0.34%	$10.10
11771	Remove pilonidal cyst exten	J1	5073	2.26%	"$2,970.38"	0.38%	$11.29
11772	Remove pilonidal cyst compl	J1	5073	2.26%	"$2,970.38"	0.12%	$3.56
11900	Inject skin lesions </w 7	Q1	5051	0.01%	$203.69	0.00%	$0.00
11901	Inject skin lesions >7	Q1	5051	0.01%	$203.69	0.00%	$0.00
11920	Correct skin color 6.0 cm/<	T	5053	0.05%	$746.61	0.00%	$0.00
11921	Correct skn color 6.1-20.0cm	T	5053	0.05%	$746.61	0.04%	$0.30
11950	Tx contour defects 1 cc/<	T	5051	0.01%	$203.69	0.00%	$0.00
11951	Tx contour defects 1.1-5.0cc	T	5053	0.05%	$746.61	0.00%	$0.00
11952	Tx contour defects 5.1-10cc	T	5053	0.05%	$746.61	32.91%	$245.71
11954	Tx contour defects >10.0 cc	T	5053	0.05%	$746.61	0.00%	$0.00
11960	Insert tissue expander(s)	T	5055	1.18%	"$3,659.96"	20.97%	$767.49
11970	Rplcmt tiss xpndr perm implt	J1	5114	25.81%	"$7,533.87"	27.99%	"$2,108.73"
11971	Rmvl tis xpndr wo insj implt	Q2	5073	2.26%	"$2,970.38"	1.47%	$43.66
11976	Remove contraceptive capsule	Q2	5071	9.91%	$730.32	0.00%	$0.00
11980	Implant hormone pellet(s)	Q1	5735	0.31%	$451.59	0.00%	$0.00
11981	Insertion drug dlvr implant	Q1	5734	0.07%	$136.31	2.06%	$2.81
11982	Remove drug implant device	Q1	5735	0.31%	$451.59	0.01%	$0.05
11983	Remove/insert drug implant	Q1	5735	0.31%	$451.59	0.00%	$0.00
12001	Rpr s/n/ax/gen/trnk 2.5cm/<	Q1	5051	0.01%	$203.69	0.00%	$0.00
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
12004	Rpr s/n/ax/gen/trk7.6-12.5cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
12005	Rpr s/n/a/gen/trk12.6-20.0cm	Q1	5052	0.04%	$414.63	0.00%	$0.00
12006	Rpr s/n/a/gen/trk20.1-30.0cm	Q2	5052	0.04%	$414.63	0.27%	$1.12
12007	Rpr s/n/ax/gen/trnk >30.0 cm	T	5051	0.01%	$203.69	0.00%	$0.00
12011	Rpr f/e/e/n/l/m 2.5 cm/<	Q1	5051	0.01%	$203.69	0.00%	$0.00
12013	Rpr f/e/e/n/l/m 2.6-5.0 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
12014	Rpr f/e/e/n/l/m 5.1-7.5 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
12015	Rpr f/e/e/n/l/m 7.6-12.5 cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
12016	Rpr fe/e/en/l/m 12.6-20.0 cm	Q1	5052	0.04%	$414.63	0.00%	$0.00
12017	Rpr fe/e/en/l/m 20.1-30.0 cm	Q1	5052	0.04%	$414.63	0.00%	$0.00
12018	Rpr f/e/e/n/l/m >30.0 cm	Q1	5051	0.01%	$203.69	22.67%	$46.18
12020	Tx supfc wnd dehsn smpl clsr	T	5053	0.05%	$746.61	0.48%	$3.58
12021	Tx supfc wnd dehsn w/packing	T	5052	0.04%	$414.63	1.30%	$5.39
12031	Intmd rpr s/a/t/ext 2.5 cm/<	T	5052	0.04%	$414.63	0.40%	$1.66
12032	Intmd rpr s/a/t/ext 2.6-7.5	T	5052	0.04%	$414.63	0.00%	$0.00
12034	Intmd rpr s/tr/ext 7.6-12.5	T	5052	0.04%	$414.63	0.01%	$0.04
12035	Intmd rpr s/a/t/ext 12.6-20	T	5052	0.04%	$414.63	0.25%	$1.04
12036	Intmd rpr s/a/t/ext 20.1-30	T	5053	0.05%	$746.61	0.01%	$0.07
12037	Intmd rpr s/tr/ext >30.0 cm	T	5054	0.98%	"$2,137.45"	0.04%	$0.85
12041	Intmd rpr n-hf/genit 2.5cm/<	Q2	5052	0.04%	$414.63	0.00%	$0.00
12042	Intmd rpr n-hf/genit2.6-7.5	T	5052	0.04%	$414.63	0.01%	$0.04
12044	Intmd rpr n-hf/genit7.6-12.5	T	5053	0.05%	$746.61	0.00%	$0.00
12045	Intmd rpr n-hf/genit12.6-20	T	5053	0.05%	$746.61	0.00%	$0.00
12051	Intmd rpr face/mm 2.5 cm/<	T	5052	0.04%	$414.63	0.01%	$0.04
12052	Intmd rpr face/mm 2.6-5.0 cm	T	5052	0.04%	$414.63	0.00%	$0.00
12053	Intmd rpr face/mm 5.1-7.5 cm	T	5052	0.04%	$414.63	0.00%	$0.00
12054	Intmd rpr face/mm 7.6-12.5cm	Q2	5052	0.04%	$414.63	0.00%	$0.00
12055	Intmd rpr face/mm 12.6-20 cm	T	5052	0.04%	$414.63	0.00%	$0.00
12056	Intmd rpr face/mm 20.1-30.0	Q2	5052	0.04%	$414.63	0.00%	$0.00
13100	Cmplx rpr trunk 1.1-2.5 cm	T	5053	0.05%	$746.61	0.32%	$2.39
13101	Cmplx rpr trunk 2.6-7.5 cm	T	5053	0.05%	$746.61	0.25%	$1.87
13120	Cmplx rpr s/a/l 1.1-2.5 cm	T	5052	0.04%	$414.63	0.00%	$0.00
13121	Cmplx rpr s/a/l 2.6-7.5 cm	T	5052	0.04%	$414.63	0.01%	$0.04
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	5052	0.04%	$414.63	0.00%	$0.00
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	5052	0.04%	$414.63	0.01%	$0.04
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	T	5053	0.05%	$746.61	0.00%	$0.00
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	T	5053	0.05%	$746.61	0.00%	$0.00
13160	Sec clsr surg wnd/dehsn xtn	T	5055	1.18%	"$3,659.96"	1.88%	$68.81
14000	Tis trnfr trunk 10 sq cm/<	T	5054	0.98%	"$2,137.45"	0.31%	$6.63
14001	Tis trnfr trunk 10.1-30sqcm	T	5054	0.98%	"$2,137.45"	0.38%	$8.12
14020	Tis trnfr s/a/l 10 sq cm/<	T	5054	0.98%	"$2,137.45"	0.18%	$3.85
14021	Tis trnfr s/a/l 10.1-30 sqcm	T	5054	0.98%	"$2,137.45"	0.51%	$10.90
14040	Tis trnfr f/c/c/m/n/a/g/h/f	T	5054	0.98%	"$2,137.45"	0.29%	$6.20
14041	Tis trnfr f/c/c/m/n/a/g/h/f	T	5054	0.98%	"$2,137.45"	0.22%	$4.70
14060	Tis trnfr e/n/e/l 10 sq cm/<	T	5054	0.98%	"$2,137.45"	0.11%	$2.35
14061	Tis trnfr e/n/e/l10.1-30sqcm	T	5054	0.98%	"$2,137.45"	0.37%	$7.91
14301	Tis trnfr any 30.1-60 sq cm	T	5055	1.18%	"$3,659.96"	0.45%	$16.47
14350	Filleted finger/toe flap	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15002	Wound prep trk/arm/leg	T	5053	0.05%	$746.61	0.43%	$3.21
15004	Wound prep f/n/hf/g	T	5052	0.04%	$414.63	0.54%	$2.24
15050	Pinch graft up to 2 cm diam	T	5053	0.05%	$746.61	0.00%	$0.00
15100	Splt agrft t/a/l 1st 100sqcm	T	5054	0.98%	"$2,137.45"	0.67%	$14.32
15110	Epidrm agrft t/a/l 1st 100	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15115	Epdrm agrft f/s/n/h/f/g/m 1	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15120	Splt agrft f/s/n/h/f/g/m 1st	T	5055	1.18%	"$3,659.96"	0.54%	$19.76
15130	Drm agrft t/a/l 1st 100 sqcm	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15135	Drm agrft f/s/n/h/f/g/m 1st	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15150	Tis cltr skn agrft t/a/l 1st	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15155	Tis cltr agrft f/s/n/h/f/g 1	T	5055	1.18%	"$3,659.96"	20.16%	$737.85
15200	Fth/gft fr trnk 20 sq cm/<	T	5054	0.98%	"$2,137.45"	3.39%	$72.46
15220	Fth/gft fr s/a/l 20 sq cm/<	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15240	Fth/gft f/c/c/m/n/ax/g/h/f20	T	5054	0.98%	"$2,137.45"	0.03%	$0.64
15260	Fth/gft fr n/e/e/l 20 sqcm/<	T	5054	0.98%	"$2,137.45"	0.04%	$0.85
15271	Skin sub graft trnk/arm/leg	T	5053	0.05%	$746.61	0.03%	$0.22
15273	Skin sub grft t/arm/lg child	T	5054	0.98%	"$2,137.45"	0.98%	$20.95
15275	Skin sub graft face/nk/hf/g	T	5053	0.05%	$746.61	0.04%	$0.30
15277	Skn sub grft f/n/hf/g child	T	5054	0.98%	"$2,137.45"	0.33%	$7.05
15570	Skin pedicle flap trunk	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15572	Skin pedicle flap arms/legs	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15574	Pedcle fh/ch/ch/m/n/ax/g/h/f	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15576	Pedicle e/n/e/l/ntroral	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15600	Delay flap trunk	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15610	Delay flap arms/legs	T	5054	0.98%	"$2,137.45"	0.05%	$1.07
15620	Delay flap f/c/c/n/ax/g/h/f	T	5054	0.98%	"$2,137.45"	0.09%	$1.92
15630	Delay flap eye/nos/ear/lip	T	5054	0.98%	"$2,137.45"	0.10%	$2.14
15650	Transfer skin pedicle flap	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15730	Mdfc flap w/prsrv vasc pedcl	T	5055	1.18%	"$3,659.96"	2.35%	$86.01
15731	Forehead flap w/vasc pedicle	T	5055	1.18%	"$3,659.96"	0.22%	$8.05
15733	Musc myoq/fscq flp h&n pedcl	T	5055	1.18%	"$3,659.96"	0.65%	$23.79
15734	Muscle-skin graft trunk	T	5055	1.18%	"$3,659.96"	4.04%	$147.86
15736	Muscle-skin graft arm	T	5054	0.98%	"$2,137.45"	2.86%	$61.13
15738	Muscle-skin graft leg	T	5055	1.18%	"$3,659.96"	0.49%	$17.93
15740	Island pedicle flap graft	T	5054	0.98%	"$2,137.45"	0.03%	$0.64
15750	Neurovascular pedicle flap	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15760	Composite skin graft	T	5054	0.98%	"$2,137.45"	0.11%	$2.35
15769	Grfg autol soft tiss dir exc	T	5055	1.18%	"$3,659.96"	9.57%	$350.26
15770	Derma-fat-fascia graft	T	5055	1.18%	"$3,659.96"	38.69%	"$1,416.04"
15771	Grfg autol fat lipo 50 cc/<	T	5055	1.18%	"$3,659.96"	1.24%	$45.38
15773	Grfg autol fat lipo 25 cc/<	T	5054	0.98%	"$2,137.45"	0.84%	$17.95
15780	Dermabrasion total face	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15781	Dermabrasion segmental face	T	5071	9.91%	$730.32	0.00%	$0.00
15782	Dermabrasion other than face	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15783	Dermabrasion suprfl any site	T	5052	0.04%	$414.63	0.00%	$0.00
15786	Abrasion lesion single	Q1	5051	0.01%	$203.69	0.00%	$0.00
15788	Chemical peel facial epidrm	Q1	5052	0.04%	$414.63	0.00%	$0.00
15789	Chemical peel facial dermal	T	5053	0.05%	$746.61	0.00%	$0.00
15792	Chem peel nonfacial epidrm	Q1	5053	0.05%	$746.61	0.00%	$0.00
15793	Chemical peel nonfacial drm	Q1	5052	0.04%	$414.63	0.00%	$0.00
15820	Blepharoplasty lower eyelid	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15821	Blepharp lwr eyelid fat pad	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15822	Blepharoplasty upper eyelid	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15823	Blepharp upr eyelid xcsv skn	T	5054	0.98%	"$2,137.45"	0.24%	$5.13
15824	Rhytidectomy forehead	T	5054	0.98%	"$2,137.45"	0.09%	$1.92
15825	Rhytdct nck pltysml tghtg	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15828	Rhytidectomy cheek chn & nck	T	5055	1.18%	"$3,659.96"	3.58%	$131.03
15829	Rhytidectomy smas flap	T	5055	1.18%	"$3,659.96"	4.92%	$180.07
15830	Exc excessive skin abdomen	J1	5092	3.52%	"$7,560.37"	1.33%	$100.55
15832	Exc excessive skin thigh	J1	5073	2.26%	"$2,970.38"	0.05%	$1.49
15833	Exc excessive skin leg	J1	5073	2.26%	"$2,970.38"	0.13%	$3.86
15834	Exc excessive skin hip	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15835	Exc excessive skin buttock	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15836	Exc excessive skin arm	J1	5073	2.26%	"$2,970.38"	4.21%	$125.05
15837	Exc excsv skin forearm/hand	J1	5073	2.26%	"$2,970.38"	10.86%	$322.58
15838	Exc excsv submental fat pad	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15839	Exc excessive skn other area	J1	5073	2.26%	"$2,970.38"	0.38%	$11.29
15840	Nerve palsy fascial graft	T	5055	1.18%	"$3,659.96"	1.05%	$38.43
15841	Nerve palsy muscle graft	T	5055	1.18%	"$3,659.96"	5.11%	$187.02
15845	Skin and muscle repair face	T	5055	1.18%	"$3,659.96"	8.75%	$320.25
15851	Removal sutr/staple req anes	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15852	Dressing change not for burn	Q1	5053	0.05%	$746.61	0.00%	$0.00
15860	Test for blood flow in graft	Q1	5735	0.31%	$451.59	0.00%	$0.00
15876	Suction lipectomy head&neck	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15877	Suction lipectomy trunk	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15878	Suction lipectomy upr extrem	T	5054	0.98%	"$2,137.45"	0.02%	$0.43
15879	Suction lipectomy lwr extrem	T	5055	1.18%	"$3,659.96"	0.14%	$5.12
15920	Exc coccygl pr ulc prim sutr	J1	5073	2.26%	"$2,970.38"	3.94%	$117.03
15922	Exc coccygl pr ulc flap clsr	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15931	Exc sacral pr ulc prim sutr	J1	5073	2.26%	"$2,970.38"	8.22%	$244.17
15933	Exc sac pr ulc prim str ostc	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15934	Exc sacral pr ulc skn flap	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15935	Exc sac pr ulc skn flp ostc	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15936	Exc sac pr ulc prep mus flap	T	5054	0.98%	"$2,137.45"	7.02%	$150.05
15937	Exc sac pr ulc prep mus ostc	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15940	Exc ischial pr ulc prim sutr	J1	5073	2.26%	"$2,970.38"	8.07%	$239.71
15941	Exc isch pr ulc prm sut ostc	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
15944	Exc isch pr ulc skn flp clsr	T	5055	1.18%	"$3,659.96"	0.74%	$27.08
15945	Exc isch pr ulc skn flp ostc	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15946	Exc isch pr ulc prep mus flp	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15950	Exc trchntr pr ulc prim sutr	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
15951	Exc trchntr pr ulc ostc	J1	5073	2.26%	"$2,970.38"	1.49%	$44.26
15952	Exc trchntr pr ulc flp clsr	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15956	Exc trchntr pr ulc prep flap	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
15958	Exc trchntr pr ulc prep ostc	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
15999	Unlisted px exc pressure ulc	T	5071	9.91%	$730.32	3.02%	$22.06
16000	Initial treatment of burn(s)	Q1	5051	0.01%	$203.69	0.00%	$0.00
16020	Dress/debrid p-thick burn s	Q1	5051	0.01%	$203.69	0.00%	$0.00
16025	Dress/debrid p-thick burn m	T	5051	0.01%	$203.69	0.00%	$0.00
16030	Dress/debrid p-thick burn l	T	5052	0.04%	$414.63	0.00%	$0.00
16035	Incision of burn scab initi	T	5052	0.04%	$414.63	0.00%	$0.00
17000	Destruct premalg lesion	Q1	5051	0.01%	$203.69	0.00%	$0.00
17004	Destroy premal lesions 15/>	T	5052	0.04%	$414.63	0.00%	$0.00
17106	Destruction of skin lesions	T	5052	0.04%	$414.63	0.00%	$0.00
17107	Destruction of skin lesions	T	5053	0.05%	$746.61	0.00%	$0.00
17108	Destruction of skin lesions	T	5054	0.98%	"$2,137.45"	0.10%	$2.14
17110	Destruct b9 lesion 1-14	Q1	5051	0.01%	$203.69	0.01%	$0.02
17111	Destruct lesion 15 or more	Q1	5051	0.01%	$203.69	0.00%	$0.00
17250	Chem caut of granltj tissue	Q1	5051	0.01%	$203.69	0.01%	$0.02
17260	Dstrj mal les t/a/l 0.5 cm/<	Q1	5051	0.01%	$203.69	0.00%	$0.00
17261	Dstrj mal les t/a/l .6-1.0cm	Q1	5051	0.01%	$203.69	0.00%	$0.00
17262	Dstrj mal les t/a/l 1.1-2.0	Q1	5051	0.01%	$203.69	0.00%	$0.00
17263	Dstrj mal les t/a/l 2.1-3.0	Q1	5051	0.01%	$203.69	0.00%	$0.00
17264	Dstrj mal les t/a/l 3.1-4.0	T	5052	0.04%	$414.63	0.00%	$0.00
17266	Dstrj mal les t/a/l >4.0 cm	T	5052	0.04%	$414.63	0.07%	$0.29
17270	Dstr mal les s/n/h/f/g .5 /<	T	5051	0.01%	$203.69	0.00%	$0.00
17271	Dstr mal les s/n/h/f/g 0.6-1	T	5051	0.01%	$203.69	0.00%	$0.00
17272	Dstr mal les s/n/h/f/g 1.1-2	Q1	5051	0.01%	$203.69	0.00%	$0.00
17273	Dstr mal les s/n/h/f/g 2.1-3	T	5052	0.04%	$414.63	0.00%	$0.00
17274	Dstr mal les s/n/h/f/g 3.1-4	T	5052	0.04%	$414.63	0.00%	$0.00
17276	Dstr mal les s/n/h/f/g >4.0	T	5052	0.04%	$414.63	0.00%	$0.00
17280	Dstr mal ls f/e/e/n/l/m .5/<	Q1	5051	0.01%	$203.69	0.00%	$0.00
17281	Dstr mal ls f/e/e/n/l/m .6-1	T	5051	0.01%	$203.69	0.00%	$0.00
17282	Dstr mal ls f/e/e/n/l/m1.1-2	T	5051	0.01%	$203.69	0.00%	$0.00
17283	Dstr mal ls f/e/e/n/l/m2.1-3	T	5052	0.04%	$414.63	0.00%	$0.00
17284	Dstr mal ls f/e/e/n/l/m3.1-4	T	5053	0.05%	$746.61	0.00%	$0.00
17286	Dstr mal ls f/e/e/n/l/m>4.0	T	5053	0.05%	$746.61	0.00%	$0.00
17311	Mohs 1 stage h/n/hf/g	T	5053	0.05%	$746.61	0.00%	$0.00
17313	Mohs 1 stage t/a/l	T	5053	0.05%	$746.61	0.00%	$0.00
17340	Cryotherapy for acne	Q1	5733	0.06%	$60.59	0.00%	$0.00
17380	Electrolysis epilation ea 30	T	5053	0.05%	$746.61	0.00%	$0.00
17999	Unlistd px skn muc memb subq	Q1	5051	0.01%	$203.69	3.83%	$7.80
19000	Puncture aspir cyst breast	T	5071	9.91%	$730.32	0.97%	$7.08
19020	Mastotomy expl drg absc dp	J1	5072	3.86%	"$1,692.22"	0.72%	$12.18
19081	Bx breast 1st lesion strtctc	J1	5072	3.86%	"$1,692.22"	7.77%	$131.49
19083	Bx breast 1st lesion us imag	J1	5072	3.86%	"$1,692.22"	9.48%	$160.42
19085	Bx breast 1st lesion mr imag	J1	5072	3.86%	"$1,692.22"	7.84%	$132.67
19100	Bx breast percut w/o image	J1	5072	3.86%	"$1,692.22"	1.54%	$26.06
19101	Biopsy of breast open	J1	5091	1.54%	"$4,049.20"	1.69%	$68.43
19105	Cryosurg ablate fa each	J1	5091	1.54%	"$4,049.20"	60.39%	"$2,445.31"
19110	Nipple exploration	J1	5091	1.54%	"$4,049.20"	0.28%	$11.34
19112	Excise breast duct fistula	J1	5091	1.54%	"$4,049.20"	0.00%	$0.00
19120	Removal of breast lesion	J1	5091	1.54%	"$4,049.20"	0.62%	$25.11
19125	Excision breast lesion	J1	5091	1.54%	"$4,049.20"	1.78%	$72.08
19281	Perq device breast 1st imag	Q1	5072	3.86%	"$1,692.22"	49.46%	$836.97
19283	Perq dev breast 1st strtctc	Q1	5071	9.91%	$730.32	55.32%	$404.01
19285	Perq dev breast 1st us imag	Q1	5071	9.91%	$730.32	54.65%	$399.12
19287	Perq dev breast 1st mr guide	Q1	5071	9.91%	$730.32	37.36%	$272.85
19296	Place po breast cath for rad	J1	5093	4.33%	"$6,575.63"	17.55%	"$1,154.02"
19298	Place breast rad tube/caths	J1	5092	3.52%	"$7,560.37"	43.00%	"$3,250.96"
19300	Mastectomy for gynecomastia	J1	5091	1.54%	"$4,049.20"	0.79%	$31.99
19301	Partial mastectomy	J1	5091	1.54%	"$4,049.20"	1.79%	$72.48
19302	P-mastectomy w/ln removal	J1	5092	3.52%	"$7,560.37"	1.76%	$133.06
19303	Mast simple complete	J1	5092	3.52%	"$7,560.37"	1.16%	$87.70
19307	Mast mod rad	J1	5092	3.52%	"$7,560.37"	0.79%	$59.73
19316	Mastopexy	J1	5092	3.52%	"$7,560.37"	8.20%	$619.95
19318	Breast reduction	J1	5092	3.52%	"$7,560.37"	1.64%	$123.99
19325	Breast augmentation w/implt	J1	5093	4.33%	"$6,575.63"	24.46%	"$1,608.40"
19328	Rmvl intact breast implant	Q2	5091	1.54%	"$4,049.20"	1.20%	$48.59
19330	Rmvl ruptured breast implant	Q2	5091	1.54%	"$4,049.20"	3.48%	$140.91
19340	Insj breast implt sm d mast	J1	5092	3.52%	"$7,560.37"	20.45%	"$1,546.10"
19342	Insj/rplcmt brst implt sep d	J1	5093	4.33%	"$6,575.63"	28.93%	"$1,902.33"
19350	Nipple/areola reconstruction	J1	5091	1.54%	"$4,049.20"	1.03%	$41.71
19355	Correct inverted nipple(s)	J1	5091	1.54%	"$4,049.20"	1.16%	$46.97
19357	Tiss xpndr plmt brst rcnstj	J1	5094	31.92%	"$14,071.39"	31.66%	"$4,455.00"
19370	Revj peri-implt capsule brst	J1	5091	1.54%	"$4,049.20"	5.35%	$216.63
19371	Peri-implt capslc brst compl	J1	5091	1.54%	"$4,049.20"	1.78%	$72.08
19380	Revj reconstructed breast	J1	5092	3.52%	"$7,560.37"	15.04%	"$1,137.08"
19499	Unlisted procedure breast	J1	5091	1.54%	"$4,049.20"	13.09%	$530.04
20100	Expl pentrg wound neck	T	5162	0.11%	$546.14	0.00%	$0.00
20101	Expl pentrg wound chest	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
20102	Expl pentrg wnd abd/flnk/bk	T	5054	0.98%	"$2,137.45"	0.20%	$4.27
20103	Expl pentrg wound extremity	J1	5072	3.86%	"$1,692.22"	0.15%	$2.54
20200	Muscle biopsy superficial	J1	5072	3.86%	"$1,692.22"	0.12%	$2.03
20205	Deep muscle biopsy	J1	5073	2.26%	"$2,970.38"	0.27%	$8.02
20206	Biopsy muscle perq needle	J1	5072	3.86%	"$1,692.22"	0.40%	$6.77
20220	Bone biopsy trocar/ndl supfc	J1	5072	3.86%	"$1,692.22"	4.96%	$83.93
20225	Bone biopsy trocar/ndl deep	J1	5072	3.86%	"$1,692.22"	5.16%	$87.32
20240	Bone biopsy open superficial	J1	5073	2.26%	"$2,970.38"	2.20%	$65.35
20245	Bone biopsy open deep	J1	5073	2.26%	"$2,970.38"	2.40%	$71.29
20250	Biopsy vrt bdy open thoracic	J1	5113	6.24%	"$3,377.20"	16.39%	$553.52
20251	Biopsy vrt bdy open lmbr/crv	J1	5114	25.81%	"$7,533.87"	7.90%	$595.18
20500	Injection of sinus tract	J1	5163	1.74%	"$1,589.97"	22.65%	$360.13
20520	Removal of foreign body	J1	5072	3.86%	"$1,692.22"	0.15%	$2.54
20525	Removal of foreign body	J1	5073	2.26%	"$2,970.38"	0.64%	$19.01
20526	Ther injection carp tunnel	T	5441	0.09%	$312.43	0.00%	$0.00
20527	Inj dupuytren cord w/enzyme	T	5441	0.09%	$312.43	0.00%	$0.00
20550	Inj tendon sheath/ligament	T	5441	0.09%	$312.43	0.03%	$0.09
20551	Inj tendon origin/insertion	T	5441	0.09%	$312.43	0.02%	$0.06
20552	Inj trigger point 1/2 muscl	T	5441	0.09%	$312.43	0.03%	$0.09
20553	Inject trigger points 3/>	T	5441	0.09%	$312.43	0.01%	$0.03
20555	Place ndl musc/tis for rt	J1	5113	6.24%	"$3,377.20"	7.72%	$260.72
20560	Ndl insj w/o njx 1 or 2 musc	S	5731	0.03%	$30.81	0.00%	$0.00
20561	Ndl insj w/o njx 3+ musc	S	5731	0.03%	$30.81	0.00%	$0.00
20600	Drain/inj joint/bursa w/o us	T	5441	0.09%	$312.43	0.01%	$0.03
20604	Drain/inj joint/bursa w/us	T	5441	0.09%	$312.43	0.04%	$0.12
20605	Drain/inj joint/bursa w/o us	T	5441	0.09%	$312.43	0.02%	$0.06
20606	Drain/inj joint/bursa w/us	T	5442	0.20%	$723.92	0.06%	$0.43
20610	Drain/inj joint/bursa w/o us	T	5441	0.09%	$312.43	0.02%	$0.06
20611	Drain/inj joint/bursa w/us	T	5441	0.09%	$312.43	0.13%	$0.41
20612	Aspirate/inj ganglion cyst	T	5441	0.09%	$312.43	0.08%	$0.25
20615	Treatment of bone cyst	T	5071	9.91%	$730.32	0.00%	$0.00
20650	Insert and remove bone pin	J1	5113	6.24%	"$3,377.20"	11.15%	$376.56
20660	Apply rem fixation device	Q2	5112	0.19%	"$1,659.95"	0.00%	$0.00
20665	Rmvl tongs/halo anthr indiv	Q1	5735	0.31%	$451.59	0.00%	$0.00
20670	Removal implant superficial	Q2	5072	3.86%	"$1,692.22"	0.56%	$9.48
20680	Removal of implant deep	Q2	5073	2.26%	"$2,970.38"	2.21%	$65.65
20690	Appl unipln uni ext fixj sys	J1	5114	25.81%	"$7,533.87"	36.18%	"$2,725.75"
20692	Appl mltpln uni ext fixj sys	J1	5115	45.04%	"$13,254.37"	45.70%	"$6,057.25"
20693	Adjmt/revj ext fixj sys anes	J1	5114	25.81%	"$7,533.87"	18.90%	"$1,423.90"
20694	Rmvl ext fixj sys under anes	Q2	5112	0.19%	"$1,659.95"	2.64%	$43.82
20696	App mltpln uni xtrnl fix 1st	J1	5117	59.63%	"$27,851.54"	34.82%	"$9,697.91"
20697	App mltpln uni xtrnl fix xch	J1	5112	0.19%	"$1,659.95"	4.19%	$69.55
20822	Replantation digit complete	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
20827	Replantation thumb complete	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
20900	Removal of bone for graft	J1	5114	25.81%	"$7,533.87"	34.93%	"$2,631.58"
20902	Removal of bone for graft	J1	5114	25.81%	"$7,533.87"	29.19%	"$2,199.14"
20910	Remove cartilage for graft	T	5053	0.05%	$746.61	0.00%	$0.00
20912	Remove cartilage for graft	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
20920	Removal of fascia for graft	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
20922	Removal of fascia for graft	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
20924	Removal of tendon for graft	J1	5114	25.81%	"$7,533.87"	13.28%	"$1,000.50"
20950	Fluid pressure muscle	T	5071	9.91%	$730.32	0.00%	$0.00
20973	Bone/skin graft great toe	J1	5114	25.81%	"$7,533.87"	44.29%	"$3,336.75"
20982	Ablate bone tumor(s) perq	J1	5115	45.04%	"$13,254.37"	24.91%	"$3,301.66"
20983	Ablate bone tumor(s) perq	J1	5114	25.81%	"$7,533.87"	43.74%	"$3,295.31"
20999	Unlisted px muscskel general	T	5111	0.04%	$254.56	15.37%	$39.13
21010	Incision of jaw joint	J1	5164	1.23%	"$3,402.23"	0.09%	$3.06
21011	Exc face les sc <2 cm	J1	5072	3.86%	"$1,692.22"	0.06%	$1.02
21012	Exc face les sbq 2 cm/>	J1	5072	3.86%	"$1,692.22"	0.13%	$2.20
21013	Exc face tum deep < 2 cm	J1	5072	3.86%	"$1,692.22"	0.14%	$2.37
21014	Exc face tum deep 2 cm/>	J1	5073	2.26%	"$2,970.38"	0.54%	$16.04
21015	Resect face/scalp tum < 2 cm	J1	5073	2.26%	"$2,970.38"	0.27%	$8.02
21016	Resect face/scalp tum 2 cm/>	J1	5073	2.26%	"$2,970.38"	1.86%	$55.25
21025	Excision of bone lower jaw	J1	5165	5.32%	"$6,182.21"	1.79%	$110.66
21026	Excision of facial bone(s)	J1	5165	5.32%	"$6,182.21"	0.66%	$40.80
21029	Contour of face bone lesion	J1	5164	1.23%	"$3,402.23"	2.60%	$88.46
21030	Excise max/zygoma b9 tumor	J1	5165	5.32%	"$6,182.21"	2.39%	$147.75
21031	Remove exostosis mandible	J1	5164	1.23%	"$3,402.23"	0.85%	$28.92
21032	Remove exostosis maxilla	J1	5164	1.23%	"$3,402.23"	1.93%	$65.66
21034	Excise max/zygoma mal tumor	J1	5165	5.32%	"$6,182.21"	1.94%	$119.93
21040	Excise mandible lesion	J1	5164	1.23%	"$3,402.23"	3.47%	$118.06
21044	Removal of jaw bone lesion	J1	5165	5.32%	"$6,182.21"	1.84%	$113.75
21045	Extensive jaw surgery	J1	5165	5.32%	"$6,182.21"	5.99%	$370.31
21046	Remove mandible cyst complex	J1	5165	5.32%	"$6,182.21"	4.79%	$296.13
21047	Excise lwr jaw cyst w/repair	J1	5165	5.32%	"$6,182.21"	7.80%	$482.21
21048	Remove maxilla cyst complex	J1	5165	5.32%	"$6,182.21"	1.50%	$92.73
21049	Excis uppr jaw cyst w/repair	J1	5165	5.32%	"$6,182.21"	7.68%	$474.79
21050	Removal of jaw joint	J1	5165	5.32%	"$6,182.21"	6.03%	$372.79
21060	Remove jaw joint cartilage	J1	5165	5.32%	"$6,182.21"	13.58%	$839.54
21070	Remove coronoid process	J1	5165	5.32%	"$6,182.21"	9.92%	$613.28
21073	Mnpj of tmj w/anesth	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
21076	Impres&prep surg obt prosth	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
21077	Impres&prep orbital prosth	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21079	Impres&prep intrm obt prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21080	Impres&prep def obt prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21081	Impres&prep mndbl res prosth	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21082	Impres&prep paltl aug prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21083	Impres&prep paltl lft prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21084	Impres&prep sp aid prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21085	Impres&prep oral surg splint	T	5161	0.07%	$245.04	0.00%	$0.00
21086	Impres&prep auricular prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21087	Impres&prep nasal prosth	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21088	Impres&prep facial prosth	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21089	Unlisted maxlfcl prosth px	T	5161	0.07%	$245.04	1.06%	$2.60
21110	Interdental fixation	Q2	5163	1.74%	"$1,589.97"	0.00%	$0.00
21120	Genioplasty augmentation	J1	5165	5.32%	"$6,182.21"	21.61%	"$1,335.98"
21121	Geniop sldg osteot 1	J1	5164	1.23%	"$3,402.23"	52.77%	"$1,795.36"
21122	Geniop sldg osteot 2/>	J1	5165	5.32%	"$6,182.21"	10.21%	$631.20
21125	Augmentation mndblr prostc	J1	5165	5.32%	"$6,182.21"	52.00%	"$3,214.75"
21127	Augmentation mndblr b1 grf	J1	5165	5.32%	"$6,182.21"	6.78%	$419.15
21137	Rdctj forehead cntrg only	J1	5164	1.23%	"$3,402.23"	2.43%	$82.67
21138	Rdctj forehead cntrg&prostc	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21139	Rdctj forehead cntrg&setback	J1	5165	5.32%	"$6,182.21"	9.73%	$601.53
21141	Lefort i-1 piece w/o graft	J1	5165	5.32%	"$6,182.21"	16.35%	"$1,010.79"
21142	Lefort i-2 piece w/o graft	J1	5165	5.32%	"$6,182.21"	26.01%	"$1,607.99"
21145	Lefort i-1 piece w/ graft	J1	5165	5.32%	"$6,182.21"	39.20%	"$2,423.43"
21147	Lefort i-3/> piece w/ graft	J1	5165	5.32%	"$6,182.21"	69.71%	"$4,309.62"
21172	Reconstruct orbit/forehead	J1	5165	5.32%	"$6,182.21"	17.26%	"$1,067.05"
21175	Reconstruct orbit/forehead	J1	5165	5.32%	"$6,182.21"	29.25%	"$1,808.30"
21181	Contour cranial bone lesion	J1	5165	5.32%	"$6,182.21"	6.07%	$375.26
21193	Reconst lwr jaw w/o graft	J1	5165	5.32%	"$6,182.21"	9.04%	$558.87
21194	Reconst lwr jaw w/graft	J1	5165	5.32%	"$6,182.21"	36.86%	"$2,278.76"
21196	Reconst lwr jaw w/fixation	J1	5165	5.32%	"$6,182.21"	21.90%	"$1,353.90"
21198	Reconstr lwr jaw segment	J1	5165	5.32%	"$6,182.21"	14.28%	$882.82
21206	Reconstruct upper jaw bone	J1	5165	5.32%	"$6,182.21"	6.83%	$422.24
21208	Augmentation of facial bones	J1	5165	5.32%	"$6,182.21"	21.19%	"$1,310.01"
21209	Reduction of facial bones	J1	5165	5.32%	"$6,182.21"	2.80%	$173.10
21210	Face bone graft	J1	5165	5.32%	"$6,182.21"	26.47%	"$1,636.43"
21215	Lower jaw bone graft	J1	5165	5.32%	"$6,182.21"	26.62%	"$1,645.70"
21230	Rib cartilage graft	J1	5165	5.32%	"$6,182.21"	8.74%	$540.33
21235	Ear cartilage graft	J1	5165	5.32%	"$6,182.21"	0.76%	$46.98
21240	Reconstruction of jaw joint	J1	5165	5.32%	"$6,182.21"	3.77%	$233.07
21242	Reconstruction of jaw joint	J1	5165	5.32%	"$6,182.21"	17.87%	"$1,104.76"
21243	Reconstruction of jaw joint	J1	5117	59.63%	"$27,851.54"	49.83%	"$13,878.42"
21244	Reconstruction of lower jaw	J1	5165	5.32%	"$6,182.21"	35.11%	"$2,170.57"
21245	Reconstruction of jaw	J1	5165	5.32%	"$6,182.21"	54.59%	"$3,374.87"
21246	Reconstruction of jaw	J1	5165	5.32%	"$6,182.21"	76.04%	"$4,700.95"
21248	Reconstruction of jaw	J1	5165	5.32%	"$6,182.21"	15.53%	$960.10
21249	Reconstruction of jaw	J1	5165	5.32%	"$6,182.21"	18.10%	"$1,118.98"
21255	Reconstruct lower jaw bone	J1	5165	5.32%	"$6,182.21"	49.10%	"$3,035.47"
21256	Reconstruction of orbit	J1	5165	5.32%	"$6,182.21"	28.16%	"$1,740.91"
21267	Revise eye sockets	J1	5165	5.32%	"$6,182.21"	43.65%	"$2,698.53"
21270	Augmentation cheek bone	J1	5165	5.32%	"$6,182.21"	8.07%	$498.90
21275	Revision orbitofacial bones	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21280	Medial canthopexy	J1	5164	1.23%	"$3,402.23"	1.75%	$59.54
21282	Lateral canthopexy	J1	5164	1.23%	"$3,402.23"	0.94%	$31.98
21299	Unlisted cranfcl&maxlfcl px	T	5161	0.07%	$245.04	4.21%	$10.32
21315	Clsd tx nsl fx mnpj wo stblj	J1	5163	1.74%	"$1,589.97"	0.24%	$3.82
21320	Clsd tx nsl fx w/mnpj&stablj	J1	5164	1.23%	"$3,402.23"	0.32%	$10.89
21325	Open tx nose fx uncomplicatd	J1	5164	1.23%	"$3,402.23"	0.04%	$1.36
21330	Open tx nose fx w/skele fixj	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21335	Open tx nose & septal fx	J1	5164	1.23%	"$3,402.23"	0.13%	$4.42
21336	Open tx septal fx w/wo stabj	J1	5113	6.24%	"$3,377.20"	0.43%	$14.52
21337	Closed tx septal&nose fx	J1	5164	1.23%	"$3,402.23"	0.83%	$28.24
21338	Open nasoethmoid fx w/o fixj	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21343	Open tx dprsd front sinus fx	J1	5165	5.32%	"$6,182.21"	37.96%	"$2,346.77"
21344	Open tx compl front sinus fx	J1	5165	5.32%	"$6,182.21"	16.81%	"$1,039.23"
21346	Opn tx nasomax fx w/fixj	J1	5165	5.32%	"$6,182.21"	27.25%	"$1,684.65"
21347	Opn tx nasomax fx multple	J1	5165	5.32%	"$6,182.21"	29.99%	"$1,854.04"
21355	Perq tx malar fracture	J1	5164	1.23%	"$3,402.23"	3.67%	$124.86
21356	Opn tx dprsd zygomatic arch	J1	5165	5.32%	"$6,182.21"	0.16%	$9.89
21360	Opn tx dprsd malar fracture	J1	5165	5.32%	"$6,182.21"	8.35%	$516.21
21365	Opn tx complx malar fx	J1	5165	5.32%	"$6,182.21"	27.10%	"$1,675.38"
21366	Opn tx complx malar w/grft	J1	5165	5.32%	"$6,182.21"	30.34%	"$1,875.68"
21385	Opn tx orbit fx transantral	J1	5165	5.32%	"$6,182.21"	34.96%	"$2,161.30"
21386	Opn tx orbit fx periorbital	J1	5165	5.32%	"$6,182.21"	27.91%	"$1,725.45"
21387	Opn tx orbit fx combined	J1	5165	5.32%	"$6,182.21"	32.62%	"$2,016.64"
21390	Opn tx orbit periorbtl implt	J1	5165	5.32%	"$6,182.21"	26.89%	"$1,662.40"
21400	Closed tx orbit w/o manipulj	T	5162	0.11%	$546.14	0.00%	$0.00
21406	Opn tx orbit fx w/o implant	J1	5165	5.32%	"$6,182.21"	20.63%	"$1,275.39"
21407	Opn tx orbit fx w/implant	J1	5165	5.32%	"$6,182.21"	26.69%	"$1,650.03"
21408	Opn tx orbit fx w/bone grft	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21421	Cltx palatal/max fx wire fix	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
21422	Optx palatal/max fracture	J1	5165	5.32%	"$6,182.21"	33.53%	"$2,072.90"
21423	Optx palatal/max fx comp	J1	5165	5.32%	"$6,182.21"	47.90%	"$2,961.28"
21433	Optx cranfcl sep comp mlt	J1	5165	5.32%	"$6,182.21"	42.40%	"$2,621.26"
21440	Cltx mndblr/max alv ridge fx	J1	5164	1.23%	"$3,402.23"	3.75%	$127.58
21445	Optx mndblr/max alv ridge fx	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
21450	Cltx mndblr fx w/o mnpj	T	5162	0.11%	$546.14	0.13%	$0.71
21451	Cltx mndblr fx w/mnpj	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
21452	Perq tx mndblr fx xtrnl fixj	J1	5165	5.32%	"$6,182.21"	19.92%	"$1,231.50"
21453	Cltx mndblr fx ntrdntl fixj	J1	5165	5.32%	"$6,182.21"	17.88%	"$1,105.38"
21454	Optx mndblr fx xtrnl fixj	J1	5165	5.32%	"$6,182.21"	13.55%	$837.69
21461	Optx mndblr fx wo ntrdntl	J1	5165	5.32%	"$6,182.21"	32.84%	"$2,030.24"
21462	Optx mndblr fx w/ntrdntl	J1	5165	5.32%	"$6,182.21"	32.99%	"$2,039.51"
21465	Optx mndblr cndylr fx	J1	5165	5.32%	"$6,182.21"	31.53%	"$1,949.25"
21470	Optx complicated mndblr fx	J1	5165	5.32%	"$6,182.21"	34.13%	"$2,109.99"
21480	Cltx tmprmand dislc 1st/sbsq	T	5111	0.04%	$254.56	0.00%	$0.00
21485	Cltx tmprmand dislc comp	J1	5163	1.74%	"$1,589.97"	2.19%	$34.82
21490	Optx tmprmand dislocation	J1	5164	1.23%	"$3,402.23"	21.75%	$739.99
21497	Interdental wirg oth/thn fx	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
21499	Unlisted muscskel px head	T	5161	0.07%	$245.04	0.93%	$2.28
21501	I&d dp absc/hmtma sft ts nck	J1	5073	2.26%	"$2,970.38"	0.80%	$23.76
21502	I&d dp abs/hmtm nck rib ostc	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
21510	Inc deep opng b1 crtx thorax	J1	5113	6.24%	"$3,377.20"	0.07%	$2.36
21550	Biopsy of neck/chest	J1	5072	3.86%	"$1,692.22"	0.34%	$5.75
21552	Exc neck les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.34%	$10.10
21554	Exc neck tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.42%	$12.48
21555	Exc neck les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.29%	$4.91
21556	Exc neck tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	0.25%	$7.43
21557	Resect neck thorax tumor<5cm	J1	5073	2.26%	"$2,970.38"	0.08%	$2.38
21558	Resect neck tumor 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.33%	$9.80
21600	Partial removal of rib	J1	5114	25.81%	"$7,533.87"	1.50%	$113.01
21601	Exc chest wall tumor w/ribs	J1	5073	2.26%	"$2,970.38"	0.32%	$9.51
21615	Removal of rib	J1	5114	25.81%	"$7,533.87"	9.82%	$739.83
21620	Partial removal of sternum	J1	5113	6.24%	"$3,377.20"	1.76%	$59.44
21627	Sternal debridement	J1	5113	6.24%	"$3,377.20"	0.08%	$2.70
21685	Hyoid myotomy & suspension	J1	5165	5.32%	"$6,182.21"	35.55%	"$2,197.78"
21700	Revision of neck muscle	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
21720	Revision of neck muscle	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
21811	Optx of rib fx w/fixj scope	J1	5114	25.81%	"$7,533.87"	28.49%	"$2,146.40"
21812	Treatment of rib fracture	J1	5114	25.81%	"$7,533.87"	46.15%	"$3,476.88"
21813	Treatment of rib fracture	J1	5112	0.19%	"$1,659.95"	48.77%	$809.56
21825	Treat sternum fracture	J1	5114	25.81%	"$7,533.87"	52.24%	"$3,935.69"
21899	Unlisted px neck/thorax	T	5161	0.07%	$245.04	18.63%	$45.65
21920	Biopsy soft tissue of back	J1	5072	3.86%	"$1,692.22"	0.15%	$2.54
21925	Biopsy soft tissue of back	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
21930	Exc back les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.05%	$0.85
21931	Exc back les sc 3 cm/>	J1	5072	3.86%	"$1,692.22"	0.06%	$1.02
21932	Exc back tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	0.19%	$5.64
21933	Exc back tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.23%	$6.83
21935	Resect back tum < 5 cm	J1	5073	2.26%	"$2,970.38"	0.30%	$8.91
21936	Resect back tum 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.56%	$16.63
22010	I&d p-spine c/t/cerv-thor	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
22015	I&d abscess p-spine l/s/ls	J1	5114	25.81%	"$7,533.87"	0.82%	$61.78
22100	Remove part of neck vertebra	J1	5114	25.81%	"$7,533.87"	1.39%	$104.72
22101	Remove part thorax vertebra	J1	5114	25.81%	"$7,533.87"	0.41%	$30.89
22102	Remove part lumbar vertebra	J1	5114	25.81%	"$7,533.87"	1.81%	$136.36
22110	Remove part of neck vertebra	J1	5114	25.81%	"$7,533.87"	1.24%	$93.42
22212	Incis 1 vertebral seg thorac	J1	5114	25.81%	"$7,533.87"	73.72%	"$5,553.97"
22214	Incis 1 vertebral seg lumbar	J1	5114	25.81%	"$7,533.87"	63.65%	"$4,795.31"
22220	Osteot dsc ant 1 vrt sgm crv	J1	5114	25.81%	"$7,533.87"	62.52%	"$4,710.18"
22224	Osteot dsc ant 1vrt sgm lmbr	J1	5114	25.81%	"$7,533.87"	6.77%	$510.04
22310	Closed tx vert fx w/o manj	T	5111	0.04%	$254.56	0.00%	$0.00
22315	Closed tx vert fx w/manj	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
22318	Treat odontoid fx w/o graft	J1	5115	45.04%	"$13,254.37"	12.22%	"$1,619.68"
22325	Treat spine fracture	J1	5115	45.04%	"$13,254.37"	49.14%	"$6,513.20"
22327	Treat thorax spine fracture	J1	5115	45.04%	"$13,254.37"	48.81%	"$6,469.46"
22505	Manipulation of spine	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
22510	Perq cervicothoracic inject	J1	5113	6.24%	"$3,377.20"	24.26%	$819.31
22511	Perq lumbosacral injection	J1	5113	6.24%	"$3,377.20"	23.31%	$787.23
22513	Perq vertebral augmentation	J1	5114	25.81%	"$7,533.87"	23.66%	"$1,782.51"
22514	Perq vertebral augmentation	J1	5114	25.81%	"$7,533.87"	24.90%	"$1,875.93"
22548	Arthrd ant toral/xoral c1-c2	J1	5115	45.04%	"$13,254.37"	25.05%	"$3,320.22"
22551	Arthrd ant ntrbdy cervical	J1	5115	45.04%	"$13,254.37"	41.08%	"$5,444.90"
22554	Arthrd ant ntrbd min dsc crv	J1	5115	45.04%	"$13,254.37"	38.46%	"$5,097.63"
22556	Arthrd ant ntrbd min dsc thc	J1	5116	58.31%	"$18,056.80"	50.08%	"$9,042.85"
22558	Arthrd ant ntrbd min dsc lum	J1	5117	59.63%	"$27,851.54"	54.18%	"$15,089.96"
22586	Arthrd pre-sac ntrbdy l5-s1	J1	5116	58.31%	"$18,056.80"	57.73%	"$10,424.19"
22590	Arthrd pst tq craniocervical	J1	5115	45.04%	"$13,254.37"	32.65%	"$4,327.55"
22595	Arthrd pst tq atlas-axis	J1	5115	45.04%	"$13,254.37"	24.63%	"$3,264.55"
22600	Arthrd pst tq 1ntrspc crv	J1	5116	58.31%	"$18,056.80"	47.49%	"$8,575.17"
22610	Arthrd pst tq 1ntrspc thrc	J1	5116	58.31%	"$18,056.80"	49.64%	"$8,963.40"
22612	Arthrd pst tq 1ntrspc lumbar	J1	5116	58.31%	"$18,056.80"	47.62%	"$8,598.65"
22630	Arthrd pst tq 1ntrspc lum	J1	5117	59.63%	"$27,851.54"	56.91%	"$15,850.31"
22633	Arthrd cmbn 1ntrspc lumbar	J1	5117	59.63%	"$27,851.54"	58.85%	"$16,390.63"
22800	Arthrd pst dfrm<6 vrt sgm	J1	5116	58.31%	"$18,056.80"	61.27%	"$11,063.40"
22808	Arthrd ant dfrm 2-3 vrt sgm	J1	5116	58.31%	"$18,056.80"	56.71%	"$10,240.01"
22830	Exploration of spinal fusion	J1	5114	25.81%	"$7,533.87"	38.22%	"$2,879.45"
22849	Reinsert spinal fixation	J1	5115	45.04%	"$13,254.37"	44.24%	"$5,863.73"
22850	Remove spine fixation device	J1	5114	25.81%	"$7,533.87"	10.70%	$806.12
22852	Remove spine fixation device	J1	5114	25.81%	"$7,533.87"	18.81%	"$1,417.12"
22855	Removal anterior instrmj	J1	5114	25.81%	"$7,533.87"	28.91%	"$2,178.04"
22856	Tot disc arthrp 1ntrspc crv	J1	5116	58.31%	"$18,056.80"	49.14%	"$8,873.11"
22857	Tot disc arthrp 1ntrspc lmbr	J1	5116	58.31%	"$18,056.80"	63.98%	"$11,552.74"
22861	Rev rplcm arthrp 1ntrspc crv	J1	5116	58.31%	"$18,056.80"	32.46%	"$5,861.24"
22862	Rev rplcm rthrp 1ntrspc lmbr	J1	5116	58.31%	"$18,056.80"	60.39%	"$10,904.50"
22867	Insj stablj dev w/dcmprn	J1	5116	58.31%	"$18,056.80"	53.44%	"$9,649.55"
22869	Insj stablj dev w/o dcmprn	J1	5115	45.04%	"$13,254.37"	73.46%	"$9,736.66"
22899	Unlisted procedure spine	T	5111	0.04%	$254.56	54.19%	$137.95
22900	Exc abdl tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	1.16%	$34.46
22901	Exc abdl tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.89%	$26.44
22902	Exc abd les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.06%	$1.02
22903	Exc abd les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.19%	$5.64
22904	Radical resect abd tumor<5cm	J1	5073	2.26%	"$2,970.38"	0.55%	$16.34
22905	Rad resect abd tumor 5 cm/>	J1	5073	2.26%	"$2,970.38"	3.23%	$95.94
22999	Unlisted px abdomen muscskel	T	5111	0.04%	$254.56	3.22%	$8.20
23000	Removal of calcium deposits	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
23020	Release shoulder joint	J1	5113	6.24%	"$3,377.20"	7.57%	$255.65
23030	Drain shoulder lesion	J1	5073	2.26%	"$2,970.38"	1.78%	$52.87
23031	Drain shoulder bursa	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
23040	Exploratory shoulder surgery	J1	5113	6.24%	"$3,377.20"	14.92%	$503.88
23044	Exploratory shoulder surgery	J1	5113	6.24%	"$3,377.20"	4.23%	$142.86
23065	Biopsy shoulder tissues	J1	5072	3.86%	"$1,692.22"	0.18%	$3.05
23066	Biopsy shoulder tissues	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
23071	Exc shoulder les sc 3 cm/>	J1	5072	3.86%	"$1,692.22"	0.07%	$1.18
23073	Exc shoulder tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.19%	$5.64
23075	Exc shoulder les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.61%	$10.32
23076	Exc shoulder tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	0.18%	$5.35
23077	Resect shoulder tumor < 5 cm	J1	5073	2.26%	"$2,970.38"	0.44%	$13.07
23078	Resect shoulder tumor 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.17%	$5.05
23100	Biopsy of shoulder joint	J1	5113	6.24%	"$3,377.20"	11.29%	$381.29
23101	Shoulder joint surgery	J1	5113	6.24%	"$3,377.20"	39.30%	"$1,327.24"
23105	Remove shoulder joint lining	J1	5114	25.81%	"$7,533.87"	0.18%	$13.56
23106	Incision of collarbone joint	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
23107	Explore treat shoulder joint	J1	5114	25.81%	"$7,533.87"	5.96%	$449.02
23120	Claviculectomy partial	J1	5113	6.24%	"$3,377.20"	0.91%	$30.73
23125	Claviculectomy total	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
23130	Acromp/acromionectomy prtl	J1	5113	6.24%	"$3,377.20"	0.60%	$20.26
23140	Removal of bone lesion	J1	5113	6.24%	"$3,377.20"	0.29%	$9.79
23146	Removal of bone lesion	J1	5114	25.81%	"$7,533.87"	59.03%	"$4,447.24"
23150	Removal of humerus lesion	J1	5113	6.24%	"$3,377.20"	0.64%	$21.61
23156	Removal of humerus lesion	J1	5114	25.81%	"$7,533.87"	12.48%	$940.23
23170	Remove collar bone lesion	J1	5113	6.24%	"$3,377.20"	42.75%	"$1,443.75"
23172	Remove shoulder blade lesion	J1	5113	6.24%	"$3,377.20"	43.41%	"$1,466.04"
23174	Remove humerus lesion	J1	5114	25.81%	"$7,533.87"	2.41%	$181.57
23180	Remove collar bone lesion	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
23182	Remove shoulder blade lesion	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
23184	Remove humerus lesion	J1	5114	25.81%	"$7,533.87"	14.41%	"$1,085.63"
23190	Partial removal of scapula	J1	5113	6.24%	"$3,377.20"	8.58%	$289.76
23195	Removal of head of humerus	J1	5114	25.81%	"$7,533.87"	39.93%	"$3,008.27"
23200	Resect clavicle tumor	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
23220	Resect prox humerus tumor	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
23330	Remove shoulder foreign body	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
23333	Remove shoulder fb deep	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
23334	Shoulder prosthesis removal	J1	5073	2.26%	"$2,970.38"	9.59%	$284.86
23335	Shoulder prosthesis removal	J1	5073	2.26%	"$2,970.38"	41.45%	"$1,231.22"
23395	Muscle transfer shoulder/arm	J1	5114	25.81%	"$7,533.87"	26.74%	"$2,014.56"
23397	Muscle transfers	J1	5114	25.81%	"$7,533.87"	20.82%	"$1,568.55"
23400	Fixation of shoulder blade	J1	5114	25.81%	"$7,533.87"	11.32%	$852.83
23405	Incision of tendon & muscle	J1	5114	25.81%	"$7,533.87"	4.44%	$334.50
23406	Incise tendon(s) & muscle(s)	J1	5114	25.81%	"$7,533.87"	5.69%	$428.68
23410	Repair rotator cuff acute	J1	5114	25.81%	"$7,533.87"	26.80%	"$2,019.08"
23412	Repair rotator cuff chronic	J1	5114	25.81%	"$7,533.87"	25.22%	"$1,900.04"
23415	Release of shoulder ligament	J1	5114	25.81%	"$7,533.87"	14.43%	"$1,087.14"
23420	Repair of shoulder	J1	5114	25.81%	"$7,533.87"	28.37%	"$2,137.36"
23430	Repair biceps tendon	J1	5114	25.81%	"$7,533.87"	24.82%	"$1,869.91"
23440	Remove/transplant tendon	J1	5114	25.81%	"$7,533.87"	25.07%	"$1,888.74"
23450	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	39.89%	"$3,005.26"
23455	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	35.61%	"$2,682.81"
23460	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	38.51%	"$2,901.29"
23462	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	23.34%	"$1,758.41"
23465	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	42.32%	"$3,188.33"
23466	Repair shoulder capsule	J1	5114	25.81%	"$7,533.87"	27.60%	"$2,079.35"
23470	Reconstruct shoulder joint	J1	5115	45.04%	"$13,254.37"	52.26%	"$6,926.73"
23472	Reconstruct shoulder joint	J1	5116	58.31%	"$18,056.80"	58.68%	"$10,595.73"
23473	Revis reconst shoulder joint	J1	5115	45.04%	"$13,254.37"	45.69%	"$6,055.92"
23474	Revis reconst shoulder joint	J1	5115	45.04%	"$13,254.37"	55.93%	"$7,413.17"
23480	Revision of collar bone	J1	5114	25.81%	"$7,533.87"	21.52%	"$1,621.29"
23485	Revision of collar bone	J1	5115	45.04%	"$13,254.37"	43.06%	"$5,707.33"
23490	Reinforce clavicle	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
23491	Reinforce shoulder bones	J1	5115	45.04%	"$13,254.37"	35.10%	"$4,652.28"
23500	Cltx clavicular fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23505	Cltx clavicular fx w/mnpj	J1	5112	0.19%	"$1,659.95"	2.50%	$41.50
23515	Optx clavicular fx w/int fix	J1	5114	25.81%	"$7,533.87"	36.97%	"$2,785.27"
23520	Cltx strnclav dislc w/o mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
23525	Cltx strnclav dislc w/mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23530	Optx strnclav dislc aqt/chrn	J1	5114	25.81%	"$7,533.87"	40.89%	"$3,080.60"
23532	Optx strclv dslc aq/chrn grf	J1	5114	25.81%	"$7,533.87"	18.38%	"$1,384.73"
23540	Cltx acromclav dislc wo mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23545	Cltx acromclav dislc w/mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23550	Optx acromclv dislc aqt/chrn	J1	5114	25.81%	"$7,533.87"	33.73%	"$2,541.17"
23552	Optx acrclv dslc aq/chrn grf	J1	5114	25.81%	"$7,533.87"	36.32%	"$2,736.30"
23570	Cltx scapular fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23575	Cltx scap fx w/mnpj +-tractj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
23585	Optx scapular fx w/int fixj	J1	5114	25.81%	"$7,533.87"	39.34%	"$2,963.82"
23600	Cltx prox humrl fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23605	Cltx prx hmrl fx mnpj+-tract	J1	5112	0.19%	"$1,659.95"	0.09%	$1.49
23615	Optx prox humrl fx w/int fix	J1	5115	45.04%	"$13,254.37"	41.68%	"$5,524.42"
23616	Optx prx hmrl fx fix rpr rpl	J1	5116	58.31%	"$18,056.80"	54.95%	"$9,922.21"
23620	Cltx gr hmrl tbrs fx wo mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
23625	Cltx gr hmrl tbrs fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
23630	Optx gr hmrl tbrs fx int fix	J1	5114	25.81%	"$7,533.87"	33.98%	"$2,560.01"
23650	Cltx sho dslc w/mnpj wo anes	T	5111	0.04%	$254.56	0.02%	$0.05
23655	Cltx sho dslc w/mnpj w/anes	J1	5112	0.19%	"$1,659.95"	0.06%	$1.00
23660	Optx acute shoulder dislc	J1	5114	25.81%	"$7,533.87"	12.99%	$978.65
23665	Cltx sho dslc fx gr hmrl tbr	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
23670	Optx sho dislc fx	J1	5114	25.81%	"$7,533.87"	26.25%	"$1,977.64"
23675	Cltx sho dislc neck fx mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
23680	Optx sho dislc neck fx fixj	J1	5115	45.04%	"$13,254.37"	38.82%	"$5,145.35"
23700	Mnpj anes sho jt fixj aprats	J1	5112	0.19%	"$1,659.95"	0.08%	$1.33
23800	Arthrodesis glenohumeral jt	J1	5114	25.81%	"$7,533.87"	37.30%	"$2,810.13"
23802	Arthrd glenohumeral jt w/grf	J1	5115	45.04%	"$13,254.37"	42.34%	"$5,611.90"
23929	Unlisted procedure shoulder	T	5111	0.04%	$254.56	4.17%	$10.62
23930	I&d upr a/e dp absc/hmtma	J1	5073	2.26%	"$2,970.38"	0.05%	$1.49
23931	I&d upr a/e bursa	J1	5072	3.86%	"$1,692.22"	0.27%	$4.57
23935	Inc dp opn b1 crtx hum/elbw	J1	5113	6.24%	"$3,377.20"	1.49%	$50.32
24000	Arthrt elbw expl drg/rmvl fb	J1	5113	6.24%	"$3,377.20"	2.46%	$83.08
24006	Arthrt elbw capsl exc rls	J1	5113	6.24%	"$3,377.20"	2.82%	$95.24
24065	Biopsy arm/elbow soft tissue	J1	5072	3.86%	"$1,692.22"	0.63%	$10.66
24066	Biopsy arm/elbow soft tissue	J1	5073	2.26%	"$2,970.38"	0.38%	$11.29
24071	Exc arm/elbow les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.26%	$7.72
24073	Ex arm/elbow tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.61%	$18.12
24075	Exc arm/elbow les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.10%	$1.69
24076	Ex arm/elbow tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	0.33%	$9.80
24077	Rad rescj tum tiss a/e <5cm	J1	5073	2.26%	"$2,970.38"	0.17%	$5.05
24079	Rad rescj tum tiss a/e 5 cm+	J1	5073	2.26%	"$2,970.38"	0.42%	$12.48
24100	Arthrt elbw synovial bx only	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
24101	Arthrt elbw jt expl bx rmvl	J1	5113	6.24%	"$3,377.20"	0.34%	$11.48
24102	Arthrt elbow w/synovectomy	J1	5113	6.24%	"$3,377.20"	2.32%	$78.35
24105	Excision olecranon bursa	J1	5113	6.24%	"$3,377.20"	0.58%	$19.59
24110	Exc/curtg b1 cst/b9 tum hum	J1	5113	6.24%	"$3,377.20"	2.30%	$77.68
24115	Exc/crtg b1 cst/tum hum agrf	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24116	Exc/crtg b1 cst/tum hum algr	J1	5114	25.81%	"$7,533.87"	19.58%	"$1,475.13"
24120	Exc/crtg b1 cst/b9 tum rds	J1	5113	6.24%	"$3,377.20"	1.78%	$60.11
24126	Exc/crtg b1 cst/tum rds algr	J1	5114	25.81%	"$7,533.87"	27.21%	"$2,049.97"
24130	Excision radial head	J1	5113	6.24%	"$3,377.20"	6.06%	$204.66
24134	Sequestrectomy shft/dstl hum	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24138	Sequestrectomy olecrn proces	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24140	Partial exc bone humerus	J1	5113	6.24%	"$3,377.20"	4.79%	$161.77
24145	Prtl exc bone radial h/n	J1	5114	25.81%	"$7,533.87"	2.76%	$207.93
24147	Prtl exc bone olecrn process	J1	5113	6.24%	"$3,377.20"	2.58%	$87.13
24149	Radical resection of elbow	J1	5114	25.81%	"$7,533.87"	4.29%	$323.20
24150	Rad rescj tum dstl/shft hum	J1	5114	25.81%	"$7,533.87"	18.00%	"$1,356.10"
24152	Rad resection tum radial h/n	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24155	Resection of elbow joint	J1	5113	6.24%	"$3,377.20"	41.02%	"$1,385.33"
24160	Rmvl prosthhumrl&ulnar cmpnt	Q2	5113	6.24%	"$3,377.20"	10.65%	$359.67
24164	Removal prosth radial head	Q2	5113	6.24%	"$3,377.20"	0.02%	$0.68
24200	Rmvl fb upper arm/elbw subq	J1	5072	3.86%	"$1,692.22"	0.35%	$5.92
24201	Rmvl fb upper arm/elbw deep	J1	5073	2.26%	"$2,970.38"	7.19%	$213.57
24300	Mnpj elbow under anes	J1	5112	0.19%	"$1,659.95"	2.45%	$40.67
24301	Musc/tdn transfer upr a/e 1	J1	5114	25.81%	"$7,533.87"	13.30%	"$1,002.00"
24305	Tendon lngth upr a/e ea tdn	J1	5113	6.24%	"$3,377.20"	4.91%	$165.82
24310	Tnot opn elbw to sho ea tdn	J1	5113	6.24%	"$3,377.20"	4.10%	$138.47
24320	Tenoplasty elbow to sho 1	J1	5114	25.81%	"$7,533.87"	22.19%	"$1,671.77"
24330	Flexor-plasty elbow	J1	5114	25.81%	"$7,533.87"	6.38%	$480.66
24331	Flexor-plasty elbw w/advmnt	J1	5114	25.81%	"$7,533.87"	35.96%	"$2,709.18"
24332	Tenolysis triceps	J1	5113	6.24%	"$3,377.20"	3.28%	$110.77
24340	Tenodesis biceps tdn at elbw	J1	5114	25.81%	"$7,533.87"	17.43%	"$1,313.15"
24341	Rpr tdn/musc upr a/e each	J1	5114	25.81%	"$7,533.87"	18.33%	"$1,380.96"
24342	Repair of ruptured tendon	J1	5114	25.81%	"$7,533.87"	24.66%	"$1,857.85"
24343	Repr elbow lat ligmnt w/tiss	J1	5113	6.24%	"$3,377.20"	21.33%	$720.36
24344	Reconstruct elbow lat ligmnt	J1	5114	25.81%	"$7,533.87"	33.85%	"$2,550.21"
24345	Repr elbw med ligmnt w/tissu	J1	5114	25.81%	"$7,533.87"	28.83%	"$2,172.01"
24346	Reconstruct elbow med ligmnt	J1	5115	45.04%	"$13,254.37"	27.59%	"$3,656.88"
24357	Repair elbow perc	J1	5113	6.24%	"$3,377.20"	0.06%	$2.03
24358	Repair elbow w/deb open	J1	5113	6.24%	"$3,377.20"	2.33%	$78.69
24359	Repair elbow deb/attch open	J1	5113	6.24%	"$3,377.20"	13.73%	$463.69
24360	Reconstruct elbow joint	J1	5114	25.81%	"$7,533.87"	41.20%	"$3,103.95"
24361	Reconstruct elbow joint	J1	5116	58.31%	"$18,056.80"	60.85%	"$10,987.56"
24362	Reconstruct elbow joint	J1	5115	45.04%	"$13,254.37"	51.12%	"$6,775.63"
24363	Replace elbow joint	J1	5116	58.31%	"$18,056.80"	57.46%	"$10,375.44"
24365	Reconstruct head of radius	J1	5115	45.04%	"$13,254.37"	51.37%	"$6,808.77"
24366	Reconstruct head of radius	J1	5115	45.04%	"$13,254.37"	54.02%	"$7,160.01"
24370	Revise reconst elbow joint	J1	5115	45.04%	"$13,254.37"	38.42%	"$5,092.33"
24371	Revise reconst elbow joint	J1	5116	58.31%	"$18,056.80"	49.09%	"$8,864.08"
24400	Revision of humerus	J1	5114	25.81%	"$7,533.87"	33.36%	"$2,513.30"
24420	Revision of humerus	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24430	Repair of humerus	J1	5115	45.04%	"$13,254.37"	39.49%	"$5,234.15"
24435	Repair humerus with graft	J1	5115	45.04%	"$13,254.37"	40.92%	"$5,423.69"
24498	Reinforce humerus	J1	5115	45.04%	"$13,254.37"	31.14%	"$4,127.41"
24500	Treat humerus fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24505	Treat humerus fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24515	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	35.30%	"$4,678.79"
24516	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	36.35%	"$4,817.96"
24530	Treat humerus fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24535	Treat humerus fracture	J1	5112	0.19%	"$1,659.95"	0.02%	$0.33
24538	Treat humerus fracture	J1	5114	25.81%	"$7,533.87"	6.95%	$523.60
24545	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	41.13%	"$5,451.52"
24546	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	42.75%	"$5,666.24"
24560	Treat humerus fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24565	Treat humerus fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24566	Treat humerus fracture	J1	5112	0.19%	"$1,659.95"	0.59%	$9.79
24575	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	34.27%	"$4,542.27"
24576	Treat humerus fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24577	Treat humerus fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24579	Treat humerus fracture	J1	5115	45.04%	"$13,254.37"	34.70%	"$4,599.27"
24582	Treat humerus fracture	J1	5114	25.81%	"$7,533.87"	29.89%	"$2,251.87"
24586	Treat elbow fracture	J1	5115	45.04%	"$13,254.37"	39.87%	"$5,284.52"
24587	Treat elbow fracture	J1	5115	45.04%	"$13,254.37"	45.10%	"$5,977.72"
24600	Treat elbow dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
24605	Treat elbow dislocation	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24615	Treat elbow dislocation	J1	5114	25.81%	"$7,533.87"	44.44%	"$3,348.05"
24620	Treat elbow fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24635	Treat elbow fracture	J1	5114	25.81%	"$7,533.87"	37.96%	"$2,859.86"
24640	Treat elbow dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
24650	Treat radius fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24655	Treat radius fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24665	Treat radius fracture	J1	5114	25.81%	"$7,533.87"	34.83%	"$2,624.05"
24666	Treat radius fracture	J1	5115	45.04%	"$13,254.37"	52.19%	"$6,917.46"
24670	Treat ulnar fracture	T	5111	0.04%	$254.56	0.00%	$0.00
24675	Treat ulnar fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
24685	Treat ulnar fracture	J1	5114	25.81%	"$7,533.87"	32.10%	"$2,418.37"
24802	Fusion/graft of elbow joint	J1	5115	45.04%	"$13,254.37"	26.63%	"$3,529.64"
24900	Amputation of upper arm	J1	5115	45.04%	"$13,254.37"	0.00%	$0.00
24930	Amputation follow-up surgery	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
24999	Unlisted px humerus/elbow	T	5111	0.04%	$254.56	18.75%	$47.73
25000	Incision of tendon sheath	J1	5112	0.19%	"$1,659.95"	0.10%	$1.66
25001	Incise flexor carpi radialis	J1	5113	6.24%	"$3,377.20"	1.30%	$43.90
25020	Decompress forearm 1 space	J1	5112	0.19%	"$1,659.95"	0.92%	$15.27
25023	Decompress forearm 1 space	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25024	Decompress forearm 2 spaces	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25028	Drainage of forearm lesion	J1	5113	6.24%	"$3,377.20"	0.66%	$22.29
25031	Drainage of forearm bursa	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25035	Treat forearm bone lesion	J1	5114	25.81%	"$7,533.87"	0.51%	$38.42
25040	Explore/treat wrist joint	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25065	Biopsy forearm soft tissues	J1	5072	3.86%	"$1,692.22"	0.62%	$10.49
25066	Biopsy forearm soft tissues	J1	5073	2.26%	"$2,970.38"	0.01%	$0.30
25071	Exc forearm les sc 3 cm/>	J1	5072	3.86%	"$1,692.22"	0.30%	$5.08
25073	Exc forearm tum deep 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.64%	$19.01
25075	Exc forearm les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.10%	$1.69
25076	Exc forearm tum deep < 3 cm	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
25077	Resect forearm/wrist tum<3cm	J1	5073	2.26%	"$2,970.38"	0.15%	$4.46
25078	Resect forarm/wrist tum 3cm>	J1	5073	2.26%	"$2,970.38"	0.19%	$5.64
25085	Incision of wrist capsule	J1	5113	6.24%	"$3,377.20"	0.01%	$0.34
25100	Biopsy of wrist joint	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25101	Explore/treat wrist joint	J1	5113	6.24%	"$3,377.20"	3.99%	$134.75
25105	Remove wrist joint lining	J1	5113	6.24%	"$3,377.20"	3.02%	$101.99
25107	Remove wrist joint cartilage	J1	5113	6.24%	"$3,377.20"	7.55%	$254.98
25109	Excise tendon forearm/wrist	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25110	Remove wrist tendon lesion	J1	5112	0.19%	"$1,659.95"	2.60%	$43.16
25111	Remove wrist tendon lesion	J1	5112	0.19%	"$1,659.95"	0.27%	$4.48
25112	Reremove wrist tendon lesion	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25115	Remove wrist/forearm lesion	J1	5112	0.19%	"$1,659.95"	1.60%	$26.56
25116	Remove wrist/forearm lesion	J1	5113	6.24%	"$3,377.20"	0.18%	$6.08
25118	Excise wrist tendon sheath	J1	5112	0.19%	"$1,659.95"	0.02%	$0.33
25119	Partial removal of ulna	J1	5113	6.24%	"$3,377.20"	5.52%	$186.42
25120	Removal of forearm lesion	J1	5113	6.24%	"$3,377.20"	2.11%	$71.26
25125	Remove/graft forearm lesion	J1	5112	0.19%	"$1,659.95"	5.52%	$91.63
25126	Remove/graft forearm lesion	J1	5113	6.24%	"$3,377.20"	29.03%	$980.40
25130	Removal of wrist lesion	J1	5113	6.24%	"$3,377.20"	0.59%	$19.93
25135	Remove & graft wrist lesion	J1	5114	25.81%	"$7,533.87"	12.73%	$959.06
25136	Remove & graft wrist lesion	J1	5114	25.81%	"$7,533.87"	21.89%	"$1,649.16"
25145	Remove forearm bone lesion	J1	5113	6.24%	"$3,377.20"	8.35%	$282.00
25150	Partial removal of ulna	J1	5113	6.24%	"$3,377.20"	1.98%	$66.87
25151	Partial removal of radius	J1	5113	6.24%	"$3,377.20"	3.83%	$129.35
25170	Resect radius/ulnar tumor	J1	5114	25.81%	"$7,533.87"	27.85%	"$2,098.18"
25210	Removal of wrist bone	J1	5113	6.24%	"$3,377.20"	10.13%	$342.11
25215	Removal of wrist bones	J1	5113	6.24%	"$3,377.20"	7.58%	$255.99
25230	Partial removal of radius	J1	5113	6.24%	"$3,377.20"	5.98%	$201.96
25240	Partial removal of ulna	J1	5113	6.24%	"$3,377.20"	1.88%	$63.49
25248	Remove forearm foreign body	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25250	Removal of wrist prosthesis	Q2	5112	0.19%	"$1,659.95"	0.00%	$0.00
25251	Removal of wrist prosthesis	Q2	5113	6.24%	"$3,377.20"	5.03%	$169.87
25259	Manipulate wrist w/anesthes	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25260	Repair forearm tendon/muscle	J1	5113	6.24%	"$3,377.20"	7.90%	$266.80
25263	Repair forearm tendon/muscle	J1	5114	25.81%	"$7,533.87"	3.83%	$288.55
25265	Repair forearm tendon/muscle	J1	5113	6.24%	"$3,377.20"	4.44%	$149.95
25270	Repair forearm tendon/muscle	J1	5113	6.24%	"$3,377.20"	6.00%	$202.63
25272	Repair forearm tendon/muscle	J1	5113	6.24%	"$3,377.20"	10.13%	$342.11
25274	Repair forearm tendon/muscle	J1	5113	6.24%	"$3,377.20"	8.97%	$302.93
25275	Repair forearm tendon sheath	J1	5113	6.24%	"$3,377.20"	15.80%	$533.60
25280	Revise wrist/forearm tendon	J1	5113	6.24%	"$3,377.20"	2.37%	$80.04
25290	Incise wrist/forearm tendon	J1	5113	6.24%	"$3,377.20"	10.27%	$346.84
25295	Release wrist/forearm tendon	J1	5113	6.24%	"$3,377.20"	2.75%	$92.87
25300	Fusion of tendons at wrist	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25301	Fusion of tendons at wrist	J1	5113	6.24%	"$3,377.20"	5.04%	$170.21
25310	Transplant forearm tendon	J1	5113	6.24%	"$3,377.20"	2.98%	$100.64
25312	Transplant forearm tendon	J1	5113	6.24%	"$3,377.20"	4.52%	$152.65
25315	Revise palsy hand tendon(s)	J1	5114	25.81%	"$7,533.87"	2.05%	$154.44
25316	Revise palsy hand tendon(s)	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
25320	Repair/revise wrist joint	J1	5114	25.81%	"$7,533.87"	22.90%	"$1,725.26"
25332	Revise wrist joint	J1	5113	6.24%	"$3,377.20"	32.54%	"$1,098.94"
25335	Centralization wrist on ulna	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25337	Reconstruct ulna/radioulnar	J1	5114	25.81%	"$7,533.87"	16.79%	"$1,264.94"
25350	Revision of radius	J1	5114	25.81%	"$7,533.87"	38.91%	"$2,931.43"
25360	Revision of ulna	J1	5114	25.81%	"$7,533.87"	27.42%	"$2,065.79"
25365	Revise radius & ulna	J1	5115	45.04%	"$13,254.37"	41.51%	"$5,501.89"
25390	Shorten radius or ulna	J1	5114	25.81%	"$7,533.87"	34.80%	"$2,621.79"
25391	Lengthen radius or ulna	J1	5115	45.04%	"$13,254.37"	40.71%	"$5,395.85"
25392	Shorten radius & ulna	J1	5114	25.81%	"$7,533.87"	58.22%	"$4,386.22"
25394	Repair carpal bone shorten	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25400	Repair radius or ulna	J1	5114	25.81%	"$7,533.87"	39.03%	"$2,940.47"
25405	Repair/graft radius or ulna	J1	5114	25.81%	"$7,533.87"	38.86%	"$2,927.66"
25415	Repair radius & ulna	J1	5114	25.81%	"$7,533.87"	43.26%	"$3,259.15"
25420	Repair/graft radius & ulna	J1	5114	25.81%	"$7,533.87"	44.37%	"$3,342.78"
25425	Repair/graft radius or ulna	J1	5114	25.81%	"$7,533.87"	9.65%	$727.02
25430	Vasc graft into carpal bone	J1	5113	6.24%	"$3,377.20"	1.12%	$37.82
25431	Repair nonunion carpal bone	J1	5114	25.81%	"$7,533.87"	23.32%	"$1,756.90"
25440	Repair nonu scphd carpl b1	J1	5114	25.81%	"$7,533.87"	21.62%	"$1,628.82"
25441	Arthrp w/prostc dstl rds	J1	5115	45.04%	"$13,254.37"	60.32%	"$7,995.04"
25442	Arthrp w/prostc dstl ulna	J1	5116	58.31%	"$18,056.80"	56.45%	"$10,193.06"
25443	Arthrp prostc dstl scph crpl	J1	5114	25.81%	"$7,533.87"	77.50%	"$5,838.75"
25444	Arthrp w/prostc lunate	J1	5115	45.04%	"$13,254.37"	67.65%	"$8,966.58"
25445	Arthrp w/prostc trapezium	J1	5114	25.81%	"$7,533.87"	45.05%	"$3,394.01"
25446	Arthrp w/prostc dst rds&crps	J1	5116	58.31%	"$18,056.80"	67.17%	"$12,128.75"
25447	Arthrp ntrcrp/crp/mtcr ntrps	J1	5113	6.24%	"$3,377.20"	19.04%	$643.02
25449	Revj arthrp wrist joint	J1	5114	25.81%	"$7,533.87"	35.36%	"$2,663.98"
25490	Prophylactic tx radius	J1	5114	25.81%	"$7,533.87"	29.06%	"$2,189.34"
25491	Prophylactic tx ulna	J1	5115	45.04%	"$13,254.37"	31.51%	"$4,176.45"
25500	Cltx rdl shft fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25505	Cltx rdl shft fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25515	Optx radial shaft fracture	J1	5114	25.81%	"$7,533.87"	30.60%	"$2,305.36"
25520	Cltx rdl shft fx&dislc	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25525	Optx rdl shft fx&cltx rad/ul	J1	5114	25.81%	"$7,533.87"	29.08%	"$2,190.85"
25526	Optx rdl shft fx&dstl rad/ul	J1	5114	25.81%	"$7,533.87"	37.73%	"$2,842.53"
25530	Cltx ulnar shft fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25535	Cltx ulnar shft fx w/mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25545	Optx ulnar shft fx int fixj	J1	5114	25.81%	"$7,533.87"	30.19%	"$2,274.48"
25560	Cltx rdl&uln shft fx wo mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25565	Cltx rdl&uln shft fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25574	Optx rdl&uln shft fx rds/uln	J1	5114	25.81%	"$7,533.87"	40.84%	"$3,076.83"
25575	Optx rdl&uln shft fx rds&uln	J1	5114	25.81%	"$7,533.87"	35.43%	"$2,669.25"
25600	Cltx dst rdl fx/ephys sep wo	T	5111	0.04%	$254.56	0.00%	$0.00
25605	Cltx dst rdl fx/ephys sep w/	J1	5112	0.19%	"$1,659.95"	0.05%	$0.83
25606	Perq skel fixj dstl rdl fx	J1	5113	6.24%	"$3,377.20"	4.12%	$139.14
25607	Optx dst rd xartc fx/epi sep	J1	5114	25.81%	"$7,533.87"	39.92%	"$3,007.52"
25608	Optx dst rd xart fx/epi sep2	J1	5114	25.81%	"$7,533.87"	40.45%	"$3,047.45"
25609	Optx dst rd xart fx/ep sep3+	J1	5114	25.81%	"$7,533.87"	41.42%	"$3,120.53"
25622	Cltx carpl scphd fx w/o mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25624	Cltx carpl scphd fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25628	Optx carpl scphd fx int fixj	J1	5114	25.81%	"$7,533.87"	19.51%	"$1,469.86"
25630	Cltx carpl fx w/o mnpj ea b1	T	5111	0.04%	$254.56	0.00%	$0.00
25635	Cltx carpl fx w/mnpj ea b1	J1	5112	0.19%	"$1,659.95"	0.01%	$0.17
25645	Optx crpl fx oth/thn scph ea	J1	5113	6.24%	"$3,377.20"	12.28%	$414.72
25650	Cltx ulnar styloid fracture	T	5111	0.04%	$254.56	0.00%	$0.00
25651	Perq skel fix ulnar styld fx	J1	5113	6.24%	"$3,377.20"	11.97%	$404.25
25652	Optx ulnar styloid fracture	J1	5114	25.81%	"$7,533.87"	41.08%	"$3,094.91"
25660	Cltx rdcrpl/ntrcrpl dislc 1+	T	5111	0.04%	$254.56	0.00%	$0.00
25670	Optx rdcrpl/ntrcrpl dislc 1+	J1	5114	25.81%	"$7,533.87"	9.69%	$730.03
25671	Perq skel fix rad/uln dislc	J1	5113	6.24%	"$3,377.20"	0.32%	$10.81
25675	Cltx dstl rad/uln dislc mnpj	T	5111	0.04%	$254.56	0.00%	$0.00
25676	Optx rad/uln dislc aqt/chrnc	J1	5114	25.81%	"$7,533.87"	11.76%	$885.98
25680	Cltx trns-scphprlnr fx mnpj	T	5111	0.04%	$254.56	11.57%	$29.45
25685	Optx trns-scphprlnr fx dislc	J1	5114	25.81%	"$7,533.87"	25.57%	"$1,926.41"
25690	Cltx lunate dislc w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
25695	Optx lunate dislocation	J1	5114	25.81%	"$7,533.87"	15.63%	"$1,177.54"
25800	Arthrd wrist complete wo grf	J1	5114	25.81%	"$7,533.87"	42.54%	"$3,204.91"
25805	Arthrd wrist w/sliding graft	J1	5114	25.81%	"$7,533.87"	27.72%	"$2,088.39"
25810	Arthrd wrst iliac/oth agrft	J1	5115	45.04%	"$13,254.37"	40.30%	"$5,341.51"
25820	Arthrd wrist lmtd w/o b1 grf	J1	5114	25.81%	"$7,533.87"	38.75%	"$2,919.37"
25825	Arthrd wrist with autograft	J1	5114	25.81%	"$7,533.87"	34.93%	"$2,631.58"
25830	Arthrd dst rad/ul jt sgm rsc	J1	5114	25.81%	"$7,533.87"	28.44%	"$2,142.63"
25900	Amputation of forearm	J1	5114	25.81%	"$7,533.87"	8.67%	$653.19
25905	Amputation of forearm	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
25907	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25909	Amputation follow-up surgery	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
25920	Amputate hand at wrist	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25931	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
25999	Unlisted px forearm/wrist	T	5111	0.04%	$254.56	30.76%	$78.30
26010	Drainage of finger abscess	T	5051	0.01%	$203.69	0.02%	$0.04
26011	Drainage of finger abscess	J1	5072	3.86%	"$1,692.22"	0.02%	$0.34
26020	Drain hand tendon sheath	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26025	Drainage of palm bursa	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26030	Drainage of palm bursas	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26034	Treat hand bone lesion	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26035	Decompress fingers/hand	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26037	Decompress fingers/hand	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26040	Release palm contracture	J1	5112	0.19%	"$1,659.95"	0.13%	$2.16
26045	Release palm contracture	J1	5113	6.24%	"$3,377.20"	0.33%	$11.14
26055	Incise finger tendon sheath	J1	5112	0.19%	"$1,659.95"	0.08%	$1.33
26060	Incision of finger tendon	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26070	Explore/treat hand joint	J1	5112	0.19%	"$1,659.95"	1.20%	$19.92
26075	Explore/treat finger joint	J1	5113	6.24%	"$3,377.20"	0.19%	$6.42
26080	Explore/treat finger joint	J1	5112	0.19%	"$1,659.95"	0.33%	$5.48
26100	Biopsy hand joint lining	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26105	Biopsy finger joint lining	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26110	Biopsy finger joint lining	J1	5112	0.19%	"$1,659.95"	1.39%	$23.07
26111	Exc hand les sc 1.5 cm/>	J1	5072	3.86%	"$1,692.22"	0.03%	$0.51
26113	Exc hand tum deep 1.5 cm/>	J1	5072	3.86%	"$1,692.22"	0.03%	$0.51
26115	Exc hand les sc < 1.5 cm	J1	5072	3.86%	"$1,692.22"	0.18%	$3.05
26116	Exc hand tum deep < 1.5 cm	J1	5072	3.86%	"$1,692.22"	0.13%	$2.20
26117	Rad resect hand tumor < 3 cm	J1	5073	2.26%	"$2,970.38"	1.72%	$51.09
26118	Rad resect hand tumor 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.16%	$4.75
26121	Release palm contracture	J1	5113	6.24%	"$3,377.20"	0.48%	$16.21
26123	Release palm contracture	J1	5113	6.24%	"$3,377.20"	0.50%	$16.89
26130	Remove wrist joint lining	J1	5113	6.24%	"$3,377.20"	7.90%	$266.80
26135	Revise finger joint each	J1	5113	6.24%	"$3,377.20"	2.69%	$90.85
26140	Revise finger joint each	J1	5112	0.19%	"$1,659.95"	0.72%	$11.95
26145	Tendon excision palm/finger	J1	5112	0.19%	"$1,659.95"	0.20%	$3.32
26160	Remove tendon sheath lesion	J1	5112	0.19%	"$1,659.95"	0.06%	$1.00
26170	Removal of palm tendon each	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26180	Removal of finger tendon	J1	5112	0.19%	"$1,659.95"	0.51%	$8.47
26185	Remove finger bone	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26200	Remove hand bone lesion	J1	5112	0.19%	"$1,659.95"	5.96%	$98.93
26205	Remove/graft bone lesion	J1	5114	25.81%	"$7,533.87"	13.32%	"$1,003.51"
26210	Removal of finger lesion	J1	5112	0.19%	"$1,659.95"	0.84%	$13.94
26215	Remove/graft finger lesion	J1	5113	6.24%	"$3,377.20"	21.03%	$710.23
26230	Partial removal of hand bone	J1	5113	6.24%	"$3,377.20"	0.46%	$15.54
26235	Partial removal finger bone	J1	5112	0.19%	"$1,659.95"	0.02%	$0.33
26236	Partial removal finger bone	J1	5112	0.19%	"$1,659.95"	0.10%	$1.66
26250	Extensive hand surgery	J1	5113	6.24%	"$3,377.20"	51.80%	"$1,749.39"
26260	Resect prox finger tumor	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26262	Resect distal finger tumor	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26320	Removal of implant from hand	Q2	5072	3.86%	"$1,692.22"	1.84%	$31.14
26340	Manipulate finger w/anesth	J1	5112	0.19%	"$1,659.95"	0.01%	$0.17
26341	Manipulat palm cord post inj	T	5111	0.04%	$254.56	0.00%	$0.00
26350	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	5.61%	$189.46
26352	Repair/graft hand tendon	J1	5114	25.81%	"$7,533.87"	9.80%	$738.32
26356	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	7.84%	$264.77
26357	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	7.56%	$255.32
26358	Repair/graft hand tendon	J1	5114	25.81%	"$7,533.87"	2.33%	$175.54
26370	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	6.89%	$232.69
26372	Repair/graft hand tendon	J1	5114	25.81%	"$7,533.87"	3.71%	$279.51
26373	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26390	Revise hand/finger tendon	J1	5114	25.81%	"$7,533.87"	28.48%	"$2,145.65"
26392	Repair/graft hand tendon	J1	5114	25.81%	"$7,533.87"	1.03%	$77.60
26410	Repair hand tendon	J1	5112	0.19%	"$1,659.95"	1.36%	$22.58
26412	Repair/graft hand tendon	J1	5113	6.24%	"$3,377.20"	1.08%	$36.47
26415	Excision hand/finger tendon	J1	5113	6.24%	"$3,377.20"	0.25%	$8.44
26418	Repair finger tendon	J1	5112	0.19%	"$1,659.95"	2.28%	$37.85
26420	Repair/graft finger tendon	J1	5113	6.24%	"$3,377.20"	1.84%	$62.14
26426	Repair finger/hand tendon	J1	5113	6.24%	"$3,377.20"	7.85%	$265.11
26428	Repair/graft finger tendon	J1	5113	6.24%	"$3,377.20"	5.51%	$186.08
26432	Repair finger tendon	J1	5112	0.19%	"$1,659.95"	1.29%	$21.41
26433	Repair finger tendon	J1	5113	6.24%	"$3,377.20"	6.41%	$216.48
26434	Repair/graft finger tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26437	Realignment of tendons	J1	5113	6.24%	"$3,377.20"	1.29%	$43.57
26440	Release palm/finger tendon	J1	5112	0.19%	"$1,659.95"	0.38%	$6.31
26442	Release palm & finger tendon	J1	5113	6.24%	"$3,377.20"	1.87%	$63.15
26445	Release hand/finger tendon	J1	5113	6.24%	"$3,377.20"	1.99%	$67.21
26449	Release forearm/hand tendon	J1	5113	6.24%	"$3,377.20"	5.14%	$173.59
26450	Incision of palm tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26455	Incision of finger tendon	J1	5112	0.19%	"$1,659.95"	0.66%	$10.96
26460	Incise hand/finger tendon	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26471	Fusion of finger tendons	J1	5113	6.24%	"$3,377.20"	4.44%	$149.95
26474	Fusion of finger tendons	J1	5112	0.19%	"$1,659.95"	7.90%	$131.14
26476	Tendon lengthening	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26477	Tendon shortening	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26478	Lengthening of hand tendon	J1	5113	6.24%	"$3,377.20"	0.01%	$0.34
26479	Shortening of hand tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26480	Transplant hand tendon	J1	5113	6.24%	"$3,377.20"	1.01%	$34.11
26483	Transplant/graft hand tendon	J1	5113	6.24%	"$3,377.20"	4.59%	$155.01
26485	Transplant palm tendon	J1	5113	6.24%	"$3,377.20"	3.54%	$119.55
26489	Transplant/graft palm tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26490	Revise thumb tendon	J1	5113	6.24%	"$3,377.20"	1.80%	$60.79
26492	Tendon transfer with graft	J1	5113	6.24%	"$3,377.20"	3.36%	$113.47
26494	Hand tendon/muscle transfer	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26496	Revise thumb tendon	J1	5113	6.24%	"$3,377.20"	9.89%	$334.01
26497	Finger tendon transfer	J1	5113	6.24%	"$3,377.20"	2.03%	$68.56
26498	Finger tendon transfer	J1	5113	6.24%	"$3,377.20"	0.54%	$18.24
26499	Revision of finger	J1	5113	6.24%	"$3,377.20"	6.04%	$203.98
26500	Hand tendon reconstruction	J1	5114	25.81%	"$7,533.87"	1.54%	$116.02
26502	Hand tendon reconstruction	J1	5113	6.24%	"$3,377.20"	9.44%	$318.81
26508	Release thumb contracture	J1	5113	6.24%	"$3,377.20"	0.07%	$2.36
26510	Thumb tendon transfer	J1	5113	6.24%	"$3,377.20"	2.48%	$83.75
26516	Fusion of knuckle joint	J1	5113	6.24%	"$3,377.20"	14.53%	$490.71
26518	Fusion of knuckle joints	J1	5114	25.81%	"$7,533.87"	35.18%	"$2,650.42"
26520	Release knuckle contracture	J1	5113	6.24%	"$3,377.20"	3.35%	$113.14
26525	Release finger contracture	J1	5112	0.19%	"$1,659.95"	0.27%	$4.48
26530	Revise knuckle joint	J1	5114	25.81%	"$7,533.87"	37.22%	"$2,804.11"
26531	Revise knuckle with implant	J1	5114	25.81%	"$7,533.87"	45.16%	"$3,402.30"
26535	Revise finger joint	J1	5113	6.24%	"$3,377.20"	21.95%	$741.30
26536	Revise/implant finger joint	J1	5114	25.81%	"$7,533.87"	35.58%	"$2,680.55"
26540	Repair hand joint	J1	5113	6.24%	"$3,377.20"	23.62%	$797.69
26541	Repair hand joint with graft	J1	5113	6.24%	"$3,377.20"	35.93%	"$1,213.43"
26542	Repair hand joint with graft	J1	5113	6.24%	"$3,377.20"	31.59%	"$1,066.86"
26545	Reconstruct finger joint	J1	5113	6.24%	"$3,377.20"	21.34%	$720.69
26546	Repair nonunion hand	J1	5114	25.81%	"$7,533.87"	15.83%	"$1,192.61"
26548	Reconstruct finger joint	J1	5113	6.24%	"$3,377.20"	12.81%	$432.62
26550	Pollicization digit	J1	5113	6.24%	"$3,377.20"	13.09%	$442.08
26560	Repair of web finger	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26561	Repair of web finger	J1	5113	6.24%	"$3,377.20"	10.61%	$358.32
26565	Correct metacarpal flaw	J1	5113	6.24%	"$3,377.20"	29.63%	"$1,000.66"
26567	Correct finger deformity	J1	5113	6.24%	"$3,377.20"	14.48%	$489.02
26568	Lengthen metacarpal/finger	J1	5114	25.81%	"$7,533.87"	54.56%	"$4,110.48"
26580	Repair cleft hand	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26587	Reconstruct extra finger	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26590	Repair finger deformity	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26591	Repair muscles of hand	J1	5113	6.24%	"$3,377.20"	3.41%	$115.16
26593	Release muscles of hand	J1	5113	6.24%	"$3,377.20"	0.65%	$21.95
26596	Excision constricting tissue	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
26600	Treat metacarpal fracture	T	5111	0.04%	$254.56	0.00%	$0.00
26605	Treat metacarpal fracture	T	5111	0.04%	$254.56	0.02%	$0.05
26607	Treat metacarpal fracture	J1	5113	6.24%	"$3,377.20"	0.23%	$7.77
26608	Treat metacarpal fracture	J1	5113	6.24%	"$3,377.20"	5.34%	$180.34
26615	Treat metacarpal fracture	J1	5113	6.24%	"$3,377.20"	25.28%	$853.76
26641	Treat thumb dislocation	T	5111	0.04%	$254.56	25.78%	$65.63
26645	Treat thumb fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
26650	Treat thumb fracture	J1	5113	6.24%	"$3,377.20"	1.31%	$44.24
26665	Treat thumb fracture	J1	5113	6.24%	"$3,377.20"	13.93%	$470.44
26670	Treat hand dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
26675	Treat hand dislocation	J1	5112	0.19%	"$1,659.95"	0.11%	$1.83
26676	Pin hand dislocation	J1	5113	6.24%	"$3,377.20"	0.31%	$10.47
26685	Treat hand dislocation	J1	5113	6.24%	"$3,377.20"	4.11%	$138.80
26686	Treat hand dislocation	J1	5113	6.24%	"$3,377.20"	17.46%	$589.66
26700	Treat knuckle dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
26705	Treat knuckle dislocation	J1	5112	0.19%	"$1,659.95"	0.95%	$15.77
26706	Pin knuckle dislocation	J1	5113	6.24%	"$3,377.20"	1.43%	$48.29
26715	Treat knuckle dislocation	J1	5113	6.24%	"$3,377.20"	4.24%	$143.19
26720	Treat finger fracture each	T	5111	0.04%	$254.56	0.00%	$0.00
26725	Treat finger fracture each	T	5111	0.04%	$254.56	0.13%	$0.33
26727	Treat finger fracture each	J1	5113	6.24%	"$3,377.20"	4.97%	$167.85
26735	Treat finger fracture each	J1	5113	6.24%	"$3,377.20"	18.53%	$625.80
26740	Treat finger fracture each	T	5111	0.04%	$254.56	0.00%	$0.00
26742	Treat finger fracture each	J1	5112	0.19%	"$1,659.95"	0.01%	$0.17
26746	Treat finger fracture each	J1	5113	6.24%	"$3,377.20"	8.73%	$294.83
26750	Treat finger fracture each	T	5111	0.04%	$254.56	0.00%	$0.00
26755	Treat finger fracture each	T	5111	0.04%	$254.56	0.00%	$0.00
26756	Pin finger fracture each	J1	5113	6.24%	"$3,377.20"	1.70%	$57.41
26765	Treat finger fracture each	J1	5113	6.24%	"$3,377.20"	2.80%	$94.56
26770	Treat finger dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
26775	Treat finger dislocation	T	5102	0.00%	$282.76	0.08%	$0.23
26776	Pin finger dislocation	J1	5113	6.24%	"$3,377.20"	2.62%	$88.48
26785	Treat finger dislocation	J1	5113	6.24%	"$3,377.20"	2.35%	$79.36
26820	Thumb fusion with graft	J1	5114	25.81%	"$7,533.87"	14.28%	"$1,075.84"
26841	Fusion of thumb	J1	5114	25.81%	"$7,533.87"	26.16%	"$1,970.86"
26842	Thumb fusion with graft	J1	5114	25.81%	"$7,533.87"	18.00%	"$1,356.10"
26843	Fusion of hand joint	J1	5114	25.81%	"$7,533.87"	14.97%	"$1,127.82"
26844	Fusion/graft of hand joint	J1	5114	25.81%	"$7,533.87"	19.78%	"$1,490.20"
26850	Fusion of knuckle	J1	5114	25.81%	"$7,533.87"	27.10%	"$2,041.68"
26852	Fusion of knuckle with graft	J1	5114	25.81%	"$7,533.87"	27.79%	"$2,093.66"
26860	Fusion of finger joint	J1	5113	6.24%	"$3,377.20"	19.92%	$672.74
26862	Fusion/graft of finger joint	J1	5113	6.24%	"$3,377.20"	22.36%	$755.14
26910	Amputate metacarpal bone	J1	5113	6.24%	"$3,377.20"	0.49%	$16.55
26951	Amputation of finger/thumb	J1	5113	6.24%	"$3,377.20"	0.23%	$7.77
26952	Amputation of finger/thumb	J1	5113	6.24%	"$3,377.20"	0.40%	$13.51
26989	Unlisted px hands/fingers	T	5111	0.04%	$254.56	6.15%	$15.66
26990	Drainage of pelvis lesion	J1	5113	6.24%	"$3,377.20"	3.72%	$125.63
26991	Drainage of pelvis bursa	J1	5112	0.19%	"$1,659.95"	1.31%	$21.75
26992	Drainage of bone lesion	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27000	Incision of hip tendon	J1	5112	0.19%	"$1,659.95"	1.33%	$22.08
27001	Incision of hip tendon	J1	5113	6.24%	"$3,377.20"	8.92%	$301.25
27003	Incision of hip tendon	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27005	Incision of hip tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27006	Incision of hip tendons	J1	5113	6.24%	"$3,377.20"	5.51%	$186.08
27025	Incision of hip/thigh fascia	J1	5113	6.24%	"$3,377.20"	35.58%	"$1,201.61"
27027	Buttock fasciotomy	J1	5114	25.81%	"$7,533.87"	57.71%	"$4,347.80"
27030	Drainage of hip joint	J1	5114	25.81%	"$7,533.87"	11.19%	$843.04
27033	Exploration of hip joint	J1	5114	25.81%	"$7,533.87"	17.91%	"$1,349.32"
27035	Denervation of hip joint	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27036	Excision of hip joint/muscle	J1	5114	25.81%	"$7,533.87"	7.69%	$579.35
27040	Biopsy of soft tissues	J1	5072	3.86%	"$1,692.22"	0.19%	$3.22
27041	Biopsy of soft tissues	J1	5072	3.86%	"$1,692.22"	0.12%	$2.03
27043	Exc hip pelvis les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.27%	$8.02
27045	Exc hip/pelv tum deep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.95%	$28.22
27047	Exc hip/pelvis les sc < 3 cm	J1	5073	2.26%	"$2,970.38"	0.21%	$6.24
27048	Exc hip/pelv tum deep < 5 cm	J1	5073	2.26%	"$2,970.38"	0.82%	$24.36
27049	Resect hip/pelv tum < 5 cm	J1	5073	2.26%	"$2,970.38"	1.77%	$52.58
27050	Biopsy of sacroiliac joint	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27052	Biopsy of hip joint	J1	5112	0.19%	"$1,659.95"	0.07%	$1.16
27054	Removal of hip joint lining	J1	5113	6.24%	"$3,377.20"	31.82%	"$1,074.63"
27057	Buttock fasciotomy w/dbrdmt	J1	5112	0.19%	"$1,659.95"	41.13%	$682.74
27059	Resect hip/pelv tum 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.78%	$23.17
27060	Removal of ischial bursa	J1	5114	25.81%	"$7,533.87"	35.44%	"$2,670.00"
27062	Remove femur lesion/bursa	J1	5113	6.24%	"$3,377.20"	26.70%	$901.71
27065	Remove hip bone les super	J1	5114	25.81%	"$7,533.87"	0.79%	$59.52
27066	Remove hip bone les deep	J1	5113	6.24%	"$3,377.20"	0.57%	$19.25
27070	Part remove hip bone super	J1	5113	6.24%	"$3,377.20"	72.18%	"$2,437.66"
27071	Part removal hip bone deep	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27080	Removal of tail bone	J1	5113	6.24%	"$3,377.20"	0.51%	$17.22
27086	Remove hip foreign body	J1	5073	2.26%	"$2,970.38"	0.07%	$2.08
27087	Remove hip foreign body	J1	5113	6.24%	"$3,377.20"	1.37%	$46.27
27090	Removal of hip prosthesis	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27091	Removal of hip prosthesis	J1	5115	45.04%	"$13,254.37"	28.85%	"$3,823.89"
27097	Revision of hip tendon	J1	5113	6.24%	"$3,377.20"	9.99%	$337.38
27098	Transfer tendon to pelvis	J1	5113	6.24%	"$3,377.20"	32.28%	"$1,090.16"
27100	Transfer of abdominal muscle	J1	5114	25.81%	"$7,533.87"	33.86%	"$2,550.97"
27105	Transfer of spinal muscle	J1	5113	6.24%	"$3,377.20"	50.57%	"$1,707.85"
27110	Transfer of iliopsoas muscle	J1	5114	25.81%	"$7,533.87"	65.02%	"$4,898.52"
27122	Reconstruction of hip socket	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27125	Partial hip replacement	J1	5115	45.04%	"$13,254.37"	33.77%	"$4,476.00"
27130	Total hip arthroplasty	J1	5115	45.04%	"$13,254.37"	47.30%	"$6,269.32"
27132	Total hip arthroplasty	J1	5115	45.04%	"$13,254.37"	48.09%	"$6,374.03"
27134	Revise hip joint replacement	J1	5115	45.04%	"$13,254.37"	42.61%	"$5,647.69"
27137	Revise hip joint replacement	J1	5115	45.04%	"$13,254.37"	36.99%	"$4,902.79"
27138	Revise hip joint replacement	J1	5115	45.04%	"$13,254.37"	41.48%	"$5,497.91"
27140	Transplant femur ridge	J1	5114	25.81%	"$7,533.87"	18.09%	"$1,362.88"
27170	Repair/graft femur head/neck	J1	5114	25.81%	"$7,533.87"	27.14%	"$2,044.69"
27187	Reinforce hip bones	J1	5114	25.81%	"$7,533.87"	39.14%	"$2,948.76"
27197	Clsd tx pelvic ring fx	T	5111	0.04%	$254.56	0.00%	$0.00
27198	Clsd tx pelvic ring fx	T	5111	0.04%	$254.56	4.21%	$10.72
27200	Treat tail bone fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27220	Treat hip socket fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27222	Treat hip socket fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27226	Treat hip wall fracture	J1	5114	25.81%	"$7,533.87"	63.94%	"$4,817.16"
27227	Treat hip fracture(s)	J1	5114	25.81%	"$7,533.87"	26.19%	"$1,973.12"
27228	Treat hip fracture(s)	J1	5114	25.81%	"$7,533.87"	51.01%	"$3,843.03"
27230	Treat thigh fracture	T	5111	0.04%	$254.56	6.28%	$15.99
27232	Treat thigh fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27235	Treat thigh fracture	J1	5114	25.81%	"$7,533.87"	24.08%	"$1,814.16"
27236	Treat thigh fracture	J1	5114	25.81%	"$7,533.87"	34.90%	"$2,629.32"
27238	Treat thigh fracture	J1	5112	0.19%	"$1,659.95"	0.28%	$4.65
27240	Treat thigh fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27244	Treat thigh fracture	J1	5114	25.81%	"$7,533.87"	32.39%	"$2,440.22"
27245	Treat thigh fracture	J1	5114	25.81%	"$7,533.87"	33.86%	"$2,550.97"
27246	Treat thigh fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27248	Treat thigh fracture	J1	5114	25.81%	"$7,533.87"	27.53%	"$2,074.07"
27250	Treat hip dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27252	Treat hip dislocation	J1	5112	0.19%	"$1,659.95"	0.13%	$2.16
27253	Treat hip dislocation	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27254	Treat hip dislocation	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27256	Treat hip dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27257	Treat hip dislocation	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27265	Treat hip dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27266	Treat hip dislocation	J1	5112	0.19%	"$1,659.95"	0.04%	$0.66
27267	Cltx thigh fx	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27268	Cltx thigh fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27275	Manipulation of hip joint	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27278	Arthrd si jt plmt iartic dev	J1	5116	58.31%	"$18,056.80"	72.14%	"$13,026.18"
27279	Arthrd si jt plmt tartclr dv	J1	5116	58.31%	"$18,056.80"	66.50%	"$12,007.77"
27280	Arthr si jt opn b1grf instrm	J1	5116	58.31%	"$18,056.80"	59.49%	"$10,741.99"
27284	Arthrodesis hip joint	J1	5115	45.04%	"$13,254.37"	30.87%	"$4,091.62"
27299	Unlisted px pelvis/hip joint	T	5111	0.04%	$254.56	25.05%	$63.77
27301	Drain thigh/knee lesion	J1	5073	2.26%	"$2,970.38"	1.13%	$33.57
27305	Incise thigh tendon & fascia	J1	5113	6.24%	"$3,377.20"	9.43%	$318.47
27306	Incision of thigh tendon	J1	5113	6.24%	"$3,377.20"	1.09%	$36.81
27307	Incision of thigh tendons	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27310	Exploration of knee joint	J1	5113	6.24%	"$3,377.20"	7.84%	$264.77
27323	Biopsy thigh soft tissues	J1	5072	3.86%	"$1,692.22"	0.29%	$4.91
27324	Biopsy thigh soft tissues	J1	5073	2.26%	"$2,970.38"	0.09%	$2.67
27325	Neurectomy hamstring	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
27327	Exc thigh/knee les sc < 3 cm	J1	5072	3.86%	"$1,692.22"	0.22%	$3.72
27328	Exc thigh/knee tum deep <5cm	J1	5073	2.26%	"$2,970.38"	0.20%	$5.94
27329	Resect thigh/knee tum < 5 cm	J1	5073	2.26%	"$2,970.38"	0.08%	$2.38
27330	Biopsy knee joint lining	J1	5113	6.24%	"$3,377.20"	1.10%	$37.15
27331	Explore/treat knee joint	J1	5113	6.24%	"$3,377.20"	3.27%	$110.43
27332	Removal of knee cartilage	J1	5113	6.24%	"$3,377.20"	9.08%	$306.65
27333	Removal of knee cartilage	J1	5113	6.24%	"$3,377.20"	0.16%	$5.40
27334	Remove knee joint lining	J1	5113	6.24%	"$3,377.20"	3.76%	$126.98
27335	Remove knee joint lining	J1	5114	25.81%	"$7,533.87"	15.31%	"$1,153.44"
27337	Exc thigh/knee les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.27%	$8.02
27339	Exc thigh/knee tum dep 5cm/>	J1	5073	2.26%	"$2,970.38"	0.26%	$7.72
27340	Removal of kneecap bursa	J1	5113	6.24%	"$3,377.20"	0.19%	$6.42
27345	Removal of knee cyst	J1	5113	6.24%	"$3,377.20"	0.64%	$21.61
27347	Remove knee cyst	J1	5113	6.24%	"$3,377.20"	2.76%	$93.21
27350	Removal of kneecap	J1	5114	25.81%	"$7,533.87"	5.45%	$410.60
27355	Remove femur lesion	J1	5113	6.24%	"$3,377.20"	3.20%	$108.07
27356	Remove femur lesion/graft	J1	5115	45.04%	"$13,254.37"	35.25%	"$4,672.17"
27360	Partial removal leg bone(s)	J1	5113	6.24%	"$3,377.20"	2.55%	$86.12
27364	Resect thigh/knee tum 5 cm/>	J1	5073	2.26%	"$2,970.38"	1.00%	$29.70
27372	Removal of foreign body	J1	5073	2.26%	"$2,970.38"	0.09%	$2.67
27380	Repair of kneecap tendon	J1	5114	25.81%	"$7,533.87"	15.94%	"$1,200.90"
27381	Repair/graft kneecap tendon	J1	5114	25.81%	"$7,533.87"	31.11%	"$2,343.79"
27385	Repair of thigh muscle	J1	5114	25.81%	"$7,533.87"	15.85%	"$1,194.12"
27386	Repair/graft of thigh muscle	J1	5114	25.81%	"$7,533.87"	28.99%	"$2,184.07"
27390	Incision of thigh tendon	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27391	Incision of thigh tendons	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27392	Incision of thigh tendons	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27393	Lengthening of thigh tendon	J1	5114	25.81%	"$7,533.87"	71.56%	"$5,391.24"
27394	Lengthening of thigh tendons	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27395	Lengthening of thigh tendons	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27396	Transplant of thigh tendon	J1	5114	25.81%	"$7,533.87"	31.48%	"$2,371.66"
27400	Revise thigh muscles/tendons	J1	5114	25.81%	"$7,533.87"	29.92%	"$2,254.13"
27403	Repair of knee cartilage	J1	5114	25.81%	"$7,533.87"	36.68%	"$2,763.42"
27405	Repair of knee ligament	J1	5114	25.81%	"$7,533.87"	23.49%	"$1,769.71"
27407	Repair of knee ligament	J1	5114	25.81%	"$7,533.87"	31.15%	"$2,346.80"
27409	Repair of knee ligaments	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27412	Autochondrocyte implant knee	J1	5114	25.81%	"$7,533.87"	69.28%	"$5,219.47"
27415	Osteochondral knee allograft	J1	5115	45.04%	"$13,254.37"	60.26%	"$7,987.08"
27416	Osteochondral knee autograft	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27418	Repair degenerated kneecap	J1	5114	25.81%	"$7,533.87"	21.38%	"$1,610.74"
27420	Revision of unstable kneecap	J1	5114	25.81%	"$7,533.87"	21.87%	"$1,647.66"
27422	Revision of unstable kneecap	J1	5114	25.81%	"$7,533.87"	11.11%	$837.01
27424	Revision/removal of kneecap	J1	5114	25.81%	"$7,533.87"	6.81%	$513.06
27425	Lat retinacular release open	J1	5113	6.24%	"$3,377.20"	5.19%	$175.28
27427	Reconstruction knee	J1	5114	25.81%	"$7,533.87"	38.42%	"$2,894.51"
27428	Reconstruction knee	J1	5115	45.04%	"$13,254.37"	32.36%	"$4,289.11"
27429	Reconstruction knee	J1	5115	45.04%	"$13,254.37"	39.83%	"$5,279.22"
27430	Revision of thigh muscles	J1	5114	25.81%	"$7,533.87"	11.08%	$834.75
27435	Incision of knee joint	J1	5113	6.24%	"$3,377.20"	3.64%	$122.93
27437	Revise kneecap	J1	5114	25.81%	"$7,533.87"	19.92%	"$1,500.75"
27438	Revise kneecap with implant	J1	5115	45.04%	"$13,254.37"	27.69%	"$3,670.14"
27440	Revision of knee joint	J1	5115	45.04%	"$13,254.37"	36.85%	"$4,884.24"
27441	Revision of knee joint	J1	5115	45.04%	"$13,254.37"	28.82%	"$3,819.91"
27442	Revision of knee joint	J1	5115	45.04%	"$13,254.37"	41.05%	"$5,440.92"
27443	Revision of knee joint	J1	5115	45.04%	"$13,254.37"	49.99%	"$6,625.86"
27446	Revision of knee joint	J1	5115	45.04%	"$13,254.37"	40.73%	"$5,398.50"
27447	Total knee arthroplasty	J1	5115	45.04%	"$13,254.37"	43.53%	"$5,769.63"
27448	Incision of thigh	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27450	Incision of thigh	J1	5114	25.81%	"$7,533.87"	42.77%	"$3,222.24"
27455	Realignment of knee	J1	5114	25.81%	"$7,533.87"	20.54%	"$1,547.46"
27457	Realignment of knee	J1	5114	25.81%	"$7,533.87"	46.95%	"$3,537.15"
27470	Repair of thigh	J1	5114	25.81%	"$7,533.87"	28.49%	"$2,146.40"
27472	Repair/graft of thigh	J1	5114	25.81%	"$7,533.87"	31.54%	"$2,376.18"
27477	Surgery to stop leg growth	J1	5114	25.81%	"$7,533.87"	37.08%	"$2,793.56"
27486	Revise/replace knee joint	J1	5115	45.04%	"$13,254.37"	29.70%	"$3,936.55"
27487	Revise/replace knee joint	J1	5115	45.04%	"$13,254.37"	58.69%	"$7,778.99"
27488	Removal of knee prosthesis	J1	5115	45.04%	"$13,254.37"	33.77%	"$4,476.00"
27495	Reinforce thigh	J1	5114	25.81%	"$7,533.87"	40.08%	"$3,019.58"
27496	Decompression of thigh/knee	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27500	Treatment of thigh fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27501	Treatment of thigh fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27502	Treatment of thigh fracture	J1	5112	0.19%	"$1,659.95"	1.06%	$17.60
27503	Treatment of thigh fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27506	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	37.52%	"$2,826.71"
27507	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	42.74%	"$3,219.98"
27508	Treatment of thigh fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27509	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	45.91%	"$3,458.80"
27510	Treatment of thigh fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27511	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	38.58%	"$2,906.57"
27513	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	40.22%	"$3,030.12"
27514	Treatment of thigh fracture	J1	5114	25.81%	"$7,533.87"	44.63%	"$3,362.37"
27517	Treat thigh fx growth plate	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27520	Treat kneecap fracture	T	5111	0.04%	$254.56	0.02%	$0.05
27524	Treat kneecap fracture	J1	5114	25.81%	"$7,533.87"	22.25%	"$1,676.29"
27530	Treat knee fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27532	Treat knee fracture	J1	5113	6.24%	"$3,377.20"	2.91%	$98.28
27535	Treat knee fracture	J1	5114	25.81%	"$7,533.87"	42.76%	"$3,221.48"
27536	Treat knee fracture	J1	5114	25.81%	"$7,533.87"	43.84%	"$3,302.85"
27538	Treat knee fracture(s)	T	5111	0.04%	$254.56	0.00%	$0.00
27540	Treat knee fracture	J1	5114	25.81%	"$7,533.87"	20.46%	"$1,541.43"
27550	Treat knee dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27552	Treat knee dislocation	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27556	Treat knee dislocation	J1	5114	25.81%	"$7,533.87"	37.90%	"$2,855.34"
27557	Treat knee dislocation	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
27560	Treat kneecap dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27562	Treat kneecap dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27566	Treat kneecap dislocation	J1	5114	25.81%	"$7,533.87"	1.31%	$98.69
27570	Fixation of knee joint	J1	5112	0.19%	"$1,659.95"	0.14%	$2.32
27580	Fusion of knee	J1	5115	45.04%	"$13,254.37"	32.82%	"$4,350.08"
27590	Amputate leg at thigh	J1	5113	6.24%	"$3,377.20"	0.49%	$16.55
27594	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	1.76%	$59.44
27596	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	0.02%	$0.68
27599	Unlisted px femur/knee	T	5111	0.04%	$254.56	7.79%	$19.83
27600	Decompression of lower leg	J1	5113	6.24%	"$3,377.20"	3.73%	$125.97
27601	Decompression of lower leg	J1	5113	6.24%	"$3,377.20"	4.01%	$135.43
27602	Decompression of lower leg	J1	5113	6.24%	"$3,377.20"	0.01%	$0.34
27603	Drain lower leg lesion	J1	5073	2.26%	"$2,970.38"	1.14%	$33.86
27604	Drain lower leg bursa	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27605	Incision of achilles tendon	J1	5112	0.19%	"$1,659.95"	1.82%	$30.21
27606	Incision of achilles tendon	J1	5113	6.24%	"$3,377.20"	6.27%	$211.75
27607	Treat lower leg bone lesion	J1	5113	6.24%	"$3,377.20"	15.67%	$529.21
27610	Explore/treat ankle joint	J1	5113	6.24%	"$3,377.20"	5.87%	$198.24
27612	Exploration of ankle joint	J1	5113	6.24%	"$3,377.20"	6.53%	$220.53
27613	Biopsy lower leg soft tissue	J1	5072	3.86%	"$1,692.22"	0.04%	$0.68
27614	Biopsy lower leg soft tissue	J1	5073	2.26%	"$2,970.38"	0.37%	$10.99
27615	Resect leg/ankle tum < 5 cm	J1	5073	2.26%	"$2,970.38"	0.01%	$0.30
27616	Resect leg/ankle tum 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.46%	$13.66
27618	Exc leg/ankle tum < 3 cm	J1	5072	3.86%	"$1,692.22"	0.26%	$4.40
27619	Exc leg/ankle tum deep <5 cm	J1	5073	2.26%	"$2,970.38"	1.39%	$41.29
27620	Explore/treat ankle joint	J1	5113	6.24%	"$3,377.20"	4.38%	$147.92
27625	Remove ankle joint lining	J1	5113	6.24%	"$3,377.20"	8.05%	$271.86
27626	Remove ankle joint lining	J1	5113	6.24%	"$3,377.20"	8.97%	$302.93
27630	Removal of tendon lesion	J1	5113	6.24%	"$3,377.20"	0.39%	$13.17
27632	Exc leg/ankle les sc 3 cm/>	J1	5073	2.26%	"$2,970.38"	0.51%	$15.15
27634	Exc leg/ankle tum dep 5 cm/>	J1	5073	2.26%	"$2,970.38"	0.18%	$5.35
27635	Remove lower leg bone lesion	J1	5113	6.24%	"$3,377.20"	4.59%	$155.01
27637	Remove/graft leg bone lesion	J1	5114	25.81%	"$7,533.87"	31.16%	"$2,347.55"
27638	Remove/graft leg bone lesion	J1	5114	25.81%	"$7,533.87"	35.65%	"$2,685.82"
27640	Partial removal of tibia	J1	5113	6.24%	"$3,377.20"	7.39%	$249.58
27641	Partial removal of fibula	J1	5113	6.24%	"$3,377.20"	2.94%	$99.29
27645	Resect tibia tumor	J1	5113	6.24%	"$3,377.20"	13.06%	$441.06
27646	Resect fibula tumor	J1	5113	6.24%	"$3,377.20"	6.65%	$224.58
27650	Repair achilles tendon	J1	5114	25.81%	"$7,533.87"	30.07%	"$2,265.43"
27652	Repair/graft achilles tendon	J1	5114	25.81%	"$7,533.87"	41.84%	"$3,152.17"
27654	Repair of achilles tendon	J1	5114	25.81%	"$7,533.87"	36.59%	"$2,756.64"
27656	Repair leg fascia defect	J1	5113	6.24%	"$3,377.20"	12.56%	$424.18
27658	Repair of leg tendon each	J1	5113	6.24%	"$3,377.20"	14.76%	$498.47
27659	Repair of leg tendon each	J1	5114	25.81%	"$7,533.87"	23.11%	"$1,741.08"
27664	Repair of leg tendon each	J1	5114	25.81%	"$7,533.87"	24.20%	"$1,823.20"
27665	Repair of leg tendon each	J1	5114	25.81%	"$7,533.87"	37.19%	"$2,801.85"
27675	Repair lower leg tendons	J1	5113	6.24%	"$3,377.20"	15.97%	$539.34
27676	Repair lower leg tendons	J1	5114	25.81%	"$7,533.87"	12.78%	$962.83
27680	Release of lower leg tendon	J1	5113	6.24%	"$3,377.20"	7.41%	$250.25
27681	Release of lower leg tendons	J1	5113	6.24%	"$3,377.20"	0.06%	$2.03
27685	Revision of lower leg tendon	J1	5113	6.24%	"$3,377.20"	6.08%	$205.33
27686	Revise lower leg tendons	J1	5113	6.24%	"$3,377.20"	4.35%	$146.91
27687	Revision of calf tendon	J1	5113	6.24%	"$3,377.20"	3.02%	$101.99
27690	Revise lower leg tendon	J1	5114	25.81%	"$7,533.87"	21.62%	"$1,628.82"
27691	Revise lower leg tendon	J1	5114	25.81%	"$7,533.87"	20.62%	"$1,553.48"
27695	Repair of ankle ligament	J1	5114	25.81%	"$7,533.87"	36.69%	"$2,764.18"
27696	Repair of ankle ligaments	J1	5114	25.81%	"$7,533.87"	45.06%	"$3,394.76"
27698	Repair of ankle ligament	J1	5114	25.81%	"$7,533.87"	36.73%	"$2,767.19"
27700	Revision of ankle joint	J1	5114	25.81%	"$7,533.87"	56.26%	"$4,238.56"
27702	Reconstruct ankle joint	J1	5117	59.63%	"$27,851.54"	63.61%	"$17,716.36"
27703	Reconstruction ankle joint	J1	5116	58.31%	"$18,056.80"	64.42%	"$11,632.19"
27704	Removal of ankle implant	Q2	5113	6.24%	"$3,377.20"	2.21%	$74.64
27705	Osteotomy tibia	J1	5114	25.81%	"$7,533.87"	36.60%	"$2,757.40"
27707	Osteotomy fibula	J1	5113	6.24%	"$3,377.20"	19.69%	$664.97
27709	Osteotomy tibia & fibula	J1	5115	45.04%	"$13,254.37"	50.24%	"$6,659.00"
27715	Ostpl tibfib lngth/shrt	J1	5115	45.04%	"$13,254.37"	59.34%	"$7,865.14"
27720	Repair of tibia	J1	5114	25.81%	"$7,533.87"	37.31%	"$2,810.89"
27722	Repair/graft of tibia	J1	5114	25.81%	"$7,533.87"	39.28%	"$2,959.30"
27724	Repair/graft of tibia	J1	5114	25.81%	"$7,533.87"	53.63%	"$4,040.41"
27725	Repair of lower leg	J1	5114	25.81%	"$7,533.87"	49.45%	"$3,725.50"
27726	Repair fibula nonunion	J1	5114	25.81%	"$7,533.87"	37.90%	"$2,855.34"
27727	Repair of lower leg	J1	5113	6.24%	"$3,377.20"	24.03%	$811.54
27745	Reinforce tibia	J1	5114	25.81%	"$7,533.87"	34.87%	"$2,627.06"
27750	Treatment of tibia fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27752	Treatment of tibia fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27756	Treatment of tibia fracture	J1	5114	25.81%	"$7,533.87"	48.06%	"$3,620.78"
27758	Treatment of tibia fracture	J1	5115	45.04%	"$13,254.37"	43.82%	"$5,808.06"
27759	Treatment of tibia fracture	J1	5115	45.04%	"$13,254.37"	33.60%	"$4,453.47"
27760	Cltx medial ankle fx	T	5111	0.04%	$254.56	1.04%	$2.65
27762	Cltx med ankle fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.54%	$8.96
27766	Optx medial ankle fx	J1	5114	25.81%	"$7,533.87"	21.27%	"$1,602.45"
27767	Cltx post ankle fx	T	5111	0.04%	$254.56	0.00%	$0.00
27768	Cltx post ankle fx w/mnpj	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27769	Optx post ankle fx	J1	5114	25.81%	"$7,533.87"	31.45%	"$2,369.40"
27780	Treatment of fibula fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27781	Treatment of fibula fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27784	Treatment of fibula fracture	J1	5114	25.81%	"$7,533.87"	34.27%	"$2,581.86"
27786	Treatment of ankle fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27788	Treatment of ankle fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27792	Treatment of ankle fracture	J1	5114	25.81%	"$7,533.87"	34.39%	"$2,590.90"
27808	Treatment of ankle fracture	T	5111	0.04%	$254.56	0.71%	$1.81
27810	Treatment of ankle fracture	J1	5112	0.19%	"$1,659.95"	0.15%	$2.49
27814	Treatment of ankle fracture	J1	5114	25.81%	"$7,533.87"	37.59%	"$2,831.98"
27816	Treatment of ankle fracture	T	5111	0.04%	$254.56	0.00%	$0.00
27818	Treatment of ankle fracture	J1	5112	0.19%	"$1,659.95"	0.01%	$0.17
27822	Treatment of ankle fracture	J1	5114	25.81%	"$7,533.87"	36.75%	"$2,768.70"
27823	Treatment of ankle fracture	J1	5114	25.81%	"$7,533.87"	36.70%	"$2,764.93"
27824	Treat lower leg fracture	T	5111	0.04%	$254.56	6.24%	$15.88
27825	Treat lower leg fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
27826	Treat lower leg fracture	J1	5114	25.81%	"$7,533.87"	32.29%	"$2,432.69"
27827	Treat lower leg fracture	J1	5115	45.04%	"$13,254.37"	38.53%	"$5,106.91"
27828	Treat lower leg fracture	J1	5115	45.04%	"$13,254.37"	40.33%	"$5,345.49"
27829	Treat lower leg joint	J1	5114	25.81%	"$7,533.87"	41.51%	"$3,127.31"
27830	Treat lower leg dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27831	Treat lower leg dislocation	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
27832	Treat lower leg dislocation	J1	5114	25.81%	"$7,533.87"	35.60%	"$2,682.06"
27840	Treat ankle dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
27842	Treat ankle dislocation	J1	5112	0.19%	"$1,659.95"	2.52%	$41.83
27846	Treat ankle dislocation	J1	5114	25.81%	"$7,533.87"	37.36%	"$2,814.65"
27848	Treat ankle dislocation	J1	5114	25.81%	"$7,533.87"	26.74%	"$2,014.56"
27860	Fixation of ankle joint	J1	5113	6.24%	"$3,377.20"	0.93%	$31.41
27870	Fusion of ankle joint open	J1	5115	45.04%	"$13,254.37"	50.28%	"$6,664.30"
27871	Fusion of tibiofibular joint	J1	5115	45.04%	"$13,254.37"	46.07%	"$6,106.29"
27880	Amputation of lower leg	J1	5114	25.81%	"$7,533.87"	2.66%	$200.40
27884	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	0.11%	$3.71
27886	Amputation follow-up surgery	J1	5113	6.24%	"$3,377.20"	0.29%	$9.79
27892	Decompression of leg	J1	5113	6.24%	"$3,377.20"	22.92%	$774.05
27893	Decompression of leg	J1	5114	25.81%	"$7,533.87"	35.55%	"$2,678.29"
27899	Unlisted px leg/ankle	T	5111	0.04%	$254.56	21.48%	$54.68
28001	Drainage of bursa of foot	J1	5072	3.86%	"$1,692.22"	0.18%	$3.05
28002	Treatment of foot infection	J1	5112	0.19%	"$1,659.95"	3.72%	$61.75
28003	Treatment of foot infection	J1	5113	6.24%	"$3,377.20"	7.13%	$240.79
28005	Treat foot bone lesion	J1	5113	6.24%	"$3,377.20"	6.67%	$225.26
28008	Incision of foot fascia	J1	5113	6.24%	"$3,377.20"	3.29%	$111.11
28010	Incision of toe tendon	J1	5112	0.19%	"$1,659.95"	0.10%	$1.66
28011	Incision of toe tendons	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28020	Exploration of foot joint	J1	5113	6.24%	"$3,377.20"	5.68%	$191.82
28022	Exploration of foot joint	J1	5113	6.24%	"$3,377.20"	7.10%	$239.78
28024	Exploration of toe joint	J1	5112	0.19%	"$1,659.95"	2.07%	$34.36
28035	Decompression of tibia nerve	J1	5431	1.04%	"$1,999.82"	7.95%	$158.99
28039	Exc foot/toe tum sc 1.5 cm/>	J1	5073	2.26%	"$2,970.38"	1.10%	$32.67
28041	Exc foot/toe tum dep 1.5cm/>	J1	5073	2.26%	"$2,970.38"	2.14%	$63.57
28043	Exc foot/toe tum sc < 1.5 cm	J1	5072	3.86%	"$1,692.22"	0.91%	$15.40
28045	Exc foot/toe tum deep <1.5cm	J1	5073	2.26%	"$2,970.38"	1.83%	$54.36
28046	Resect foot/toe tumor < 3 cm	J1	5073	2.26%	"$2,970.38"	0.12%	$3.56
28047	Resect foot/toe tumor 3 cm/>	J1	5073	2.26%	"$2,970.38"	2.54%	$75.45
28050	Biopsy of foot joint lining	J1	5113	6.24%	"$3,377.20"	0.72%	$24.32
28052	Biopsy of foot joint lining	J1	5113	6.24%	"$3,377.20"	3.02%	$101.99
28054	Biopsy of toe joint lining	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28055	Neurectomy foot	J1	5431	1.04%	"$1,999.82"	8.19%	$163.79
28060	Partial removal foot fascia	J1	5113	6.24%	"$3,377.20"	3.57%	$120.57
28062	Removal of foot fascia	J1	5113	6.24%	"$3,377.20"	0.33%	$11.14
28070	Removal of foot joint lining	J1	5114	25.81%	"$7,533.87"	2.29%	$172.53
28072	Removal of foot joint lining	J1	5113	6.24%	"$3,377.20"	8.59%	$290.10
28080	Removal of foot lesion	J1	5112	0.19%	"$1,659.95"	1.37%	$22.74
28086	Excise foot tendon sheath	J1	5113	6.24%	"$3,377.20"	9.90%	$334.34
28088	Excise foot tendon sheath	J1	5113	6.24%	"$3,377.20"	6.63%	$223.91
28090	Removal of foot lesion	J1	5112	0.19%	"$1,659.95"	0.94%	$15.60
28092	Removal of toe lesions	J1	5112	0.19%	"$1,659.95"	0.33%	$5.48
28100	Removal of ankle/heel lesion	J1	5113	6.24%	"$3,377.20"	5.44%	$183.72
28102	Remove/graft foot lesion	J1	5114	25.81%	"$7,533.87"	39.46%	"$2,972.87"
28103	Remove/graft foot lesion	J1	5114	25.81%	"$7,533.87"	40.99%	"$3,088.13"
28104	Removal of foot lesion	J1	5113	6.24%	"$3,377.20"	2.34%	$79.03
28106	Remove/graft foot lesion	J1	5114	25.81%	"$7,533.87"	35.26%	"$2,656.44"
28107	Remove/graft foot lesion	J1	5114	25.81%	"$7,533.87"	17.88%	"$1,347.06"
28108	Removal of toe lesions	J1	5112	0.19%	"$1,659.95"	2.19%	$36.35
28110	Part removal of metatarsal	J1	5113	6.24%	"$3,377.20"	5.49%	$185.41
28111	Part removal of metatarsal	J1	5113	6.24%	"$3,377.20"	5.30%	$178.99
28112	Part removal of metatarsal	J1	5113	6.24%	"$3,377.20"	3.27%	$110.43
28113	Part removal of metatarsal	J1	5113	6.24%	"$3,377.20"	1.51%	$51.00
28114	Removal of metatarsal heads	J1	5113	6.24%	"$3,377.20"	7.14%	$241.13
28116	Revision of foot	J1	5113	6.24%	"$3,377.20"	8.17%	$275.92
28118	Removal of heel bone	J1	5113	6.24%	"$3,377.20"	25.51%	$861.52
28119	Removal of heel spur	J1	5113	6.24%	"$3,377.20"	7.70%	$260.04
28120	Part removal of ankle/heel	J1	5113	6.24%	"$3,377.20"	9.66%	$326.24
28122	Partial removal of foot bone	J1	5113	6.24%	"$3,377.20"	4.18%	$141.17
28124	Partial removal of toe	J1	5113	6.24%	"$3,377.20"	1.44%	$48.63
28126	Partial removal of toe	J1	5113	6.24%	"$3,377.20"	0.84%	$28.37
28130	Removal of ankle bone	J1	5114	25.81%	"$7,533.87"	28.05%	"$2,113.25"
28140	Removal of metatarsal	J1	5113	6.24%	"$3,377.20"	2.27%	$76.66
28150	Removal of toe	J1	5113	6.24%	"$3,377.20"	0.11%	$3.71
28153	Partial removal of toe	J1	5113	6.24%	"$3,377.20"	1.09%	$36.81
28160	Partial removal of toe	J1	5113	6.24%	"$3,377.20"	1.43%	$48.29
28173	Resect metatarsal tumor	J1	5113	6.24%	"$3,377.20"	0.52%	$17.56
28175	Resect phalanx of toe tumor	J1	5112	0.19%	"$1,659.95"	17.32%	$287.50
28190	Removal of foot foreign body	T	5071	9.91%	$730.32	0.01%	$0.07
28192	Removal of foot foreign body	J1	5072	3.86%	"$1,692.22"	0.66%	$11.17
28193	Removal of foot foreign body	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
28200	Repair of foot tendon	J1	5113	6.24%	"$3,377.20"	13.97%	$471.79
28202	Repair/graft of foot tendon	J1	5114	25.81%	"$7,533.87"	43.07%	"$3,244.84"
28208	Repair of foot tendon	J1	5113	6.24%	"$3,377.20"	19.17%	$647.41
28210	Repair/graft of foot tendon	J1	5114	25.81%	"$7,533.87"	38.31%	"$2,886.23"
28220	Release of foot tendon	J1	5112	0.19%	"$1,659.95"	16.32%	$270.90
28222	Release of foot tendons	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28225	Release of foot tendon	J1	5113	6.24%	"$3,377.20"	12.04%	$406.61
28226	Release of foot tendons	J1	5113	6.24%	"$3,377.20"	6.78%	$228.97
28230	Incision of foot tendon(s)	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28232	Incision of toe tendon	J1	5112	0.19%	"$1,659.95"	0.43%	$7.14
28234	Incision of foot tendon	J1	5112	0.19%	"$1,659.95"	3.40%	$56.44
28238	Revision of foot tendon	J1	5114	25.81%	"$7,533.87"	19.05%	"$1,435.20"
28240	Release of big toe	J1	5113	6.24%	"$3,377.20"	13.17%	$444.78
28250	Revision of foot fascia	J1	5113	6.24%	"$3,377.20"	2.26%	$76.32
28260	Release of midfoot joint	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28261	Revision of foot tendon	J1	5112	0.19%	"$1,659.95"	7.33%	$121.67
28262	Revision of foot and ankle	J1	5114	25.81%	"$7,533.87"	16.79%	"$1,264.94"
28264	Release of midfoot joint	J1	5112	0.19%	"$1,659.95"	29.79%	$494.50
28270	Release of foot contracture	J1	5113	6.24%	"$3,377.20"	12.17%	$411.01
28272	Release of toe joint each	J1	5112	0.19%	"$1,659.95"	0.01%	$0.17
28280	Fusion of toes	J1	5113	6.24%	"$3,377.20"	8.28%	$279.63
28285	Repair of hammertoe	J1	5113	6.24%	"$3,377.20"	12.88%	$434.98
28286	Repair of hammertoe	J1	5113	6.24%	"$3,377.20"	9.12%	$308.00
28288	Partial removal of foot bone	J1	5113	6.24%	"$3,377.20"	2.66%	$89.83
28289	Corrj halux rigdus w/o implt	J1	5113	6.24%	"$3,377.20"	4.23%	$142.86
28291	Corrj halux rigdus w/implt	J1	5114	25.81%	"$7,533.87"	40.97%	"$3,086.63"
28292	Cor hlx vlgs rsc prx phlx bs	J1	5113	6.24%	"$3,377.20"	10.75%	$363.05
28295	Cor hlx vlgs prx mtar osteot	J1	5113	6.24%	"$3,377.20"	23.67%	$799.38
28296	Cor hlx vlgs dstl mtar osteo	J1	5113	6.24%	"$3,377.20"	18.92%	$638.97
28297	Cor hlx vlgs jt arthrd	J1	5115	45.04%	"$13,254.37"	54.55%	"$7,230.26"
28298	Cor hlx vlgs prx phlx osteot	J1	5114	25.81%	"$7,533.87"	31.12%	"$2,344.54"
28299	Cor hlx vlgs double osteot	J1	5114	25.81%	"$7,533.87"	34.32%	"$2,585.62"
28300	Incision of heel bone	J1	5114	25.81%	"$7,533.87"	35.58%	"$2,680.55"
28302	Incision of ankle bone	J1	5114	25.81%	"$7,533.87"	62.05%	"$4,674.77"
28304	Incision of midfoot bones	J1	5114	25.81%	"$7,533.87"	32.35%	"$2,437.21"
28305	Incise/graft midfoot bones	J1	5114	25.81%	"$7,533.87"	46.94%	"$3,536.40"
28306	Incision of metatarsal	J1	5114	25.81%	"$7,533.87"	24.36%	"$1,835.25"
28307	Incision of metatarsal	J1	5114	25.81%	"$7,533.87"	23.26%	"$1,752.38"
28308	Incision of metatarsal	J1	5113	6.24%	"$3,377.20"	12.08%	$407.97
28309	Incision of metatarsals	J1	5114	25.81%	"$7,533.87"	19.56%	"$1,473.62"
28310	Revision of big toe	J1	5114	25.81%	"$7,533.87"	28.15%	"$2,120.78"
28312	Revision of toe	J1	5113	6.24%	"$3,377.20"	9.81%	$331.30
28313	Repair deformity of toe	J1	5113	6.24%	"$3,377.20"	18.43%	$622.42
28315	Removal of sesamoid bone	J1	5113	6.24%	"$3,377.20"	1.09%	$36.81
28320	Repair of foot bones	J1	5115	45.04%	"$13,254.37"	48.89%	"$6,480.06"
28322	Repair of metatarsals	J1	5114	25.81%	"$7,533.87"	38.00%	"$2,862.87"
28341	Resect enlarged toe	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28344	Repair extra toe(s)	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28345	Repair webbed toe(s)	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28400	Treatment of heel fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28405	Treatment of heel fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28406	Treatment of heel fracture	J1	5114	25.81%	"$7,533.87"	18.35%	"$1,382.47"
28415	Treat heel fracture	J1	5114	25.81%	"$7,533.87"	35.74%	"$2,692.61"
28420	Treat/graft heel fracture	J1	5115	45.04%	"$13,254.37"	35.51%	"$4,706.63"
28430	Treatment of ankle fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28435	Treatment of ankle fracture	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28436	Treatment of ankle fracture	J1	5114	25.81%	"$7,533.87"	28.78%	"$2,168.25"
28445	Treat ankle fracture	J1	5114	25.81%	"$7,533.87"	31.52%	"$2,374.68"
28446	Osteochondral talus autogrft	J1	5114	25.81%	"$7,533.87"	38.53%	"$2,902.80"
28450	Treat midfoot fracture each	T	5111	0.04%	$254.56	0.62%	$1.58
28455	Treat midfoot fracture each	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28456	Treat midfoot fracture	J1	5114	25.81%	"$7,533.87"	18.09%	"$1,362.88"
28465	Treat midfoot fracture each	J1	5114	25.81%	"$7,533.87"	37.29%	"$2,809.38"
28470	Treat metatarsal fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28475	Treat metatarsal fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28476	Treat metatarsal fracture	J1	5113	6.24%	"$3,377.20"	27.43%	$926.37
28485	Treat metatarsal fracture	J1	5114	25.81%	"$7,533.87"	34.35%	"$2,587.88"
28490	Treat big toe fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28495	Treat big toe fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28496	Treat big toe fracture	J1	5113	6.24%	"$3,377.20"	3.94%	$133.06
28505	Treat big toe fracture	J1	5113	6.24%	"$3,377.20"	16.90%	$570.75
28510	Treatment of toe fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28515	Treatment of toe fracture	T	5111	0.04%	$254.56	0.84%	$2.14
28525	Treat toe fracture	J1	5113	6.24%	"$3,377.20"	8.31%	$280.65
28530	Treat sesamoid bone fracture	T	5111	0.04%	$254.56	0.00%	$0.00
28531	Treat sesamoid bone fracture	J1	5114	25.81%	"$7,533.87"	40.04%	"$3,016.56"
28555	Repair foot dislocation	J1	5114	25.81%	"$7,533.87"	47.82%	"$3,602.70"
28570	Treat foot dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
28575	Treat foot dislocation	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
28585	Repair foot dislocation	J1	5114	25.81%	"$7,533.87"	34.32%	"$2,585.62"
28606	Treat foot dislocation	J1	5113	6.24%	"$3,377.20"	17.01%	$574.46
28615	Repair foot dislocation	J1	5114	25.81%	"$7,533.87"	34.71%	"$2,615.01"
28630	Treat toe dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
28635	Treat toe dislocation	J1	5112	0.19%	"$1,659.95"	0.37%	$6.14
28636	Treat toe dislocation	J1	5113	6.24%	"$3,377.20"	2.62%	$88.48
28645	Repair toe dislocation	J1	5113	6.24%	"$3,377.20"	21.28%	$718.67
28660	Treat toe dislocation	T	5111	0.04%	$254.56	0.00%	$0.00
28665	Treat toe dislocation	T	5102	0.00%	$282.76	0.00%	$0.00
28666	Treat toe dislocation	J1	5113	6.24%	"$3,377.20"	0.20%	$6.75
28675	Repair of toe dislocation	J1	5113	6.24%	"$3,377.20"	6.38%	$215.47
28705	Arthrodesis pantalar	J1	5116	58.31%	"$18,056.80"	52.77%	"$9,528.57"
28715	Arthrodesis triple	J1	5115	45.04%	"$13,254.37"	54.30%	"$7,197.12"
28725	Arthrodesis subtalar	J1	5115	45.04%	"$13,254.37"	48.27%	"$6,397.88"
28730	Fusion of foot bones	J1	5115	45.04%	"$13,254.37"	55.76%	"$7,390.64"
28735	Fusion of foot bones	J1	5115	45.04%	"$13,254.37"	53.39%	"$7,076.51"
28737	Revision of foot bones	J1	5115	45.04%	"$13,254.37"	49.43%	"$6,551.64"
28740	Fusion of foot bones	J1	5114	25.81%	"$7,533.87"	50.68%	"$3,818.17"
28750	Fusion of big toe joint	J1	5114	25.81%	"$7,533.87"	47.18%	"$3,554.48"
28755	Fusion of big toe joint	J1	5114	25.81%	"$7,533.87"	24.62%	"$1,854.84"
28760	Fusion of big toe joint	J1	5114	25.81%	"$7,533.87"	32.35%	"$2,437.21"
28800	Amputation of midfoot	J1	5113	6.24%	"$3,377.20"	21.85%	$737.92
28805	Amputation thru metatarsal	J1	5113	6.24%	"$3,377.20"	3.30%	$111.45
28810	Amputation toe & metatarsal	J1	5113	6.24%	"$3,377.20"	2.28%	$77.00
28820	Amputation of toe	J1	5113	6.24%	"$3,377.20"	0.96%	$32.42
28825	Partial amputation of toe	J1	5113	6.24%	"$3,377.20"	0.62%	$20.94
28890	Hi enrgy eswt plantar fascia	J1	5112	0.19%	"$1,659.95"	0.00%	$0.00
28899	Unlisted px foot/toes	T	5111	0.04%	$254.56	25.83%	$65.75
29055	Application of shoulder cast	T	5102	0.00%	$282.76	0.00%	$0.00
29065	Application of long arm cast	T	5102	0.00%	$282.76	0.00%	$0.00
29075	Application of forearm cast	T	5102	0.00%	$282.76	0.00%	$0.00
29085	Apply hand/wrist cast	T	5101	0.01%	$163.61	0.00%	$0.00
29086	Apply finger cast	T	5101	0.01%	$163.61	0.00%	$0.00
29105	Apply long arm splint	T	5101	0.01%	$163.61	0.01%	$0.02
29125	Apply forearm splint	Q1	5734	0.07%	$136.31	0.01%	$0.01
29126	Apply forearm splint	Q1	5734	0.07%	$136.31	0.00%	$0.00
29130	Application of finger splint	Q1	5734	0.07%	$136.31	0.00%	$0.00
29131	Application of finger splint	Q1	5733	0.06%	$60.59	0.00%	$0.00
29200	Strapping thorax	T	5101	0.01%	$163.61	0.00%	$0.00
29240	Strapping of shoulder	Q1	5734	0.07%	$136.31	0.00%	$0.00
29260	Strapping of elbow or wrist	Q1	5733	0.06%	$60.59	0.00%	$0.00
29280	Strapping of hand or finger	Q1	5733	0.06%	$60.59	0.00%	$0.00
29345	Application of long leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29355	Application of long leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29358	Apply long leg cast brace	T	5102	0.00%	$282.76	0.00%	$0.00
29365	Application of long leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29405	Apply short leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29425	Apply short leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29435	Apply short leg cast	T	5102	0.00%	$282.76	0.00%	$0.00
29445	Apply rigid leg cast	T	5102	0.00%	$282.76	0.01%	$0.03
29450	Application of leg cast	T	5101	0.01%	$163.61	0.00%	$0.00
29505	Application long leg splint	T	5101	0.01%	$163.61	0.03%	$0.05
29515	Application lower leg splint	T	5101	0.01%	$163.61	0.01%	$0.02
29520	Strapping of hip	Q1	5734	0.07%	$136.31	0.00%	$0.00
29530	Strapping of knee	Q1	5734	0.07%	$136.31	0.00%	$0.00
29540	Strapping of ankle and/or ft	T	5101	0.01%	$163.61	0.03%	$0.05
29550	Strapping of toes	Q1	5733	0.06%	$60.59	0.00%	$0.00
29580	Strapping unna boot	T	5101	0.01%	$163.61	0.01%	$0.02
29581	Apply multlay comprs lwr leg	T	5101	0.01%	$163.61	0.01%	$0.02
29584	Appl multlay comprs arm/hand	T	5101	0.01%	$163.61	0.00%	$0.00
29700	Removal/revision of cast	T	5102	0.00%	$282.76	0.00%	$0.00
29705	Removal/revision of cast	T	5102	0.00%	$282.76	0.00%	$0.00
29710	Removal/revision of cast	T	5102	0.00%	$282.76	0.00%	$0.00
29720	Repair of body cast	T	5101	0.01%	$163.61	0.00%	$0.00
29730	Windowing of cast	T	5101	0.01%	$163.61	0.00%	$0.00
29740	Wedging of cast	T	5102	0.00%	$282.76	0.00%	$0.00
29799	Unlisted px casting/strpg	T	5101	0.01%	$163.61	0.00%	$0.00
29800	Jaw arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29804	Jaw arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.39%	$13.17
29805	Sho arthrs dx +- synovial bx	J1	5113	6.24%	"$3,377.20"	3.42%	$115.50
29806	Sho arthrs srg capsulorraphy	J1	5114	25.81%	"$7,533.87"	27.06%	"$2,038.67"
29807	Sho arthrs srg rpr slap les	J1	5114	25.81%	"$7,533.87"	23.66%	"$1,782.51"
29819	Sho arthrs srg rmvl loose/fb	J1	5113	6.24%	"$3,377.20"	3.79%	$128.00
29820	Sho arthrs srg prtl synvct	J1	5114	25.81%	"$7,533.87"	6.47%	$487.44
29821	Sho arthrs srg compl synvct	J1	5113	6.24%	"$3,377.20"	1.94%	$65.52
29822	Sho arthrs srg lmtd dbrdmt	J1	5113	6.24%	"$3,377.20"	3.84%	$129.68
29823	Sho arthrs srg xtnsv dbrdmt	J1	5113	6.24%	"$3,377.20"	3.84%	$129.68
29824	Sho arthrs srg dstl claviclc	J1	5113	6.24%	"$3,377.20"	2.81%	$94.90
29825	Sho arthrs srg lss&rescj ads	J1	5113	6.24%	"$3,377.20"	1.93%	$65.18
29827	Sho arthrs srg rt8tr cuf rpr	J1	5114	25.81%	"$7,533.87"	29.75%	"$2,241.33"
29828	Sho arthrs srg bicp tenodsis	J1	5114	25.81%	"$7,533.87"	15.10%	"$1,137.61"
29830	Elbow arthroscopy	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29834	Elbow arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	2.24%	$75.65
29835	Elbow arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29836	Elbow arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	1.95%	$146.91
29837	Elbow arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.13%	$4.39
29838	Elbow arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.23%	$7.77
29840	Wrist arthroscopy	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29843	Wrist arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29844	Wrist arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	2.42%	$81.73
29845	Wrist arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	1.62%	$54.71
29846	Wrist arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	1.75%	$59.10
29847	Wrist arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	0.61%	$45.96
29848	Wrist endoscopy/surgery	J1	5112	0.19%	"$1,659.95"	0.20%	$3.32
29850	Knee arthroscopy/surgery	J1	5112	0.19%	"$1,659.95"	5.39%	$89.47
29851	Knee arthroscopy/surgery	J1	5112	0.19%	"$1,659.95"	2.08%	$34.53
29855	Tibial arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	46.39%	"$3,494.96"
29856	Tibial arthroscopy/surgery	J1	5115	45.04%	"$13,254.37"	49.05%	"$6,501.27"
29860	Hip arthroscopy dx	J1	5114	25.81%	"$7,533.87"	5.72%	$430.94
29861	Hip arthro w/fb removal	J1	5114	25.81%	"$7,533.87"	1.44%	$108.49
29862	Hip arthr0 w/debridement	J1	5114	25.81%	"$7,533.87"	13.86%	"$1,044.19"
29863	Hip arthr0 w/synovectomy	J1	5113	6.24%	"$3,377.20"	18.86%	$636.94
29866	Autgrft implnt knee w/scope	J1	5114	25.81%	"$7,533.87"	18.58%	"$1,399.79"
29867	Allgrft implnt knee w/scope	J1	5115	45.04%	"$13,254.37"	35.28%	"$4,676.14"
29868	Meniscal trnspl knee w/scpe	J1	5114	25.81%	"$7,533.87"	41.43%	"$3,121.28"
29870	Knee arthroscopy dx	J1	5113	6.24%	"$3,377.20"	3.64%	$122.93
29871	Knee arthroscopy/drainage	J1	5113	6.24%	"$3,377.20"	1.40%	$47.28
29873	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.77%	$26.00
29874	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.26%	$8.78
29875	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.37%	$12.50
29876	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.68%	$22.96
29877	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.61%	$20.60
29879	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	1.57%	$53.02
29880	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.65%	$21.95
29881	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.74%	$24.99
29882	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	25.07%	$846.66
29883	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	16.14%	$545.08
29884	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.23%	$7.77
29885	Knee arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	18.66%	"$1,405.82"
29886	Knee arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29887	Knee arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	23.13%	"$1,742.58"
29888	Knee arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	38.81%	"$2,923.89"
29889	Knee arthroscopy/surgery	J1	5115	45.04%	"$13,254.37"	38.61%	"$5,117.51"
29891	Ankle arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	9.07%	$306.31
29892	Ankle arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	28.59%	"$2,153.93"
29893	Scope plantar fasciotomy	J1	5113	6.24%	"$3,377.20"	5.78%	$195.20
29894	Ankle arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	4.18%	$141.17
29895	Ankle arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	6.40%	$216.14
29897	Ankle arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	7.73%	$261.06
29898	Ankle arthroscopy/surgery	J1	5113	6.24%	"$3,377.20"	5.33%	$180.00
29899	Ankle arthroscopy/surgery	J1	5114	25.81%	"$7,533.87"	37.96%	"$2,859.86"
29901	Mcp joint arthroscopy surg	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29905	Subtalar arthro w/exc	J1	5114	25.81%	"$7,533.87"	0.00%	$0.00
29906	Subtalar arthro w/deb	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
29907	Subtalar arthro w/fusion	J1	5115	45.04%	"$13,254.37"	52.89%	"$7,010.24"
29914	Hip arthro w/femoroplasty	J1	5114	25.81%	"$7,533.87"	14.51%	"$1,093.16"
29915	Hip arthro acetabuloplasty	J1	5114	25.81%	"$7,533.87"	19.49%	"$1,468.35"
29916	Hip arthro w/labral repair	J1	5114	25.81%	"$7,533.87"	22.51%	"$1,695.87"
29999	Unlisted px arthroscopy	T	5111	0.04%	$254.56	14.48%	$36.86
30000	Drainage of nose lesion	T	5161	0.07%	$245.04	0.00%	$0.00
30020	Drainage of nose lesion	T	5162	0.11%	$546.14	0.00%	$0.00
30100	Intranasal biopsy	J1	5163	1.74%	"$1,589.97"	0.17%	$2.70
30110	Removal of nose polyp(s)	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
30115	Removal of nose polyp(s)	J1	5164	1.23%	"$3,402.23"	0.73%	$24.84
30117	Removal of intranasal lesion	J1	5164	1.23%	"$3,402.23"	3.17%	$107.85
30118	Removal of intranasal lesion	J1	5164	1.23%	"$3,402.23"	0.15%	$5.10
30120	Revision of nose	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
30124	Removal of nose lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
30125	Removal of nose lesion	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
30130	Excise inferior turbinate	J1	5164	1.23%	"$3,402.23"	1.58%	$53.76
30140	Resect inferior turbinate	J1	5164	1.23%	"$3,402.23"	2.41%	$81.99
30150	Rhinectomy partial	J1	5165	5.32%	"$6,182.21"	0.27%	$16.69
30160	Rhinectomy total	J1	5165	5.32%	"$6,182.21"	1.07%	$66.15
30200	Injection treatment of nose	T	5162	0.11%	$546.14	7.34%	$40.09
30220	Insert nasal septal button	J1	5163	1.74%	"$1,589.97"	4.52%	$71.87
30300	Remove nasal foreign body	Q1	5734	0.07%	$136.31	0.00%	$0.00
30310	Remove nasal foreign body	J1	5164	1.23%	"$3,402.23"	1.59%	$54.10
30320	Remove nasal foreign body	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
30400	Reconstruction of nose	J1	5165	5.32%	"$6,182.21"	0.89%	$55.02
30410	Reconstruction of nose	J1	5165	5.32%	"$6,182.21"	2.77%	$171.25
30420	Reconstruction of nose	J1	5165	5.32%	"$6,182.21"	3.73%	$230.60
30430	Revision of nose	J1	5165	5.32%	"$6,182.21"	3.92%	$242.34
30435	Revision of nose	J1	5165	5.32%	"$6,182.21"	3.22%	$199.07
30450	Revision of nose	J1	5165	5.32%	"$6,182.21"	5.80%	$358.57
30460	Revision of nose	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
30462	Revision of nose	J1	5165	5.32%	"$6,182.21"	3.42%	$211.43
30465	Repair nasal stenosis	J1	5165	5.32%	"$6,182.21"	5.68%	$351.15
30468	Rpr nsl vlv collapse w/implt	J1	5165	5.32%	"$6,182.21"	38.13%	"$2,357.28"
30469	Rpr nsl vlv collapse w/rmdlg	J1	5165	5.32%	"$6,182.21"	29.90%	"$1,848.48"
30520	Repair of nasal septum	J1	5164	1.23%	"$3,402.23"	1.61%	$54.78
30540	Rpr choanal atresia ntranasl	J1	5165	5.32%	"$6,182.21"	9.58%	$592.26
30560	Lysis intranasal synechia	T	5162	0.11%	$546.14	3.56%	$19.44
30580	Repair upper jaw fistula	J1	5165	5.32%	"$6,182.21"	1.86%	$114.99
30600	Repair mouth/nose fistula	J1	5165	5.32%	"$6,182.21"	2.87%	$177.43
30620	Intranasal reconstruction	J1	5165	5.32%	"$6,182.21"	8.68%	$536.62
30630	Repair nasal septum defect	J1	5164	1.23%	"$3,402.23"	6.42%	$218.42
30801	Ablate inf turbinate superf	J1	5163	1.74%	"$1,589.97"	2.79%	$44.36
30802	Ablate inf turbinate submuc	J1	5163	1.74%	"$1,589.97"	3.28%	$52.15
30901	Control of nosebleed	Q1	5734	0.07%	$136.31	0.00%	$0.00
30903	Control of nosebleed	T	5734	0.07%	$136.31	0.00%	$0.00
30905	Control of nosebleed	T	5734	0.07%	$136.31	0.00%	$0.00
30906	Repeat control of nosebleed	T	5161	0.07%	$245.04	0.00%	$0.00
30915	Ligation nasal sinus artery	J1	5183	16.69%	"$3,254.23"	0.00%	$0.00
30920	Ligation upper jaw artery	J1	5183	16.69%	"$3,254.23"	0.08%	$2.60
30930	Ther fx nasal inf turbinate	J1	5164	1.23%	"$3,402.23"	6.07%	$206.52
30999	Unlisted procedure nose	T	5161	0.07%	$245.04	9.18%	$22.49
31000	Irrigation maxillary sinus	T	5161	0.07%	$245.04	0.00%	$0.00
31002	Irrigation sphenoid sinus	J1	5163	1.74%	"$1,589.97"	1.10%	$17.49
31020	Exploration maxillary sinus	J1	5164	1.23%	"$3,402.23"	7.53%	$256.19
31030	Exploration maxillary sinus	J1	5165	5.32%	"$6,182.21"	1.93%	$119.32
31032	Explore sinus remove polyps	J1	5165	5.32%	"$6,182.21"	3.94%	$243.58
31040	Exploration behind upper jaw	J1	5165	5.32%	"$6,182.21"	3.68%	$227.51
31050	Exploration sphenoid sinus	J1	5165	5.32%	"$6,182.21"	0.90%	$55.64
31051	Sphenoid sinus surgery	J1	5165	5.32%	"$6,182.21"	9.97%	$616.37
31070	Exploration of frontal sinus	J1	5165	5.32%	"$6,182.21"	13.16%	$813.58
31075	Exploration of frontal sinus	J1	5165	5.32%	"$6,182.21"	2.99%	$184.85
31085	Removal of frontal sinus	J1	5165	5.32%	"$6,182.21"	31.31%	"$1,935.65"
31090	Exploration of sinuses	J1	5165	5.32%	"$6,182.21"	0.04%	$2.47
31200	Removal of ethmoid sinus	J1	5165	5.32%	"$6,182.21"	1.25%	$77.28
31201	Removal of ethmoid sinus	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
31205	Removal of ethmoid sinus	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
31231	Nasal endoscopy dx	T	5151	0.00%	$202.64	0.00%	$0.00
31233	Nsl/sins ndsc dx max sinusc	T	5152	0.01%	$396.18	0.32%	$1.27
31235	Nsl/sins ndsc dx sphn sinusc	J1	5153	0.71%	"$1,819.06"	1.28%	$23.28
31237	Nsl/sins ndsc surg bx polypc	J1	5153	0.71%	"$1,819.06"	0.25%	$4.55
31238	Nsl/sins ndsc srg nsl hemrrg	J1	5153	0.71%	"$1,819.06"	0.51%	$9.28
31239	Nsl/sinus endoscopy surg dcr	J1	5154	3.28%	"$3,845.27"	2.78%	$106.90
31240	Nsl/sns ndsc cnch bull rescj	J1	5153	0.71%	"$1,819.06"	4.60%	$83.68
31241	Nsl/sns ndsc lig sphnptn art	J1	5153	0.71%	"$1,819.06"	2.11%	$38.38
31242	Nsl/sinus ndsc rf abltj pnn	J1	5165	5.32%	"$6,182.21"	33.00%	"$2,040.13"
31243	Nsl/sinus ndsc cryoabltj pnn	J1	5165	5.32%	"$6,182.21"	37.95%	"$2,346.15"
31253	Nsl/sins ndsc total	J1	5155	7.32%	"$7,268.62"	12.28%	$892.59
31254	Nsl/sins ndsc w/prtl ethmdct	J1	5155	7.32%	"$7,268.62"	4.37%	$317.64
31255	Nsl/sins ndsc w/tot ethmdct	J1	5155	7.32%	"$7,268.62"	6.66%	$484.09
31256	Exploration maxillary sinus	J1	5154	3.28%	"$3,845.27"	3.19%	$122.66
31257	Nsl/sins ndsc tot w/sphendt	J1	5155	7.32%	"$7,268.62"	6.40%	$465.19
31259	Nsl/sins ndsc sphn tiss rmvl	J1	5155	7.32%	"$7,268.62"	6.05%	$439.75
31267	Endoscopy maxillary sinus	J1	5155	7.32%	"$7,268.62"	3.01%	$218.79
31276	Nsl/sins ndsc frnt tiss rmvl	J1	5155	7.32%	"$7,268.62"	13.37%	$971.81
31287	Nasal/sinus endoscopy surg	J1	5155	7.32%	"$7,268.62"	7.72%	$561.14
31288	Nasal/sinus endoscopy surg	J1	5155	7.32%	"$7,268.62"	5.12%	$372.15
31292	Nsl/sins ndsc med/inf dcmprn	J1	5155	7.32%	"$7,268.62"	2.22%	$161.36
31293	Nsl/sins ndsc med&inf dcmprn	J1	5155	7.32%	"$7,268.62"	1.38%	$100.31
31294	Nsl/sins ndsc surg on dcmprn	J1	5155	7.32%	"$7,268.62"	4.19%	$304.56
31295	Nsl/sins ndsc surg max sins	J1	5155	7.32%	"$7,268.62"	35.31%	"$2,566.55"
31296	Nsl/sins ndsc surg frnt sins	J1	5155	7.32%	"$7,268.62"	26.52%	"$1,927.64"
31297	Nsl/sins ndsc surg sphn sins	J1	5155	7.32%	"$7,268.62"	19.34%	"$1,405.75"
31298	Nsl/sins ndsc surg frnt&sphn	J1	5155	7.32%	"$7,268.62"	24.22%	"$1,760.46"
31299	Unlisted px accessory sinus	T	5161	0.07%	$245.04	1.94%	$4.75
31300	Removal of larynx lesion	J1	5164	1.23%	"$3,402.23"	0.06%	$2.04
31400	Revision of larynx	J1	5165	5.32%	"$6,182.21"	6.78%	$419.15
31420	Epiglottidectomy	J1	5165	5.32%	"$6,182.21"	1.95%	$120.55
31500	Insert emergency airway	T	5161	0.07%	$245.04	0.00%	$0.00
31502	Change of windpipe airway	T	5161	0.07%	$245.04	0.35%	$0.86
31505	Diagnostic laryngoscopy	T	5151	0.00%	$202.64	0.00%	$0.00
31510	Laryngoscopy with biopsy	J1	5154	3.28%	"$3,845.27"	3.11%	$119.59
31511	Remove foreign body larynx	T	5151	0.00%	$202.64	0.00%	$0.00
31512	Removal of larynx lesion	J1	5154	3.28%	"$3,845.27"	0.00%	$0.00
31513	Injection into vocal cord	T	5152	0.01%	$396.18	23.69%	$93.86
31515	Laryngoscopy for aspiration	T	5152	0.01%	$396.18	0.00%	$0.00
31520	Dx laryngoscopy newborn	T	5152	0.01%	$396.18	0.00%	$0.00
31525	Dx laryngoscopy excl nb	J1	5153	0.71%	"$1,819.06"	1.89%	$34.38
31526	Dx laryngoscopy w/oper scope	J1	5153	0.71%	"$1,819.06"	1.15%	$20.92
31527	Laryngoscopy for treatment	J1	5154	3.28%	"$3,845.27"	0.00%	$0.00
31528	Laryngoscopy and dilation	J1	5154	3.28%	"$3,845.27"	14.39%	$553.33
31529	Laryngoscopy and dilation	J1	5154	3.28%	"$3,845.27"	17.22%	$662.16
31530	Laryngoscopy w/fb removal	J1	5153	0.71%	"$1,819.06"	0.12%	$2.18
31531	Laryngoscopy w/fb & op scope	J1	5154	3.28%	"$3,845.27"	0.64%	$24.61
31535	Laryngoscopy w/biopsy	J1	5154	3.28%	"$3,845.27"	0.27%	$10.38
31536	Laryngoscopy w/bx & op scope	J1	5154	3.28%	"$3,845.27"	0.43%	$16.53
31540	Laryngoscopy w/exc of tumor	J1	5154	3.28%	"$3,845.27"	1.23%	$47.30
31541	Larynscop w/tumr exc + scope	J1	5154	3.28%	"$3,845.27"	2.13%	$81.90
31545	Remove vc lesion w/scope	J1	5154	3.28%	"$3,845.27"	0.98%	$37.68
31546	Remove vc lesion scope/graft	J1	5155	7.32%	"$7,268.62"	0.00%	$0.00
31551	Laryngoplasty laryngeal sten	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
31552	Laryngoplasty laryngeal sten	J1	5165	5.32%	"$6,182.21"	7.38%	$456.25
31560	Laryngoscop w/arytenoidectom	J1	5155	7.32%	"$7,268.62"	4.56%	$331.45
31561	Larynscop remve cart + scop	J1	5155	7.32%	"$7,268.62"	5.73%	$416.49
31570	Laryngoscope w/vc inj	J1	5154	3.28%	"$3,845.27"	21.71%	$834.81
31571	Laryngoscop w/vc inj + scope	J1	5154	3.28%	"$3,845.27"	19.44%	$747.52
31572	Largsc w/laser dstrj les	J1	5154	3.28%	"$3,845.27"	0.84%	$32.30
31573	Largsc w/ther injection	J1	5153	0.71%	"$1,819.06"	2.01%	$36.56
31574	Largsc w/njx augmentation	J1	5153	0.71%	"$1,819.06"	12.57%	$228.66
31575	Diagnostic laryngoscopy	T	5151	0.00%	$202.64	0.01%	$0.02
31576	Laryngoscopy with biopsy	J1	5153	0.71%	"$1,819.06"	0.01%	$0.18
31577	Largsc w/rmvl foreign bdy(s)	T	5152	0.01%	$396.18	1.63%	$6.46
31578	Largsc w/removal lesion	J1	5154	3.28%	"$3,845.27"	0.00%	$0.00
31579	Laryngoscopy telescopic	T	5152	0.01%	$396.18	0.00%	$0.00
31580	Laryngoplasty laryngeal web	J1	5165	5.32%	"$6,182.21"	14.68%	$907.55
31584	Laryngoplasty fx rdctj fixj	J1	5165	5.32%	"$6,182.21"	11.14%	$688.70
31587	Laryngoplasty cricoid split	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
31590	Reinnervate larynx	J1	5165	5.32%	"$6,182.21"	15.84%	$979.26
31591	Laryngoplasty medialization	J1	5165	5.32%	"$6,182.21"	10.41%	$643.57
31592	Cricotracheal resection	J1	5165	5.32%	"$6,182.21"	3.69%	$228.12
31599	Unlisted procedure larynx	T	5161	0.07%	$245.04	6.73%	$16.49
31600	Planned tracheostomy	J1	5164	1.23%	"$3,402.23"	3.61%	$122.82
31603	Emer tracheostomy ttrach	J1	5163	1.74%	"$1,589.97"	0.64%	$10.18
31605	Emer tracheostomy cthyr mem	T	5161	0.07%	$245.04	0.00%	$0.00
31610	Tracheostomy fenest skin flp	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
31611	Constj trachesophgl fstl	J1	5164	1.23%	"$3,402.23"	2.67%	$90.84
31612	Perq trchl pnxr ttrach aspir	J1	5164	1.23%	"$3,402.23"	0.85%	$28.92
31613	Tracheostoma revj simple	J1	5164	1.23%	"$3,402.23"	1.47%	$50.01
31614	Tracheostoma revj complex	J1	5165	5.32%	"$6,182.21"	2.81%	$173.72
31615	Trcheobrnchsc est trachs inc	T	5162	0.11%	$546.14	0.03%	$0.16
31622	Dx bronchoscope/wash	J1	5153	0.71%	"$1,819.06"	0.49%	$8.91
31623	Dx bronchoscope/brush	J1	5153	0.71%	"$1,819.06"	0.37%	$6.73
31624	Dx bronchoscope/lavage	J1	5153	0.71%	"$1,819.06"	0.25%	$4.55
31625	Bronchoscopy w/biopsy(s)	J1	5153	0.71%	"$1,819.06"	0.82%	$14.92
31626	Bronchoscopy w/markers	J1	5155	7.32%	"$7,268.62"	10.69%	$777.02
31628	Bronchoscopy/lung bx each	J1	5154	3.28%	"$3,845.27"	1.96%	$75.37
31629	Bronchoscopy/needle bx each	J1	5154	3.28%	"$3,845.27"	2.31%	$88.83
31630	Bronchoscopy dilate/fx repr	J1	5154	3.28%	"$3,845.27"	17.07%	$656.39
31631	Bronchoscopy dilate w/stent	J1	5155	7.32%	"$7,268.62"	28.05%	"$2,038.85"
31634	Bronch w/balloon occlusion	J1	5155	7.32%	"$7,268.62"	21.35%	"$1,551.85"
31635	Bronchoscopy w/fb removal	J1	5153	0.71%	"$1,819.06"	1.34%	$24.38
31636	Bronchoscopy bronch stents	J1	5155	7.32%	"$7,268.62"	44.48%	"$3,233.08"
31638	Bronchoscopy revise stent	J1	5155	7.32%	"$7,268.62"	13.22%	$960.91
31640	Bronchoscopy w/tumor excise	J1	5154	3.28%	"$3,845.27"	7.34%	$282.24
31641	Bronchoscopy treat blockage	J1	5154	3.28%	"$3,845.27"	9.57%	$367.99
31643	Diag bronchoscope/catheter	J1	5153	0.71%	"$1,819.06"	0.13%	$2.36
31645	Brnchsc w/ther aspir 1st	J1	5153	0.71%	"$1,819.06"	1.50%	$27.29
31646	Brnchsc w/ther aspir sbsq	T	5152	0.01%	$396.18	0.00%	$0.00
31647	Bronchial valve init insert	J1	5155	7.32%	"$7,268.62"	51.91%	"$3,773.14"
31648	Bronchial valve remov init	J1	5154	3.28%	"$3,845.27"	3.62%	$139.20
31652	Bronch ebus samplng 1/2 node	J1	5154	3.28%	"$3,845.27"	1.26%	$48.45
31653	Bronch ebus samplng 3/> node	J1	5154	3.28%	"$3,845.27"	1.16%	$44.61
31660	Bronch thermoplsty 1 lobe	J1	5155	7.32%	"$7,268.62"	66.13%	"$4,806.74"
31661	Bronch thermoplsty 2/> lobes	J1	5155	7.32%	"$7,268.62"	67.91%	"$4,936.12"
31720	Clearance of airways	Q1	5791	0.15%	$226.65	0.09%	$0.20
31730	Intro windpipe wire/tube	J1	5153	0.71%	"$1,819.06"	0.00%	$0.00
31750	Tracheoplasty cervical	J1	5165	5.32%	"$6,182.21"	6.29%	$388.86
31785	Remove windpipe lesion	J1	5165	5.32%	"$6,182.21"	0.46%	$28.44
31820	Closure of windpipe lesion	J1	5164	1.23%	"$3,402.23"	2.78%	$94.58
31825	Repair of windpipe defect	J1	5164	1.23%	"$3,402.23"	0.48%	$16.33
31830	Revise windpipe scar	J1	5164	1.23%	"$3,402.23"	0.27%	$9.19
31899	Unlisted px trachea bronchi	T	5151	0.00%	$202.64	1.43%	$2.90
32400	Needle biopsy chest lining	J1	5072	3.86%	"$1,692.22"	0.84%	$14.21
32408	Core ndl bx lng/med perq	J1	5072	3.86%	"$1,692.22"	2.47%	$41.80
32550	Insert pleural cath	J1	5341	10.88%	"$3,698.49"	26.47%	$978.99
32551	Insertion of chest tube	J1	5182	17.11%	"$1,602.15"	1.40%	$22.43
32552	Remove lung catheter	Q2	5181	3.32%	$645.88	1.95%	$12.59
32553	Ins mark thor for rt perq	S	5613	0.58%	"$1,430.97"	26.32%	$376.63
32554	Aspirate pleura w/o imaging	T	5181	3.32%	$645.88	4.29%	$27.71
32555	Aspirate pleura w/ imaging	T	5181	3.32%	$645.88	4.65%	$30.03
32556	Insert cath pleura w/o image	J1	5302	10.97%	"$1,975.59"	7.88%	$155.68
32557	Insert cath pleura w/ image	J1	5182	17.11%	"$1,602.15"	19.99%	$320.27
32560	Treat pleurodesis w/agent	T	5181	3.32%	$645.88	0.82%	$5.30
32561	Lyse chest fibrin init day	T	5181	3.32%	$645.88	6.00%	$38.75
32562	Lyse chest fibrin subq day	T	5181	3.32%	$645.88	0.00%	$0.00
32601	Thoracoscopy diagnostic	J1	5361	6.11%	"$6,228.97"	6.61%	$411.73
32604	Thoracoscopy wbx sac	J1	5362	9.03%	"$10,966.50"	0.00%	$0.00
32606	Thoracoscopy w/bx med space	J1	5361	6.11%	"$6,228.97"	0.90%	$56.06
32607	Thoracoscopy w/bx infiltrate	J1	5362	9.03%	"$10,966.50"	6.31%	$691.99
32608	Thoracoscopy w/bx nodule	J1	5362	9.03%	"$10,966.50"	2.78%	$304.87
32609	Thoracoscopy w/bx pleura	J1	5361	6.11%	"$6,228.97"	8.06%	$502.05
32994	Ablate pulm tumor perq crybl	J1	5362	9.03%	"$10,966.50"	43.82%	"$4,805.52"
32998	Ablate pulm tumor perq rf	J1	5361	6.11%	"$6,228.97"	17.36%	"$1,081.35"
32999	Unlisted px lungs & pleura	T	5181	3.32%	$645.88	7.68%	$49.60
33016	Pericardiocentesis w/imaging	J1	5182	17.11%	"$1,602.15"	9.20%	$147.40
33206	Insert heart pm atrial	J1	5223	55.19%	"$10,733.67"	51.80%	"$5,560.04"
33207	Insert heart pm ventricular	J1	5223	55.19%	"$10,733.67"	52.58%	"$5,643.76"
33208	Insrt heart pm atrial & vent	J1	5223	55.19%	"$10,733.67"	56.33%	"$6,046.28"
33210	Insert electrd/pm cath sngl	J1	5222	66.67%	"$8,478.87"	15.67%	"$1,328.64"
33211	Insert card electrodes dual	J1	5222	66.67%	"$8,478.87"	26.08%	"$2,211.29"
33212	Insert pulse gen sngl lead	J1	5222	66.67%	"$8,478.87"	56.33%	"$4,776.15"
33213	Insert pulse gen dual leads	J1	5223	55.19%	"$10,733.67"	56.05%	"$6,016.22"
33214	Upgrade of pacemaker system	J1	5223	55.19%	"$10,733.67"	58.43%	"$6,271.68"
33215	Reposition pacing-defib lead	J1	5183	16.69%	"$3,254.23"	17.99%	$585.44
33216	Insert 1 electrode pm-defib	J1	5222	66.67%	"$8,478.87"	35.07%	"$2,973.54"
33217	Insert 2 electrode pm-defib	J1	5222	66.67%	"$8,478.87"	44.09%	"$3,738.33"
33218	Repair lead pace-defib one	T	5221	21.78%	"$3,917.96"	28.10%	"$1,100.95"
33220	Repair lead pace-defib dual	T	5221	21.78%	"$3,917.96"	42.65%	"$1,671.01"
33221	Insert pulse gen mult leads	J1	5224	61.70%	"$19,874.36"	57.30%	"$11,388.01"
33222	Relocation pocket pacemaker	T	5054	0.98%	"$2,137.45"	21.54%	$460.41
33223	Relocate pocket for defib	T	5054	0.98%	"$2,137.45"	28.46%	$608.32
33224	Insert pacing lead & connect	J1	5223	55.19%	"$10,733.67"	51.10%	"$5,484.91"
33226	Reposition l ventric lead	J1	5183	16.69%	"$3,254.23"	36.92%	"$1,201.46"
33227	Remove&replace pm gen singl	J1	5222	66.67%	"$8,478.87"	52.63%	"$4,462.43"
33228	Remv&replc pm gen dual lead	J1	5223	55.19%	"$10,733.67"	54.23%	"$5,820.87"
33229	Remv&replc pm gen mult leads	J1	5224	61.70%	"$19,874.36"	59.61%	"$11,847.11"
33230	Insrt pulse gen w/dual leads	J1	5231	67.20%	"$23,012.91"	66.75%	"$15,361.12"
33231	Insrt pulse gen w/mult leads	J1	5232	69.36%	"$32,328.74"	73.33%	"$23,706.67"
33233	Removal of pm generator	Q2	5222	66.67%	"$8,478.87"	32.12%	"$2,723.41"
33234	Removal of pacemaker system	Q2	5221	21.78%	"$3,917.96"	30.82%	"$1,207.52"
33235	Removal pacemaker electrode	Q2	5221	21.78%	"$3,917.96"	15.53%	$608.46
33240	Insrt pulse gen w/singl lead	J1	5231	67.20%	"$23,012.91"	66.21%	"$15,236.85"
33241	Remove pulse generator	Q2	5221	21.78%	"$3,917.96"	20.23%	$792.60
33244	Remove elctrd transvenously	Q2	5221	21.78%	"$3,917.96"	41.07%	"$1,609.11"
33249	Insj/rplcmt defib w/lead(s)	J1	5232	69.36%	"$32,328.74"	68.50%	"$22,145.19"
33262	Rmvl& replc pulse gen 1 lead	J1	5231	67.20%	"$23,012.91"	66.40%	"$15,280.57"
33263	Rmvl & rplcmt dfb gen 2 lead	J1	5231	67.20%	"$23,012.91"	67.45%	"$15,522.21"
33264	Rmvl & rplcmt dfb gen mlt ld	J1	5232	69.36%	"$32,328.74"	70.37%	"$22,749.73"
33270	Ins/rep subq defibrillator	J1	5232	69.36%	"$32,328.74"	70.10%	"$22,662.45"
33271	Insj subq impltbl dfb elctrd	J1	5222	66.67%	"$8,478.87"	76.87%	"$6,517.71"
33272	Rmvl of subq defibrillator	Q2	5221	21.78%	"$3,917.96"	0.00%	$0.00
33273	Repos prev impltbl subq dfb	T	5221	21.78%	"$3,917.96"	15.40%	$603.37
33274	Tcat insj/rpl perm ldls pm	J1	5224	61.70%	"$19,874.36"	65.68%	"$13,053.48"
33275	Tcat rmvl perm ldls pm w/img	J1	5183	16.69%	"$3,254.23"	68.28%	"$2,221.99"
33276	Insj phrnc nrv stim sys	S	1580		"$45,000.50"	74.31%	"$33,439.87"
33278	Rmvl phrnc nrv stim sys	J1	5461	10.24%	"$3,722.72"	3.18%	$118.38
33279	Rmvl phrnc nrv stim transvns	J1	5461	10.24%	"$3,722.72"	61.25%	"$2,280.17"
33280	Rmvl phrnc nrv stim pg only	J1	5461	10.24%	"$3,722.72"	7.39%	$275.11
33281	Reposg phrnc nrv stim trnsvn	J1	5461	10.24%	"$3,722.72"	32.07%	"$1,193.88"
33285	Insj subq car rhythm mntr	J1	5222	66.67%	"$8,478.87"	68.66%	"$5,821.59"
33286	Rmvl subq car rhythm mntr	Q2	5071	9.91%	$730.32	0.95%	$6.94
33287	Rmv&rplcmt phrnc nrv stim pg	J1	5465	82.24%	"$31,751.65"	76.26%	"$24,213.81"
33288	Rmv&rplcmt phrnc nrv stim ld	J1	5463	27.08%	"$11,703.42"	71.46%	"$8,363.26"
33289	Tcat impl wrls p-art prs snr	J1	5200	76.88%	"$29,498.72"	76.88%	"$22,678.62"
33900	Perq p-art revsc 1 nm nt uni	J1	5193	37.37%	"$11,873.70"	25.14%	"$2,985.05"
33901	Perq p-art revsc 1 nm nt bi	J1	5193	37.37%	"$11,873.70"	3.81%	$452.39
33902	Perq p-art revsc 1 abnor uni	J1	5194	53.20%	"$18,791.32"	34.34%	"$6,452.94"
33999	Unlisted px cardiac surgery	T	5181	3.32%	$645.88	64.09%	$413.94
34101	Removal of artery clot	J1	5184	16.90%	"$5,712.13"	9.86%	$563.22
34111	Removal of arm artery clot	J1	5184	16.90%	"$5,712.13"	5.73%	$327.31
34201	Removal of artery clot	J1	5184	16.90%	"$5,712.13"	35.96%	"$2,054.08"
34203	Removal of leg artery clot	J1	5184	16.90%	"$5,712.13"	31.29%	"$1,787.33"
34421	Removal of vein clot	J1	5183	16.69%	"$3,254.23"	62.83%	"$2,044.63"
34471	Removal of vein clot	T	5181	3.32%	$645.88	0.00%	$0.00
34490	Removal of vein clot	J1	5183	16.69%	"$3,254.23"	0.33%	$10.74
34501	Repair valve femoral vein	J1	5184	16.90%	"$5,712.13"	11.76%	$671.75
34510	Transposition of vein valve	J1	5184	16.90%	"$5,712.13"	0.00%	$0.00
34520	Cross-over vein graft	J1	5184	16.90%	"$5,712.13"	2.01%	$114.81
35011	Repair defect of artery	J1	5184	16.90%	"$5,712.13"	6.36%	$363.29
35045	Repair defect of arm artery	J1	5184	16.90%	"$5,712.13"	1.52%	$86.82
35180	Rpr cgen av fistula head&nck	J1	5182	17.11%	"$1,602.15"	0.00%	$0.00
35184	Rpr cgen av fistula xtr	J1	5183	16.69%	"$3,254.23"	7.16%	$233.00
35188	Rpr acq av fistula head&neck	J1	5184	16.90%	"$5,712.13"	0.00%	$0.00
35190	Repair acq av fistula xtr	J1	5184	16.90%	"$5,712.13"	3.24%	$185.07
35201	Repair blood vessel dir neck	J1	5184	16.90%	"$5,712.13"	5.39%	$307.88
35206	Repair blood vessel dir uxtr	J1	5183	16.69%	"$3,254.23"	2.95%	$96.00
35207	Rpr bld vsl dir hand finger	J1	5183	16.69%	"$3,254.23"	3.13%	$101.86
35226	Repair blood vessel dir lxtr	T	5071	9.91%	$730.32	4.04%	$29.50
35236	Repair blvsl vn grf uxtr	J1	5184	16.90%	"$5,712.13"	6.01%	$343.30
35256	Repair blvsl vn grf lxtr	J1	5184	16.90%	"$5,712.13"	0.00%	$0.00
35266	Rpr blvsl grf oth/th vn uxtr	J1	5184	16.90%	"$5,712.13"	18.98%	"$1,084.16"
35286	Rpr blvsl grf oth/th vn lxtr	J1	5184	16.90%	"$5,712.13"	1.62%	$92.54
35321	Rechanneling of artery	J1	5184	16.90%	"$5,712.13"	15.38%	$878.53
35372	Rechanneling of artery	J1	5184	16.90%	"$5,712.13"	54.33%	"$3,103.40"
35800	Explore neck vessels	J1	5184	16.90%	"$5,712.13"	0.49%	$27.99
35860	Explore limb vessels	J1	5183	16.69%	"$3,254.23"	2.49%	$81.03
35875	Removal of clot in graft	J1	5184	16.90%	"$5,712.13"	15.55%	$888.24
35876	Removal of clot in graft	J1	5184	16.90%	"$5,712.13"	29.29%	"$1,673.08"
35879	Revise graft w/vein	J1	5184	16.90%	"$5,712.13"	4.40%	$251.33
35881	Revise graft w/vein	J1	5184	16.90%	"$5,712.13"	30.67%	"$1,751.91"
35883	Revj fem anast nonautog grf	J1	5184	16.90%	"$5,712.13"	10.46%	$597.49
35903	Excision graft extremity	J1	5183	16.69%	"$3,254.23"	2.05%	$66.71
36002	Pseudoaneurysm injection trt	T	5181	3.32%	$645.88	1.95%	$12.59
36221	Place cath thoracic aorta	Q2	5183	16.69%	"$3,254.23"	19.49%	$634.25
36222	Place cath carotid/inom art	Q2	5183	16.69%	"$3,254.23"	18.24%	$593.57
36223	Place cath carotid/inom art	Q2	5184	16.90%	"$5,712.13"	10.85%	$619.77
36224	Place cath carotd art	Q2	5184	16.90%	"$5,712.13"	9.55%	$545.51
36225	Place cath subclavian art	Q2	5183	16.69%	"$3,254.23"	19.88%	$646.94
36226	Place cath vertebral art	Q2	5184	16.90%	"$5,712.13"	11.22%	$640.90
36251	Ins cath ren art 1st unilat	Q2	5183	16.69%	"$3,254.23"	28.52%	$928.11
36252	Ins cath ren art 1st bilat	Q2	5183	16.69%	"$3,254.23"	23.98%	$780.36
36253	Ins cath ren art 2nd+ unilat	Q2	5184	16.90%	"$5,712.13"	39.63%	"$2,263.72"
36254	Ins cath ren art 2nd+ bilat	Q2	5183	16.69%	"$3,254.23"	20.46%	$665.82
36260	Insertion of infusion pump	J1	5184	16.90%	"$5,712.13"	67.14%	"$3,835.12"
36261	Revision of infusion pump	T	5221	21.78%	"$3,917.96"	43.73%	"$1,713.32"
36262	Removal of infusion pump	Q2	5221	21.78%	"$3,917.96"	0.16%	$6.27
36430	Transfusion bld/bld compnt	S	5241	0.02%	$453.64	0.02%	$0.09
36440	Bld push tfuj 2 yr/<	S	5241	0.02%	$453.64	0.00%	$0.00
36455	Bld exchange truj oth thn nb	S	5241	0.02%	$453.64	0.00%	$0.00
36465	Njx noncmpnd sclrsnt 1 vein	T	5054	0.98%	"$2,137.45"	3.59%	$76.73
36466	Njx noncmpnd sclrsnt mlt vn	T	5054	0.98%	"$2,137.45"	0.82%	$17.53
36468	Njx sclrsnt spider veins	Q1	5052	0.04%	$414.63	1.54%	$6.39
36470	Njx sclrsnt 1 incmptnt vein	T	5052	0.04%	$414.63	6.75%	$27.99
36471	Njx sclrsnt mlt incmptnt vn	T	5052	0.04%	$414.63	1.93%	$8.00
36473	Endovenous mchnchem 1st vein	J1	5183	16.69%	"$3,254.23"	18.15%	$590.64
36475	Endovenous rf 1st vein	J1	5183	16.69%	"$3,254.23"	17.41%	$566.56
36478	Endovenous laser 1st vein	J1	5183	16.69%	"$3,254.23"	8.07%	$262.62
36482	Endoven ther chem adhes 1st	J1	5184	16.90%	"$5,712.13"	18.49%	"$1,056.17"
36511	Apheresis wbc	S	5242	0.03%	"$1,576.07"	0.00%	$0.00
36512	Apheresis rbc	S	5242	0.03%	"$1,576.07"	0.05%	$0.79
36513	Apheresis platelets	S	5241	0.02%	$453.64	0.00%	$0.00
36514	Apheresis plasma	S	5242	0.03%	"$1,576.07"	0.03%	$0.47
36516	Apheresis immunoads slctv	S	5243	0.01%	"$4,504.91"	0.00%	$0.00
36522	Photopheresis	S	5243	0.01%	"$4,504.91"	0.01%	$0.45
36555	Insert non-tunnel cv cath	J1	5183	16.69%	"$3,254.23"	1.71%	$55.65
36556	Insert non-tunnel cv cath	J1	5183	16.69%	"$3,254.23"	4.48%	$145.79
36557	Insert tunneled cv cath	J1	5184	16.90%	"$5,712.13"	20.20%	"$1,153.85"
36558	Insert tunneled cv cath	J1	5183	16.69%	"$3,254.23"	20.65%	$672.00
36560	Insert tunneled cv cath	J1	5183	16.69%	"$3,254.23"	20.00%	$650.85
36561	Insert tunneled cv cath	J1	5183	16.69%	"$3,254.23"	18.88%	$614.40
36563	Insert tunneled cv cath	J1	5184	16.90%	"$5,712.13"	21.55%	"$1,230.96"
36565	Insert tunneled cv cath	J1	5183	16.69%	"$3,254.23"	17.47%	$568.51
36566	Insert tunneled cv cath	J1	5184	16.90%	"$5,712.13"	14.77%	$843.68
36568	Insj picc <5 yr w/o imaging	J1	5182	17.11%	"$1,602.15"	7.85%	$125.77
36569	Insj picc 5 yr+ w/o imaging	J1	5182	17.11%	"$1,602.15"	17.39%	$278.61
36570	Insert picvad cath	J1	5183	16.69%	"$3,254.23"	12.05%	$392.13
36571	Insert picvad cath	J1	5183	16.69%	"$3,254.23"	17.83%	$580.23
36572	Insj picc rs&i <5 yr	T	5181	3.32%	$645.88	19.66%	$126.98
36573	Insj picc rs&i 5 yr+	J1	5182	17.11%	"$1,602.15"	19.67%	$315.14
36575	Repair tunneled cv cath	T	5181	3.32%	$645.88	10.39%	$67.11
36576	Repair tunneled cv cath	J1	5182	17.11%	"$1,602.15"	6.69%	$107.18
36578	Replace tunneled cv cath	J1	5183	16.69%	"$3,254.23"	21.94%	$713.98
36580	Replace cvad cath	J1	5182	17.11%	"$1,602.15"	22.87%	$366.41
36581	Replace tunneled cv cath	J1	5183	16.69%	"$3,254.23"	26.60%	$865.63
36582	Replace tunneled cv cath	J1	5183	16.69%	"$3,254.23"	21.71%	$706.49
36583	Replace tunneled cv cath	J1	5184	16.90%	"$5,712.13"	32.46%	"$1,854.16"
36584	Compl rplcmt picc rs&i	J1	5182	17.11%	"$1,602.15"	21.68%	$347.35
36585	Replace picvad cath	J1	5183	16.69%	"$3,254.23"	18.15%	$590.64
36589	Removal tunneled cv cath	Q2	5181	3.32%	$645.88	0.35%	$2.26
36590	Removal tunneled cv cath	Q2	5182	17.11%	"$1,602.15"	0.48%	$7.69
36591	Draw blood off venous device	Q1	5734	0.07%	$136.31	0.02%	$0.03
36592	Collect blood from picc	Q1	5734	0.07%	$136.31	0.07%	$0.10
36593	Declot vascular device	T	5694	0.01%	$341.52	0.11%	$0.38
36595	Mech remov tunneled cv cath	J1	5183	16.69%	"$3,254.23"	30.02%	$976.92
36596	Mech remov tunneled cv cath	J1	5182	17.11%	"$1,602.15"	17.40%	$278.77
36597	Reposition venous catheter	J1	5182	17.11%	"$1,602.15"	17.68%	$283.26
36598	Inj w/fluor eval cv device	T	5693	0.05%	$216.49	1.25%	$2.71
36600	Withdrawal of arterial blood	Q1	5734	0.07%	$136.31	0.30%	$0.41
36640	Insertion catheter artery	J1	5183	16.69%	"$3,254.23"	37.84%	"$1,231.40"
36680	Insert needle bone cavity	Q1	5735	0.31%	$451.59	0.00%	$0.00
36800	Insertion of cannula	J1	5184	16.90%	"$5,712.13"	4.68%	$267.33
36810	Insertion of cannula	J1	5183	16.69%	"$3,254.23"	1.65%	$53.69
36815	Insertion of cannula	J1	5184	16.90%	"$5,712.13"	6.37%	$363.86
36818	Av fuse uppr arm cephalic	J1	5184	16.90%	"$5,712.13"	1.61%	$91.97
36819	Av fuse uppr arm basilic	J1	5184	16.90%	"$5,712.13"	1.97%	$112.53
36820	Av fusion/forearm vein	J1	5184	16.90%	"$5,712.13"	2.75%	$157.08
36821	Av fusion direct any site	J1	5183	16.69%	"$3,254.23"	1.66%	$54.02
36825	Artery-vein autograft	J1	5184	16.90%	"$5,712.13"	13.88%	$792.84
36830	Artery-vein nonautograft	J1	5184	16.90%	"$5,712.13"	25.94%	"$1,481.73"
36831	Open thrombect av fistula	J1	5184	16.90%	"$5,712.13"	20.89%	"$1,193.26"
36832	Av fistula revision open	J1	5184	16.90%	"$5,712.13"	9.15%	$522.66
36833	Av fistula revision	J1	5184	16.90%	"$5,712.13"	21.91%	"$1,251.53"
36836	Prq av fstl crtj uxtr 1 acs	J1	5194	53.20%	"$18,791.32"	45.18%	"$8,489.92"
36837	Prq av fstl crt uxtr sep acs	J1	5194	53.20%	"$18,791.32"	38.94%	"$7,317.34"
36838	Dist revas ligation hemo	J1	5184	16.90%	"$5,712.13"	9.76%	$557.50
36860	External cannula declotting	J1	5182	17.11%	"$1,602.15"	4.72%	$75.62
36861	Cannula declotting	J1	5184	16.90%	"$5,712.13"	25.18%	"$1,438.31"
36901	Intro cath dialysis circuit	J1	5182	17.11%	"$1,602.15"	14.42%	$231.03
36902	Intro cath dialysis circuit	J1	5192	30.02%	"$5,880.65"	27.49%	"$1,616.59"
36903	Intro cath dialysis circuit	J1	5193	37.37%	"$11,873.70"	50.01%	"$5,938.04"
36904	Thrmbc/nfs dialysis circuit	J1	5192	30.02%	"$5,880.65"	32.82%	"$1,930.03"
36905	Thrmbc/nfs dialysis circuit	J1	5193	37.37%	"$11,873.70"	29.30%	"$3,478.99"
36906	Thrmbc/nfs dialysis circuit	J1	5194	53.20%	"$18,791.32"	49.18%	"$9,241.57"
37182	Insert hepatic shunt (tips)	J1	5193	37.37%	"$11,873.70"	59.80%	"$7,100.47"
37183	Revision tips	J1	5192	30.02%	"$5,880.65"	35.96%	"$2,114.68"
37184	Prim art m-thrmbc 1st vsl	J1	5194	53.20%	"$18,791.32"	51.96%	"$9,763.97"
37187	Venous mech thrombectomy	J1	5193	37.37%	"$11,873.70"	58.95%	"$6,999.55"
37188	Ven mechnl thrmbc repeat tx	J1	5183	16.69%	"$3,254.23"	50.23%	"$1,634.60"
37191	Ins endovas vena cava filtr	J1	5184	16.90%	"$5,712.13"	40.93%	"$2,337.97"
37192	Redo endovas vena cava filtr	J1	5183	16.69%	"$3,254.23"	8.62%	$280.51
37193	Rem endovas vena cava filter	J1	5183	16.69%	"$3,254.23"	29.03%	$944.70
37195	Thrombolytic therapy stroke	T	5694	0.01%	$341.52	0.00%	$0.00
37197	Remove intrvas foreign body	J1	5183	16.69%	"$3,254.23"	25.27%	$822.34
37200	Transcatheter biopsy	J1	5184	16.90%	"$5,712.13"	14.57%	$832.26
37211	Thrombolytic art therapy	J1	5184	16.90%	"$5,712.13"	41.64%	"$2,378.53"
37212	Thrombolytic venous therapy	J1	5183	16.69%	"$3,254.23"	9.51%	$309.48
37213	Thromblytic art/ven therapy	J1	5183	16.69%	"$3,254.23"	50.92%	"$1,657.05"
37214	Cessj therapy cath removal	J1	5183	16.69%	"$3,254.23"	10.05%	$327.05
37220	Iliac revasc	D				30.65%	
37221	Iliac revasc w/stent	D				44.62%	
37224	Fem/popl revas w/tla	D				40.53%	
37225	Fem/popl revas w/ather	D				53.85%	
37226	Fem/popl revasc w/stent	D				49.60%	
37227	Fem/popl revasc stnt & ather	D				56.40%	
37228	Tib/per revasc w/tla	D				33.44%	
37229	Tib/per revasc w/ather	D				49.51%	
37230	Tib/per revasc w/stent	D				44.30%	
37231	Tib/per revasc stent & ather	D				50.21%	
37236	Open/perq place stent 1st	J1	5193	37.37%	"$11,873.70"	40.63%	"$4,824.28"
37238	Open/perq place stent same	J1	5193	37.37%	"$11,873.70"	44.14%	"$5,241.05"
37241	Vasc embolize/occlude venous	J1	5193	37.37%	"$11,873.70"	38.12%	"$4,526.25"
37242	Vasc embolize/occlude artery	J1	5194	53.20%	"$18,791.32"	42.91%	"$8,063.36"
37243	Vasc embolize/occlude organ	J1	5193	37.37%	"$11,873.70"	25.49%	"$3,026.61"
37244	Vasc embolize/occlude bleed	J1	5193	37.37%	"$11,873.70"	29.91%	"$3,551.42"
37246	Trluml balo angiop 1st art	J1	5192	30.02%	"$5,880.65"	31.95%	"$1,878.87"
37248	Trluml balo angiop 1st vein	J1	5192	30.02%	"$5,880.65"	27.30%	"$1,605.42"
37500	Endoscopy ligate perf veins	D				16.34%	
37565	Ligation int jugular vein	J1	5183	16.69%	"$3,254.23"	1.78%	$57.93
37600	Ligation xtrnl carotid art	J1	5183	16.69%	"$3,254.23"	0.00%	$0.00
37605	Ligation int/com carotid art	J1	5183	16.69%	"$3,254.23"	2.95%	$96.00
37607	Lig/banding angioacs av fstl	J1	5183	16.69%	"$3,254.23"	2.84%	$92.42
37609	Ligation/bx temporal artery	J1	5072	3.86%	"$1,692.22"	0.13%	$2.20
37615	Ligation major artery neck	J1	5183	16.69%	"$3,254.23"	3.47%	$112.92
37617	Ligation major artery abd	J1	5184	16.90%	"$5,712.13"	5.28%	$301.60
37700	Ligation&div long saph vein	J1	5183	16.69%	"$3,254.23"	1.57%	$51.09
37718	Lig div&strpg short saph vn	J1	5183	16.69%	"$3,254.23"	2.26%	$73.55
37722	Lig div&strpg long saph vein	J1	5183	16.69%	"$3,254.23"	1.38%	$44.91
37735	Lig&div&compl strpg saph vn	J1	5183	16.69%	"$3,254.23"	5.66%	$184.19
37760	Lig prfratr vn radical 1 leg	J1	5183	16.69%	"$3,254.23"	1.05%	$34.17
37761	Ligate leg veins open	J1	5183	16.69%	"$3,254.23"	8.77%	$285.40
37765	Stab phleb veins xtr 10-20	J1	5183	16.69%	"$3,254.23"	2.69%	$87.54
37766	Phleb veins - extrem 20+	J1	5183	16.69%	"$3,254.23"	1.23%	$40.03
37780	Revision of leg vein	J1	5183	16.69%	"$3,254.23"	3.83%	$124.64
37785	Ligate/divide/excise vein	J1	5183	16.69%	"$3,254.23"	2.38%	$77.45
37799	Unlisted px vascular surgery	T	5181	3.32%	$645.88	8.88%	$57.35
38120	Laparoscopy splenectomy	J1	5362	9.03%	"$10,966.50"	0.94%	$103.09
38129	Unlisted laps px spleen	J1	5361	6.11%	"$6,228.97"	6.28%	$391.18
38206	Harvest auto stem cells	S	5242	0.03%	"$1,576.07"	0.01%	$0.16
38207	Cryopreserve stem cells	S	5241	0.02%	$453.64	0.00%	$0.00
38208	Thaw preserved stem cells	S	5241	0.02%	$453.64	9.43%	$42.78
38209	Wash harvest stem cells	S	5241	0.02%	$453.64	0.00%	$0.00
38210	T-cell depletion of harvest	S	5241	0.02%	$453.64	0.00%	$0.00
38212	Rbc depletion of harvest	S	5241	0.02%	$453.64	0.00%	$0.00
38213	Platelet deplete of harvest	S	5241	0.02%	$453.64	0.00%	$0.00
38214	Volume deplete of harvest	S	5241	0.02%	$453.64	0.00%	$0.00
38220	Dx bone marrow aspirations	J1	5072	3.86%	"$1,692.22"	1.44%	$24.37
38221	Dx bone marrow biopsies	J1	5072	3.86%	"$1,692.22"	2.56%	$43.32
38222	Dx bone marrow bx & aspir	J1	5073	2.26%	"$2,970.38"	2.13%	$63.27
38228	Car-t admn autologous	S	5694	0.01%	$341.52	0.00%	$0.00
38230	Bone marrow harvest allogen	S	5242	0.03%	"$1,576.07"	2.37%	$37.35
38232	Bone marrow harvest autolog	S	5243	0.01%	"$4,504.91"	0.00%	$0.00
38240	Transplt allo hct/donor	J1	5244	0.03%	"$64,120.76"	0.03%	$19.24
38241	Transplt autol hct/donor	S	5242	0.03%	"$1,576.07"	0.00%	$0.00
38242	Transplt allo lymphocytes	S	5242	0.03%	"$1,576.07"	0.00%	$0.00
38243	Transplj hematopoietic boost	S	5242	0.03%	"$1,576.07"	0.00%	$0.00
38300	Drainage lymph node lesion	J1	5073	2.26%	"$2,970.38"	0.52%	$15.45
38305	Drainage lymph node lesion	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
38308	Incision of lymph channels	J1	5091	1.54%	"$4,049.20"	0.05%	$2.02
38500	Biopsy/removal lymph nodes	J1	5091	1.54%	"$4,049.20"	0.83%	$33.61
38505	Needle biopsy lymph nodes	J1	5072	3.86%	"$1,692.22"	1.83%	$30.97
38510	Biopsy/removal lymph nodes	J1	5091	1.54%	"$4,049.20"	0.64%	$25.91
38520	Biopsy/removal lymph nodes	J1	5091	1.54%	"$4,049.20"	0.45%	$18.22
38525	Biopsy/removal lymph nodes	J1	5091	1.54%	"$4,049.20"	0.71%	$28.75
38530	Biopsy/removal lymph nodes	J1	5091	1.54%	"$4,049.20"	4.10%	$166.02
38531	Open bx/exc inguinofem nodes	J1	5091	1.54%	"$4,049.20"	0.75%	$30.37
38542	Explore deep node(s) neck	J1	5361	6.11%	"$6,228.97"	1.24%	$77.24
38550	Removal neck/armpit lesion	J1	5091	1.54%	"$4,049.20"	0.00%	$0.00
38555	Removal neck/armpit lesion	J1	5092	3.52%	"$7,560.37"	0.00%	$0.00
38562	Removal pelvic lymph nodes	J1	5092	3.52%	"$7,560.37"	0.56%	$42.34
38570	Laparoscopy lymph node biop	J1	5361	6.11%	"$6,228.97"	2.00%	$124.58
38571	Laparoscopy lymphadenectomy	J1	5362	9.03%	"$10,966.50"	0.86%	$94.31
38572	Laparoscopy lymphadenectomy	J1	5362	9.03%	"$10,966.50"	0.71%	$77.86
38573	Laps pelvic lymphadec	J1	5362	9.03%	"$10,966.50"	1.67%	$183.14
38589	Unlisted laps px lymphtc sys	J1	5361	6.11%	"$6,228.97"	3.09%	$192.48
38700	Removal of lymph nodes neck	J1	5092	3.52%	"$7,560.37"	0.83%	$62.75
38720	Removal of lymph nodes neck	J1	5092	3.52%	"$7,560.37"	0.66%	$49.90
38740	Remove armpit lymph nodes	J1	5361	6.11%	"$6,228.97"	0.23%	$14.33
38745	Remove armpit lymph nodes	J1	5361	6.11%	"$6,228.97"	0.79%	$49.21
38760	Remove groin lymph nodes	J1	5092	3.52%	"$7,560.37"	0.85%	$64.26
38792	Ra tracer id of sentinl node	Q1	5591	0.02%	$409.09	0.32%	$1.31
38999	Unlistd px hemic/lymphtc sys	S	5241	0.02%	$453.64	9.80%	$44.46
39401	Mediastinoscpy w/medstnl bx	J1	5361	6.11%	"$6,228.97"	2.33%	$145.14
39402	Mediastinoscpy w/lmph nod bx	J1	5361	6.11%	"$6,228.97"	0.93%	$57.93
40490	Biopsy of lip	T	5161	0.07%	$245.04	0.00%	$0.00
40500	Partial excision of lip	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
40510	Partial excision of lip	J1	5164	1.23%	"$3,402.23"	0.32%	$10.89
40520	Partial excision of lip	J1	5164	1.23%	"$3,402.23"	0.22%	$7.48
40525	Reconstruct lip with flap	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
40527	Reconstruct lip with flap	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
40530	Partial removal of lip	J1	5164	1.23%	"$3,402.23"	0.19%	$6.46
40650	Rpr lip fth vermilion only	T	5162	0.11%	$546.14	0.00%	$0.00
40652	Rpr lip fth<half ver height	T	5162	0.11%	$546.14	0.00%	$0.00
40654	Rpr lip fth>1half ver ht/cpx	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
40700	Repair cleft lip/nasal	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
40701	Repair cleft lip/nasal	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
40720	Repair cleft lip/nasal	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
40761	Repair cleft lip/nasal	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
40799	Unlisted procedure lips	T	5161	0.07%	$245.04	0.00%	$0.00
40800	Drainage of mouth lesion	T	5071	9.91%	$730.32	0.00%	$0.00
40801	Drainage of mouth lesion	T	5162	0.11%	$546.14	0.00%	$0.00
40804	Removal foreign body mouth	Q1	5301	3.21%	$937.33	0.00%	$0.00
40805	Removal foreign body mouth	T	5162	0.11%	$546.14	0.00%	$0.00
40806	Incision of lip fold	T	5162	0.11%	$546.14	0.00%	$0.00
40808	Biopsy of mouth lesion	T	5162	0.11%	$546.14	0.00%	$0.00
40810	Excision of mouth lesion	J1	5164	1.23%	"$3,402.23"	0.07%	$2.38
40812	Excise/repair mouth lesion	J1	5163	1.74%	"$1,589.97"	0.06%	$0.95
40814	Excise/repair mouth lesion	J1	5164	1.23%	"$3,402.23"	1.27%	$43.21
40816	Excision of mouth lesion	J1	5164	1.23%	"$3,402.23"	0.17%	$5.78
40818	Excise oral mucosa for graft	T	5162	0.11%	$546.14	0.30%	$1.64
40819	Excise lip or cheek fold	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
40820	Treatment of mouth lesion	J1	5164	1.23%	"$3,402.23"	1.78%	$60.56
40830	Repair mouth laceration	T	5161	0.07%	$245.04	0.00%	$0.00
40831	Repair mouth laceration	T	5162	0.11%	$546.14	0.04%	$0.22
40840	Reconstruction of mouth	J1	5165	5.32%	"$6,182.21"	1.75%	$108.19
40842	Reconstruction of mouth	J1	5165	5.32%	"$6,182.21"	1.07%	$66.15
40843	Reconstruction of mouth	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
40844	Reconstruction of mouth	J1	5165	5.32%	"$6,182.21"	5.37%	$331.98
40845	Reconstruction of mouth	J1	5165	5.32%	"$6,182.21"	3.86%	$238.63
40899	Unlisted px vestibule mouth	T	5161	0.07%	$245.04	1.55%	$3.80
41000	Drainage of mouth lesion	T	5162	0.11%	$546.14	0.00%	$0.00
41005	Drainage of mouth lesion	T	5161	0.07%	$245.04	0.00%	$0.00
41006	Drainage of mouth lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41007	Drainage of mouth lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41008	Drainage of mouth lesion	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
41009	Drainage of mouth lesion	T	5162	0.11%	$546.14	0.00%	$0.00
41010	Incision of tongue fold	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41016	Drainage of mouth lesion	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
41017	Drainage of mouth lesion	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
41018	Drainage of mouth lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41019	Place needles h&n for rt	J1	5165	5.32%	"$6,182.21"	1.83%	$113.13
41100	Biopsy of tongue	T	5162	0.11%	$546.14	0.01%	$0.05
41105	Biopsy of tongue	J1	5164	1.23%	"$3,402.23"	0.12%	$4.08
41108	Biopsy of floor of mouth	J1	5072	3.86%	"$1,692.22"	0.01%	$0.17
41110	Excision of tongue lesion	J1	5164	1.23%	"$3,402.23"	0.23%	$7.83
41112	Excision of tongue lesion	J1	5164	1.23%	"$3,402.23"	0.39%	$13.27
41113	Excision of tongue lesion	J1	5164	1.23%	"$3,402.23"	0.57%	$19.39
41114	Excision of tongue lesion	J1	5164	1.23%	"$3,402.23"	0.71%	$24.16
41115	Excision of tongue fold	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41116	Excision of mouth lesion	J1	5164	1.23%	"$3,402.23"	0.13%	$4.42
41120	Partial removal of tongue	J1	5165	5.32%	"$6,182.21"	0.52%	$32.15
41250	Repair tongue laceration	Q1	5735	0.31%	$451.59	0.00%	$0.00
41251	Repair tongue laceration	T	5161	0.07%	$245.04	0.00%	$0.00
41252	Repair tongue laceration	T	5161	0.07%	$245.04	0.00%	$0.00
41520	Reconstruction tongue fold	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
41530	Tongue base vol reduction	J1	5164	1.23%	"$3,402.23"	3.94%	$134.05
41599	Unlisted px tongue flr mouth	T	5161	0.07%	$245.04	1.65%	$4.04
41800	Drainage of gum lesion	Q1	5734	0.07%	$136.31	0.00%	$0.00
41805	Removal foreign body gum	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41806	Removal foreign body jawbone	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41820	Excision gum each quadrant	J1	5164	1.23%	"$3,402.23"	0.02%	$0.68
41822	Excision of gum lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41823	Excision of gum lesion	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
41825	Excision of gum lesion	J1	5164	1.23%	"$3,402.23"	0.34%	$11.57
41826	Excision of gum lesion	J1	5164	1.23%	"$3,402.23"	1.58%	$53.76
41827	Excision of gum lesion	J1	5165	5.32%	"$6,182.21"	5.67%	$350.53
41828	Excision of gum lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41830	Removal of gum tissue	J1	5164	1.23%	"$3,402.23"	3.53%	$120.10
41850	Treatment of gum lesion	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41870	Periodontal mucosal grafting	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
41874	Alveoloplasty each quadrant	J1	5164	1.23%	"$3,402.23"	0.51%	$17.35
41899	Unlisted px dentalvlr strux	T	5161	0.07%	$245.04	0.82%	$2.01
42000	Drainage mouth roof lesion	T	5161	0.07%	$245.04	0.00%	$0.00
42100	Biopsy roof of mouth	J1	5163	1.74%	"$1,589.97"	0.01%	$0.16
42104	Excision lesion mouth roof	J1	5164	1.23%	"$3,402.23"	0.05%	$1.70
42106	Excision lesion mouth roof	J1	5164	1.23%	"$3,402.23"	0.28%	$9.53
42107	Excision lesion mouth roof	J1	5165	5.32%	"$6,182.21"	0.10%	$6.18
42120	Remove palate/lesion	J1	5165	5.32%	"$6,182.21"	0.86%	$53.17
42140	Excision of uvula	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42145	Repair palate pharynx/uvula	J1	5165	5.32%	"$6,182.21"	1.41%	$87.17
42160	Treatment mouth roof lesion	J1	5164	1.23%	"$3,402.23"	5.22%	$177.60
42182	Repair palate	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42200	Reconstruct cleft palate	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42210	Reconstruct cleft palate	J1	5165	5.32%	"$6,182.21"	0.30%	$18.55
42215	Reconstruct cleft palate	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42220	Reconstruct cleft palate	J1	5165	5.32%	"$6,182.21"	0.32%	$19.78
42225	Reconstruct cleft palate	J1	5165	5.32%	"$6,182.21"	2.98%	$184.23
42226	Lengthening of palate	J1	5165	5.32%	"$6,182.21"	14.86%	$918.68
42227	Lengthening of palate	J1	5165	5.32%	"$6,182.21"	24.45%	"$1,511.55"
42235	Repair palate	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42281	Insertion palate prosthesis	J1	5165	5.32%	"$6,182.21"	3.63%	$224.41
42299	Unlisted px palate uvula	T	5161	0.07%	$245.04	8.86%	$21.71
42300	Drainage of salivary gland	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
42305	Drainage of salivary gland	J1	5164	1.23%	"$3,402.23"	0.41%	$13.95
42330	Removal of salivary stone	J1	5164	1.23%	"$3,402.23"	0.62%	$21.09
42335	Removal of salivary stone	J1	5164	1.23%	"$3,402.23"	0.53%	$18.03
42340	Removal of salivary stone	J1	5164	1.23%	"$3,402.23"	0.39%	$13.27
42400	Biopsy of salivary gland	T	5071	9.91%	$730.32	0.31%	$2.26
42405	Biopsy of salivary gland	J1	5163	1.74%	"$1,589.97"	0.09%	$1.43
42408	Excision of salivary cyst	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42409	Drainage of salivary cyst	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42410	Excise parotid gland/lesion	J1	5165	5.32%	"$6,182.21"	0.78%	$48.22
42415	Excise parotid gland/lesion	J1	5165	5.32%	"$6,182.21"	0.61%	$37.71
42420	Excise parotid gland/lesion	J1	5165	5.32%	"$6,182.21"	1.19%	$73.57
42425	Excise parotid gland/lesion	J1	5165	5.32%	"$6,182.21"	3.87%	$239.25
42440	Excise submaxillary gland	J1	5165	5.32%	"$6,182.21"	0.61%	$37.71
42450	Excise sublingual gland	J1	5165	5.32%	"$6,182.21"	0.22%	$13.60
42500	Repair salivary duct	J1	5165	5.32%	"$6,182.21"	2.64%	$163.21
42505	Repair salivary duct	J1	5165	5.32%	"$6,182.21"	2.80%	$173.10
42507	Parotid duct diversion	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42510	Parotid duct diversion	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42600	Closure of salivary fistula	J1	5164	1.23%	"$3,402.23"	0.69%	$23.48
42650	Dilation of salivary duct	J1	5163	1.74%	"$1,589.97"	2.15%	$34.18
42660	Dilation of salivary duct	T	5162	0.11%	$546.14	1.49%	$8.14
42665	Ligation of salivary duct	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42699	Unlisted px salivry glnd/dux	T	5161	0.07%	$245.04	2.31%	$5.66
42700	Drainage of tonsil abscess	T	5161	0.07%	$245.04	0.00%	$0.00
42720	Drainage of throat abscess	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42725	Drainage of throat abscess	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42800	Biopsy of throat	J1	5163	1.74%	"$1,589.97"	0.03%	$0.48
42804	Biopsy of upper nose/throat	J1	5164	1.23%	"$3,402.23"	0.27%	$9.19
42806	Biopsy of upper nose/throat	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42808	Excise pharynx lesion	J1	5164	1.23%	"$3,402.23"	1.17%	$39.81
42809	Remove pharynx foreign body	Q1	5735	0.31%	$451.59	0.00%	$0.00
42810	Excision of neck cyst	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42815	Excision of neck cyst	J1	5165	5.32%	"$6,182.21"	1.27%	$78.51
42820	Remove tonsils and adenoids	J1	5165	5.32%	"$6,182.21"	0.32%	$19.78
42821	Remove tonsils and adenoids	J1	5164	1.23%	"$3,402.23"	0.60%	$20.41
42826	Removal of tonsils	J1	5164	1.23%	"$3,402.23"	0.30%	$10.21
42830	Removal of adenoids	J1	5164	1.23%	"$3,402.23"	0.76%	$25.86
42831	Removal of adenoids	J1	5164	1.23%	"$3,402.23"	3.98%	$135.41
42836	Removal of adenoids	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42842	Extensive surgery of throat	J1	5165	5.32%	"$6,182.21"	0.22%	$13.60
42844	Extensive surgery of throat	J1	5165	5.32%	"$6,182.21"	1.33%	$82.22
42860	Excision of tonsil tags	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42870	Excision of lingual tonsil	J1	5165	5.32%	"$6,182.21"	0.44%	$27.20
42890	Limited pharyngectomy	J1	5165	5.32%	"$6,182.21"	0.17%	$10.51
42892	Revision of pharyngeal walls	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
42950	Reconstruction of throat	J1	5165	5.32%	"$6,182.21"	6.72%	$415.44
42955	Surgical opening of throat	J1	5163	1.74%	"$1,589.97"	3.75%	$59.62
42960	Control throat bleeding	T	5162	0.11%	$546.14	0.00%	$0.00
42962	Control throat bleeding	J1	5164	1.23%	"$3,402.23"	0.41%	$13.95
42972	Control nose/throat bleeding	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
42975	Dise eval slp do brth flx dx	J1	5153	0.71%	"$1,819.06"	0.16%	$2.91
42999	Unlisted px phrnx adnd/tnsl	T	5161	0.07%	$245.04	6.31%	$15.46
43030	Cricopharyngeal myotomy	J1	5165	5.32%	"$6,182.21"	2.19%	$135.39
43130	Removal of esophagus pouch	J1	5165	5.32%	"$6,182.21"	1.37%	$84.70
43180	Esophagoscopy rigid trnso	J1	5165	5.32%	"$6,182.21"	2.40%	$148.37
43191	Esophagoscopy rigid trnso dx	J1	5302	10.97%	"$1,975.59"	1.68%	$33.19
43192	Esophagoscp rig trnso inject	J1	5302	10.97%	"$1,975.59"	2.07%	$40.89
43193	Esophagoscp rig trnso biopsy	J1	5302	10.97%	"$1,975.59"	3.48%	$68.75
43194	Esophagoscp rig trnso rem fb	J1	5302	10.97%	"$1,975.59"	1.65%	$32.60
43195	Esophagoscopy rigid balloon	J1	5303	17.68%	"$4,002.57"	14.12%	$565.16
43196	Esophagoscp guide wire dilat	J1	5302	10.97%	"$1,975.59"	5.22%	$103.13
43197	Esophagoscopy flex dx brush	T	5301	3.21%	$937.33	0.74%	$6.94
43198	Esophagosc flex trnsn biopsy	T	5301	3.21%	$937.33	1.22%	$11.44
43200	Esophagoscopy flexible brush	T	5301	3.21%	$937.33	2.42%	$22.68
43201	Esoph scope w/submucous inj	J1	5302	10.97%	"$1,975.59"	6.34%	$125.25
43202	Esophagoscopy flex biopsy	J1	5302	10.97%	"$1,975.59"	1.32%	$26.08
43205	Esophagus endoscopy/ligation	J1	5302	10.97%	"$1,975.59"	3.52%	$69.54
43210	Egd esophagogastrc fndoplsty	J1	5362	9.03%	"$10,966.50"	54.61%	"$5,988.81"
43211	Esophagoscop mucosal resect	J1	5302	10.97%	"$1,975.59"	3.39%	$66.97
43212	Esophagoscop stent placement	J1	5331	33.33%	"$6,276.20"	50.93%	"$3,196.47"
43213	Esophagoscopy retro balloon	J1	5302	10.97%	"$1,975.59"	5.83%	$115.18
43214	Esophagosc dilate balloon 30	J1	5302	10.97%	"$1,975.59"	26.65%	$526.49
43215	Esophagoscopy flex remove fb	J1	5302	10.97%	"$1,975.59"	2.84%	$56.11
43216	Esophagoscopy lesion removal	J1	5302	10.97%	"$1,975.59"	0.00%	$0.00
43217	Esophagoscopy snare les remv	J1	5302	10.97%	"$1,975.59"	0.00%	$0.00
43220	Esophagoscopy balloon <30mm	J1	5302	10.97%	"$1,975.59"	20.20%	$399.07
43226	Esoph endoscopy dilation	J1	5302	10.97%	"$1,975.59"	8.86%	$175.04
43227	Esophagoscopy control bleed	J1	5302	10.97%	"$1,975.59"	1.94%	$38.33
43229	Esophagoscopy lesion ablate	J1	5303	17.68%	"$4,002.57"	50.52%	"$2,022.10"
43231	Esophagoscop ultrasound exam	J1	5302	10.97%	"$1,975.59"	1.19%	$23.51
43232	Esophagoscopy w/us needle bx	J1	5302	10.97%	"$1,975.59"	1.90%	$37.54
43233	Egd balloon dil esoph30 mm/>	J1	5302	10.97%	"$1,975.59"	22.00%	$434.63
43235	Egd diagnostic brush wash	T	5301	3.21%	$937.33	0.59%	$5.53
43236	Uppr gi scope w/submuc inj	T	5301	3.21%	$937.33	1.31%	$12.28
43237	Endoscopic us exam esoph	J1	5302	10.97%	"$1,975.59"	1.26%	$24.89
43238	Egd us fine needle bx/aspir	J1	5302	10.97%	"$1,975.59"	2.29%	$45.24
43239	Egd biopsy single/multiple	T	5301	3.21%	$937.33	0.52%	$4.87
43240	Egd w/transmural drain cyst	J1	5331	33.33%	"$6,276.20"	63.00%	"$3,954.01"
43241	Egd tube/cath insertion	J1	5302	10.97%	"$1,975.59"	9.83%	$194.20
43242	Egd us fine needle bx/aspir	J1	5302	10.97%	"$1,975.59"	2.15%	$42.48
43243	Egd injection varices	J1	5302	10.97%	"$1,975.59"	5.21%	$102.93
43244	Egd varices ligation	J1	5302	10.97%	"$1,975.59"	2.86%	$56.50
43245	Egd dilate stricture	J1	5302	10.97%	"$1,975.59"	19.84%	$391.96
43246	Egd place gastrostomy tube	J1	5302	10.97%	"$1,975.59"	3.24%	$64.01
43247	Egd remove foreign body	T	5301	3.21%	$937.33	1.92%	$18.00
43248	Egd guide wire insertion	T	5301	3.21%	$937.33	9.61%	$90.08
43249	Esoph egd dilation <30 mm	J1	5302	10.97%	"$1,975.59"	18.25%	$360.55
43250	Egd cautery tumor polyp	J1	5302	10.97%	"$1,975.59"	1.74%	$34.38
43251	Egd remove lesion snare	J1	5302	10.97%	"$1,975.59"	3.98%	$78.63
43252	Egd optical endomicroscopy	J1	5302	10.97%	"$1,975.59"	1.26%	$24.89
43253	Egd us transmural injxn/mark	J1	5302	10.97%	"$1,975.59"	5.06%	$99.96
43254	Egd endo mucosal resection	J1	5302	10.97%	"$1,975.59"	7.77%	$153.50
43255	Egd control bleeding any	J1	5302	10.97%	"$1,975.59"	4.00%	$79.02
43257	Egd w/thrml txmnt gerd	J1	5303	17.68%	"$4,002.57"	49.33%	"$1,974.47"
43259	Egd us exam duodenum/jejunum	J1	5302	10.97%	"$1,975.59"	1.16%	$22.92
43260	Ercp w/specimen collection	J1	5303	17.68%	"$4,002.57"	16.22%	$649.22
43261	Endo cholangiopancreatograph	J1	5303	17.68%	"$4,002.57"	18.37%	$735.27
43262	Endo cholangiopancreatograph	J1	5303	17.68%	"$4,002.57"	18.43%	$737.67
43264	Ercp remove duct calculi	J1	5303	17.68%	"$4,002.57"	18.32%	$733.27
43265	Ercp lithotripsy calculi	J1	5331	33.33%	"$6,276.20"	23.53%	"$1,476.79"
43266	Egd endoscopic stent place	J1	5331	33.33%	"$6,276.20"	56.85%	"$3,568.02"
43270	Egd lesion ablation	J1	5302	10.97%	"$1,975.59"	34.90%	$689.48
43274	Ercp duct stent placement	J1	5331	33.33%	"$6,276.20"	32.10%	"$2,014.66"
43275	Ercp remove forgn body duct	J1	5302	10.97%	"$1,975.59"	17.31%	$341.97
43276	Ercp stent exchange w/dilate	J1	5331	33.33%	"$6,276.20"	33.32%	"$2,091.23"
43277	Ercp ea duct/ampulla dilate	J1	5303	17.68%	"$4,002.57"	21.88%	$875.76
43278	Ercp lesion ablate w/dilate	J1	5303	17.68%	"$4,002.57"	13.46%	$538.75
43280	Laparoscopy fundoplasty	J1	5362	9.03%	"$10,966.50"	5.49%	$602.06
43281	Lap paraesophag hern repair	J1	5362	9.03%	"$10,966.50"	5.04%	$552.71
43282	Lap paraesoph her rpr w/mesh	J1	5362	9.03%	"$10,966.50"	15.77%	"$1,729.42"
43284	Laps esophgl sphnctr agmntj	J1	5362	9.03%	"$10,966.50"	46.72%	"$5,123.55"
43285	Rmvl esophgl sphnctr dev	Q2	5361	6.11%	"$6,228.97"	0.02%	$1.25
43289	Unlisted laps px esoph	J1	5361	6.11%	"$6,228.97"	1.53%	$95.30
43290	Egd flx trnsorl dplmnt balo	J1	5302	10.97%	"$1,975.59"	49.47%	$977.32
43291	Egd flx trnsorl rmvl balo	T	5301	3.21%	$937.33	0.00%	$0.00
43420	Repair esophagus opening	J1	5164	1.23%	"$3,402.23"	0.67%	$22.79
43450	Dilate esophagus 1/mult pass	T	5301	3.21%	$937.33	1.80%	$16.87
43453	Dilate esophagus	J1	5302	10.97%	"$1,975.59"	10.78%	$212.97
43497	Transorl lwr esophgl myotomy	J1	5331	33.33%	"$6,276.20"	21.47%	"$1,347.50"
43499	Unlisted procedure esophagus	T	5301	3.21%	$937.33	5.51%	$51.65
43647	Lap impl electrode antrum	J1	5463	27.08%	"$11,703.42"	73.41%	"$8,591.48"
43648	Lap revise/remv eltrd antrum	J1	5362	9.03%	"$10,966.50"	0.19%	$20.84
43652	Laparoscopy vagus nerve	J1	5361	6.11%	"$6,228.97"	5.32%	$331.38
43653	Laparoscopy gastrostomy	J1	5361	6.11%	"$6,228.97"	3.47%	$216.15
43659	Unlisted laps px stomach	J1	5361	6.11%	"$6,228.97"	2.53%	$157.59
43752	Nasal/orogastric w/tube plmt	Q1	5735	0.31%	$451.59	7.19%	$32.47
43753	Tx gastro intub w/asp	Q1	5722	0.01%	$221.14	0.00%	$0.00
43756	Dx duod intub w/asp spec	Q1	5301	3.21%	$937.33	0.00%	$0.00
43761	Reposition gastrostomy tube	T	5371	2.52%	$256.63	4.22%	$10.83
43762	Rplc gtube no revj trc	T	5371	2.52%	$256.63	2.39%	$6.13
43763	Rplc gtube revj gstrst trc	T	5371	2.52%	$256.63	5.75%	$14.76
43770	Lap place gastr adj device	J1	5362	9.03%	"$10,966.50"	38.16%	"$4,184.82"
43772	Lap rmvl gastr adj device	J1	5303	17.68%	"$4,002.57"	0.11%	$4.40
43773	Lap replace gastr adj device	J1	5361	6.11%	"$6,228.97"	29.35%	"$1,828.20"
43774	Lap rmvl gastr adj all parts	J1	5303	17.68%	"$4,002.57"	0.55%	$22.01
43830	Gstrst open wo constj tube	J1	5302	10.97%	"$1,975.59"	1.67%	$32.99
43840	Repair of stomach lesion	J1	5303	17.68%	"$4,002.57"	0.18%	$7.20
43870	Repair stomach opening	J1	5303	17.68%	"$4,002.57"	1.46%	$58.44
43886	Revise gastric port open	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
43887	Remove gastric port open	Q2	5054	0.98%	"$2,137.45"	5.72%	$122.26
43888	Change gastric port open	T	5055	1.18%	"$3,659.96"	14.05%	$514.22
43999	Unlisted procedure stomach	T	5301	3.21%	$937.33	8.41%	$78.83
44100	Biopsy of bowel	T	5301	3.21%	$937.33	0.00%	$0.00
44180	Lap enterolysis	J1	5361	6.11%	"$6,228.97"	1.64%	$102.16
44186	Lap jejunostomy	J1	5361	6.11%	"$6,228.97"	4.63%	$288.40
44238	Unlisted laps px intestine	J1	5361	6.11%	"$6,228.97"	1.63%	$101.53
44300	Open bowel to skin	J1	5302	10.97%	"$1,975.59"	1.22%	$24.10
44312	Revision of ileostomy	T	5055	1.18%	"$3,659.96"	1.31%	$47.95
44314	Revision of ileostomy	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
44340	Revision of colostomy	T	5055	1.18%	"$3,659.96"	0.11%	$4.03
44345	Revision of colostomy	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
44346	Revision of colostomy	T	5055	1.18%	"$3,659.96"	0.00%	$0.00
44360	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	1.40%	$27.66
44361	Small bowel endoscopy/biopsy	J1	5302	10.97%	"$1,975.59"	1.19%	$23.51
44363	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	3.76%	$74.28
44364	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	4.51%	$89.10
44365	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	3.57%	$70.53
44366	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	2.73%	$53.93
44369	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	1.45%	$28.65
44370	Small bowel endoscopy/stent	J1	5331	33.33%	"$6,276.20"	61.74%	"$3,874.93"
44372	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	7.12%	$140.66
44373	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	9.29%	$183.53
44376	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	1.32%	$26.08
44377	Small bowel endoscopy/biopsy	J1	5302	10.97%	"$1,975.59"	2.20%	$43.46
44378	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	2.10%	$41.49
44379	S bowel endoscope w/stent	J1	5331	33.33%	"$6,276.20"	73.90%	"$4,638.11"
44380	Small bowel endoscopy br/wa	T	5301	3.21%	$937.33	0.43%	$4.03
44381	Small bowel endoscopy br/wa	J1	5302	10.97%	"$1,975.59"	18.31%	$361.73
44382	Small bowel endoscopy	T	5301	3.21%	$937.33	0.40%	$3.75
44384	Small bowel endoscopy	J1	5302	10.97%	"$1,975.59"	28.37%	$560.47
44385	Endoscopy of bowel pouch	T	5311	0.14%	$957.18	0.75%	$7.18
44386	Endoscopy bowel pouch/biop	T	5311	0.14%	$957.18	0.53%	$5.07
44388	Colonoscopy thru stoma spx	T	5311	0.14%	$957.18	0.13%	$1.24
44389	Colonoscopy with biopsy	T	5312	0.88%	"$1,232.16"	0.53%	$6.53
44390	Colonoscopy for foreign body	T	5311	0.14%	$957.18	16.85%	$161.28
44391	Colonoscopy for bleeding	T	5312	0.88%	"$1,232.16"	3.93%	$48.42
44392	Colonoscopy & polypectomy	T	5312	0.88%	"$1,232.16"	2.26%	$27.85
44394	Colonoscopy w/snare	T	5312	0.88%	"$1,232.16"	1.29%	$15.89
44401	Colonoscopy with ablation	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
44402	Colonoscopy w/stent plcmt	J1	5331	33.33%	"$6,276.20"	73.76%	"$4,629.33"
44403	Colonoscopy w/resection	T	5312	0.88%	"$1,232.16"	2.96%	$36.47
44404	Colonoscopy w/injection	T	5312	0.88%	"$1,232.16"	5.17%	$63.70
44405	Colonoscopy w/dilation	T	5312	0.88%	"$1,232.16"	23.54%	$290.05
44408	Colonoscopy w/decompression	T	5311	0.14%	$957.18	0.00%	$0.00
44500	Intro gastrointestinal tube	T	5301	3.21%	$937.33	10.01%	$93.83
44602	Suture small intestine	J1	5303	17.68%	"$4,002.57"	3.11%	$124.48
44799	Unlisted px small intestine	T	5301	3.21%	$937.33	6.85%	$64.21
44950	Appendectomy	J1	5342	14.16%	"$6,667.00"	1.07%	$71.34
44970	Laparoscopy appendectomy	J1	5361	6.11%	"$6,228.97"	1.03%	$64.16
44979	Unlisted laps px appendix	J1	5361	6.11%	"$6,228.97"	2.58%	$160.71
45000	Drainage of pelvic abscess	T	5312	0.88%	"$1,232.16"	0.08%	$0.99
45005	Drainage of rectal abscess	T	5312	0.88%	"$1,232.16"	0.20%	$2.46
45020	Drainage of rectal abscess	J1	5313	4.01%	"$2,854.26"	2.63%	$75.07
45100	Biopsy of rectum	J1	5313	4.01%	"$2,854.26"	0.14%	$4.00
45108	Anorectal myomectomy	J1	5313	4.01%	"$2,854.26"	0.00%	$0.00
45150	Excision of rectal stricture	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
45160	Excision of rectal lesion	J1	5313	4.01%	"$2,854.26"	0.59%	$16.84
45171	Exc rect tum transanal part	J1	5313	4.01%	"$2,854.26"	0.47%	$13.42
45172	Exc rect tum transanal full	J1	5313	4.01%	"$2,854.26"	0.28%	$7.99
45190	Destruction rectal tumor	J1	5313	4.01%	"$2,854.26"	0.05%	$1.43
45300	Proctosigmoidoscopy dx	T	5311	0.14%	$957.18	0.01%	$0.10
45303	Proctosigmoidoscopy dilate	T	5312	0.88%	"$1,232.16"	3.70%	$45.59
45305	Proctosigmoidoscopy w/bx	T	5312	0.88%	"$1,232.16"	0.52%	$6.41
45307	Proctosigmoidoscopy fb	J1	5313	4.01%	"$2,854.26"	4.15%	$118.45
45308	Proctosigmoidoscopy removal	J1	5313	4.01%	"$2,854.26"	0.11%	$3.14
45309	Proctosigmoidoscopy removal	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
45315	Proctosigmoidoscopy removal	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
45317	Proctosigmoidoscopy bleed	T	5312	0.88%	"$1,232.16"	3.76%	$46.33
45320	Proctosigmoidoscopy ablate	J1	5313	4.01%	"$2,854.26"	0.28%	$7.99
45330	Diagnostic sigmoidoscopy	T	5311	0.14%	$957.18	0.37%	$3.54
45331	Sigmoidoscopy and biopsy	T	5311	0.14%	$957.18	0.50%	$4.79
45332	Sigmoidoscopy w/fb removal	T	5312	0.88%	"$1,232.16"	6.08%	$74.92
45333	Sigmoidoscopy & polypectomy	T	5311	0.14%	$957.18	0.28%	$2.68
45334	Sigmoidoscopy for bleeding	T	5312	0.88%	"$1,232.16"	2.54%	$31.30
45335	Sigmoidoscopy w/submuc inj	T	5311	0.14%	$957.18	1.05%	$10.05
45337	Sigmoidoscopy & decompress	T	5311	0.14%	$957.18	0.00%	$0.00
45338	Sigmoidoscopy w/tumr remove	T	5312	0.88%	"$1,232.16"	2.68%	$33.02
45340	Sig w/tndsc balloon dilation	T	5312	0.88%	"$1,232.16"	29.68%	$365.71
45341	Sigmoidoscopy w/ultrasound	T	5311	0.14%	$957.18	1.07%	$10.24
45342	Sigmoidoscopy w/us guide bx	T	5312	0.88%	"$1,232.16"	3.02%	$37.21
45346	Sigmoidoscopy w/ablation	T	5312	0.88%	"$1,232.16"	11.91%	$146.75
45347	Sigmoidoscopy w/plcmt stent	J1	5331	33.33%	"$6,276.20"	63.80%	"$4,004.22"
45349	Sigmoidoscopy w/resection	J1	5313	4.01%	"$2,854.26"	7.16%	$204.37
45350	Sgmdsc w/band ligation	T	5312	0.88%	"$1,232.16"	3.31%	$40.78
45378	Diagnostic colonoscopy	T	5311	0.14%	$957.18	0.30%	$2.87
45379	Colonoscopy w/fb removal	T	5312	0.88%	"$1,232.16"	1.56%	$19.22
45380	Colonoscopy and biopsy	T	5312	0.88%	"$1,232.16"	0.30%	$3.70
45381	Colonoscopy submucous njx	T	5312	0.88%	"$1,232.16"	1.67%	$20.58
45382	Colonoscopy w/control bleed	T	5312	0.88%	"$1,232.16"	4.27%	$52.61
45384	Colonoscopy w/lesion removal	T	5312	0.88%	"$1,232.16"	0.36%	$4.44
45385	Colonoscopy w/lesion removal	T	5312	0.88%	"$1,232.16"	1.14%	$14.05
45386	Colonoscopy w/balloon dilat	T	5312	0.88%	"$1,232.16"	22.66%	$279.21
45388	Colonoscopy w/ablation	T	5312	0.88%	"$1,232.16"	1.82%	$22.43
45389	Colonoscopy w/stent plcmt	J1	5331	33.33%	"$6,276.20"	65.96%	"$4,139.78"
45390	Colonoscopy w/resection	J1	5313	4.01%	"$2,854.26"	7.71%	$220.06
45391	Colonoscopy w/endoscope us	T	5312	0.88%	"$1,232.16"	1.41%	$17.37
45392	Colonoscopy w/endoscopic fnb	T	5312	0.88%	"$1,232.16"	2.83%	$34.87
45393	Colonoscopy w/decompression	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
45398	Colonoscopy w/band ligation	T	5312	0.88%	"$1,232.16"	2.26%	$27.85
45399	Unlisted procedure colon	T	5311	0.14%	$957.18	12.38%	$118.50
45499	Laparoscope proc rectum	J1	5361	6.11%	"$6,228.97"	0.22%	$13.70
45500	Repair of rectum	J1	5313	4.01%	"$2,854.26"	0.00%	$0.00
45505	Repair of rectum	J1	5313	4.01%	"$2,854.26"	0.20%	$5.71
45541	Correct rectal prolapse	J1	5313	4.01%	"$2,854.26"	0.53%	$15.13
45560	Repair of rectocele	J1	5313	4.01%	"$2,854.26"	2.08%	$59.37
45900	Reduction of rectal prolapse	T	5311	0.14%	$957.18	0.00%	$0.00
45905	Dilation of anal sphincter	T	5312	0.88%	"$1,232.16"	0.44%	$5.42
45910	Dilation of rectal narrowing	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
45915	Remove rectal obstruction	T	5312	0.88%	"$1,232.16"	0.11%	$1.36
45990	Surg dx exam anorectal	J1	5313	4.01%	"$2,854.26"	0.37%	$10.56
45999	Unlisted procedure rectum	T	5311	0.14%	$957.18	3.62%	$34.65
46020	Placement of seton	J1	5313	4.01%	"$2,854.26"	0.21%	$5.99
46030	Removal anal seton oth mrk	T	5312	0.88%	"$1,232.16"	0.02%	$0.25
46040	Incision of rectal abscess	T	5312	0.88%	"$1,232.16"	0.19%	$2.34
46045	Incision of rectal abscess	J1	5313	4.01%	"$2,854.26"	0.10%	$2.85
46050	Incision of anal abscess	T	5311	0.14%	$957.18	0.04%	$0.38
46060	Incision of rectal abscess	J1	5313	4.01%	"$2,854.26"	0.33%	$9.42
46080	Incision of anal sphincter	J1	5313	4.01%	"$2,854.26"	0.23%	$6.56
46083	Incise external hemorrhoid	T	5371	2.52%	$256.63	0.00%	$0.00
46200	Removal of anal fissure	J1	5313	4.01%	"$2,854.26"	0.16%	$4.57
46220	Excise anal ext tag/papilla	T	5312	0.88%	"$1,232.16"	0.07%	$0.86
46221	Ligation of hemorrhoid(s)	T	5311	0.14%	$957.18	0.08%	$0.77
46230	Removal of anal tags	J1	5313	4.01%	"$2,854.26"	0.03%	$0.86
46250	Remove ext hem groups 2+	J1	5313	4.01%	"$2,854.26"	0.21%	$5.99
46255	Remove int/ext hem 1 group	J1	5313	4.01%	"$2,854.26"	0.26%	$7.42
46257	Remove in/ex hem grp & fiss	J1	5313	4.01%	"$2,854.26"	0.02%	$0.57
46258	Remove in/ex hem grp w/fistu	J1	5313	4.01%	"$2,854.26"	0.10%	$2.85
46260	Remove in/ex hem groups 2+	J1	5313	4.01%	"$2,854.26"	0.20%	$5.71
46261	Remove in/ex hem grps & fiss	J1	5313	4.01%	"$2,854.26"	0.31%	$8.85
46262	Remove in/ex hem grps w/fist	J1	5313	4.01%	"$2,854.26"	0.45%	$12.84
46270	Remove anal fist subq	J1	5313	4.01%	"$2,854.26"	0.32%	$9.13
46275	Remove anal fist inter	J1	5313	4.01%	"$2,854.26"	0.18%	$5.14
46280	Remove anal fist complex	J1	5313	4.01%	"$2,854.26"	0.91%	$25.97
46285	Remove anal fist 2 stage	J1	5313	4.01%	"$2,854.26"	0.36%	$10.28
46288	Repair anal fistula	J1	5313	4.01%	"$2,854.26"	0.17%	$4.85
46320	Removal of hemorrhoid clot	T	5312	0.88%	"$1,232.16"	0.10%	$1.23
46500	Injection into hemorrhoid(s)	T	5311	0.14%	$957.18	0.00%	$0.00
46505	Chemodenervation anal musc	T	5312	0.88%	"$1,232.16"	0.08%	$0.99
46600	Diagnostic anoscopy spx	Q1	5734	0.07%	$136.31	0.00%	$0.00
46601	Diagnostic anoscopy	Q1	5735	0.31%	$451.59	0.00%	$0.00
46604	Anoscopy and dilation	T	5312	0.88%	"$1,232.16"	0.91%	$11.21
46606	Anoscopy and biopsy	T	5312	0.88%	"$1,232.16"	0.53%	$6.53
46607	Diagnostic anoscopy & biopsy	T	5312	0.88%	"$1,232.16"	0.02%	$0.25
46608	Anoscopy remove for body	T	5311	0.14%	$957.18	0.00%	$0.00
46610	Anoscopy remove lesion	J1	5313	4.01%	"$2,854.26"	0.06%	$1.71
46611	Anoscopy	T	5311	0.14%	$957.18	0.00%	$0.00
46612	Anoscopy remove lesions	J1	5313	4.01%	"$2,854.26"	0.13%	$3.71
46614	Anoscopy control bleeding	T	5312	0.88%	"$1,232.16"	0.00%	$0.00
46615	Anoscopy	J1	5313	4.01%	"$2,854.26"	0.11%	$3.14
46700	Repair of anal stricture	J1	5313	4.01%	"$2,854.26"	0.62%	$17.70
46706	Repr of anal fistula w/glue	J1	5313	4.01%	"$2,854.26"	2.72%	$77.64
46707	Repair anorectal fist w/plug	J1	5313	4.01%	"$2,854.26"	37.80%	"$1,078.91"
46750	Repair of anal sphincter	J1	5313	4.01%	"$2,854.26"	0.00%	$0.00
46753	Reconstruction of anus	J1	5313	4.01%	"$2,854.26"	11.84%	$337.94
46754	Removal of suture from anus	J1	5313	4.01%	"$2,854.26"	0.00%	$0.00
46761	Repair of anal sphincter	J1	5313	4.01%	"$2,854.26"	0.00%	$0.00
46900	Destruction anal lesion(s)	T	5052	0.04%	$414.63	0.00%	$0.00
46910	Destruction anal lesion(s)	T	5054	0.98%	"$2,137.45"	0.02%	$0.43
46916	Cryosurgery anal lesion(s)	T	5051	0.01%	$203.69	0.00%	$0.00
46917	Laser surgery anal lesions	J1	5313	4.01%	"$2,854.26"	0.06%	$1.71
46922	Excision of anal lesion(s)	J1	5313	4.01%	"$2,854.26"	0.13%	$3.71
46924	Destruction anal lesion(s)	J1	5313	4.01%	"$2,854.26"	0.33%	$9.42
46930	Destroy internal hemorrhoids	T	5312	0.88%	"$1,232.16"	0.25%	$3.08
46940	Treatment of anal fissure	J1	5313	4.01%	"$2,854.26"	4.69%	$133.86
46942	Treatment of anal fissure	T	5311	0.14%	$957.18	0.00%	$0.00
46945	Int hrhc lig 1 hroid w/o img	J1	5313	4.01%	"$2,854.26"	0.08%	$2.28
46946	Int hrhc lig 2+hroid w/o img	J1	5313	4.01%	"$2,854.26"	1.14%	$32.54
46947	Hemorrhoidopexy by stapling	J1	5313	4.01%	"$2,854.26"	0.72%	$20.55
46948	Int hrhc tranal dartlzj 2+	J1	5313	4.01%	"$2,854.26"	0.40%	$11.42
46999	Unlisted procedure anus	T	5311	0.14%	$957.18	1.70%	$16.27
47000	Needle biopsy of liver perq	J1	5072	3.86%	"$1,692.22"	0.54%	$9.14
47370	Laparo ablate liver tumor rf	J1	5362	9.03%	"$10,966.50"	12.57%	"$1,378.49"
47371	Laparo ablate liver cryosurg	J1	5362	9.03%	"$10,966.50"	23.36%	"$2,561.77"
47379	Unlisted laps px liver	J1	5361	6.11%	"$6,228.97"	1.53%	$95.30
47382	Percut ablate liver rf	J1	5361	6.11%	"$6,228.97"	24.60%	"$1,532.33"
47383	Perq abltj lvr cryoablation	J1	5362	9.03%	"$10,966.50"	54.69%	"$5,997.58"
47399	Unlisted procedure liver	T	5071	9.91%	$730.32	5.04%	$36.81
47490	Incision of gallbladder	J1	5341	10.88%	"$3,698.49"	11.03%	$407.94
47531	Injection for cholangiogram	Q2	5341	10.88%	"$3,698.49"	2.54%	$93.94
47532	Injection for cholangiogram	Q2	5341	10.88%	"$3,698.49"	7.43%	$274.80
47533	Plmt biliary drainage cath	J1	5341	10.88%	"$3,698.49"	18.96%	$701.23
47534	Plmt biliary drainage cath	J1	5341	10.88%	"$3,698.49"	18.49%	$683.85
47535	Conversion ext bil drg cath	J1	5341	10.88%	"$3,698.49"	20.97%	$775.57
47536	Exchange biliary drg cath	J1	5341	10.88%	"$3,698.49"	15.15%	$560.32
47537	Removal biliary drg cath	Q2	5301	3.21%	$937.33	8.09%	$75.83
47538	Perq plmt bile duct stent	J1	5361	6.11%	"$6,228.97"	45.40%	"$2,827.95"
47539	Perq plmt bile duct stent	J1	5361	6.11%	"$6,228.97"	32.48%	"$2,023.17"
47540	Perq plmt bile duct stent	J1	5361	6.11%	"$6,228.97"	44.89%	"$2,796.18"
47541	Plmt access bil tree sm bwl	J1	5342	14.16%	"$6,667.00"	16.38%	"$1,092.05"
47552	Biliary endo perq dx w/speci	J1	5342	14.16%	"$6,667.00"	21.23%	"$1,415.40"
47553	Biliary endoscopy thru skin	J1	5342	14.16%	"$6,667.00"	18.47%	"$1,231.39"
47554	Biliary endoscopy thru skin	J1	5362	9.03%	"$10,966.50"	21.69%	"$2,378.63"
47555	Biliary endoscopy thru skin	J1	5341	10.88%	"$3,698.49"	22.35%	$826.61
47556	Biliary endoscopy thru skin	J1	5362	9.03%	"$10,966.50"	32.09%	"$3,519.15"
47562	Laparoscopic cholecystectomy	J1	5361	6.11%	"$6,228.97"	0.72%	$44.85
47563	Laparo cholecystectomy/graph	J1	5361	6.11%	"$6,228.97"	1.00%	$62.29
47564	Laparo cholecystectomy/explr	J1	5362	9.03%	"$10,966.50"	5.47%	$599.87
47579	Unlisted laps px biliary trc	J1	5361	6.11%	"$6,228.97"	1.90%	$118.35
47999	Unlisted px biliary tract	T	5301	3.21%	$937.33	37.03%	$347.09
48102	Needle biopsy pancreas	J1	5072	3.86%	"$1,692.22"	1.41%	$23.86
48999	Unlisted procedure pancreas	T	5071	9.91%	$730.32	12.75%	$93.12
49010	Exploration behind abdomen	J1	5342	14.16%	"$6,667.00"	0.92%	$61.34
49082	Abd paracentesis	T	5301	3.21%	$937.33	1.78%	$16.68
49083	Abd paracentesis w/imaging	T	5301	3.21%	$937.33	6.15%	$57.65
49084	Peritoneal lavage	T	5301	3.21%	$937.33	4.73%	$44.34
49180	Biopsy abdominal mass	J1	5072	3.86%	"$1,692.22"	0.41%	$6.94
49185	Sclerotx fluid collection	J1	5072	3.86%	"$1,692.22"	4.07%	$68.87
49250	Excision of umbilicus	J1	5341	10.88%	"$3,698.49"	0.11%	$4.07
49255	Removal of omentum	J1	5342	14.16%	"$6,667.00"	8.19%	$546.03
49320	Diag laparo separate proc	J1	5361	6.11%	"$6,228.97"	2.42%	$150.74
49321	Laparoscopy biopsy	J1	5361	6.11%	"$6,228.97"	1.65%	$102.78
49322	Laparoscopy aspiration	J1	5361	6.11%	"$6,228.97"	2.24%	$139.53
49323	Laparo drain lymphocele	J1	5361	6.11%	"$6,228.97"	1.34%	$83.47
49324	Lap insert tunnel ip cath	J1	5361	6.11%	"$6,228.97"	6.88%	$428.55
49325	Lap revision perm ip cath	J1	5361	6.11%	"$6,228.97"	2.17%	$135.17
49329	Unlstd laps px abd pertm&omn	J1	5361	6.11%	"$6,228.97"	2.40%	$149.50
49402	Remove foreign body adbomen	J1	5341	10.88%	"$3,698.49"	1.34%	$49.56
49405	Image cath fluid colxn visc	J1	5072	3.86%	"$1,692.22"	10.58%	$179.04
49406	Image cath fluid peri/retro	J1	5072	3.86%	"$1,692.22"	11.81%	$199.85
49407	Image cath fluid trns/vgnl	J1	5072	3.86%	"$1,692.22"	5.51%	$93.24
49411	Ins mark abd/pel for rt perq	S	5613	0.58%	"$1,430.97"	12.95%	$185.31
49418	Insert tun ip cath perc	J1	5341	10.88%	"$3,698.49"	27.08%	"$1,001.55"
49419	Insert tun ip cath w/port	J1	5184	16.90%	"$5,712.13"	10.12%	$578.07
49421	Ins tun ip cath for dial opn	J1	5341	10.88%	"$3,698.49"	9.23%	$341.37
49422	Remove tunneled ip cath	Q2	5183	16.69%	"$3,254.23"	0.50%	$16.27
49423	Exchange drainage catheter	J1	5302	10.97%	"$1,975.59"	13.66%	$269.87
49426	Revise abdomen-venous shunt	J1	5341	10.88%	"$3,698.49"	12.11%	$447.89
49429	Removal of shunt	Q2	5183	16.69%	"$3,254.23"	2.51%	$81.68
49436	Embedded ip cath exit-site	J1	5302	10.97%	"$1,975.59"	1.82%	$35.96
49440	Place gastrostomy tube perc	J1	5302	10.97%	"$1,975.59"	12.54%	$247.74
49441	Place duod/jej tube perc	J1	5302	10.97%	"$1,975.59"	10.25%	$202.50
49442	Place cecostomy tube perc	T	5312	0.88%	"$1,232.16"	10.49%	$129.25
49446	Change g-tube to g-j perc	J1	5302	10.97%	"$1,975.59"	17.46%	$344.94
49450	Replace g/c tube perc	T	5301	3.21%	$937.33	13.01%	$121.95
49451	Replace duod/jej tube perc	T	5301	3.21%	$937.33	16.76%	$157.10
49452	Replace g-j tube perc	T	5301	3.21%	$937.33	18.11%	$169.75
49460	Fix g/colon tube w/device	T	5301	3.21%	$937.33	8.53%	$79.95
49465	Fluoro exam of g/colon tube	Q1	5523	0.07%	$245.72	2.67%	$6.56
49491	Rpr hern preemie reduc	J1	5361	6.11%	"$6,228.97"	0.40%	$24.92
49495	Rpr ing hernia baby reduc	J1	5341	10.88%	"$3,698.49"	10.49%	$387.97
49500	Rpr ing hernia init reduce	J1	5342	14.16%	"$6,667.00"	0.00%	$0.00
49501	Rpr ing hernia init blocked	J1	5341	10.88%	"$3,698.49"	8.81%	$325.84
49505	Prp i/hern init reduc >5 yr	J1	5341	10.88%	"$3,698.49"	7.78%	$287.74
49507	Prp i/hern init block >5 yr	J1	5341	10.88%	"$3,698.49"	7.38%	$272.95
49520	Rerepair ing hernia reduce	J1	5341	10.88%	"$3,698.49"	7.85%	$290.33
49521	Rerepair ing hernia blocked	J1	5342	14.16%	"$6,667.00"	8.14%	$542.69
49525	Repair ing hernia sliding	J1	5341	10.88%	"$3,698.49"	7.56%	$279.61
49540	Repair lumbar hernia	J1	5361	6.11%	"$6,228.97"	14.57%	$907.56
49550	Rpr rem hernia init reduce	J1	5341	10.88%	"$3,698.49"	7.16%	$264.81
49553	Rpr fem hernia init blocked	J1	5341	10.88%	"$3,698.49"	7.39%	$273.32
49555	Rerepair fem hernia reduce	J1	5341	10.88%	"$3,698.49"	8.26%	$305.50
49557	Rerepair fem hernia blocked	J1	5341	10.88%	"$3,698.49"	9.63%	$356.16
49591	Rpr aa hrn 1st < 3 cm rdc	J1	5341	10.88%	"$3,698.49"	11.03%	$407.94
49592	Rpr aa hrn 1st < 3 ncr/strn	J1	5361	6.11%	"$6,228.97"	10.50%	$654.04
49593	Rpr aa hrn 1st 3-10 rdc	J1	5342	14.16%	"$6,667.00"	14.38%	$958.71
49594	Rpr aa hrn 1st 3-10 ncr/strn	J1	5361	6.11%	"$6,228.97"	14.15%	$881.40
49595	Rpr aa hrn 1st > 10 rdc	J1	5342	14.16%	"$6,667.00"	15.85%	"$1,056.72"
49613	Rpr aa hrn rcr < 3 rdc	J1	5341	10.88%	"$3,698.49"	12.66%	$468.23
49614	Rpr aa hrn rcr < 3 ncr/strn	J1	5361	6.11%	"$6,228.97"	12.98%	$808.52
49615	Rpr aa hrn rcr 3-10 rdc	J1	5342	14.16%	"$6,667.00"	14.37%	$958.05
49650	Lap ing hernia repair init	J1	5361	6.11%	"$6,228.97"	10.60%	$660.27
49651	Lap ing hernia repair recur	J1	5361	6.11%	"$6,228.97"	9.54%	$594.24
49659	Unlstd laps px hrnap hrnrphy	J1	5361	6.11%	"$6,228.97"	9.38%	$584.28
49999	Unlisted px abd pertm&omn	T	5301	3.21%	$937.33	9.57%	$89.70
50020	Drg perirnl/renal absc open	J1	5373	6.53%	"$2,148.57"	0.00%	$0.00
50080	Perq nl/pl lithotrp smpl<2cm	J1	5376	46.88%	"$9,765.07"	15.28%	"$1,492.10"
50081	Perq nl/pl lithotrp cplx>2cm	J1	5376	46.88%	"$9,765.07"	14.78%	"$1,443.28"
50200	Renal biopsy perq	J1	5072	3.86%	"$1,692.22"	0.56%	$9.48
50382	Change ureter stent percut	J1	5373	6.53%	"$2,148.57"	20.43%	$438.95
50384	Remove ureter stent percut	Q2	5373	6.53%	"$2,148.57"	9.78%	$210.13
50385	Change stent via transureth	J1	5373	6.53%	"$2,148.57"	21.44%	$460.65
50386	Remove stent via transureth	Q2	5373	6.53%	"$2,148.57"	6.66%	$143.09
50387	Change nephroureteral cath	J1	5373	6.53%	"$2,148.57"	23.81%	$511.57
50389	Remove renal tube w/fluoro	Q2	5372	0.21%	$709.21	7.46%	$52.91
50390	Drainage of kidney lesion	T	5071	9.91%	$730.32	5.93%	$43.31
50391	Instll rx agnt into rnal tub	T	5371	2.52%	$256.63	0.43%	$1.10
50396	Measure kidney pressure	J1	5372	0.21%	$709.21	0.00%	$0.00
50430	Njx px nfrosgrm &/urtrgrm	Q2	5372	0.21%	$709.21	15.48%	$109.79
50431	Njx px nfrosgrm &/urtrgrm	Q2	5372	0.21%	$709.21	3.60%	$25.53
50432	Plmt nephrostomy catheter	J1	5373	6.53%	"$2,148.57"	18.92%	$406.51
50433	Plmt nephroureteral catheter	J1	5374	8.68%	"$3,629.39"	24.97%	$906.26
50434	Convert nephrostomy catheter	J1	5373	6.53%	"$2,148.57"	28.95%	$622.01
50435	Exchange nephrostomy cath	J1	5373	6.53%	"$2,148.57"	20.52%	$440.89
50436	Dilat xst trc ndurlgc px	J1	5374	8.68%	"$3,629.39"	14.87%	$539.69
50437	Dilat xst trc new access rcs	J1	5374	8.68%	"$3,629.39"	17.37%	$630.43
50541	Laparo ablate renal cyst	J1	5362	9.03%	"$10,966.50"	1.10%	$120.63
50542	Laparo ablate renal mass	J1	5362	9.03%	"$10,966.50"	18.99%	"$2,082.54"
50543	Laparo partial nephrectomy	J1	5362	9.03%	"$10,966.50"	1.59%	$174.37
50544	Laparoscopy pyeloplasty	J1	5362	9.03%	"$10,966.50"	3.50%	$383.83
50549	Unlisted laps px renal	J1	5361	6.11%	"$6,228.97"	1.89%	$117.73
50551	Kidney endoscopy	J1	5375	15.32%	"$5,517.86"	15.43%	$851.41
50553	Kidney endoscopy	J1	5375	15.32%	"$5,517.86"	22.65%	"$1,249.80"
50555	Kidney endoscopy & biopsy	J1	5376	46.88%	"$9,765.07"	8.62%	$841.75
50557	Kidney endoscopy & treatment	J1	5376	46.88%	"$9,765.07"	18.46%	"$1,802.63"
50561	Kidney endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	20.80%	"$1,147.71"
50562	Renal scope w/tumor resect	J1	5376	46.88%	"$9,765.07"	12.50%	"$1,220.63"
50570	Kidney endoscopy	J1	5374	8.68%	"$3,629.39"	12.90%	$468.19
50572	Kidney endoscopy	J1	5372	0.21%	$709.21	22.65%	$160.64
50574	Kidney endoscopy & biopsy	J1	5374	8.68%	"$3,629.39"	17.03%	$618.09
50575	Kidney endoscopy	J1	5375	15.32%	"$5,517.86"	23.79%	"$1,312.70"
50576	Kidney endoscopy & treatment	J1	5376	46.88%	"$9,765.07"	6.58%	$642.54
50580	Kidney endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	16.89%	$931.97
50590	Fragmenting of kidney stone	J1	5374	8.68%	"$3,629.39"	1.29%	$46.82
50592	Perc rf ablate renal tumor	J1	5361	6.11%	"$6,228.97"	17.43%	"$1,085.71"
50593	Perc cryo ablate renal tum	J1	5362	9.03%	"$10,966.50"	47.63%	"$5,223.34"
50688	Change of ureter tube/stent	J1	5373	6.53%	"$2,148.57"	18.32%	$393.62
50693	Plmt ureteral stent prq	J1	5374	8.68%	"$3,629.39"	25.11%	$911.34
50694	Plmt ureteral stent prq	J1	5374	8.68%	"$3,629.39"	25.54%	$926.95
50695	Plmt ureteral stent prq	J1	5374	8.68%	"$3,629.39"	27.20%	$987.19
50727	Revise ureter	J1	5374	8.68%	"$3,629.39"	6.34%	$230.10
50945	Laparoscopy ureterolithotomy	J1	5361	6.11%	"$6,228.97"	7.05%	$439.14
50947	Laparo new ureter/bladder	J1	5362	9.03%	"$10,966.50"	4.41%	$483.62
50948	Laparo new ureter/bladder	J1	5362	9.03%	"$10,966.50"	2.67%	$292.81
50949	Unlisted laps px ureter	J1	5361	6.11%	"$6,228.97"	1.87%	$116.48
50951	Endoscopy of ureter	J1	5374	8.68%	"$3,629.39"	13.03%	$472.91
50953	Endoscopy of ureter	J1	5374	8.68%	"$3,629.39"	11.95%	$433.71
50955	Ureter endoscopy & biopsy	J1	5375	15.32%	"$5,517.86"	11.38%	$627.93
50957	Ureter endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	16.76%	$924.79
50961	Ureter endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	13.18%	$727.25
50970	Ureter endoscopy	J1	5374	8.68%	"$3,629.39"	10.62%	$385.44
50972	Ureter endoscopy & catheter	J1	5374	8.68%	"$3,629.39"	18.35%	$665.99
50974	Ureter endoscopy & biopsy	J1	5375	15.32%	"$5,517.86"	17.45%	$962.87
50976	Ureter endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	29.88%	"$1,648.74"
50980	Ureter endoscopy & treatment	J1	5375	15.32%	"$5,517.86"	7.61%	$419.91
51020	Cystotomy/cystostomy w/fulg	J1	5374	8.68%	"$3,629.39"	1.40%	$50.81
51030	Incise & treat bladder	D				0.00%	
51040	Incise & drain bladder	J1	5373	6.53%	"$2,148.57"	3.70%	$79.50
51045	Incise bladder/drain ureter	J1	5373	6.53%	"$2,148.57"	1.76%	$37.81
51050	Removal of bladder stone	J1	5375	15.32%	"$5,517.86"	3.00%	$165.54
51065	Remove ureter calculus	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
51080	Drainage of bladder abscess	J1	5073	2.26%	"$2,970.38"	8.59%	$255.16
51100	Drain bladder by needle	T	5371	2.52%	$256.63	10.51%	$26.97
51101	Drain bladder by trocar/cath	S	5724	0.05%	$879.34	6.54%	$57.51
51102	Drain bl w/cath insertion	J1	5373	6.53%	"$2,148.57"	9.41%	$202.18
51500	Removal of bladder cyst	J1	5361	6.11%	"$6,228.97"	2.41%	$150.12
51520	Removal of bladder lesion	J1	5374	8.68%	"$3,629.39"	2.40%	$87.11
51535	Repair of ureter lesion	J1	5374	8.68%	"$3,629.39"	16.24%	$589.41
51700	Irrigation of bladder	T	5371	2.52%	$256.63	0.03%	$0.08
51701	Insert bladder catheter	Q1	5734	0.07%	$136.31	0.10%	$0.14
51702	Insert temp bladder cath	Q1	5734	0.07%	$136.31	0.40%	$0.55
51703	Insert bladder cath complex	S	5721	0.04%	$132.89	0.64%	$0.85
51705	Change of bladder tube	T	5371	2.52%	$256.63	4.35%	$11.16
51710	Change of bladder tube	J1	5372	0.21%	$709.21	4.46%	$31.63
51715	Endoscopic injection/implant	J1	5374	8.68%	"$3,629.39"	42.54%	"$1,543.94"
51720	Treatment of bladder lesion	J1	5372	0.21%	$709.21	0.09%	$0.64
51725	Simple cystometrogram	T	5371	2.52%	$256.63	0.20%	$0.51
51726	Complex cystometrogram	T	5371	2.52%	$256.63	0.33%	$0.85
51727	Cystometrogram w/up	J1	5372	0.21%	$709.21	0.15%	$1.06
51728	Cystometrogram w/vp	J1	5372	0.21%	$709.21	0.91%	$6.45
51729	Cystometrogram w/vp&up	J1	5372	0.21%	$709.21	0.45%	$3.19
51736	Urine flow measurement	Q1	5734	0.07%	$136.31	0.00%	$0.00
51741	Electro-uroflowmetry first	Q1	5722	0.01%	$221.14	0.01%	$0.02
51784	Anal/urinary muscle study	S	5721	0.04%	$132.89	0.00%	$0.00
51785	Anal/urinary muscle study	T	5371	2.52%	$256.63	1.03%	$2.64
51798	Us urine capacity measure	Q1	5733	0.06%	$60.59	0.02%	$0.01
51840	Attach bladder/urethra	J1	5415	14.19%	"$5,177.76"	19.94%	"$1,032.45"
51845	Repair bladder neck	J1	5415	14.19%	"$5,177.76"	18.22%	$943.39
51860	Repair of bladder wound	J1	5376	46.88%	"$9,765.07"	9.04%	$882.76
51880	Repair of bladder opening	J1	5374	8.68%	"$3,629.39"	1.12%	$40.65
51990	Laparo urethral suspension	J1	5361	6.11%	"$6,228.97"	13.10%	$816.00
51992	Laparo sling operation	J1	5361	6.11%	"$6,228.97"	37.01%	"$2,305.34"
51999	Unlisted laps px bladder	J1	5361	6.11%	"$6,228.97"	2.34%	$145.76
52000	Cystourethroscopy	J1	5372	0.21%	$709.21	0.16%	$1.13
52001	Cysto w/irrg&evac mlt clots	J1	5374	8.68%	"$3,629.39"	1.24%	$45.00
52005	Cysto w/urtrl cathj	J1	5373	6.53%	"$2,148.57"	4.65%	$99.91
52007	Cysto urtrl cathj brush bx	J1	5374	8.68%	"$3,629.39"	7.30%	$264.95
52010	Cystoscopy & duct catheter	J1	5372	0.21%	$709.21	5.45%	$38.65
52204	Cystoscopy w/biopsy(s)	J1	5373	6.53%	"$2,148.57"	1.14%	$24.49
52214	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	1.57%	$56.98
52224	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	0.97%	$35.21
52234	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	1.41%	$51.17
52235	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	1.47%	$53.35
52240	Cystoscopy and treatment	J1	5375	15.32%	"$5,517.86"	1.58%	$87.18
52250	Cystoscopy and radiotracer	J1	5374	8.68%	"$3,629.39"	3.33%	$120.86
52260	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	0.83%	$17.83
52265	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	0.34%	$7.31
52270	Cystoscopy & revise urethra	J1	5373	6.53%	"$2,148.57"	1.50%	$32.23
52275	Cystoscopy & revise urethra	J1	5373	6.53%	"$2,148.57"	5.05%	$108.50
52276	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	9.45%	$203.04
52277	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	24.17%	$877.22
52281	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	9.00%	$193.37
52282	Cystoscopy implant stent	J1	5374	8.68%	"$3,629.39"	12.65%	$459.12
52283	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	3.67%	$78.85
52284	Cysto rx balo cath urtl strx	J1	5375	15.32%	"$5,517.86"	45.40%	"$2,505.11"
52285	Cystoscopy and treatment	J1	5372	0.21%	$709.21	0.08%	$0.57
52287	Cystoscopy chemodenervation	J1	5373	6.53%	"$2,148.57"	0.57%	$12.25
52290	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	3.56%	$76.49
52300	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	2.82%	$102.35
52301	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	4.60%	$166.95
52305	Cystoscopy and treatment	J1	5375	15.32%	"$5,517.86"	1.95%	$107.60
52310	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	1.07%	$22.99
52315	Cystoscopy and treatment	J1	5373	6.53%	"$2,148.57"	1.51%	$32.44
52317	Remove bladder stone	J1	5374	8.68%	"$3,629.39"	4.04%	$146.63
52318	Remove bladder stone	J1	5374	8.68%	"$3,629.39"	3.32%	$120.50
52320	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	11.06%	$401.41
52325	Cystoscopy stone removal	J1	5375	15.32%	"$5,517.86"	8.98%	$495.50
52327	Cystoscopy inject material	J1	5375	15.32%	"$5,517.86"	42.06%	"$2,320.81"
52330	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	4.78%	$173.48
52332	Cystoscopy and treatment	J1	5374	8.68%	"$3,629.39"	13.72%	$497.95
52334	Create passage to kidney	J1	5374	8.68%	"$3,629.39"	16.10%	$584.33
52341	Cysto w/ureter stricture tx	J1	5374	8.68%	"$3,629.39"	18.30%	$664.18
52342	Cysto w/up stricture tx	J1	5374	8.68%	"$3,629.39"	15.54%	$564.01
52343	Cysto w/renal stricture tx	J1	5374	8.68%	"$3,629.39"	14.85%	$538.96
52344	Cysto/uretero stricture tx	J1	5374	8.68%	"$3,629.39"	20.50%	$744.02
52345	Cysto/uretero w/up stricture	J1	5374	8.68%	"$3,629.39"	22.18%	$805.00
52346	Cystouretero w/renal strict	J1	5375	15.32%	"$5,517.86"	20.59%	"$1,136.13"
52351	Cystouretero & or pyeloscope	J1	5374	8.68%	"$3,629.39"	15.15%	$549.85
52352	Cystouretero w/stone remove	J1	5374	8.68%	"$3,629.39"	15.18%	$550.94
52353	Cystouretero w/lithotripsy	J1	5375	15.32%	"$5,517.86"	12.09%	$667.11
52354	Cystouretero w/biopsy	J1	5375	15.32%	"$5,517.86"	13.39%	$738.84
52355	Cystouretero w/excise tumor	J1	5375	15.32%	"$5,517.86"	11.96%	$659.94
52356	Cysto/uretero w/lithotripsy	J1	5375	15.32%	"$5,517.86"	17.08%	$942.45
52400	Cystouretero w/congen repr	J1	5374	8.68%	"$3,629.39"	1.73%	$62.79
52402	Cystourethro cut ejacul duct	J1	5374	8.68%	"$3,629.39"	0.81%	$29.40
52450	Incision of prostate	J1	5374	8.68%	"$3,629.39"	2.31%	$83.84
52500	Revision of bladder neck	J1	5374	8.68%	"$3,629.39"	3.31%	$120.13
52601	Prostatectomy (turp)	J1	5375	15.32%	"$5,517.86"	1.00%	$55.18
52630	Remove prostate regrowth	J1	5375	15.32%	"$5,517.86"	1.03%	$56.83
52640	Relieve bladder contracture	J1	5374	8.68%	"$3,629.39"	4.80%	$174.21
52647	Laser surgery of prostate	D				3.48%	
52648	Laser surgery of prostate	J1	5375	15.32%	"$5,517.86"	2.55%	$140.71
52649	Prostate laser enucleation	J1	5375	15.32%	"$5,517.86"	3.22%	$177.68
52700	Drainage of prostate abscess	J1	5374	8.68%	"$3,629.39"	0.25%	$9.07
53000	Incision of urethra	J1	5373	6.53%	"$2,148.57"	2.63%	$56.51
53010	Incision of urethra	J1	5375	15.32%	"$5,517.86"	1.78%	$98.22
53020	Incision of urethra	J1	5373	6.53%	"$2,148.57"	0.67%	$14.40
53040	Drainage of urethra abscess	J1	5374	8.68%	"$3,629.39"	0.95%	$34.48
53060	Drainage of urethra abscess	J1	5373	6.53%	"$2,148.57"	0.00%	$0.00
53200	Biopsy of urethra	J1	5373	6.53%	"$2,148.57"	0.31%	$6.66
53210	Removal of urethra	J1	5374	8.68%	"$3,629.39"	0.41%	$14.88
53215	Removal of urethra	J1	5375	15.32%	"$5,517.86"	0.18%	$9.93
53220	Treatment of urethra lesion	J1	5374	8.68%	"$3,629.39"	2.11%	$76.58
53230	Removal of urethra lesion	J1	5375	15.32%	"$5,517.86"	1.53%	$84.42
53235	Removal of urethra lesion	J1	5375	15.32%	"$5,517.86"	1.07%	$59.04
53250	Removal of urethra gland	J1	5374	8.68%	"$3,629.39"	0.06%	$2.18
53260	Treatment of urethra lesion	J1	5374	8.68%	"$3,629.39"	0.44%	$15.97
53265	Treatment of urethra lesion	J1	5373	6.53%	"$2,148.57"	0.38%	$8.16
53270	Removal of urethra gland	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
53275	Repair of urethra defect	J1	5374	8.68%	"$3,629.39"	0.70%	$25.41
53400	Revise urethra stage 1	J1	5375	15.32%	"$5,517.86"	3.54%	$195.33
53405	Revise urethra stage 2	J1	5375	15.32%	"$5,517.86"	1.13%	$62.35
53410	Reconstruction of urethra	J1	5375	15.32%	"$5,517.86"	1.90%	$104.84
53420	Reconstruct urethra stage 1	J1	5375	15.32%	"$5,517.86"	1.01%	$55.73
53425	Reconstruct urethra stage 2	J1	5375	15.32%	"$5,517.86"	1.19%	$65.66
53430	Reconstruction of urethra	J1	5375	15.32%	"$5,517.86"	2.36%	$130.22
53431	Reconstruct urethra/bladder	J1	5375	15.32%	"$5,517.86"	4.97%	$274.24
53440	Male sling procedure	J1	5377	64.83%	"$13,652.05"	63.92%	"$8,726.39"
53442	Remove/revise male sling	J1	5375	15.32%	"$5,517.86"	29.01%	"$1,600.73"
53444	Insert tandem cuff	J1	5378	69.33%	"$21,027.13"	64.10%	"$13,478.39"
53445	Insert uro/ves nck sphincter	J1	5378	69.33%	"$21,027.13"	70.38%	"$14,798.89"
53446	Remove uro sphincter	Q2	5375	15.32%	"$5,517.86"	2.28%	$125.81
53447	Remove/replace ur sphincter	J1	5378	69.33%	"$21,027.13"	67.01%	"$14,090.28"
53449	Repair uro sphincter	J1	5376	46.88%	"$9,765.07"	27.04%	"$2,640.47"
53450	Revision of urethra	J1	5374	8.68%	"$3,629.39"	1.44%	$52.26
53451	Tprnl balo cntnc dev bi	J1	5377	64.83%	"$13,652.05"	68.67%	"$9,374.86"
53452	Tprnl balo cntnc dev uni	J1	5376	46.88%	"$9,765.07"	63.02%	"$6,153.95"
53453	Tprnl balo cntnc dev rmvl ea	J1	5374	8.68%	"$3,629.39"	21.42%	$777.42
53454	Tprnl balo cntnc dev adjmt	T	5371	2.52%	$256.63	0.00%	$0.00
53460	Revision of urethra	J1	5374	8.68%	"$3,629.39"	8.20%	$297.61
53500	Urethrlys transvag w/ scope	J1	5374	8.68%	"$3,629.39"	2.48%	$90.01
53502	Repair of urethra injury	J1	5374	8.68%	"$3,629.39"	5.09%	$184.74
53505	Repair of urethra injury	J1	5375	15.32%	"$5,517.86"	12.05%	$664.90
53510	Repair of urethra injury	J1	5375	15.32%	"$5,517.86"	1.24%	$68.42
53515	Repair of urethra injury	J1	5375	15.32%	"$5,517.86"	3.27%	$180.43
53520	Repair of urethra defect	J1	5375	15.32%	"$5,517.86"	2.22%	$122.50
53600	Dilate urethra stricture	T	5371	2.52%	$256.63	11.47%	$29.44
53601	Dilate urethra stricture	Q1	5734	0.07%	$136.31	44.03%	$60.02
53605	Dilate urethra stricture	J1	5374	8.68%	"$3,629.39"	10.68%	$387.62
53620	Dilate urethra stricture	J1	5372	0.21%	$709.21	0.43%	$3.05
53621	Dilate urethra stricture	T	5371	2.52%	$256.63	0.00%	$0.00
53660	Dilation of urethra	S	5721	0.04%	$132.89	0.00%	$0.00
53661	Dilation of urethra	Q1	5734	0.07%	$136.31	0.00%	$0.00
53665	Dilation of urethra	J1	5373	6.53%	"$2,148.57"	3.48%	$74.77
53850	Prostatic microwave thermotx	J1	5374	8.68%	"$3,629.39"	0.06%	$2.18
53852	Prostatic rf thermotx	J1	5374	8.68%	"$3,629.39"	6.12%	$222.12
53854	Trurl dstrj prst8 tiss rf wv	J1	5374	8.68%	"$3,629.39"	14.70%	$533.52
53855	Insert prost urethral stent	J1	5373	6.53%	"$2,148.57"	65.14%	"$1,399.58"
53899	Unlisted px urinary system	T	5371	2.52%	$256.63	8.17%	$20.97
54001	Slitting of prepuce	J1	5373	6.53%	"$2,148.57"	0.26%	$5.59
54015	Drain penis lesion	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
54050	Destruction penis lesion(s)	Q1	5052	0.04%	$414.63	0.00%	$0.00
54055	Destruction penis lesion(s)	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
54056	Cryosurgery penis lesion(s)	Q1	5051	0.01%	$203.69	0.00%	$0.00
54057	Laser surg penis lesion(s)	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
54060	Excision of penis lesion(s)	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
54065	Destruction penis lesion(s)	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
54100	Biopsy of penis	J1	5072	3.86%	"$1,692.22"	0.07%	$1.18
54105	Biopsy of penis	J1	5073	2.26%	"$2,970.38"	0.25%	$7.43
54110	Treatment of penis lesion	J1	5374	8.68%	"$3,629.39"	5.56%	$201.79
54111	Treat penis lesion graft	J1	5375	15.32%	"$5,517.86"	16.86%	$930.31
54112	Treat penis lesion graft	J1	5376	46.88%	"$9,765.07"	18.08%	"$1,765.52"
54115	Treatment of penis lesion	J1	5073	2.26%	"$2,970.38"	0.48%	$14.26
54120	Partial removal of penis	J1	5374	8.68%	"$3,629.39"	0.09%	$3.27
54150	Circumcision w/regionl block	J1	5373	6.53%	"$2,148.57"	0.17%	$3.65
54160	Circumcision neonate	J1	5372	0.21%	$709.21	0.00%	$0.00
54161	Circum 28 days or older	J1	5373	6.53%	"$2,148.57"	0.18%	$3.87
54162	Lysis penil circumic lesion	J1	5373	6.53%	"$2,148.57"	0.14%	$3.01
54163	Repair of circumcision	J1	5373	6.53%	"$2,148.57"	0.52%	$11.17
54164	Frenulotomy of penis	J1	5373	6.53%	"$2,148.57"	0.00%	$0.00
54200	Injection px peyronie ds	T	5371	2.52%	$256.63	0.00%	$0.00
54205	Njx px peyronie ds exps plaq	J1	5375	15.32%	"$5,517.86"	0.04%	$2.21
54220	Irrg crpra cavrnosa priapism	T	5371	2.52%	$256.63	0.00%	$0.00
54235	Njx corpora cavernosa rx agt	T	5371	2.52%	$256.63	0.00%	$0.00
54240	Penile plethysmography	S	5722	0.01%	$221.14	0.00%	$0.00
54250	Nctrnl pen tmscn&/rgdity tst	T	5371	2.52%	$256.63	0.08%	$0.21
54300	Revision of penis	J1	5374	8.68%	"$3,629.39"	7.28%	$264.22
54304	Revision of penis	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54318	Reconstruction of urethra	J1	5374	8.68%	"$3,629.39"	7.41%	$268.94
54322	Reconstruction of urethra	J1	5374	8.68%	"$3,629.39"	0.90%	$32.66
54324	Reconstruction of urethra	J1	5374	8.68%	"$3,629.39"	1.49%	$54.08
54326	Reconstruction of urethra	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54340	Rpr hypspad comp simple	J1	5374	8.68%	"$3,629.39"	2.04%	$74.04
54344	Rrp hypspad comp moblj&urtp	J1	5376	46.88%	"$9,765.07"	0.04%	$3.91
54348	Rpr hypspad comp dsj & urtp	J1	5375	15.32%	"$5,517.86"	9.88%	$545.16
54352	Revj prior hypspad repair	J1	5375	15.32%	"$5,517.86"	0.00%	$0.00
54360	Penis plastic surgery	J1	5374	8.68%	"$3,629.39"	2.82%	$102.35
54400	Insert semi-rigid prosthesis	J1	5377	64.83%	"$13,652.05"	67.60%	"$9,228.79"
54401	Insert self-contd prosthesis	J1	5378	69.33%	"$21,027.13"	68.93%	"$14,494.00"
54405	Insert multi-comp penis pros	J1	5378	69.33%	"$21,027.13"	70.23%	"$14,767.35"
54406	Remove muti-comp penis pros	Q2	5374	8.68%	"$3,629.39"	2.33%	$84.56
54408	Repair multi-comp penis pros	J1	5375	15.32%	"$5,517.86"	23.53%	"$1,298.35"
54410	Remove/replace penis prosth	J1	5378	69.33%	"$21,027.13"	65.54%	"$13,781.18"
54411	Remov/replc penis pros comp	J1	5378	69.33%	"$21,027.13"	66.12%	"$13,903.14"
54415	Remove self-contd penis pros	Q2	5374	8.68%	"$3,629.39"	3.83%	$139.01
54416	Remv/repl penis contain pros	J1	5378	69.33%	"$21,027.13"	66.55%	"$13,993.56"
54417	Remv/replc penis pros compl	J1	5377	64.83%	"$13,652.05"	62.29%	"$8,503.86"
54420	Revision of penis	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54435	Revision of penis	J1	5374	8.68%	"$3,629.39"	0.05%	$1.81
54437	Repair corporeal tear	J1	5374	8.68%	"$3,629.39"	0.44%	$15.97
54440	Repair of penis	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54450	Preputial stretching	T	5371	2.52%	$256.63	0.05%	$0.13
54500	Biopsy of testis	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
54505	Biopsy of testis	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54512	Excise lesion testis	J1	5374	8.68%	"$3,629.39"	1.40%	$50.81
54520	Removal of testis	J1	5374	8.68%	"$3,629.39"	1.19%	$43.19
54522	Orchiectomy partial	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54530	Removal of testis	J1	5341	10.88%	"$3,698.49"	0.80%	$29.59
54535	Extensive testis surgery	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54550	Exploration for testis	J1	5341	10.88%	"$3,698.49"	0.00%	$0.00
54560	Exploration for testis	J1	5373	6.53%	"$2,148.57"	0.00%	$0.00
54600	Reduce testis torsion	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54620	Suspension of testis	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
54640	Orchiopexy ingun/scrot appr	J1	5341	10.88%	"$3,698.49"	0.18%	$6.66
54650	Orchiopexy (fowler-stephens)	J1	5341	10.88%	"$3,698.49"	0.00%	$0.00
54660	Revision of testis	J1	5375	15.32%	"$5,517.86"	45.75%	"$2,524.42"
54690	Laparoscopy orchiectomy	J1	5361	6.11%	"$6,228.97"	0.29%	$18.06
54692	Laparoscopy orchiopexy	J1	5361	6.11%	"$6,228.97"	0.60%	$37.37
54699	Unlisted laps px testis	J1	5361	6.11%	"$6,228.97"	7.41%	$461.57
54700	Drainage of scrotum	J1	5373	6.53%	"$2,148.57"	0.10%	$2.15
54800	Biopsy of epididymis	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
54830	Remove epididymis lesion	J1	5374	8.68%	"$3,629.39"	0.28%	$10.16
54840	Remove epididymis lesion	J1	5373	6.53%	"$2,148.57"	0.15%	$3.22
54860	Removal of epididymis	J1	5374	8.68%	"$3,629.39"	0.24%	$8.71
54861	Removal of epididymis	J1	5374	8.68%	"$3,629.39"	0.01%	$0.36
54865	Explore epididymis	J1	5374	8.68%	"$3,629.39"	4.18%	$151.71
55000	Drainage of hydrocele	T	5071	9.91%	$730.32	1.50%	$10.95
55040	Removal of hydrocele	J1	5341	10.88%	"$3,698.49"	0.26%	$9.62
55041	Removal of hydroceles	J1	5341	10.88%	"$3,698.49"	0.18%	$6.66
55060	Repair of hydrocele	J1	5374	8.68%	"$3,629.39"	0.76%	$27.58
55100	Drainage of scrotum abscess	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
55110	Explore scrotum	J1	5374	8.68%	"$3,629.39"	1.22%	$44.28
55120	Removal of scrotum lesion	J1	5373	6.53%	"$2,148.57"	0.00%	$0.00
55150	Removal of scrotum	J1	5374	8.68%	"$3,629.39"	1.86%	$67.51
55175	Revision of scrotum	J1	5374	8.68%	"$3,629.39"	2.09%	$75.85
55180	Revision of scrotum	J1	5375	15.32%	"$5,517.86"	0.89%	$49.11
55250	Removal of sperm duct(s)	J1	5373	6.53%	"$2,148.57"	0.02%	$0.43
55400	Repair of sperm duct	J1	5374	8.68%	"$3,629.39"	0.11%	$3.99
55500	Removal of hydrocele	J1	5374	8.68%	"$3,629.39"	0.95%	$34.48
55520	Removal of sperm cord lesion	J1	5374	8.68%	"$3,629.39"	2.09%	$75.85
55530	Revise spermatic cord veins	J1	5374	8.68%	"$3,629.39"	0.85%	$30.85
55535	Revise spermatic cord veins	J1	5342	14.16%	"$6,667.00"	2.67%	$178.01
55540	Revise hernia & sperm veins	J1	5341	10.88%	"$3,698.49"	2.88%	$106.52
55550	Laparo ligate spermatic vein	J1	5361	6.11%	"$6,228.97"	0.00%	$0.00
55559	Unlstd laps px sprmatic cord	J1	5361	6.11%	"$6,228.97"	7.29%	$454.09
55700	Biopsy of prostate	D				0.25%	
55705	Bx prst8 any approach nonimg	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
55706	Prostate saturation sampling	J1	5374	8.68%	"$3,629.39"	0.83%	$30.12
55720	Drainage of prostate abscess	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
55725	Drainage of prostate abscess	J1	5374	8.68%	"$3,629.39"	0.00%	$0.00
55860	Surgical exposure prostate	J1	5375	15.32%	"$5,517.86"	17.37%	$958.45
55866	Laps surg prst8ect rpbic rad	J1	5362	9.03%	"$10,966.50"	1.00%	$109.67
55867	Laps surg prst8ect smpl stot	J1	5362	9.03%	"$10,966.50"	0.89%	$97.60
55870	Electroejaculation	T	5413	0.17%	$946.80	0.12%	$1.14
55873	Cryoablate prostate	J1	5376	46.88%	"$9,765.07"	47.28%	"$4,616.93"
55874	Tprnl plmt biodegrdabl matrl	J1	5375	15.32%	"$5,517.86"	57.04%	"$3,147.39"
55875	Transperi needle place pros	J1	5375	15.32%	"$5,517.86"	15.38%	$848.65
55876	Place rt device/marker pros	S	5613	0.58%	"$1,430.97"	36.60%	$523.74
55880	Abltj mal prst8 tiss hifu	J1	5376	46.88%	"$9,765.07"	18.44%	"$1,800.68"
55899	Unlisted px male genital sys	T	5371	2.52%	$256.63	6.41%	$16.45
55920	Place needles pelvic for rt	J1	5415	14.19%	"$5,177.76"	6.34%	$328.27
55970	Sex transformation m to f	J1	5415	14.19%	"$5,177.76"	0.54%	$27.96
55980	Sex transformation f to m	J1	5374	8.68%	"$3,629.39"	15.42%	$559.65
56405	I & d of vulva/perineum	T	5412	0.03%	$313.90	0.02%	$0.06
56420	Drainage of gland abscess	T	5411	0.16%	$208.45	0.01%	$0.02
56440	Mrsplzatn brthlns glnd cst	J1	5414	3.14%	"$3,360.20"	0.42%	$14.11
56441	Lysis of labial adhesions	J1	5414	3.14%	"$3,360.20"	0.36%	$12.10
56442	Hymenotomy	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
56501	Destroy vulva lesions sim	T	5054	0.98%	"$2,137.45"	0.13%	$2.78
56515	Destroy vulva lesion/s compl	T	5054	0.98%	"$2,137.45"	0.02%	$0.43
56605	Biopsy of vulva/perineum	T	5413	0.17%	$946.80	0.06%	$0.57
56620	Vulvectomy simple partial	J1	5414	3.14%	"$3,360.20"	0.09%	$3.02
56625	Vulvectomy simple complete	J1	5414	3.14%	"$3,360.20"	0.07%	$2.35
56630	Vulvectomy radical partial	J1	5415	14.19%	"$5,177.76"	0.66%	$34.17
56700	Prtl hymnctmy/revj hymnl rng	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
56740	Exc bartholins gland/cyst	J1	5414	3.14%	"$3,360.20"	0.62%	$20.83
56800	Plastic repair introitus	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
56805	Clitoroplasty intersex state	J1	5414	3.14%	"$3,360.20"	0.07%	$2.35
56810	Perineoplasty rpr per nonob	J1	5414	3.14%	"$3,360.20"	0.26%	$8.74
56820	Colposcopy vulva	T	5411	0.16%	$208.45	0.00%	$0.00
56821	Colposcopy vulva w/biopsy	T	5412	0.03%	$313.90	0.00%	$0.00
57000	Colpotomy w/exploration	J1	5414	3.14%	"$3,360.20"	2.96%	$99.46
57010	Colpotomy drg pel abscess	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57020	Colpocentesis sep px	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
57023	I&d vaginal hematoma non-ob	J1	5073	2.26%	"$2,970.38"	0.00%	$0.00
57061	Destruction vag lesions smpl	J1	5414	3.14%	"$3,360.20"	0.25%	$8.40
57065	Destruction vag lesion xtnsv	J1	5414	3.14%	"$3,360.20"	0.05%	$1.68
57100	Biopsy vaginal mucosa simple	T	5413	0.17%	$946.80	0.42%	$3.98
57105	Biopsy vaginal mucosa xtnsv	J1	5414	3.14%	"$3,360.20"	0.13%	$4.37
57106	Vagnc prtl rmvl vag wall	J1	5414	3.14%	"$3,360.20"	1.30%	$43.68
57107	Vagnc compl rmvl paravag tis	J1	5414	3.14%	"$3,360.20"	0.09%	$3.02
57109	Vagnc bi total pel lymphadec	J1	5414	3.14%	"$3,360.20"	5.03%	$169.02
57120	Colpocleisis le fort type	J1	5415	14.19%	"$5,177.76"	2.92%	$151.19
57130	Excision vaginal septum	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57135	Excision vaginal cyst/tumor	J1	5414	3.14%	"$3,360.20"	0.34%	$11.42
57150	Treat vagina infection	Q1	5733	0.06%	$60.59	0.00%	$0.00
57155	Insert uteri tandem/ovoids	J1	5415	14.19%	"$5,177.76"	1.67%	$86.47
57156	Ins vag brachytx device	T	5412	0.03%	$313.90	0.00%	$0.00
57160	Insert pessary/other device	T	5411	0.16%	$208.45	0.38%	$0.79
57170	Fitting of diaphragm/cap	T	5411	0.16%	$208.45	0.00%	$0.00
57180	Treat vaginal bleeding	T	5411	0.16%	$208.45	0.00%	$0.00
57200	Repair of vagina	J1	5414	3.14%	"$3,360.20"	0.43%	$14.45
57210	Repair vagina/perineum	J1	5414	3.14%	"$3,360.20"	2.01%	$67.54
57220	Revision of urethra	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
57230	Repair of urethral lesion	J1	5414	3.14%	"$3,360.20"	0.11%	$3.70
57240	Anterior colporrhaphy	J1	5415	14.19%	"$5,177.76"	6.07%	$314.29
57250	Repair rectum & vagina	J1	5415	14.19%	"$5,177.76"	5.11%	$264.58
57260	Cmbn ant pst colprhy	J1	5415	14.19%	"$5,177.76"	5.09%	$263.55
57265	Cmbn ap colprhy w/ntrcl rpr	J1	5415	14.19%	"$5,177.76"	11.57%	$599.07
57268	Repair of bowel bulge	J1	5415	14.19%	"$5,177.76"	4.88%	$252.67
57282	Colpopexy extraperitoneal	J1	5416	17.48%	"$7,662.47"	21.93%	"$1,680.38"
57283	Colpopexy intraperitoneal	J1	5416	17.48%	"$7,662.47"	8.80%	$674.30
57284	Repair paravag defect open	J1	5415	14.19%	"$5,177.76"	21.81%	"$1,129.27"
57285	Repair paravag defect vag	J1	5416	17.48%	"$7,662.47"	18.65%	"$1,429.05"
57287	Revise/remove sling repair	Q2	5414	3.14%	"$3,360.20"	3.53%	$118.62
57288	Repair bladder defect	J1	5415	14.19%	"$5,177.76"	30.34%	"$1,570.93"
57289	Repair bladder & vagina	J1	5416	17.48%	"$7,662.47"	0.00%	$0.00
57292	Construct vagina with graft	J1	5415	14.19%	"$5,177.76"	3.91%	$202.45
57295	Revise vag graft via vagina	J1	5414	3.14%	"$3,360.20"	2.27%	$76.28
57300	Repair rectum-vagina fistula	J1	5414	3.14%	"$3,360.20"	4.87%	$163.64
57310	Repair urethrovaginal lesion	J1	5416	17.48%	"$7,662.47"	2.86%	$219.15
57320	Repair bladder-vagina lesion	J1	5415	14.19%	"$5,177.76"	4.34%	$224.71
57330	Repair bladder-vagina lesion	J1	5416	17.48%	"$7,662.47"	15.58%	"$1,193.81"
57335	Repair vagina	J1	5415	14.19%	"$5,177.76"	12.01%	$621.85
57400	Dilation of vagina	J1	5414	3.14%	"$3,360.20"	0.68%	$22.85
57410	Pelvic examination	J1	5414	3.14%	"$3,360.20"	0.43%	$14.45
57415	Remove vaginal foreign body	J1	5414	3.14%	"$3,360.20"	0.37%	$12.43
57420	Exam of vagina w/scope	T	5412	0.03%	$313.90	0.24%	$0.75
57421	Exam/biopsy of vag w/scope	T	5413	0.17%	$946.80	0.17%	$1.61
57423	Repair paravag defect lap	J1	5362	9.03%	"$10,966.50"	13.88%	"$1,522.15"
57425	Laparoscopy surg colpopexy	J1	5362	9.03%	"$10,966.50"	15.20%	"$1,666.91"
57426	Revise prosth vag graft lap	J1	5416	17.48%	"$7,662.47"	3.66%	$280.45
57452	Exam of cervix w/scope	T	5411	0.16%	$208.45	0.01%	$0.02
57454	Bx/curett of cervix w/scope	T	5412	0.03%	$313.90	0.00%	$0.00
57455	Biopsy of cervix w/scope	T	5412	0.03%	$313.90	0.00%	$0.00
57456	Endocerv curettage w/scope	T	5412	0.03%	$313.90	0.00%	$0.00
57460	Bx of cervix w/scope leep	J1	5414	3.14%	"$3,360.20"	0.28%	$9.41
57461	Conz of cervix w/scope leep	J1	5414	3.14%	"$3,360.20"	0.01%	$0.34
57500	Biopsy of cervix	T	5413	0.17%	$946.80	0.19%	$1.80
57505	Endocervical curettage	T	5413	0.17%	$946.80	0.81%	$7.67
57510	Cauterization of cervix	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57511	Cryocautery of cervix	T	5412	0.03%	$313.90	0.00%	$0.00
57513	Laser surgery of cervix	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57520	Conization of cervix	J1	5414	3.14%	"$3,360.20"	0.24%	$8.06
57522	Conization of cervix	J1	5414	3.14%	"$3,360.20"	0.22%	$7.39
57530	Removal of cervix	J1	5415	14.19%	"$5,177.76"	4.18%	$216.43
57550	Removal of residual cervix	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
57555	Remove cervix/repair vagina	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
57556	Remove cervix repair bowel	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
57558	D&c of cervical stump	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57700	Revision of cervix	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
57720	Revision of cervix	J1	5414	3.14%	"$3,360.20"	0.01%	$0.34
57800	Dilation of cervical canal	J1	5414	3.14%	"$3,360.20"	1.12%	$37.63
58100	Biopsy of uterus lining	T	5411	0.16%	$208.45	0.06%	$0.13
58120	Dilation and curettage	J1	5414	3.14%	"$3,360.20"	0.48%	$16.13
58145	Myomectomy vag method	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
58260	Vaginal hysterectomy	J1	5415	14.19%	"$5,177.76"	2.14%	$110.80
58262	Vag hyst including t/o	J1	5415	14.19%	"$5,177.76"	1.66%	$85.95
58263	Vag hyst w/t/o & vag repair	J1	5415	14.19%	"$5,177.76"	3.30%	$170.87
58270	Vag hyst w/enterocele repair	J1	5415	14.19%	"$5,177.76"	2.76%	$142.91
58290	Vag hyst complex	J1	5416	17.48%	"$7,662.47"	8.02%	$614.53
58291	Vag hyst incl t/o complex	J1	5415	14.19%	"$5,177.76"	6.04%	$312.74
58292	Vag hyst t/o & repair compl	J1	5416	17.48%	"$7,662.47"	13.58%	"$1,040.56"
58301	Remove intrauterine device	Q2	5412	0.03%	$313.90	0.37%	$1.16
58322	Artificial insemination	T	5411	0.16%	$208.45	0.00%	$0.00
58323	Sperm washing	T	5411	0.16%	$208.45	0.00%	$0.00
58345	Reopen fallopian tube	J1	5414	3.14%	"$3,360.20"	24.75%	$831.65
58346	Insert heyman uteri capsule	J1	5415	14.19%	"$5,177.76"	0.05%	$2.59
58350	Reopen fallopian tube	J1	5415	14.19%	"$5,177.76"	4.66%	$241.28
58353	Endometr ablate thermal	J1	5415	14.19%	"$5,177.76"	4.11%	$212.81
58356	Endometrial cryoablation	J1	5415	14.19%	"$5,177.76"	20.83%	"$1,078.53"
58541	Lsh uterus 250 g or less	J1	5362	9.03%	"$10,966.50"	13.24%	"$1,451.96"
58542	Lsh w/t/o ut 250 g or less	J1	5362	9.03%	"$10,966.50"	12.33%	"$1,352.17"
58543	Lsh uterus above 250 g	J1	5362	9.03%	"$10,966.50"	10.87%	"$1,192.06"
58544	Lsh w/t/o uterus above 250 g	J1	5362	9.03%	"$10,966.50"	1.67%	$183.14
58545	Laparoscopic myomectomy	J1	5361	6.11%	"$6,228.97"	4.14%	$257.88
58546	Laparo-myomectomy complex	J1	5362	9.03%	"$10,966.50"	2.95%	$323.51
58550	Laparo-asst vag hysterectomy	J1	5361	6.11%	"$6,228.97"	2.95%	$183.75
58552	Laparo-vag hyst incl t/o	J1	5362	9.03%	"$10,966.50"	4.02%	$440.85
58553	Laparo-vag hyst complex	J1	5362	9.03%	"$10,966.50"	3.53%	$387.12
58554	Laparo-vag hyst w/t/o compl	J1	5362	9.03%	"$10,966.50"	1.60%	$175.46
58555	Hysteroscopy dx sep proc	J1	5414	3.14%	"$3,360.20"	1.24%	$41.67
58558	Hysteroscopy biopsy	J1	5414	3.14%	"$3,360.20"	3.99%	$134.07
58559	Hysteroscopy lysis	J1	5415	14.19%	"$5,177.76"	3.80%	$196.75
58560	Hysteroscopy resect septum	J1	5415	14.19%	"$5,177.76"	9.36%	$484.64
58561	Hysteroscopy remove myoma	J1	5415	14.19%	"$5,177.76"	6.02%	$311.70
58562	Hysteroscopy remove fb	J1	5414	3.14%	"$3,360.20"	1.45%	$48.72
58563	Hysteroscopy ablation	J1	5415	14.19%	"$5,177.76"	6.49%	$336.04
58565	Hysteroscopy sterilization	J1	5415	14.19%	"$5,177.76"	0.00%	$0.00
58570	Tlh uterus 250 g or less	J1	5362	9.03%	"$10,966.50"	1.85%	$202.88
58571	Tlh w/t/o 250 g or less	J1	5362	9.03%	"$10,966.50"	1.36%	$149.14
58572	Tlh uterus over 250 g	J1	5362	9.03%	"$10,966.50"	0.60%	$65.80
58573	Tlh w/t/o uterus over 250 g	J1	5362	9.03%	"$10,966.50"	0.92%	$100.89
58578	Unlisted laps px uterus	J1	5361	6.11%	"$6,228.97"	1.03%	$64.16
58579	Unlisted hystsc px uterus	T	5411	0.16%	$208.45	0.08%	$0.17
58580	Transcrv abltj utrn fibrd rf	J1	5416	17.48%	"$7,662.47"	43.60%	"$3,340.84"
58615	Occlude fallopian tube(s)	J1	5414	3.14%	"$3,360.20"	7.69%	$258.40
58660	Laparoscopy lysis	J1	5361	6.11%	"$6,228.97"	0.74%	$46.09
58661	Laparoscopy remove adnexa	J1	5361	6.11%	"$6,228.97"	0.88%	$54.81
58662	Laparoscopy excise lesions	J1	5361	6.11%	"$6,228.97"	1.30%	$80.98
58670	Laparoscopy tubal cautery	J1	5361	6.11%	"$6,228.97"	1.15%	$71.63
58671	Laparoscopy tubal block	J1	5361	6.11%	"$6,228.97"	5.31%	$330.76
58673	Laparoscopy salpingostomy	J1	5362	9.03%	"$10,966.50"	1.56%	$171.08
58674	Laps abltj uterine fibroids	J1	5362	9.03%	"$10,966.50"	12.95%	"$1,420.16"
58679	Unlisted laps px ovidct ovry	J1	5361	6.11%	"$6,228.97"	0.11%	$6.85
58800	Drainage of ovarian cyst(s)	J1	5414	3.14%	"$3,360.20"	15.48%	$520.16
58805	Drainage of ovarian cyst(s)	J1	5414	3.14%	"$3,360.20"	3.52%	$118.28
58900	Biopsy of ovary(s)	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
58925	Removal of ovarian cyst(s)	J1	5415	14.19%	"$5,177.76"	2.79%	$144.46
58970	Retrieval of oocyte	T	5413	0.17%	$946.80	0.00%	$0.00
58999	Unlisted px fml genital sys	T	5411	0.16%	$208.45	2.82%	$5.88
59000	Amniocentesis diagnostic	T	5413	0.17%	$946.80	0.00%	$0.00
59015	Chorion biopsy	T	5413	0.17%	$946.80	0.00%	$0.00
59020	Fetal contract stress test	T	5411	0.16%	$208.45	0.00%	$0.00
59025	Fetal non-stress test	T	5411	0.16%	$208.45	0.00%	$0.00
59150	Treat ectopic pregnancy	J1	5361	6.11%	"$6,228.97"	0.37%	$23.05
59151	Treat ectopic pregnancy	J1	5361	6.11%	"$6,228.97"	0.02%	$1.25
59160	D & c after delivery	J1	5414	3.14%	"$3,360.20"	0.01%	$0.34
59200	Insert cervical dilator	T	5412	0.03%	$313.90	0.00%	$0.00
59300	Episiotomy or vaginal repair	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59320	Revision of cervix	J1	5414	3.14%	"$3,360.20"	0.01%	$0.34
59409	Obstetrical care	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59412	Antepartum manipulation	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59414	Deliver placenta	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59812	Treatment of miscarriage	J1	5414	3.14%	"$3,360.20"	0.23%	$7.73
59820	Care of miscarriage	J1	5414	3.14%	"$3,360.20"	0.08%	$2.69
59821	Treatment of miscarriage	J1	5414	3.14%	"$3,360.20"	0.01%	$0.34
59840	Induced abortion d&c	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59841	Induced abortion dilat&evac	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59870	Evacuate mole of uterus	J1	5414	3.14%	"$3,360.20"	0.00%	$0.00
59899	Unlisted px mat care&dlvr	T	5411	0.16%	$208.45	0.00%	$0.00
60000	Drain thyroid/tongue cyst	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
60100	Biopsy of thyroid	T	5071	9.91%	$730.32	0.56%	$4.09
60200	Remove thyroid lesion	J1	5361	6.11%	"$6,228.97"	0.89%	$55.44
60210	Partial thyroid excision	J1	5361	6.11%	"$6,228.97"	0.53%	$33.01
60212	Partial thyroid excision	J1	5361	6.11%	"$6,228.97"	0.47%	$29.28
60220	Partial removal of thyroid	J1	5361	6.11%	"$6,228.97"	0.70%	$43.60
60225	Partial removal of thyroid	J1	5361	6.11%	"$6,228.97"	0.54%	$33.64
60240	Removal of thyroid	J1	5361	6.11%	"$6,228.97"	0.80%	$49.83
60252	Removal of thyroid	J1	5165	5.32%	"$6,182.21"	0.79%	$48.84
60260	Repeat thyroid surgery	J1	5165	5.32%	"$6,182.21"	0.61%	$37.71
60271	Removal of thyroid	J1	5165	5.32%	"$6,182.21"	0.66%	$40.80
60280	Remove thyroid duct lesion	J1	5361	6.11%	"$6,228.97"	0.37%	$23.05
60281	Remove thyroid duct lesion	J1	5361	6.11%	"$6,228.97"	0.00%	$0.00
60300	Aspir/inj thyroid cyst	T	5071	9.91%	$730.32	0.16%	$1.17
60500	Explore parathyroid glands	J1	5165	5.32%	"$6,182.21"	0.67%	$41.42
60502	Re-explore parathyroids	J1	5165	5.32%	"$6,182.21"	0.63%	$38.95
60520	Removal of thymus gland	J1	5165	5.32%	"$6,182.21"	0.47%	$29.06
60659	Unlisted laps px endoc sys	J1	5361	6.11%	"$6,228.97"	4.32%	$269.09
60699	Unlisted px endocrine system	J1	5361	6.11%	"$6,228.97"	9.27%	$577.43
61020	Remove brain cavity fluid	T	5443	0.28%	$904.38	0.00%	$0.00
61026	Injection into brain canal	T	5442	0.20%	$723.92	0.00%	$0.00
61050	Remove brain canal fluid	T	5441	0.09%	$312.43	0.00%	$0.00
61055	Injection into brain canal	T	5441	0.09%	$312.43	0.00%	$0.00
61070	Brain canal shunt procedure	T	5442	0.20%	$723.92	0.18%	$1.30
61215	Ins subq rsvr pmp/nfs sys	J1	5432	15.05%	"$4,670.04"	8.97%	$418.90
61330	Dcmprn orbit only transcrnl	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
61623	Endovasc tempory vessel occl	J1	5193	37.37%	"$11,873.70"	32.34%	"$3,839.95"
61624	Tcat perm occls/embolj cns	J1	5194	53.20%	"$18,791.32"	51.60%	"$9,696.32"
61626	Tcat perm occls/embol noncns	J1	5193	37.37%	"$11,873.70"	40.44%	"$4,801.72"
61715	Mrgfus strtctc ablt trgt icr	J1	5463	27.08%	"$11,703.42"	0.72%	$84.26
61720	Incise skull/brain surgery	J1	5432	15.05%	"$4,670.04"	1.95%	$91.07
61770	Incise skull for treatment	J1	5432	15.05%	"$4,670.04"	0.00%	$0.00
61790	Treat trigeminal nerve	J1	5431	1.04%	"$1,999.82"	0.82%	$16.40
61791	Treat trigeminal tract	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
61880	Revise/remove neuroelectrode	J1	5461	10.24%	"$3,722.72"	12.00%	$446.73
61885	Insrt/redo neurostim 1 array	J1	5465	82.24%	"$31,751.65"	86.76%	"$27,547.73"
61886	Implant neurostim arrays	J1	5465	82.24%	"$31,751.65"	82.60%	"$26,226.86"
61888	Revise/remove neuroreceiver	J1	5463	27.08%	"$11,703.42"	53.34%	"$6,242.60"
61891	Rev/rplcmt sk-mnt crnl nstm	J1	5464	80.24%	"$20,126.69"	78.85%	"$15,869.90"
62225	Replace/irrigate catheter	J1	5432	15.05%	"$4,670.04"	13.83%	$645.87
62230	Replace/revise brain shunt	J1	5432	15.05%	"$4,670.04"	24.57%	"$1,147.43"
62252	Csf shunt reprogram	S	5743	0.44%	$316.08	0.00%	$0.00
62263	Epidural lysis mult sessions	T	5443	0.28%	$904.38	10.34%	$93.51
62264	Epidural lysis on single day	T	5443	0.28%	$904.38	2.19%	$19.81
62267	Interdiscal perq aspir dx	T	5071	9.91%	$730.32	2.40%	$17.53
62268	Drain spinal cord cyst	T	5443	0.28%	$904.38	0.18%	$1.63
62269	Needle biopsy spinal cord	J1	5072	3.86%	"$1,692.22"	3.31%	$56.01
62270	Dx lmbr spi pnxr	T	5442	0.20%	$723.92	0.09%	$0.65
62272	Ther spi pnxr drg csf	T	5442	0.20%	$723.92	1.66%	$12.02
62273	Inject epidural patch	T	5442	0.20%	$723.92	0.51%	$3.69
62281	Treat spinal cord lesion	T	5443	0.28%	$904.38	0.00%	$0.00
62282	Treat spinal canal lesion	T	5443	0.28%	$904.38	0.15%	$1.36
62287	Dcmprn pq nuc pul 1/mlt lmbr	J1	5431	1.04%	"$1,999.82"	25.97%	$519.35
62292	Njx chemonucleolysis lmbr	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
62302	Myelography lumbar injection	Q2	5573	0.02%	$802.38	0.01%	$0.08
62303	Myelography lumbar injection	Q2	5573	0.02%	$802.38	0.00%	$0.00
62304	Myelography lumbar injection	Q2	5573	0.02%	$802.38	0.02%	$0.16
62305	Myelography lumbar injection	Q2	5573	0.02%	$802.38	0.11%	$0.88
62320	Njx interlaminar crv/thrc	T	5442	0.20%	$723.92	1.45%	$10.50
62321	Njx interlaminar crv/thrc	T	5442	0.20%	$723.92	0.24%	$1.74
62322	Njx interlaminar lmbr/sac	T	5443	0.28%	$904.38	0.70%	$6.33
62323	Njx interlaminar lmbr/sac	T	5442	0.20%	$723.92	0.19%	$1.38
62324	Njx interlaminar crv/thrc	T	5443	0.28%	$904.38	0.00%	$0.00
62325	Njx interlaminar crv/thrc	T	5443	0.28%	$904.38	6.92%	$62.58
62326	Njx interlaminar lmbr/sac	T	5443	0.28%	$904.38	0.00%	$0.00
62327	Njx interlaminar lmbr/sac	T	5443	0.28%	$904.38	0.50%	$4.52
62328	Dx lmbr spi pnxr w/fluor/ct	T	5442	0.20%	$723.92	0.13%	$0.94
62329	Ther spi pnxr csf fluor/ct	T	5442	0.20%	$723.92	0.29%	$2.10
62350	Implant spinal canal cath	J1	5432	15.05%	"$4,670.04"	46.05%	"$2,150.55"
62351	Implant spinal canal cath	J1	5114	25.81%	"$7,533.87"	31.70%	"$2,388.24"
62355	Remove spinal canal catheter	Q2	5431	1.04%	"$1,999.82"	13.68%	$273.58
62360	Insert spine infusion device	J1	5471	72.48%	"$18,502.98"	72.75%	"$13,460.92"
62361	Implant spine infusion pump	J1	5471	72.48%	"$18,502.98"	71.86%	"$13,296.24"
62362	Implant spine infusion pump	J1	5471	72.48%	"$18,502.98"	72.49%	"$13,412.81"
62365	Remove spine infusion device	Q2	5432	15.05%	"$4,670.04"	0.67%	$31.29
62367	Analyze spine infus pump	S	5743	0.44%	$316.08	0.21%	$0.66
62368	Analyze sp inf pump w/reprog	S	5743	0.44%	$316.08	0.00%	$0.00
62369	Anal sp inf pmp w/reprg&fill	S	5743	0.44%	$316.08	0.02%	$0.06
62370	Anl sp inf pmp w/mdreprg&fil	S	5743	0.44%	$316.08	0.83%	$2.62
62380	Ndsc dcmprn 1 ntrspc lumbar	J1	5114	25.81%	"$7,533.87"	2.92%	$219.99
63001	Remove spine lamina 1/2 crvl	J1	5114	25.81%	"$7,533.87"	2.26%	$170.27
63003	Remove spine lamina 1/2 thrc	J1	5114	25.81%	"$7,533.87"	15.45%	"$1,163.98"
63005	Remove spine lamina 1/2 lmbr	J1	5114	25.81%	"$7,533.87"	2.71%	$204.17
63011	Remove spine lamina 1/2 scrl	J1	5114	25.81%	"$7,533.87"	6.15%	$463.33
63012	Remove lamina/facets lumbar	J1	5114	25.81%	"$7,533.87"	4.41%	$332.24
63015	Remove spine lamina >2 crvcl	J1	5114	25.81%	"$7,533.87"	0.86%	$64.79
63016	Remove spine lamina >2 thrc	J1	5114	25.81%	"$7,533.87"	0.33%	$24.86
63017	Remove spine lamina >2 lmbr	J1	5114	25.81%	"$7,533.87"	1.39%	$104.72
63020	Neck spine disk surgery	J1	5114	25.81%	"$7,533.87"	1.12%	$84.38
63030	Low back disk surgery	J1	5114	25.81%	"$7,533.87"	1.50%	$113.01
63040	Laminotomy single cervical	J1	5114	25.81%	"$7,533.87"	3.72%	$280.26
63042	Laminotomy single lumbar	J1	5114	25.81%	"$7,533.87"	2.03%	$152.94
63045	Lam facetec & foramot crv	J1	5114	25.81%	"$7,533.87"	2.08%	$156.70
63046	Lam facetec & foramot thrc	J1	5114	25.81%	"$7,533.87"	1.59%	$119.79
63047	Lam facetec & foramot lumbar	J1	5114	25.81%	"$7,533.87"	1.89%	$142.39
63055	Decompress spinal cord thrc	J1	5114	25.81%	"$7,533.87"	1.61%	$121.30
63056	Decompress spinal cord lmbr	J1	5114	25.81%	"$7,533.87"	1.03%	$77.60
63064	Decompress spinal cord thrc	J1	5114	25.81%	"$7,533.87"	4.59%	$345.80
63075	Neck spine disk surgery	J1	5114	25.81%	"$7,533.87"	26.32%	"$1,982.91"
63265	Excise intraspinl lesion crv	J1	5114	25.81%	"$7,533.87"	1.64%	$123.56
63266	Excise intrspinl lesion thrc	J1	5114	25.81%	"$7,533.87"	2.24%	$168.76
63267	Excise intrspinl lesion lmbr	J1	5114	25.81%	"$7,533.87"	1.24%	$93.42
63268	Excise intrspinl lesion scrl	J1	5114	25.81%	"$7,533.87"	3.97%	$299.09
63600	Remove spinal cord lesion	J1	5431	1.04%	"$1,999.82"	52.21%	"$1,044.11"
63610	Stimulation of spinal cord	J1	5431	1.04%	"$1,999.82"	57.23%	"$1,144.50"
63650	Implant neuroelectrodes	J1	5462	49.47%	"$6,560.51"	42.03%	"$2,757.38"
63655	Implant neuroelectrodes	J1	5464	80.24%	"$20,126.69"	59.90%	"$12,055.89"
63661	Remove spine eltrd perq aray	Q2	5431	1.04%	"$1,999.82"	3.36%	$67.19
63662	Remove spine eltrd plate	J1	5461	10.24%	"$3,722.72"	0.73%	$27.18
63663	Revise spine eltrd perq aray	J1	5462	49.47%	"$6,560.51"	46.67%	"$3,061.79"
63664	Revise spine eltrd plate	J1	5463	27.08%	"$11,703.42"	42.44%	"$4,966.93"
63685	Ins/rplc spi npg/rcvr pocket	J1	5465	82.24%	"$31,751.65"	81.02%	"$25,725.19"
63688	Rev/rmv imp sp npg/r dtch cn	J1	5461	10.24%	"$3,722.72"	10.95%	$407.64
63741	Install spinal shunt	J1	5432	15.05%	"$4,670.04"	35.70%	"$1,667.20"
63744	Revision of spinal shunt	J1	5432	15.05%	"$4,670.04"	39.46%	"$1,842.80"
63746	Removal of spinal shunt	Q2	5431	1.04%	"$1,999.82"	1.09%	$21.80
64400	Njx aa&/strd trigeminal nrv	T	5441	0.09%	$312.43	0.02%	$0.06
64405	Njx aa&/strd gr ocpl nrv	T	5441	0.09%	$312.43	0.01%	$0.03
64408	Njx aa&/strd vagus nrv	T	5441	0.09%	$312.43	0.00%	$0.00
64415	Njx aa&/strd brch plxs img	T	5443	0.28%	$904.38	15.46%	$139.82
64416	Njx aa&/strd brch pl nfs img	T	5443	0.28%	$904.38	29.84%	$269.87
64417	Njx aa&/strd ax nerve img	T	5443	0.28%	$904.38	3.17%	$28.67
64418	Njx aa&/strd sprscap nrv	T	5442	0.20%	$723.92	0.14%	$1.01
64420	Njx aa&/strd ntrcost nrv 1	T	5442	0.20%	$723.92	0.02%	$0.14
64421	Njx aa&/strd ntrcost nrv ea	T	5443	0.28%	$904.38	0.00%	$0.00
64425	Njx aa&/strd ii ih nerves	T	5442	0.20%	$723.92	0.03%	$0.22
64430	Njx aa&/strd pudendal nerve	T	5443	0.28%	$904.38	0.12%	$1.09
64435	Njx aa&/strd paracrv nrv	T	5442	0.20%	$723.92	0.00%	$0.00
64445	Njx aa&/strd sciatic nrv img	T	5442	0.20%	$723.92	0.58%	$4.20
64446	Njx aa&/strd sc nrv nfs img	T	5443	0.28%	$904.38	0.00%	$0.00
64447	Njx aa&/strd femoral nrv img	T	5442	0.20%	$723.92	15.28%	$110.61
64448	Njx aa&/strd fem nrv nfs img	T	5443	0.28%	$904.38	46.45%	$420.08
64449	Njx aa&/strd lmbr plex nfs	T	5443	0.28%	$904.38	25.02%	$226.28
64450	Njx aa&/strd other pn/branch	T	5442	0.20%	$723.92	0.36%	$2.61
64451	Njx aa&/strd nrv nrvtg si jt	T	5442	0.20%	$723.92	0.00%	$0.00
64454	Njx aa&/strd gnclr nrv brnch	T	5442	0.20%	$723.92	0.08%	$0.58
64455	Njx aa&/strd pltr com dg nrv	T	5441	0.09%	$312.43	0.67%	$2.09
64461	Pvb thoracic single inj site	T	5442	0.20%	$723.92	0.07%	$0.51
64463	Pvb thoracic cont infusion	T	5442	0.20%	$723.92	0.00%	$0.00
64479	Njx aa&/strd tfrm epi c/t 1	T	5443	0.28%	$904.38	0.07%	$0.63
64483	Njx aa&/strd tfrm epi l/s 1	T	5443	0.28%	$904.38	0.06%	$0.54
64490	Inj paravert f jnt c/t 1 lev	T	5443	0.28%	$904.38	0.11%	$0.99
64493	Inj paravert f jnt l/s 1 lev	T	5443	0.28%	$904.38	0.06%	$0.54
64505	N block spenopalatine gangl	T	5441	0.09%	$312.43	0.00%	$0.00
64510	N block stellate ganglion	T	5443	0.28%	$904.38	0.03%	$0.27
64517	N block inj hypogas plxs	T	5443	0.28%	$904.38	0.02%	$0.18
64520	N block lumbar/thoracic	T	5443	0.28%	$904.38	0.11%	$0.99
64530	N block inj celiac pelus	T	5443	0.28%	$904.38	0.06%	$0.54
64553	Implant neuroelectrodes	J1	5463	27.08%	"$11,703.42"	50.99%	"$5,967.57"
64555	Implant neuroelectrodes	J1	5462	49.47%	"$6,560.51"	68.15%	"$4,470.99"
64561	Implant neuroelectrodes	J1	5462	49.47%	"$6,560.51"	42.40%	"$2,781.66"
64566	Neuroeltrd stim post tibial	T	5441	0.09%	$312.43	0.84%	$2.62
64568	Opn impltj crnl nrv nea&pg	J1	5465	82.24%	"$31,751.65"	87.34%	"$27,731.89"
64569	Revise/repl vagus n eltrd	J1	5463	27.08%	"$11,703.42"	70.63%	"$8,266.13"
64570	Remove vagus n eltrd	Q2	5432	15.05%	"$4,670.04"	0.47%	$21.95
64575	Opn impltj nea perph nerve	J1	5463	27.08%	"$11,703.42"	68.20%	"$7,981.73"
64580	Opn impltj nea neuromuscular	J1	5464	80.24%	"$20,126.69"	54.67%	"$11,003.26"
64581	Opn impltj nea sacral nerve	J1	5462	49.47%	"$6,560.51"	59.27%	"$3,888.41"
64582	Opn mpltj hpglsl nstm ary pg	J1	5465	82.24%	"$31,751.65"	81.12%	"$25,756.94"
64583	Rev/rplct hpglsl nstm ary pg	J1	5463	27.08%	"$11,703.42"	47.19%	"$5,522.84"
64584	Rmvl hpglsl nstim ary pg	Q2	5432	15.05%	"$4,670.04"	2.53%	$118.15
64585	Rev/rmv perph nstim eltrd ra	J1	5461	10.24%	"$3,722.72"	12.87%	$479.11
64590	Ins/rpl prph sac/gstr npg/r	J1	5464	80.24%	"$20,126.69"	80.60%	"$16,222.11"
64595	Rev/rmv prph sac/gstr npg/r	J1	5461	10.24%	"$3,722.72"	12.34%	$459.38
64596	Ins/rplcmt prq eltrd ra pn 1	J1	5463	27.08%	"$11,703.42"	70.16%	"$8,211.12"
64598	Revj/rmvl nea pn w/int nstim	J1	5461	10.24%	"$3,722.72"	22.15%	$824.58
64600	Injection treatment of nerve	T	5443	0.28%	$904.38	0.83%	$7.51
64605	Injection treatment of nerve	J1	5431	1.04%	"$1,999.82"	3.29%	$65.79
64610	Injection treatment of nerve	J1	5431	1.04%	"$1,999.82"	2.41%	$48.20
64611	Chemodenerv saliv glands	T	5441	0.09%	$312.43	0.01%	$0.03
64612	Destroy nerve face muscle	T	5441	0.09%	$312.43	0.00%	$0.00
64615	Chemodenerv musc migraine	T	5441	0.09%	$312.43	0.00%	$0.00
64616	Chemodenerv musc neck dyston	T	5441	0.09%	$312.43	0.00%	$0.00
64617	Chemodener muscle larynx emg	T	5442	0.20%	$723.92	0.00%	$0.00
64620	Injection treatment of nerve	T	5443	0.28%	$904.38	7.36%	$66.56
64624	Dstrj nulyt agt gnclr nrv	J1	5431	1.04%	"$1,999.82"	3.25%	$64.99
64625	Rf abltj nrv nrvtg si jt	J1	5431	1.04%	"$1,999.82"	1.77%	$35.40
64628	Trml dstrj ios bvn 1st 2 l/s	J1	5115	45.04%	"$13,254.37"	51.35%	"$6,806.12"
64630	Injection treatment of nerve	T	5443	0.28%	$904.38	22.01%	$199.05
64632	N block inj common digit	T	5441	0.09%	$312.43	1.05%	$3.28
64633	Destroy cerv/thor facet jnt	J1	5431	1.04%	"$1,999.82"	0.49%	$9.80
64635	Destroy lumb/sac facet jnt	J1	5431	1.04%	"$1,999.82"	0.60%	$12.00
64640	Injection treatment of nerve	T	5443	0.28%	$904.38	2.52%	$22.79
64642	Chemodenerv 1 extremity 1-4	T	5442	0.20%	$723.92	0.09%	$0.65
64644	Chemodenerv 1 extrem 5/> mus	T	5442	0.20%	$723.92	0.09%	$0.65
64646	Chemodenerv trunk musc 1-5	T	5442	0.20%	$723.92	0.08%	$0.58
64647	Chemodenerv trunk musc 6/>	T	5442	0.20%	$723.92	0.05%	$0.36
64650	Chemodenerv eccrine glands	T	5441	0.09%	$312.43	0.00%	$0.00
64653	Chemodenerv eccrine glands	T	5441	0.09%	$312.43	0.00%	$0.00
64680	Injection treatment of nerve	T	5443	0.28%	$904.38	4.35%	$39.34
64681	Injection treatment of nerve	T	5443	0.28%	$904.38	0.64%	$5.79
64702	Revise finger/toe nerve	J1	5431	1.04%	"$1,999.82"	8.17%	$163.39
64704	Revise hand/foot nerve	J1	5431	1.04%	"$1,999.82"	5.01%	$100.19
64708	Revise arm/leg nerve	J1	5431	1.04%	"$1,999.82"	4.65%	$92.99
64712	Revision of sciatic nerve	J1	5431	1.04%	"$1,999.82"	6.18%	$123.59
64713	Revision of arm nerve(s)	J1	5431	1.04%	"$1,999.82"	11.19%	$223.78
64714	Revise low back nerve(s)	J1	5431	1.04%	"$1,999.82"	0.43%	$8.60
64716	Revision of cranial nerve	J1	5431	1.04%	"$1,999.82"	9.35%	$186.98
64718	Revise ulnar nerve at elbow	J1	5431	1.04%	"$1,999.82"	1.49%	$29.80
64719	Revise ulnar nerve at wrist	J1	5431	1.04%	"$1,999.82"	3.52%	$70.39
64721	Carpal tunnel surgery	J1	5431	1.04%	"$1,999.82"	0.59%	$11.80
64722	Relieve pressure on nerve(s)	J1	5431	1.04%	"$1,999.82"	1.66%	$33.20
64726	Release foot/toe nerve	J1	5431	1.04%	"$1,999.82"	3.30%	$65.99
64734	Incision of cheek nerve	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64738	Incision of jaw nerve	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64740	Incision of tongue nerve	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64742	Incision of facial nerve	J1	5431	1.04%	"$1,999.82"	0.80%	$16.00
64744	Incise nerve back of head	J1	5431	1.04%	"$1,999.82"	0.94%	$18.80
64766	Incise hip/thigh nerve	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64771	Sever cranial nerve	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64772	Incision of spinal nerve	J1	5431	1.04%	"$1,999.82"	2.72%	$54.40
64774	Remove skin nerve lesion	J1	5431	1.04%	"$1,999.82"	7.91%	$158.19
64776	Remove digit nerve lesion	J1	5431	1.04%	"$1,999.82"	7.65%	$152.99
64782	Remove limb nerve lesion	J1	5431	1.04%	"$1,999.82"	3.50%	$69.99
64784	Remove nerve lesion	J1	5431	1.04%	"$1,999.82"	5.25%	$104.99
64786	Remove sciatic nerve lesion	J1	5432	15.05%	"$4,670.04"	2.61%	$121.89
64788	Remove skin nerve lesion	J1	5431	1.04%	"$1,999.82"	0.50%	$10.00
64790	Removal of nerve lesion	J1	5431	1.04%	"$1,999.82"	2.85%	$56.99
64792	Removal of nerve lesion	J1	5432	15.05%	"$4,670.04"	0.16%	$7.47
64795	Biopsy of nerve	J1	5431	1.04%	"$1,999.82"	3.16%	$63.19
64820	Sympathectomy digital artery	J1	5431	1.04%	"$1,999.82"	0.00%	$0.00
64821	Sympathectomy radial artery	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
64822	Sympathectomy ulnar artery	J1	5113	6.24%	"$3,377.20"	0.22%	$7.43
64831	Repair of digit nerve	J1	5431	1.04%	"$1,999.82"	14.28%	$285.57
64834	Repair of hand or foot nerve	J1	5432	15.05%	"$4,670.04"	11.92%	$556.67
64835	Repair of hand or foot nerve	J1	5432	15.05%	"$4,670.04"	28.83%	"$1,346.37"
64836	Repair of hand or foot nerve	J1	5432	15.05%	"$4,670.04"	14.49%	$676.69
64840	Repair of leg nerve	J1	5432	15.05%	"$4,670.04"	0.00%	$0.00
64856	Repair/transpose nerve	J1	5432	15.05%	"$4,670.04"	15.22%	$710.78
64857	Repair arm/leg nerve	J1	5432	15.05%	"$4,670.04"	10.96%	$511.84
64864	Repair of facial nerve	J1	5432	15.05%	"$4,670.04"	17.90%	$835.94
64885	Nerve graft head/neck <4 cm	J1	5432	15.05%	"$4,670.04"	15.65%	$730.86
64886	Nerve graft head/neck >4 cm	J1	5432	15.05%	"$4,670.04"	23.59%	"$1,101.66"
64890	Nrv grf 1strnd hnd/foot <4cm	J1	5432	15.05%	"$4,670.04"	31.10%	"$1,452.38"
64891	Nrv grf 1strnd hnd/foot >4cm	J1	5432	15.05%	"$4,670.04"	39.25%	"$1,832.99"
64892	Nrv grf 1strnd arm/leg <4cm	J1	5432	15.05%	"$4,670.04"	45.95%	"$2,145.88"
64893	Nrv grf 1strnd arm/leg >4 cm	J1	5432	15.05%	"$4,670.04"	0.00%	$0.00
64895	Nrv grf mltst hnd/foot <4 cm	J1	5432	15.05%	"$4,670.04"	11.74%	$548.26
64896	Nrv grf mltst hnd/foot >4 cm	J1	5432	15.05%	"$4,670.04"	0.00%	$0.00
64897	Nrv grf mltst arm/leg <4 cm	J1	5432	15.05%	"$4,670.04"	80.54%	"$3,761.25"
64898	Nrv grf mltst arm/leg >4 cm	J1	5432	15.05%	"$4,670.04"	11.30%	$527.71
64905	Nerve pedicle transfer	J1	5432	15.05%	"$4,670.04"	9.68%	$452.06
64907	Nerve pedicle transfer	J1	5432	15.05%	"$4,670.04"	46.30%	"$2,162.23"
64910	Nerve repair w/allograft	J1	5432	15.05%	"$4,670.04"	43.24%	"$2,019.33"
64911	Neurorraphy w/vein autograft	J1	5432	15.05%	"$4,670.04"	10.31%	$481.48
64912	Nrv rpr w/nrv algrft 1st	J1	5432	15.05%	"$4,670.04"	54.43%	"$2,541.90"
64999	Unlisted px nervous system	T	5441	0.09%	$312.43	1.73%	$5.41
65091	Revise eye	J1	5504	3.42%	"$3,978.00"	1.79%	$71.21
65093	Revise eye with implant	J1	5504	3.42%	"$3,978.00"	10.68%	$424.85
65101	Removal of eye	J1	5504	3.42%	"$3,978.00"	6.43%	$255.79
65103	Remove eye/insert implant	J1	5504	3.42%	"$3,978.00"	11.24%	$447.13
65105	Remove eye/attach implant	J1	5504	3.42%	"$3,978.00"	13.48%	$536.23
65110	Removal of eye	J1	5504	3.42%	"$3,978.00"	0.12%	$4.77
65112	Remove eye/revise socket	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
65114	Remove eye/revise socket	J1	5504	3.42%	"$3,978.00"	4.63%	$184.18
65125	Revise ocular implant	J1	5503	0.92%	"$2,468.55"	41.26%	"$1,018.52"
65130	Insert ocular implant	J1	5504	3.42%	"$3,978.00"	15.14%	$602.27
65135	Insert ocular implant	J1	5504	3.42%	"$3,978.00"	2.13%	$84.73
65140	Attach ocular implant	J1	5504	3.42%	"$3,978.00"	5.02%	$199.70
65150	Revise ocular implant	J1	5504	3.42%	"$3,978.00"	1.21%	$48.13
65175	Removal of ocular implant	J1	5504	3.42%	"$3,978.00"	4.00%	$159.12
65205	Remove foreign body from eye	Q1	5734	0.07%	$136.31	0.71%	$0.97
65210	Remove foreign body from eye	Q1	5735	0.31%	$451.59	0.00%	$0.00
65220	Remove foreign body from eye	Q1	5735	0.31%	$451.59	0.00%	$0.00
65222	Remove foreign body from eye	Q1	5734	0.07%	$136.31	0.00%	$0.00
65235	Remove foreign body from eye	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
65265	Remove foreign body from eye	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
65270	Repair of eye wound	J1	5503	0.92%	"$2,468.55"	1.60%	$39.50
65272	Repair of eye wound	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
65275	Repair of eye wound	J1	5504	3.42%	"$3,978.00"	1.86%	$73.99
65280	Repair of eye wound	J1	5493	35.50%	"$5,385.81"	1.04%	$56.01
65285	Repair of eye wound	J1	5493	35.50%	"$5,385.81"	0.98%	$52.78
65286	Repair of eye wound	J1	5491	2.19%	"$2,183.90"	0.06%	$1.31
65290	Repair of eye socket wound	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
65400	Removal of eye lesion	T	5502	1.49%	"$1,015.56"	1.30%	$13.20
65410	Biopsy of cornea	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
65420	Removal of eye lesion	J1	5503	0.92%	"$2,468.55"	0.79%	$19.50
65426	Removal of eye lesion	J1	5503	0.92%	"$2,468.55"	2.59%	$63.94
65430	Corneal smear	Q1	5735	0.31%	$451.59	0.00%	$0.00
65435	Curette/treat cornea	T	5502	1.49%	"$1,015.56"	0.41%	$4.16
65436	Curette/treat cornea	J1	5503	0.92%	"$2,468.55"	0.37%	$9.13
65450	Treatment of corneal lesion	T	5501	0.22%	$327.07	0.00%	$0.00
65600	Revision of cornea	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
65710	Corneal transplant	J1	5493	35.50%	"$5,385.81"	13.72%	$738.93
65730	Corneal transplant	J1	5492	6.44%	"$4,243.38"	9.62%	$408.21
65750	Corneal transplant	J1	5493	35.50%	"$5,385.81"	11.00%	$592.44
65755	Corneal transplant	J1	5492	6.44%	"$4,243.38"	6.91%	$293.22
65756	Corneal trnspl endothelial	J1	5492	6.44%	"$4,243.38"	15.52%	$658.57
65770	Keratoprosthesis	J1	5494	51.30%	"$14,408.18"	48.53%	"$6,992.29"
65772	Correction of astigmatism	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
65775	Correction of astigmatism	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
65778	Cover eye w/membrane	Q2	5502	1.49%	"$1,015.56"	7.99%	$81.14
65779	Cover eye w/membrane suture	Q2	5504	3.42%	"$3,978.00"	0.49%	$19.49
65780	Ocular reconst transplant	J1	5504	3.42%	"$3,978.00"	5.14%	$204.47
65781	Ocular reconst transplant	J1	5493	35.50%	"$5,385.81"	41.24%	"$2,221.11"
65782	Ocular reconst transplant	J1	5504	3.42%	"$3,978.00"	3.20%	$127.30
65785	Impltj ntrstrml crnl rng seg	J1	5492	6.44%	"$4,243.38"	43.14%	"$1,830.59"
65800	Drainage of eye	J1	5491	2.19%	"$2,183.90"	0.06%	$1.31
65810	Drainage of eye	J1	5491	2.19%	"$2,183.90"	0.09%	$1.97
65815	Drainage of eye	J1	5491	2.19%	"$2,183.90"	0.45%	$9.83
65820	Goniotomy	J1	5492	6.44%	"$4,243.38"	6.09%	$258.42
65850	Trabeculotomy ab externo	J1	5491	2.19%	"$2,183.90"	4.93%	$107.67
65855	Trabeculoplasty laser surg	T	5481	0.01%	$556.31	0.00%	$0.00
65860	Severing ads ant sgm laser	T	5481	0.01%	$556.31	0.00%	$0.00
65865	Incise inner eye adhesions	J1	5491	2.19%	"$2,183.90"	2.80%	$61.15
65870	Incise inner eye adhesions	J1	5491	2.19%	"$2,183.90"	2.32%	$50.67
65875	Incise inner eye adhesions	J1	5491	2.19%	"$2,183.90"	0.26%	$5.68
65880	Incise inner eye adhesions	J1	5492	6.44%	"$4,243.38"	0.00%	$0.00
65920	Remove implant of eye	J1	5491	2.19%	"$2,183.90"	1.39%	$30.36
65930	Remove blood clot from eye	J1	5491	2.19%	"$2,183.90"	0.45%	$9.83
66020	Injection treatment of eye	J1	5491	2.19%	"$2,183.90"	0.40%	$8.74
66030	Injection treatment of eye	J1	5491	2.19%	"$2,183.90"	2.53%	$55.25
66130	Remove eye lesion	J1	5503	0.92%	"$2,468.55"	3.00%	$74.06
66155	Glaucoma surgery	J1	5492	6.44%	"$4,243.38"	4.67%	$198.17
66160	Glaucoma surgery	J1	5491	2.19%	"$2,183.90"	13.08%	$285.65
66170	Glaucoma surgery	J1	5491	2.19%	"$2,183.90"	1.89%	$41.28
66172	Incision of eye	J1	5491	2.19%	"$2,183.90"	0.75%	$16.38
66174	Trluml dil aq o/f can w/o st	J1	5492	6.44%	"$4,243.38"	17.63%	$748.11
66175	Trluml dil aq o/f can w/st	J1	5493	35.50%	"$5,385.81"	48.33%	"$2,602.96"
66179	Aqueous shunt eye w/o graft	J1	5493	35.50%	"$5,385.81"	33.81%	"$1,820.94"
66180	Aqueous shunt eye w/graft	J1	5493	35.50%	"$5,385.81"	35.07%	"$1,888.80"
66183	Insert ant drainage device	J1	5492	6.44%	"$4,243.38"	50.59%	"$2,146.73"
66184	Revision of aqueous shunt	J1	5491	2.19%	"$2,183.90"	5.69%	$124.26
66185	Revise aqueous shunt eye	J1	5491	2.19%	"$2,183.90"	13.13%	$286.75
66225	Repair/graft eye lesion	J1	5493	35.50%	"$5,385.81"	24.43%	"$1,315.75"
66250	Follow-up surgery of eye	J1	5503	0.92%	"$2,468.55"	1.80%	$44.43
66500	Incision of iris	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66600	Remove iris and lesion	J1	5492	6.44%	"$4,243.38"	0.00%	$0.00
66605	Removal of iris	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66625	Removal of iris	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66630	Removal of iris	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66635	Removal of iris	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66680	Repair iris & ciliary body	J1	5491	2.19%	"$2,183.90"	0.69%	$15.07
66682	Repair iris & ciliary body	J1	5491	2.19%	"$2,183.90"	0.36%	$7.86
66683	Implantation iris prosthesis	J1	5496	70.73%	"$16,645.08"	71.96%	"$11,977.80"
66700	Destruction ciliary body	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66710	Ciliary transsleral therapy	J1	5503	0.92%	"$2,468.55"	0.46%	$11.36
66711	Ecp ciliary body destruction	J1	5491	2.19%	"$2,183.90"	2.44%	$53.29
66720	Destruction ciliary body	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
66740	Destruction ciliary body	J1	5503	0.92%	"$2,468.55"	16.23%	$400.65
66761	Revision of iris	T	5481	0.01%	$556.31	0.00%	$0.00
66762	Revision of iris	T	5481	0.01%	$556.31	0.00%	$0.00
66770	Removal of inner eye lesion	T	5481	0.01%	$556.31	0.00%	$0.00
66820	Incision secondary cataract	J1	5491	2.19%	"$2,183.90"	4.90%	$107.01
66821	After cataract laser surgery	T	5481	0.01%	$556.31	0.01%	$0.06
66825	Reposition intraocular lens	J1	5491	2.19%	"$2,183.90"	0.54%	$11.79
66830	Removal of lens lesion	J1	5491	2.19%	"$2,183.90"	0.95%	$20.75
66840	Removal of lens material	J1	5491	2.19%	"$2,183.90"	0.26%	$5.68
66850	Removal of lens material	J1	5491	2.19%	"$2,183.90"	0.97%	$21.18
66852	Removal of lens material	J1	5492	6.44%	"$4,243.38"	0.34%	$14.43
66920	Extraction of lens	J1	5491	2.19%	"$2,183.90"	0.47%	$10.26
66930	Extraction of lens	J1	5492	6.44%	"$4,243.38"	0.05%	$2.12
66940	Extraction of lens	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
66982	Xcapsl ctrc rmvl cplx wo ecp	J1	5491	2.19%	"$2,183.90"	2.52%	$55.03
66983	Cataract surg w/iol 1 stage	J1	5491	2.19%	"$2,183.90"	2.56%	$55.91
66984	Xcapsl ctrc rmvl w/o ecp	J1	5491	2.19%	"$2,183.90"	2.17%	$47.39
66985	Insert lens prosthesis	J1	5491	2.19%	"$2,183.90"	1.94%	$42.37
66986	Exchange lens prosthesis	J1	5491	2.19%	"$2,183.90"	1.57%	$34.29
66987	Xcapsl ctrc rmvl cplx w/ecp	J1	5492	6.44%	"$4,243.38"	27.67%	"$1,174.14"
66988	Xcapsl ctrc rmvl w/ecp	J1	5492	6.44%	"$4,243.38"	32.42%	"$1,375.70"
66989	Xcpsl ctrc rmvl cplx insj 1+	J1	5493	35.50%	"$5,385.81"	48.23%	"$2,597.58"
66991	Xcapsl ctrc rmvl insj 1+	J1	5493	35.50%	"$5,385.81"	50.62%	"$2,726.30"
66999	Unlisted px ant segment eye	J1	5491	2.19%	"$2,183.90"	2.58%	$56.34
67005	Partial removal of eye fluid	J1	5491	2.19%	"$2,183.90"	1.84%	$40.18
67010	Partial removal of eye fluid	J1	5491	2.19%	"$2,183.90"	0.50%	$10.92
67015	Release of eye fluid	J1	5491	2.19%	"$2,183.90"	0.18%	$3.93
67025	Replace eye fluid	J1	5491	2.19%	"$2,183.90"	0.42%	$9.17
67027	Implant eye drug system	J1	5495	4.21%	"$14,285.37"	4.21%	$601.41
67028	Injection eye drug	S	5694	0.01%	$341.52	0.00%	$0.00
67030	Incise inner eye strands	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
67031	Laser surgery eye strands	T	5481	0.01%	$556.31	0.00%	$0.00
67036	Removal of inner eye fluid	J1	5492	6.44%	"$4,243.38"	0.72%	$30.55
67039	Laser treatment of retina	J1	5492	6.44%	"$4,243.38"	0.81%	$34.37
67040	Laser treatment of retina	J1	5492	6.44%	"$4,243.38"	0.93%	$39.46
67041	Vit for macular pucker	J1	5492	6.44%	"$4,243.38"	0.81%	$34.37
67042	Vit for macular hole	J1	5492	6.44%	"$4,243.38"	0.93%	$39.46
67043	Vit for membrane dissect	J1	5492	6.44%	"$4,243.38"	1.25%	$53.04
67101	Repair detached retina crtx	J1	5491	2.19%	"$2,183.90"	2.14%	$46.74
67105	Repair detached retina pc	T	5481	0.01%	$556.31	0.11%	$0.61
67107	Repair detached retina	J1	5492	6.44%	"$4,243.38"	1.85%	$78.50
67108	Repair detached retina	J1	5492	6.44%	"$4,243.38"	3.00%	$127.30
67110	Repair detached retina	J1	5491	2.19%	"$2,183.90"	0.00%	$0.00
67113	Repair retinal detach cplx	J1	5493	35.50%	"$5,385.81"	4.80%	$258.52
67120	Remove eye implant material	J1	5491	2.19%	"$2,183.90"	1.25%	$27.30
67121	Remove eye implant material	J1	5491	2.19%	"$2,183.90"	0.35%	$7.64
67141	Proph rta dtchmnt crtx dthrm	T	5501	0.22%	$327.07	0.09%	$0.29
67145	Proph rta dtchmnt pc	T	5481	0.01%	$556.31	0.04%	$0.22
67208	Treatment of retinal lesion	T	5501	0.22%	$327.07	0.00%	$0.00
67210	Treatment of retinal lesion	T	5481	0.01%	$556.31	0.00%	$0.00
67218	Treatment of retinal lesion	J1	5504	3.42%	"$3,978.00"	2.47%	$98.26
67220	Treatment of choroid lesion	T	5481	0.01%	$556.31	0.00%	$0.00
67221	Ocular photodynamic ther	T	5481	0.01%	$556.31	0.00%	$0.00
67227	Dstrj extensive retinopathy	J1	5504	3.42%	"$3,978.00"	0.72%	$28.64
67228	Treatment x10sv retinopathy	T	5481	0.01%	$556.31	0.00%	$0.00
67250	Reinforce eye wall	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67255	Reinforce/graft eye wall	J1	5492	6.44%	"$4,243.38"	23.50%	$997.19
67299	Unlisted px posterior segmnt	J1	5491	2.19%	"$2,183.90"	2.81%	$61.37
67311	Revise eye muscle	J1	5503	0.92%	"$2,468.55"	0.03%	$0.74
67312	Revise two eye muscles	J1	5504	3.42%	"$3,978.00"	0.03%	$1.19
67314	Revise eye muscle	J1	5503	0.92%	"$2,468.55"	0.02%	$0.49
67316	Revise two eye muscles	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67318	Revise eye muscle(s)	J1	5503	0.92%	"$2,468.55"	0.04%	$0.99
67343	Release eye tissue	J1	5503	0.92%	"$2,468.55"	0.88%	$21.72
67345	Destroy nerve of eye muscle	T	5501	0.22%	$327.07	0.00%	$0.00
67346	Biopsy eye muscle	J1	5504	3.42%	"$3,978.00"	0.79%	$31.43
67399	Unlisted px extraocular musc	T	5501	0.22%	$327.07	1.67%	$5.46
67400	Explore/biopsy eye socket	J1	5504	3.42%	"$3,978.00"	0.91%	$36.20
67405	Explore/drain eye socket	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67412	Explore/treat eye socket	J1	5503	0.92%	"$2,468.55"	0.91%	$22.46
67413	Explore/treat eye socket	J1	5503	0.92%	"$2,468.55"	0.16%	$3.95
67414	Explr/decompress eye socket	J1	5504	3.42%	"$3,978.00"	1.24%	$49.33
67415	Aspiration orbital contents	J1	5503	0.92%	"$2,468.55"	1.47%	$36.29
67420	Explore/treat eye socket	J1	5504	3.42%	"$3,978.00"	3.12%	$124.11
67430	Explore/treat eye socket	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
67445	Explr/decompress eye socket	J1	5504	3.42%	"$3,978.00"	1.06%	$42.17
67450	Explore/biopsy eye socket	J1	5504	3.42%	"$3,978.00"	4.50%	$179.01
67500	Inject/treat eye socket	T	5501	0.22%	$327.07	0.00%	$0.00
67505	Inject/treat eye socket	T	5501	0.22%	$327.07	0.00%	$0.00
67515	Inject/treat eye socket	T	5501	0.22%	$327.07	0.00%	$0.00
67516	Sprchoroidal spc njx rx agt	T	5694	0.01%	$341.52	0.00%	$0.00
67550	Insert eye socket implant	J1	5504	3.42%	"$3,978.00"	16.24%	$646.03
67560	Revise eye socket implant	J1	5504	3.42%	"$3,978.00"	3.42%	$136.05
67570	Decompress optic nerve	J1	5504	3.42%	"$3,978.00"	0.75%	$29.84
67599	Unlisted procedure orbit	T	5501	0.22%	$327.07	39.91%	$130.53
67700	Blepharotomy drg absc eyelid	T	5501	0.22%	$327.07	0.00%	$0.00
67710	Severing tarsorrhaphy	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
67715	Canthotomy	J1	5503	0.92%	"$2,468.55"	0.04%	$0.99
67800	Remove eyelid lesion	T	5501	0.22%	$327.07	0.05%	$0.16
67801	Remove eyelid lesions	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
67805	Remove eyelid lesions	T	5501	0.22%	$327.07	0.00%	$0.00
67808	Remove eyelid lesion(s)	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67810	Incal bx eyelid skn lid mrgn	T	5501	0.22%	$327.07	0.00%	$0.00
67820	Revise eyelashes	Q1	5734	0.07%	$136.31	0.00%	$0.00
67825	Revise eyelashes	T	5501	0.22%	$327.07	0.00%	$0.00
67830	Revise eyelashes	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
67835	Revise eyelashes	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67840	Remove eyelid lesion	T	5502	1.49%	"$1,015.56"	0.03%	$0.30
67850	Dstrj lesion lid margin <1cm	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
67875	Closure of eyelid by suture	T	5502	1.49%	"$1,015.56"	0.06%	$0.61
67880	Revision of eyelid	J1	5503	0.92%	"$2,468.55"	0.26%	$6.42
67882	Revision of eyelid	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67900	Repair brow defect	J1	5503	0.92%	"$2,468.55"	1.39%	$34.31
67901	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	3.27%	$80.72
67902	Repair eyelid defect	J1	5504	3.42%	"$3,978.00"	1.60%	$63.65
67903	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.15%	$3.70
67904	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.03%	$0.74
67906	Repair eyelid defect	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
67908	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.07%	$1.73
67909	Revise eyelid defect	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67911	Revise eyelid defect	J1	5503	0.92%	"$2,468.55"	2.19%	$54.06
67912	Correction eyelid w/implant	J1	5503	0.92%	"$2,468.55"	15.10%	$372.75
67914	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67915	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	2.12%	$52.33
67916	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.12%	$2.96
67917	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.21%	$5.18
67921	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.19%	$4.69
67922	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67923	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.01%	$0.25
67924	Repair eyelid defect	J1	5503	0.92%	"$2,468.55"	0.10%	$2.47
67930	Repair eyelid wound	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
67935	Repair eyelid wound	J1	5503	0.92%	"$2,468.55"	0.15%	$3.70
67938	Remove eyelid foreign body	T	5501	0.22%	$327.07	0.00%	$0.00
67950	Revision of eyelid	J1	5503	0.92%	"$2,468.55"	0.84%	$20.74
67961	Revision of eyelid	J1	5503	0.92%	"$2,468.55"	0.18%	$4.44
67966	Revision of eyelid	J1	5503	0.92%	"$2,468.55"	0.30%	$7.41
67971	Reconstruction of eyelid	J1	5503	0.92%	"$2,468.55"	0.61%	$15.06
67973	Reconstruction of eyelid	J1	5503	0.92%	"$2,468.55"	0.46%	$11.36
67974	Reconstruction of eyelid	J1	5504	3.42%	"$3,978.00"	2.43%	$96.67
67975	Reconstruction of eyelid	J1	5503	0.92%	"$2,468.55"	0.07%	$1.73
67999	Unlisted procedure eyelids	T	5501	0.22%	$327.07	6.88%	$22.50
68020	Incise/drain eyelid lining	T	5502	1.49%	"$1,015.56"	0.00%	$0.00
68040	Treatment of eyelid lesions	T	5501	0.22%	$327.07	0.00%	$0.00
68100	Biopsy conjunctiva	J1	5503	0.92%	"$2,468.55"	0.04%	$0.99
68110	Exc les conjunctiva <1 cm	J1	5503	0.92%	"$2,468.55"	1.18%	$29.13
68115	Exc les conjunctiva >1 cm	J1	5503	0.92%	"$2,468.55"	1.52%	$37.52
68130	Exc les conjunctiva adj scl	J1	5503	0.92%	"$2,468.55"	0.03%	$0.74
68135	Destruction les conjunctiva	J1	5503	0.92%	"$2,468.55"	0.41%	$10.12
68200	Treat eyelid by injection	Q1	5735	0.31%	$451.59	0.47%	$2.12
68320	Revise/graft eyelid lining	J1	5503	0.92%	"$2,468.55"	1.60%	$39.50
68325	Revise/graft eyelid lining	J1	5504	3.42%	"$3,978.00"	4.26%	$169.46
68326	Revise/graft eyelid lining	J1	5504	3.42%	"$3,978.00"	2.05%	$81.55
68328	Revise/graft eyelid lining	J1	5503	0.92%	"$2,468.55"	2.13%	$52.58
68330	Revise eyelid lining	J1	5491	2.19%	"$2,183.90"	3.88%	$84.74
68335	Revise/graft eyelid lining	J1	5504	3.42%	"$3,978.00"	2.14%	$85.13
68340	Separate eyelid adhesions	J1	5503	0.92%	"$2,468.55"	15.83%	$390.77
68360	Revise eyelid lining	J1	5504	3.42%	"$3,978.00"	1.72%	$68.42
68362	Revise eyelid lining	J1	5503	0.92%	"$2,468.55"	2.09%	$51.59
68371	Harvest eye tissue alograft	J1	5503	0.92%	"$2,468.55"	0.22%	$5.43
68399	Unlisted px conjunctiva	T	5501	0.22%	$327.07	0.02%	$0.07
68420	I&d lacrimal sac	J1	5503	0.92%	"$2,468.55"	0.30%	$7.41
68440	Snip inc lacrimal punctum	T	5501	0.22%	$327.07	0.29%	$0.95
68500	Removal of tear gland	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
68505	Partial removal tear gland	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
68510	Biopsy of tear gland	J1	5503	0.92%	"$2,468.55"	0.45%	$11.11
68520	Removal of tear sac	J1	5504	3.42%	"$3,978.00"	0.31%	$12.33
68525	Biopsy of tear sac	J1	5503	0.92%	"$2,468.55"	2.48%	$61.22
68530	Clearance of tear duct	T	5501	0.22%	$327.07	0.00%	$0.00
68540	Remove tear gland lesion	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
68550	Remove tear gland lesion	J1	5504	3.42%	"$3,978.00"	0.00%	$0.00
68700	Repair tear ducts	J1	5503	0.92%	"$2,468.55"	1.09%	$26.91
68705	Revise tear duct opening	T	5501	0.22%	$327.07	5.24%	$17.14
68720	Create tear sac drain	J1	5504	3.42%	"$3,978.00"	2.64%	$105.02
68750	Create tear duct drain	J1	5504	3.42%	"$3,978.00"	5.23%	$208.05
68760	Close tear duct opening	T	5501	0.22%	$327.07	0.00%	$0.00
68761	Close tear duct opening	T	5501	0.22%	$327.07	0.50%	$1.64
68770	Close tear system fistula	J1	5503	0.92%	"$2,468.55"	0.57%	$14.07
68801	Dilate tear duct opening	Q1	5735	0.31%	$451.59	0.54%	$2.44
68810	Probe nasolacrimal duct	T	5501	0.22%	$327.07	0.00%	$0.00
68811	Probe nasolacrimal duct	J1	5503	0.92%	"$2,468.55"	1.46%	$36.04
68815	Probe nasolacrimal duct	J1	5503	0.92%	"$2,468.55"	5.46%	$134.78
68816	Probe nl duct w/balloon	J1	5503	0.92%	"$2,468.55"	20.69%	$510.74
68840	Explore/irrigate tear ducts	T	5501	0.22%	$327.07	0.00%	$0.00
68841	Insj rx elut implt lac canal	Q1	5503	0.92%	"$2,468.55"	2.56%	$63.19
68899	Unlisted px lacrimal system	T	5501	0.22%	$327.07	4.87%	$15.93
69000	Drg xtrnl ear absc/hem smpl	T	5071	9.91%	$730.32	0.02%	$0.15
69005	Drg xtrnl ear absc/hem comp	J1	5072	3.86%	"$1,692.22"	0.00%	$0.00
69020	Drg xtrnl aud canal abscess	T	5071	9.91%	$730.32	0.00%	$0.00
69100	Biopsy of external ear	T	5161	0.07%	$245.04	0.00%	$0.00
69105	Biopsy of external ear canal	J1	5163	1.74%	"$1,589.97"	0.01%	$0.16
69110	Remove external ear partial	J1	5073	2.26%	"$2,970.38"	0.05%	$1.49
69120	Removal of external ear	J1	5165	5.32%	"$6,182.21"	0.05%	$3.09
69140	Remove ear canal lesion(s)	J1	5165	5.32%	"$6,182.21"	0.13%	$8.04
69145	Remove ear canal lesion(s)	J1	5073	2.26%	"$2,970.38"	0.46%	$13.66
69150	Extensive ear canal surgery	J1	5165	5.32%	"$6,182.21"	0.51%	$31.53
69200	Clear outer ear canal	Q1	5734	0.07%	$136.31	0.00%	$0.00
69205	Clear outer ear canal	J1	5072	3.86%	"$1,692.22"	0.14%	$2.37
69209	Remove impacted ear wax uni	Q1	5733	0.06%	$60.59	0.00%	$0.00
69210	Remove impacted ear wax uni	Q1	5733	0.06%	$60.59	0.00%	$0.00
69220	Clean out mastoid cavity	Q1	5051	0.01%	$203.69	0.00%	$0.00
69222	Clean out mastoid cavity	T	5162	0.11%	$546.14	0.01%	$0.05
69300	Revise external ear	J1	5164	1.23%	"$3,402.23"	1.34%	$45.59
69310	Rebuild outer ear canal	J1	5165	5.32%	"$6,182.21"	0.82%	$50.69
69320	Rebuild outer ear canal	J1	5165	5.32%	"$6,182.21"	3.22%	$199.07
69399	Unlisted px external ear	T	5161	0.07%	$245.04	9.26%	$22.69
69420	Incision of eardrum	T	5161	0.07%	$245.04	0.01%	$0.02
69421	Incision of eardrum	J1	5164	1.23%	"$3,402.23"	4.32%	$146.98
69424	Remove ventilating tube	Q2	5164	1.23%	"$3,402.23"	0.74%	$25.18
69433	Create eardrum opening	T	5162	0.11%	$546.14	0.14%	$0.76
69436	Create eardrum opening	J1	5163	1.74%	"$1,589.97"	3.79%	$60.26
69440	Exploration of middle ear	J1	5164	1.23%	"$3,402.23"	1.29%	$43.89
69450	Eardrum revision	J1	5164	1.23%	"$3,402.23"	0.53%	$18.03
69501	Mastoidectomy	J1	5165	5.32%	"$6,182.21"	11.24%	$694.88
69502	Mastoidectomy	J1	5165	5.32%	"$6,182.21"	2.99%	$184.85
69505	Remove mastoid structures	J1	5165	5.32%	"$6,182.21"	1.25%	$77.28
69511	Extensive mastoid surgery	J1	5165	5.32%	"$6,182.21"	0.03%	$1.85
69530	Extensive mastoid surgery	J1	5165	5.32%	"$6,182.21"	0.06%	$3.71
69540	Excision aural polyp	J1	5163	1.74%	"$1,589.97"	4.87%	$77.43
69550	Exc aurl glomus tum trnscanl	J1	5165	5.32%	"$6,182.21"	0.96%	$59.35
69552	Exc aurl glomus tum trnsmstd	J1	5165	5.32%	"$6,182.21"	1.33%	$82.22
69601	Revj mstdc rsltg compl mstdc	J1	5165	5.32%	"$6,182.21"	3.30%	$204.01
69602	Rev mstdc rslt mod rad mstdc	J1	5165	5.32%	"$6,182.21"	0.52%	$32.15
69603	Revj mstdc rsltg rad mstdc	J1	5165	5.32%	"$6,182.21"	0.52%	$32.15
69604	Revj mstdc rsltg tympanplsty	J1	5165	5.32%	"$6,182.21"	2.39%	$147.75
69610	Tympanic membrane repair	J1	5163	1.74%	"$1,589.97"	0.53%	$8.43
69620	Myringoplasty	J1	5164	1.23%	"$3,402.23"	1.48%	$50.35
69631	Repair eardrum structures	J1	5165	5.32%	"$6,182.21"	3.10%	$191.65
69632	Rebuild eardrum structures	J1	5165	5.32%	"$6,182.21"	6.83%	$422.24
69633	Rebuild eardrum structures	J1	5165	5.32%	"$6,182.21"	10.67%	$659.64
69635	Repair eardrum structures	J1	5165	5.32%	"$6,182.21"	4.99%	$308.49
69636	Rebuild eardrum structures	J1	5165	5.32%	"$6,182.21"	9.21%	$569.38
69637	Rebuild eardrum structures	J1	5165	5.32%	"$6,182.21"	11.89%	$735.06
69641	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	3.00%	$185.47
69642	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	7.83%	$484.07
69643	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	1.33%	$82.22
69644	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	7.01%	$433.37
69645	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	1.99%	$123.03
69646	Revise middle ear & mastoid	J1	5165	5.32%	"$6,182.21"	6.91%	$427.19
69650	Stapes mobilization	J1	5164	1.23%	"$3,402.23"	2.67%	$90.84
69660	Revise middle ear bone	J1	5165	5.32%	"$6,182.21"	8.60%	$531.67
69661	Revise middle ear bone	J1	5165	5.32%	"$6,182.21"	8.97%	$554.54
69662	Revise middle ear bone	J1	5165	5.32%	"$6,182.21"	11.03%	$681.90
69666	Repair middle ear structures	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
69667	Repair middle ear structures	J1	5164	1.23%	"$3,402.23"	0.08%	$2.72
69670	Remove mastoid air cells	J1	5165	5.32%	"$6,182.21"	3.74%	$231.21
69700	Close mastoid fistula	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
69705	Nps surg dilat eust tube uni	J1	5165	5.32%	"$6,182.21"	43.97%	"$2,718.32"
69706	Nps surg dilat eust tube bi	J1	5165	5.32%	"$6,182.21"	44.52%	"$2,752.32"
69711	Remove/repair hearing aid	J1	5164	1.23%	"$3,402.23"	7.81%	$265.71
69714	Impl oi implt skull perq esp	J1	5115	45.04%	"$13,254.37"	61.30%	"$8,124.93"
69716	Impl oi implt sk tc esp<100	J1	5115	45.04%	"$13,254.37"	64.24%	"$8,514.61"
69717	Rplcmt oi implt skl prq esp	J1	5114	25.81%	"$7,533.87"	56.17%	"$4,231.77"
69719	Rplcm oi implt sk tc esp<100	J1	5115	45.04%	"$13,254.37"	58.70%	"$7,780.32"
69720	Release facial nerve	J1	5165	5.32%	"$6,182.21"	0.98%	$60.59
69725	Release facial nerve	J1	5165	5.32%	"$6,182.21"	0.00%	$0.00
69726	Rmv ntr oi implt skl prq esp	J1	5113	6.24%	"$3,377.20"	0.02%	$0.68
69727	Rmv ntr oi imp sk tc esp<100	J1	5113	6.24%	"$3,377.20"	0.56%	$18.91
69728	Rmv ntr oi imp sk tc>=100	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
69729	Impl oi implt sk tc esp>=100	J1	5115	45.04%	"$13,254.37"	61.03%	"$8,089.14"
69730	Rplc oi implt sk tc esp>=100	J1	5115	45.04%	"$13,254.37"	53.02%	"$7,027.47"
69799	Unlisted px middle ear	T	5161	0.07%	$245.04	17.30%	$42.39
69801	Incise inner ear	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
69805	Explore inner ear	J1	5165	5.32%	"$6,182.21"	4.66%	$288.09
69806	Explore inner ear	J1	5165	5.32%	"$6,182.21"	0.52%	$32.15
69905	Remove inner ear	J1	5165	5.32%	"$6,182.21"	2.23%	$137.86
69910	Remove inner ear & mastoid	J1	5165	5.32%	"$6,182.21"	1.57%	$97.06
69930	Implant cochlear device	J1	5166	74.92%	"$33,219.98"	74.92%	"$24,888.41"
69949	Unlisted px inner ear	T	5161	0.07%	$245.04	5.07%	$12.42
69955	Release facial nerve	J1	5165	5.32%	"$6,182.21"	7.21%	$445.74
69960	Release inner ear canal	J1	5165	5.32%	"$6,182.21"	0.62%	$38.33
69970	Remove inner ear lesion	J1	5165	5.32%	"$6,182.21"	0.53%	$32.77
70015	Contrast x-ray of brain	Q2	5573	0.02%	$802.38	0.00%	$0.00
70030	X-ray eye for foreign body	Q1	5521	0.08%	$89.39	0.00%	$0.00
70100	X-ray exam of jaw <4views	Q1	5521	0.08%	$89.39	0.00%	$0.00
70110	X-ray exam of jaw 4/> views	Q1	5522	0.00%	$107.41	0.00%	$0.00
70120	X-ray exam of mastoids	Q1	5522	0.00%	$107.41	55.82%	$59.96
70130	X-ray exam of mastoids	Q1	5522	0.00%	$107.41	0.00%	$0.00
70140	X-ray exam of facial bones	Q1	5521	0.08%	$89.39	0.00%	$0.00
70150	X-ray exam of facial bones	Q1	5522	0.00%	$107.41	0.00%	$0.00
70160	X-ray exam of nasal bones	Q1	5521	0.08%	$89.39	0.00%	$0.00
70170	X-ray exam of tear duct	Q2	5523	0.07%	$245.72	0.00%	$0.00
70190	X-ray exam of eye sockets	Q1	5521	0.08%	$89.39	0.00%	$0.00
70200	X-ray exam of eye sockets	Q1	5522	0.00%	$107.41	0.00%	$0.00
70210	X-ray exam of sinuses	Q1	5521	0.08%	$89.39	0.00%	$0.00
70220	X-ray exam of sinuses	Q1	5521	0.08%	$89.39	0.00%	$0.00
70240	X-ray exam pituitary saddle	Q1	5521	0.08%	$89.39	0.00%	$0.00
70250	X-ray exam of skull	Q1	5522	0.00%	$107.41	0.00%	$0.00
70260	X-ray exam of skull	Q1	5522	0.00%	$107.41	0.00%	$0.00
70300	X-ray exam of teeth	Q1	5521	0.08%	$89.39	0.00%	$0.00
70310	X-ray exam of teeth	Q1	5523	0.07%	$245.72	0.00%	$0.00
70320	Full mouth x-ray of teeth	Q1	5523	0.07%	$245.72	0.00%	$0.00
70328	X-ray exam of jaw joint	Q1	5521	0.08%	$89.39	0.00%	$0.00
70330	X-ray exam of jaw joints	Q1	5521	0.08%	$89.39	0.00%	$0.00
70332	X-ray exam of jaw joint	Q2	5523	0.07%	$245.72	0.00%	$0.00
70336	Magnetic image jaw joint	Q3	5523	0.07%	$245.72	0.00%	$0.00
70350	X-ray head for orthodontia	Q1	5521	0.08%	$89.39	0.00%	$0.00
70355	Panoramic x-ray of jaws	Q1	5521	0.08%	$89.39	0.00%	$0.00
70360	X-ray exam of neck	Q1	5521	0.08%	$89.39	0.00%	$0.00
70370	Throat x-ray & fluoroscopy	Q1	5521	0.08%	$89.39	0.00%	$0.00
70371	Speech evaluation complex	Q1	5523	0.07%	$245.72	0.00%	$0.00
70390	X-ray exam of salivary duct	Q2	5523	0.07%	$245.72	0.00%	$0.00
70450	Ct head/brain w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
70460	Ct head/brain w/dye	Q3	5571	0.02%	$179.73	0.01%	$0.02
70470	Ct head/brain w/o & w/dye	Q3	5571	0.02%	$179.73	0.02%	$0.04
70480	Ct orbit/ear/fossa w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
70481	Ct orbit/ear/fossa w/dye	Q3	5571	0.02%	$179.73	0.05%	$0.09
70482	Ct orbit/ear/fossa w/o&w/dye	Q3	5571	0.02%	$179.73	0.01%	$0.02
70486	Ct maxillofacial w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
70487	Ct maxillofacial w/dye	Q3	5571	0.02%	$179.73	0.02%	$0.04
70488	Ct maxillofacial w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
70490	Ct soft tissue neck w/o dye	Q3	5522	0.00%	$107.41	0.01%	$0.01
70491	Ct soft tissue neck w/dye	Q3	5571	0.02%	$179.73	0.02%	$0.04
70492	Ct sft tsue nck w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
70496	Ct angiography head	Q3	5571	0.02%	$179.73	0.01%	$0.02
70498	Ct angiography neck	Q3	5571	0.02%	$179.73	0.02%	$0.04
70540	Mri orbit/face/neck w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
70542	Mri orbit/face/neck w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
70543	Mri orbt/fac/nck w/o &w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
70544	Mr angiography head w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
70545	Mr angiography head w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
70546	Mr angiograph head w/o&w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
70547	Mr angiography neck w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
70548	Mr angiography neck w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
70549	Mr angiograph neck w/o&w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
70551	Mri brain stem w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
70552	Mri brain stem w/dye	Q3	5572	0.04%	$358.35	0.02%	$0.07
70553	Mri brain stem w/o & w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
70554	Fmri brain by tech	Q3	5523	0.07%	$245.72	0.00%	$0.00
70555	Fmri brain by phys/psych	S	5523	0.07%	$245.72	0.00%	$0.00
70557	Mri brain w/o dye	S	5524	0.03%	$562.07	0.00%	$0.00
70558	Mri brain w/dye	S	5571	0.02%	$179.73	0.00%	$0.00
70559	Mri brain w/o & w/dye	S	5571	0.02%	$179.73	0.00%	$0.00
71020	Chest x-ray 2vw frontal&latl	D				0.00%	
71045	X-ray exam chest 1 view	Q3	5521	0.08%	$89.39	0.96%	$0.86
71046	X-ray exam chest 2 views	Q3	5521	0.08%	$89.39	0.01%	$0.01
71047	X-ray exam chest 3 views	Q1	5521	0.08%	$89.39	0.00%	$0.00
71048	X-ray exam chest 4+ views	Q1	5522	0.00%	$107.41	0.00%	$0.00
71100	X-ray exam ribs uni 2 views	Q1	5521	0.08%	$89.39	0.00%	$0.00
71101	X-ray exam unilat ribs/chest	Q1	5522	0.00%	$107.41	0.00%	$0.00
71110	X-ray exam ribs bil 3 views	Q1	5522	0.00%	$107.41	0.00%	$0.00
71111	X-ray exam ribs/chest4/> vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
71120	X-ray exam breastbone 2/>vws	Q1	5521	0.08%	$89.39	0.00%	$0.00
71130	X-ray strenoclavic jt 3/>vws	Q1	5521	0.08%	$89.39	0.00%	$0.00
71250	Ct thorax dx c-	Q3	5522	0.00%	$107.41	0.00%	$0.00
71260	Ct thorax dx c+	Q3	5571	0.02%	$179.73	0.02%	$0.04
71270	Ct thorax dx c-/c+	Q3	5571	0.02%	$179.73	0.04%	$0.07
71271	Ct thorax lung cancer scr c-	S	5522	0.00%	$107.41	0.00%	$0.00
71275	Ct angiography chest	Q3	5571	0.02%	$179.73	0.03%	$0.05
71550	Mri chest w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
71551	Mri chest w/dye	Q3	5573	0.02%	$802.38	0.00%	$0.00
71552	Mri chest w/o & w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
72020	X-ray exam of spine 1 view	Q1	5521	0.08%	$89.39	6.37%	$5.69
72040	X-ray exam neck spine 2-3 vw	Q1	5521	0.08%	$89.39	0.00%	$0.00
72050	X-ray exam neck spine 4/5vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72052	X-ray exam neck spine 6/>vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72070	X-ray exam thorac spine 2vws	Q1	5522	0.00%	$107.41	0.01%	$0.01
72072	X-ray exam thorac spine 3vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72074	X-ray exam thorac spine4/>vw	Q1	5522	0.00%	$107.41	0.00%	$0.00
72080	X-ray exam thoracolmb 2/> vw	Q1	5521	0.08%	$89.39	0.03%	$0.03
72081	X-ray exam entire spi 1 vw	Q1	5521	0.08%	$89.39	0.00%	$0.00
72082	X-ray exam entire spi 2/3 vw	Q1	5522	0.00%	$107.41	0.00%	$0.00
72083	X-ray exam entire spi 4/5 vw	S	5522	0.00%	$107.41	0.00%	$0.00
72084	X-ray exam entire spi 6/> vw	S	5522	0.00%	$107.41	0.00%	$0.00
72100	X-ray exam l-s spine 2/3 vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72110	X-ray exam l-2 spine 4/>vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72114	X-ray exam l-s spine bending	Q1	5522	0.00%	$107.41	0.00%	$0.00
72120	X-ray bend only l-s spine	Q1	5522	0.00%	$107.41	0.00%	$0.00
72125	Ct neck spine w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
72126	Ct neck spine w/dye	Q3	5572	0.04%	$358.35	0.07%	$0.25
72127	Ct neck spine w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
72128	Ct chest spine w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
72129	Ct chest spine w/dye	Q3	5571	0.02%	$179.73	0.05%	$0.09
72130	Ct chest spine w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
72131	Ct lumbar spine w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
72132	Ct lumbar spine w/dye	Q3	5572	0.04%	$358.35	0.05%	$0.18
72133	Ct lumbar spine w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
72141	Mri neck spine w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
72142	Mri neck spine w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72146	Mri chest spine w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
72147	Mri chest spine w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72148	Mri lumbar spine w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
72149	Mri lumbar spine w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72156	Mri neck spine w/o & w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72157	Mri chest spine w/o & w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72158	Mri lumbar spine w/o & w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72170	X-ray exam of pelvis	Q1	5522	0.00%	$107.41	0.15%	$0.16
72190	X-ray exam of pelvis	Q1	5522	0.00%	$107.41	0.05%	$0.05
72191	Ct angiograph pelv w/o&w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
72192	Ct pelvis w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
72193	Ct pelvis w/dye	Q3	5571	0.02%	$179.73	0.03%	$0.05
72194	Ct pelvis w/o & w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
72195	Mri pelvis w/o dye	Q3	5523	0.07%	$245.72	0.04%	$0.10
72196	Mri pelvis w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
72197	Mri pelvis w/o & w/dye	Q3	5572	0.04%	$358.35	0.20%	$0.72
72200	X-ray exam si joints	Q1	5522	0.00%	$107.41	0.00%	$0.00
72202	X-ray exam si joints 3/> vws	Q1	5522	0.00%	$107.41	0.00%	$0.00
72220	X-ray exam sacrum tailbone	Q1	5521	0.08%	$89.39	0.00%	$0.00
72240	Myelography neck spine	Q2	5573	0.02%	$802.38	0.00%	$0.00
72255	Myelography thoracic spine	Q2	5573	0.02%	$802.38	0.00%	$0.00
72265	Myelography l-s spine	Q2	5573	0.02%	$802.38	0.00%	$0.00
72270	Myelogphy 2/> spine regions	Q2	5573	0.02%	$802.38	0.00%	$0.00
72285	Discography cerv/thor spine	Q2	5431	1.04%	"$1,999.82"	0.00%	$0.00
72295	X-ray of lower spine disk	Q2	5431	1.04%	"$1,999.82"	0.90%	$18.00
73000	X-ray exam of collar bone	Q1	5521	0.08%	$89.39	0.00%	$0.00
73010	X-ray exam of shoulder blade	Q1	5522	0.00%	$107.41	0.00%	$0.00
73020	X-ray exam of shoulder	Q1	5521	0.08%	$89.39	0.56%	$0.50
73030	X-ray exam of shoulder	Q1	5521	0.08%	$89.39	0.00%	$0.00
73040	Contrast x-ray of shoulder	Q2	5572	0.04%	$358.35	0.00%	$0.00
73050	X-ray exam of shoulders	Q1	5521	0.08%	$89.39	0.00%	$0.00
73060	X-ray exam of humerus	Q1	5521	0.08%	$89.39	0.04%	$0.04
73070	X-ray exam of elbow	Q1	5521	0.08%	$89.39	0.00%	$0.00
73080	X-ray exam of elbow	Q1	5521	0.08%	$89.39	0.00%	$0.00
73085	Contrast x-ray of elbow	Q2	5572	0.04%	$358.35	0.00%	$0.00
73090	X-ray exam of forearm	Q1	5521	0.08%	$89.39	0.00%	$0.00
73092	X-ray exam of arm infant	Q1	5522	0.00%	$107.41	0.00%	$0.00
73100	X-ray exam of wrist	Q1	5521	0.08%	$89.39	0.05%	$0.04
73110	X-ray exam of wrist	Q1	5521	0.08%	$89.39	0.00%	$0.00
73115	Contrast x-ray of wrist	Q2	5572	0.04%	$358.35	0.00%	$0.00
73120	X-ray exam of hand	Q1	5522	0.00%	$107.41	0.00%	$0.00
73130	X-ray exam of hand	Q1	5521	0.08%	$89.39	0.00%	$0.00
73140	X-ray exam of finger(s)	Q1	5521	0.08%	$89.39	0.00%	$0.00
73200	Ct upper extremity w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
73201	Ct upper extremity w/dye	Q3	5572	0.04%	$358.35	0.02%	$0.07
73202	Ct uppr extremity w/o&w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
73206	Ct angio upr extrm w/o&w/dye	Q3	5571	0.02%	$179.73	0.14%	$0.25
73218	Mri upper extremity w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
73219	Mri upper extremity w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
73220	Mri uppr extremity w/o&w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
73221	Mri joint upr extrem w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
73222	Mri joint upr extrem w/dye	Q3	5573	0.02%	$802.38	0.00%	$0.00
73223	Mri joint upr extr w/o&w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
73501	X-ray exam hip uni 1 view	Q1	5521	0.08%	$89.39	0.05%	$0.04
73502	X-ray exam hip uni 2-3 views	Q1	5521	0.08%	$89.39	0.00%	$0.00
73503	X-ray exam hip uni 4/> views	Q1	5522	0.00%	$107.41	0.00%	$0.00
73521	X-ray exam hips bi 2 views	Q1	5522	0.00%	$107.41	0.01%	$0.01
73522	X-ray exam hips bi 3-4 views	Q1	5522	0.00%	$107.41	0.00%	$0.00
73523	X-ray exam hips bi 5/> views	S	5522	0.00%	$107.41	0.00%	$0.00
73525	Contrast x-ray of hip	Q2	5572	0.04%	$358.35	0.00%	$0.00
73551	X-ray exam of femur 1	Q1	5521	0.08%	$89.39	2.39%	$2.14
73552	X-ray exam of femur 2/>	Q1	5521	0.08%	$89.39	0.02%	$0.02
73560	X-ray exam of knee 1 or 2	Q1	5521	0.08%	$89.39	0.01%	$0.01
73562	X-ray exam of knee 3	Q1	5521	0.08%	$89.39	0.00%	$0.00
73564	X-ray exam knee 4 or more	Q1	5522	0.00%	$107.41	0.00%	$0.00
73565	X-ray exam of knees	Q1	5521	0.08%	$89.39	0.00%	$0.00
73580	Contrast x-ray of knee joint	Q2	5572	0.04%	$358.35	0.00%	$0.00
73590	X-ray exam of lower leg	Q1	5521	0.08%	$89.39	0.00%	$0.00
73592	X-ray exam of leg infant	Q1	5521	0.08%	$89.39	0.00%	$0.00
73600	X-ray exam of ankle	Q1	5521	0.08%	$89.39	0.01%	$0.01
73610	X-ray exam of ankle	Q1	5521	0.08%	$89.39	0.00%	$0.00
73615	Contrast x-ray of ankle	Q2	5572	0.04%	$358.35	0.00%	$0.00
73620	X-ray exam of foot	Q1	5521	0.08%	$89.39	0.04%	$0.04
73630	X-ray exam of foot	Q1	5521	0.08%	$89.39	0.01%	$0.01
73650	X-ray exam of heel	Q1	5521	0.08%	$89.39	0.01%	$0.01
73660	X-ray exam of toe(s)	Q1	5521	0.08%	$89.39	0.00%	$0.00
73700	Ct lower extremity w/o dye	Q3	5522	0.00%	$107.41	0.00%	$0.00
73701	Ct lower extremity w/dye	Q3	5571	0.02%	$179.73	0.04%	$0.07
73702	Ct lwr extremity w/o&w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
73706	Ct angio lwr extr w/o&w/dye	Q3	5571	0.02%	$179.73	0.02%	$0.04
73718	Mri lower extremity w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
73719	Mri lower extremity w/dye	Q3	5572	0.04%	$358.35	0.00%	$0.00
73720	Mri lwr extremity w/o&w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
73721	Mri jnt of lwr extre w/o dye	Q3	5523	0.07%	$245.72	0.00%	$0.00
73722	Mri joint of lwr extr w/dye	Q3	5573	0.02%	$802.38	0.05%	$0.40
73723	Mri joint lwr extr w/o&w/dye	Q3	5572	0.04%	$358.35	0.02%	$0.07
74018	Radex abdomen 1 view	Q1	5521	0.08%	$89.39	0.06%	$0.05
74019	Radex abdomen 2 views	Q1	5522	0.00%	$107.41	0.01%	$0.01
74021	Radex abdomen 3+ views	Q1	5522	0.00%	$107.41	0.00%	$0.00
74022	Radex compl aqt abd series	Q1	5522	0.00%	$107.41	0.01%	$0.01
74150	Ct abdomen w/o contrast	Q3	5522	0.00%	$107.41	0.03%	$0.03
74160	Ct abdomen w/contrast	Q3	5571	0.02%	$179.73	0.03%	$0.05
74170	Ct abd wo cntrst flwd cntrst	Q3	5571	0.02%	$179.73	0.02%	$0.04
74174	Cta abd&plvs w/contrast	S	5572	0.04%	$358.35	0.02%	$0.07
74175	Cta abdomen w/contrast	Q3	5571	0.02%	$179.73	0.01%	$0.02
74176	Ct abd & pelvis w/o contrast	Q3	5523	0.07%	$245.72	0.04%	$0.10
74177	Ct abd & pelvis w/contrast	Q3	5572	0.04%	$358.35	0.03%	$0.11
74178	Ct abd&plv wo cntr flwd cntr	Q3	5572	0.04%	$358.35	0.01%	$0.04
74181	Mri abdomen w/o contrast	Q3	5523	0.07%	$245.72	0.04%	$0.10
74182	Mri abdomen w/contrast	Q3	5572	0.04%	$358.35	0.06%	$0.22
74183	Mri abd w/o cntr flwd cntr	Q3	5572	0.04%	$358.35	0.01%	$0.04
74190	Peritoneogram rs&i	Q2	5524	0.03%	$562.07	18.68%	$104.99
74210	X-ray xm phrnx&/crv esoph c+	Q1	5571	0.02%	$179.73	0.00%	$0.00
74220	X-ray xm esophagus 1cntrst	Q1	5571	0.02%	$179.73	0.00%	$0.00
74221	X-ray xm esophagus 2cntrst	Q1	5571	0.02%	$179.73	0.00%	$0.00
74230	X-ray xm swlng funcj c+	Q1	5571	0.02%	$179.73	0.01%	$0.02
74240	X-ray xm upr gi trc 1cntrst	Q1	5571	0.02%	$179.73	0.01%	$0.02
74246	X-ray xm upr gi trc 2cntrst	Q1	5571	0.02%	$179.73	0.01%	$0.02
74250	X-ray xm sm int 1cntrst std	Q1	5571	0.02%	$179.73	0.02%	$0.04
74251	X-ray xm sm int 2cntrst std	Q1	5571	0.02%	$179.73	0.00%	$0.00
74261	Ct colonography dx	Q3	5522	0.00%	$107.41	0.00%	$0.00
74262	Ct colonography dx w/dye	Q3	5571	0.02%	$179.73	0.00%	$0.00
74263	Ct colonography screening	S	5523	0.07%	$245.72	0.00%	$0.00
74270	X-ray xm colon 1cntrst std	Q1	5571	0.02%	$179.73	0.04%	$0.07
74280	X-ray xm colon 2cntrst std	Q1	5571	0.02%	$179.73	0.00%	$0.00
74283	Ther nma rdctj intus/obstrcj	S	5571	0.02%	$179.73	0.00%	$0.00
74290	Contrast x-ray gallbladder	Q1	5571	0.02%	$179.73	0.00%	$0.00
74400	Urography iv +-kub tomog	S	5571	0.02%	$179.73	0.00%	$0.00
74410	Urography nfs drip&/bolus	S	5571	0.02%	$179.73	0.03%	$0.05
74415	Urography nfs drip&/bls w/nf	S	5571	0.02%	$179.73	0.00%	$0.00
74420	Urography rtrgr +-kub	S	5572	0.04%	$358.35	15.19%	$54.43
74425	Urography antegrade rs&i	Q2	5572	0.04%	$358.35	2.38%	$8.53
74430	Contrast x-ray bladder	Q2	5572	0.04%	$358.35	0.23%	$0.82
74450	X-ray urethra/bladder	Q2	5523	0.07%	$245.72	1.09%	$2.68
74455	X-ray urethra/bladder	Q2	5523	0.07%	$245.72	0.24%	$0.59
74485	Dilation urtr/urt rs&i	Q2	5373	6.53%	"$2,148.57"	26.10%	$560.78
74712	Mri fetal sngl/1st gestation	S	5523	0.07%	$245.72	0.00%	$0.00
74740	X-ray female genital tract	Q2	5523	0.07%	$245.72	3.75%	$9.21
74775	X-ray exam of perineum	S	5523	0.07%	$245.72	0.00%	$0.00
75557	Cardiac mri for morph	Q3	5523	0.07%	$245.72	0.02%	$0.05
75559	Cardiac mri w/stress img	Q3	5524	0.03%	$562.07	0.00%	$0.00
75561	Cardiac mri for morph w/dye	Q3	5572	0.04%	$358.35	0.01%	$0.04
75563	Card mri w/stress img & dye	Q3	5573	0.02%	$802.38	0.00%	$0.00
75571	Ct hrt w/o dye w/ca test	Q1	5521	0.08%	$89.39	0.00%	$0.00
75572	Ct hrt w/3d image	S	5572	0.04%	$358.35	0.03%	$0.11
75573	Ct hrt c+ strux cgen hrt ds	S	5572	0.04%	$358.35	0.05%	$0.18
75574	Ct angio hrt w/3d image	S	5572	0.04%	$358.35	0.05%	$0.18
75580	N-invas est c ffr sw aly cta	S	5724	0.05%	$879.34	0.00%	$0.00
75600	Contrast exam thoracic aorta	Q2	5183	16.69%	"$3,254.23"	31.32%	"$1,019.22"
75605	Contrast exam thoracic aorta	Q2	5184	16.90%	"$5,712.13"	23.02%	"$1,314.93"
75625	Contrast exam abdominl aorta	Q2	5183	16.69%	"$3,254.23"	18.69%	$608.22
75630	X-ray aorta leg arteries	Q2	5183	16.69%	"$3,254.23"	20.64%	$671.67
75635	Ct angio abdominal arteries	Q2	5571	0.02%	$179.73	0.04%	$0.07
75705	Artery x-rays spine	Q2	5184	16.90%	"$5,712.13"	5.80%	$331.30
75710	Artery x-rays arm/leg	Q2	5183	16.69%	"$3,254.23"	27.14%	$883.20
75716	Artery x-rays arms/legs	Q2	5183	16.69%	"$3,254.23"	21.89%	$712.35
75726	Artery x-rays abdomen	Q2	5184	16.90%	"$5,712.13"	25.90%	"$1,479.44"
75731	Artery x-rays adrenal gland	J1	5183	16.69%	"$3,254.23"	17.36%	$564.93
75733	Artery x-rays adrenals	Q2	5183	16.69%	"$3,254.23"	4.19%	$136.35
75736	Artery x-rays pelvis	Q2	5184	16.90%	"$5,712.13"	27.15%	"$1,550.84"
75741	Artery x-rays lung	Q2	5183	16.69%	"$3,254.23"	26.75%	$870.51
75743	Artery x-rays lungs	Q2	5183	16.69%	"$3,254.23"	28.80%	$937.22
75746	Artery x-rays lung	J1	5183	16.69%	"$3,254.23"	41.48%	"$1,349.85"
75756	Artery x-rays chest	Q2	5183	16.69%	"$3,254.23"	26.31%	$856.19
75801	Lymph vessel x-ray arm/leg	Q2	5181	3.32%	$645.88	0.18%	$1.16
75803	Lymph vessel x-ray arms/legs	J1	5182	17.11%	"$1,602.15"	1.66%	$26.60
75805	Lymph vessel x-ray trunk	J1	5183	16.69%	"$3,254.23"	11.67%	$379.77
75807	Lymph vessel x-ray trunk	Q2	5183	16.69%	"$3,254.23"	6.97%	$226.82
75809	Nonvascular shunt x-ray	Q2	5522	0.00%	$107.41	0.51%	$0.55
75810	Vein x-ray spleen/liver	J1	5183	16.69%	"$3,254.23"	38.05%	"$1,238.23"
75820	Vein x-ray arm/leg	Q2	5182	17.11%	"$1,602.15"	11.80%	$189.05
75822	Vein x-ray arms/legs	J1	5182	17.11%	"$1,602.15"	8.54%	$136.82
75825	Vein x-ray trunk	Q2	5183	16.69%	"$3,254.23"	29.46%	$958.70
75827	Vein x-ray chest	Q2	5182	17.11%	"$1,602.15"	16.28%	$260.83
75831	Vein x-ray kidney	Q2	5183	16.69%	"$3,254.23"	24.34%	$792.08
75833	Vein x-ray kidneys	Q2	5183	16.69%	"$3,254.23"	12.92%	$420.45
75840	Vein x-ray adrenal gland	Q2	5183	16.69%	"$3,254.23"	0.00%	$0.00
75842	Vein x-ray adrenal glands	D				30.09%	
75860	Vein x-ray neck	Q2	5183	16.69%	"$3,254.23"	26.87%	$874.41
75870	Vein x-ray skull	J1	5183	16.69%	"$3,254.23"	36.94%	"$1,202.11"
75880	Vein x-ray eye socket	Q2	5181	3.32%	$645.88	0.00%	$0.00
75885	Vein x-ray liver w/hemodynam	Q2	5183	16.69%	"$3,254.23"	16.57%	$539.23
75887	Vein x-ray liver w/o hemodyn	J1	5183	16.69%	"$3,254.23"	19.24%	$626.11
75889	Vein x-ray liver w/hemodynam	Q2	5183	16.69%	"$3,254.23"	20.10%	$654.10
75891	Vein x-ray liver	Q2	5183	16.69%	"$3,254.23"	28.25%	$919.32
75893	Venous sampling by catheter	Q2	5184	16.90%	"$5,712.13"	16.00%	$913.94
75898	Follow-up angiography	J1	5183	16.69%	"$3,254.23"	54.09%	"$1,760.21"
76000	Fluoroscopy <1 hr phys/qhp	S	5523	0.07%	$245.72	13.54%	$33.27
76010	X-ray nose to rectum	Q1	5521	0.08%	$89.39	0.00%	$0.00
76080	X-ray exam of fistula	Q2	5524	0.03%	$562.07	2.23%	$12.53
76098	X-ray exam surgical specimen	Q2	5524	0.03%	$562.07	8.22%	$46.20
76100	X-ray exam of body section	Q1	5522	0.00%	$107.41	0.00%	$0.00
76120	Cine/video x-rays	Q1	5522	0.00%	$107.41	2.58%	$2.77
76380	Cat scan follow-up study	Q1	5521	0.08%	$89.39	0.35%	$0.31
76390	Mr spectroscopy	S	5521	0.08%	$89.39	0.00%	$0.00
76391	Mr elastography	Q3	5523	0.07%	$245.72	0.00%	$0.00
76496	Unlisted fluoroscopic px	Q1	5521	0.08%	$89.39	12.10%	$10.82
76497	Unlisted ct procedure	Q1	5521	0.08%	$89.39	0.00%	$0.00
76498	Unlisted mr procedure	S	5521	0.08%	$89.39	0.00%	$0.00
76499	Unlisted dx radiographic px	Q1	5521	0.08%	$89.39	1.41%	$1.26
76506	Echo exam of head	Q1	5522	0.00%	$107.41	0.00%	$0.00
76510	Oph us dx b-scan&quan a-scan	Q1	5734	0.07%	$136.31	0.00%	$0.00
76511	Oph us dx quan a-scan only	Q1	5522	0.00%	$107.41	0.00%	$0.00
76512	Oph us dx b-scan	Q1	5522	0.00%	$107.41	0.00%	$0.00
76513	Oph us dx ant sgm us uni/bi	Q1	5522	0.00%	$107.41	0.00%	$0.00
76514	Echo exam of eye thickness	Q1	5731	0.03%	$30.81	0.00%	$0.00
76516	Echo exam of eye	Q1	5522	0.00%	$107.41	0.00%	$0.00
76519	Echo exam of eye	Q1	5522	0.00%	$107.41	0.00%	$0.00
76536	Us exam of head and neck	Q1	5522	0.00%	$107.41	0.00%	$0.00
76604	Us exam chest	Q1	5522	0.00%	$107.41	0.25%	$0.27
76641	Ultrasound breast complete	Q1	5522	0.00%	$107.41	0.01%	$0.01
76642	Ultrasound breast limited	Q1	5521	0.08%	$89.39	0.01%	$0.01
76700	Us exam abdom complete	Q3	5522	0.00%	$107.41	0.00%	$0.00
76705	Echo exam of abdomen	Q3	5522	0.00%	$107.41	0.01%	$0.01
76706	Us abdl aorta screen aaa	S	5522	0.00%	$107.41	0.00%	$0.00
76770	Us exam abdo back wall comp	Q3	5522	0.00%	$107.41	0.00%	$0.00
76775	Us exam abdo back wall lim	Q1	5522	0.00%	$107.41	0.01%	$0.01
76776	Us exam k transpl w/doppler	Q3	5522	0.00%	$107.41	0.01%	$0.01
76800	Us exam spinal canal	Q1	5522	0.00%	$107.41	0.00%	$0.00
76801	Ob us < 14 wks single fetus	S	5522	0.00%	$107.41	0.00%	$0.00
76805	Ob us >= 14 wks sngl fetus	S	5522	0.00%	$107.41	0.00%	$0.00
76811	Ob us detailed sngl fetus	S	5523	0.07%	$245.72	0.00%	$0.00
76813	Ob us nuchal meas 1 gest	Q1	5522	0.00%	$107.41	0.00%	$0.00
76815	Ob us limited fetus(s)	Q1	5522	0.00%	$107.41	0.00%	$0.00
76816	Ob us follow-up per fetus	Q1	5522	0.00%	$107.41	0.00%	$0.00
76817	Transvaginal us obstetric	Q1	5522	0.00%	$107.41	0.00%	$0.00
76818	Fetal biophys profile w/nst	S	5522	0.00%	$107.41	0.00%	$0.00
76819	Fetal biophys profil w/o nst	S	5522	0.00%	$107.41	0.00%	$0.00
76820	Umbilical artery echo	Q1	5522	0.00%	$107.41	0.00%	$0.00
76821	Middle cerebral artery echo	Q1	5522	0.00%	$107.41	0.00%	$0.00
76825	Echo exam of fetal heart	S	5524	0.03%	$562.07	0.00%	$0.00
76826	Echo exam of fetal heart	S	5523	0.07%	$245.72	0.00%	$0.00
76827	Echo exam of fetal heart	Q1	5522	0.00%	$107.41	0.00%	$0.00
76828	Echo exam of fetal heart	Q1	5522	0.00%	$107.41	0.00%	$0.00
76830	Transvaginal us non-ob	S	5522	0.00%	$107.41	0.00%	$0.00
76831	Echo exam uterus	Q3	5523	0.07%	$245.72	0.26%	$0.64
76856	Us exam pelvic complete	Q3	5522	0.00%	$107.41	0.00%	$0.00
76857	Us exam pelvic limited	Q3	5522	0.00%	$107.41	0.00%	$0.00
76870	Us exam scrotum	Q1	5522	0.00%	$107.41	0.01%	$0.01
76872	Us transrectal	S	5522	0.00%	$107.41	0.12%	$0.13
76873	Echograp trans r pros study	S	5522	0.00%	$107.41	0.00%	$0.00
76881	Us compl joint r-t w/img	S	5522	0.00%	$107.41	0.00%	$0.00
76882	Us lmtd jt/fcl evl nvasc xtr	Q1	5522	0.00%	$107.41	0.02%	$0.02
76883	Us nrv&acc strux 1xtr compre	Q1	5522	0.00%	$107.41	0.00%	$0.00
76886	Us exam infant hips static	Q1	5521	0.08%	$89.39	0.00%	$0.00
76936	Echo guide for artery repair	S	5722	0.01%	$221.14	1.58%	$3.49
76975	Gi endoscopic ultrasound	Q2	5523	0.07%	$245.72	39.54%	$97.16
76978	Us trgt dyn mbubb 1st les	S	5571	0.02%	$179.73	0.05%	$0.09
76981	Use parenchyma	Q3	5522	0.00%	$107.41	0.01%	$0.01
76982	Use 1st target lesion	Q3	5522	0.00%	$107.41	0.04%	$0.04
76999	Echo examination procedure	Q1	5521	0.08%	$89.39	0.06%	$0.05
77046	Mri breast c- unilateral	Q3	5523	0.07%	$245.72	0.24%	$0.59
77047	Mri breast c- bilateral	Q3	5523	0.07%	$245.72	0.00%	$0.00
77053	X-ray of mammary duct	Q2	5523	0.07%	$245.72	2.68%	$6.59
77054	X-ray of mammary ducts	Q2	5523	0.07%	$245.72	0.00%	$0.00
77071	Mnl appl strs jt radiography	Q1	5521	0.08%	$89.39	0.00%	$0.00
77072	Bone age studies	Q1	5522	0.00%	$107.41	0.00%	$0.00
77073	Bone length studies	Q1	5522	0.00%	$107.41	0.00%	$0.00
77074	Radex osseous survey lmtd	Q1	5522	0.00%	$107.41	0.00%	$0.00
77075	Radex osseous survey compl	Q1	5522	0.00%	$107.41	0.00%	$0.00
77076	Radex osseous survey infant	Q1	5522	0.00%	$107.41	0.00%	$0.00
77077	Joint survey single view	Q1	5522	0.00%	$107.41	0.00%	$0.00
77078	Ct bone density axial	S	5521	0.08%	$89.39	0.00%	$0.00
77080	Dxa bone density axial	S	5522	0.00%	$107.41	0.00%	$0.00
77081	Dxa bone density appendiculr	S	5521	0.08%	$89.39	0.00%	$0.00
77084	Mri bone marrow blood supply	S	5523	0.07%	$245.72	0.00%	$0.00
77085	Dxa bone density axl vrt fx	Q1	5522	0.00%	$107.41	0.00%	$0.00
77086	Vrt fracture assmt via dxa	Q1	5521	0.08%	$89.39	0.00%	$0.00
77090	Tbs techl prep&transmis data	S	5521	0.08%	$89.39	0.00%	$0.00
77091	Tbs techl calculation only	S	5521	0.08%	$89.39	0.00%	$0.00
77280	Ther rad simulaj field smpl	S	5611	0.00%	$138.85	0.00%	$0.00
77285	Ther rad simulaj field intrm	S	5612	0.00%	$385.58	0.00%	$0.00
77290	Ther rad simulaj field cplx	S	5612	0.00%	$385.58	0.00%	$0.00
77295	3-d radiotherapy plan	S	5613	0.58%	"$1,430.97"	0.00%	$0.00
77299	Unlisted px ther rad tx plng	S	5611	0.00%	$138.85	0.00%	$0.00
77300	Radiation therapy dose plan	S	5611	0.00%	$138.85	0.00%	$0.00
77301	Radiotherapy dose plan imrt	S	5613	0.58%	"$1,430.97"	0.00%	$0.00
77306	Telethx isodose plan simple	S	5612	0.00%	$385.58	0.00%	$0.00
77307	Telethx isodose plan cplx	S	5612	0.00%	$385.58	0.00%	$0.00
77316	Brachytx isodose plan simple	S	5612	0.00%	$385.58	0.00%	$0.00
77317	Brachytx isodose intermed	S	5612	0.00%	$385.58	0.00%	$0.00
77318	Brachytx isodose complex	S	5612	0.00%	$385.58	0.00%	$0.00
77321	Special teletx port plan	S	5612	0.00%	$385.58	0.00%	$0.00
77331	Special radiation dosimetry	S	5611	0.00%	$138.85	0.00%	$0.00
77332	Radiation treatment aid(s)	S	5611	0.00%	$138.85	0.01%	$0.01
77333	Radiation treatment aid(s)	S	5611	0.00%	$138.85	0.00%	$0.00
77334	Radiation treatment aid(s)	S	5612	0.00%	$385.58	0.00%	$0.00
77336	Radiation physics consult	S	5611	0.00%	$138.85	0.00%	$0.00
77338	Design mlc device for imrt	S	5612	0.00%	$385.58	0.00%	$0.00
77370	Radiation physics consult	S	5611	0.00%	$138.85	0.00%	$0.00
77371	Srs multisource	J1	5627	0.22%	"$7,673.42"	0.03%	$2.30
77372	Srs linear based	J1	5627	0.22%	"$7,673.42"	0.00%	$0.00
77373	Strtctc bdy rad ther tx dlvr	S	5626	0.00%	"$1,846.33"	0.00%	$0.00
77385	Ntsty modul rad tx dlvr smpl	D				0.00%	
77386	Ntsty modul rad tx dlvr cplx	D				0.00%	
77399	Unlisted px med radj physics	S	5611	0.00%	$138.85	0.00%	$0.00
77401	Radiation tx delivery supfc	D				0.00%	
77402	Radiation tx delivery lvl 1	S	5621	0.00%	$107.97	0.00%	$0.00
77407	Radiation tx delivery lvl 2	S	5622	0.00%	$275.34	0.00%	$0.00
77412	Radiation tx delivery lvl 3	S	5622	0.00%	$275.34	0.00%	$0.00
77423	Neutron beam tx complex	S	5623	0.00%	$600.14	0.00%	$0.00
77424	Io rad tx delivery by x-ray	J1	5627	0.22%	"$7,673.42"	8.28%	$635.36
77425	Io rad tx deliver by elctrns	J1	5627	0.22%	"$7,673.42"	0.46%	$35.30
77470	Special radiation treatment	S	5623	0.00%	$600.14	0.00%	$0.00
77520	Proton trmt simple w/o comp	S	5623	0.00%	$600.14	0.00%	$0.00
77522	Proton trmt simple w/comp	S	5625	0.00%	"$1,329.23"	0.00%	$0.00
77523	Proton trmt intermediate	S	5625	0.00%	"$1,329.23"	0.00%	$0.00
77525	Proton treatment complex	S	5625	0.00%	"$1,329.23"	0.00%	$0.00
77600	Hyperthermia ext gen supfc	S	5622	0.00%	$275.34	0.00%	$0.00
77610	Hyperthermia ntrstl prb 5/<	S	5623	0.00%	$600.14	0.00%	$0.00
77615	Hyperthermia ntrstl prb>5	S	5623	0.00%	$600.14	0.00%	$0.00
77750	Infuse radioactive materials	S	5622	0.00%	$275.34	0.00%	$0.00
77763	Apply intrcav radiat compl	S	5624	0.05%	$715.83	0.00%	$0.00
77767	Hdr rdncl skn surf brachytx	S	5622	0.00%	$275.34	0.00%	$0.00
77768	Hdr rdncl skn surf brachytx	S	5622	0.00%	$275.34	0.00%	$0.00
77770	Hdr rdncl ntrstl/icav brchtx	S	5624	0.05%	$715.83	0.01%	$0.07
77771	Hdr rdncl ntrstl/icav brchtx	S	5624	0.05%	$715.83	0.06%	$0.43
77772	Hdr rdncl ntrstl/icav brchtx	S	5624	0.05%	$715.83	0.96%	$6.87
77778	Apply interstit radiat compl	S	5624	0.05%	$715.83	1.59%	$11.38
77789	Apply surf ldr radionuclide	S	5621	0.00%	$107.97	0.00%	$0.00
77799	Unlisted px clin brachytx	S	5621	0.00%	$107.97	0.00%	$0.00
78012	Thyroid uptake measurement	S	5591	0.02%	$409.09	0.00%	$0.00
78013	Thyroid imaging w/blood flow	S	5591	0.02%	$409.09	0.00%	$0.00
78014	Thyroid imaging w/blood flow	S	5591	0.02%	$409.09	0.00%	$0.00
78015	Thyroid met imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78016	Thyroid met imaging/studies	S	5591	0.02%	$409.09	0.00%	$0.00
78018	Thyroid met imaging body	S	5592	0.12%	$558.70	0.00%	$0.00
78070	Parathyroid planar imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78071	Parathyrd planar w/wo subtrj	S	5591	0.02%	$409.09	0.01%	$0.04
78072	Parathyrd planar w/spect&ct	S	5592	0.12%	$558.70	0.00%	$0.00
78075	Adrenal cortex & medulla img	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78099	Unlisted endocrine px dx nuc	S	5591	0.02%	$409.09	0.00%	$0.00
78102	Bone marrow imaging ltd	S	5591	0.02%	$409.09	0.00%	$0.00
78103	Bone marrow imaging mult	S	5591	0.02%	$409.09	0.00%	$0.00
78104	Bone marrow imaging body	S	5591	0.02%	$409.09	0.00%	$0.00
78111	Plasma volume multiple	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78121	Red cell mass multiple	S	5592	0.12%	$558.70	0.00%	$0.00
78122	Whl bld volume determination	S	5592	0.12%	$558.70	0.01%	$0.06
78140	Red cell sequestration	S	5591	0.02%	$409.09	0.00%	$0.00
78185	Spleen imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78195	Lymph system imaging	S	5592	0.12%	$558.70	1.81%	$10.11
78199	Unlstd hematop ret/endo lymp	S	5591	0.02%	$409.09	0.00%	$0.00
78201	Liver imaging static only	S	5592	0.12%	$558.70	23.97%	$133.92
78202	Liver imaging with vasc flow	S	5592	0.12%	$558.70	15.80%	$88.27
78215	Lvr&spleen img static only	S	5591	0.02%	$409.09	0.00%	$0.00
78216	Lvr&spleen img w/vasc flow	S	5591	0.02%	$409.09	0.00%	$0.00
78226	Hepatobiliary system imaging	S	5591	0.02%	$409.09	0.05%	$0.20
78227	Hepatobil syst image w/drug	S	5592	0.12%	$558.70	0.00%	$0.00
78230	Salivary gland imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78231	Salivary glnd img serial img	S	5591	0.02%	$409.09	0.00%	$0.00
78232	Salivary gland function std	S	5591	0.02%	$409.09	0.00%	$0.00
78258	Esophageal motility	S	5591	0.02%	$409.09	0.00%	$0.00
78261	Gastric mucosa imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78262	Gastroesophageal reflux std	S	5591	0.02%	$409.09	0.00%	$0.00
78264	Gastric emptying imag study	S	5591	0.02%	$409.09	0.00%	$0.00
78265	Gastric emptying imag study	S	5591	0.02%	$409.09	0.00%	$0.00
78266	Gastric emptying imag study	S	5592	0.12%	$558.70	0.00%	$0.00
78278	Acute gi blood loss imaging	S	5591	0.02%	$409.09	0.05%	$0.20
78290	Meckels divert exam	S	5591	0.02%	$409.09	0.00%	$0.00
78291	Leveen/shunt patency exam	S	5591	0.02%	$409.09	0.61%	$2.50
78300	Bone imaging limited area	S	5591	0.02%	$409.09	0.00%	$0.00
78305	Bone imaging multiple areas	S	5591	0.02%	$409.09	0.00%	$0.00
78306	Bone imaging whole body	S	5591	0.02%	$409.09	0.00%	$0.00
78315	Bone imaging 3 phase	S	5591	0.02%	$409.09	0.00%	$0.00
78399	Unlisted muscskel px dx nuc	S	5591	0.02%	$409.09	0.00%	$0.00
78414	Non-imaging heart function	S	5592	0.12%	$558.70	0.00%	$0.00
78428	Cardiac shunt imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78429	Myocrd img pet 1 std w/ct	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78430	Myocrd img pet rst/strs w/ct	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78431	Myocrd img pet rst&strs ct	S	1522		"$2,250.50"	0.01%	$0.23
78432	Myocrd img pet 2rtracer	S	1519		"$1,750.50"	0.00%	$0.00
78433	Myocrd img pet 2rtracer ct	S	1522		"$2,250.50"	0.00%	$0.00
78445	Vascular flow imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78451	Ht muscle image spect sing	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78452	Ht muscle image spect mult	S	5593	0.01%	"$1,322.82"	0.01%	$0.13
78453	Ht muscle image planar sing	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78454	Ht musc image planar mult	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78459	Myocrd img pet single study	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78466	Heart infarct image	S	5591	0.02%	$409.09	0.00%	$0.00
78468	Heart infarct image (ef)	S	5592	0.12%	$558.70	0.00%	$0.00
78469	Heart infarct image (3d)	S	5592	0.12%	$558.70	0.00%	$0.00
78472	Gated heart planar single	S	5591	0.02%	$409.09	0.00%	$0.00
78473	Gated heart multiple	S	5591	0.02%	$409.09	0.00%	$0.00
78481	Heart first pass single	S	5592	0.12%	$558.70	0.00%	$0.00
78483	Heart first pass multiple	S	5592	0.12%	$558.70	0.00%	$0.00
78491	Myocrd img pet 1std rst/strs	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78492	Myocrd img pet mlt rst&strs	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78494	Heart image spect	S	5591	0.02%	$409.09	0.00%	$0.00
78579	Lung ventilation imaging	S	5591	0.02%	$409.09	0.00%	$0.00
78580	Lung perfusion imaging	S	5591	0.02%	$409.09	0.15%	$0.61
78582	Lung ventilat&perfus imaging	S	5592	0.12%	$558.70	0.05%	$0.28
78597	Lung perfusion differential	S	5591	0.02%	$409.09	0.00%	$0.00
78598	Lung perf&ventilat diferentl	S	5592	0.12%	$558.70	0.13%	$0.73
78599	Unlisted resp px dx nuc med	S	5591	0.02%	$409.09	0.00%	$0.00
78600	Brain image < 4 views	S	5591	0.02%	$409.09	0.00%	$0.00
78601	Brain image w/flow < 4 views	S	5591	0.02%	$409.09	0.00%	$0.00
78605	Brain image 4+ views	S	5592	0.12%	$558.70	0.00%	$0.00
78606	Brain image w/flow 4 + views	S	5592	0.12%	$558.70	0.00%	$0.00
78608	Brain imaging (pet)	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78610	Brain flow imaging only	S	5592	0.12%	$558.70	0.00%	$0.00
78630	Cerebrospinal fluid scan	S	5592	0.12%	$558.70	0.00%	$0.00
78635	Csf ventriculography	S	5592	0.12%	$558.70	0.00%	$0.00
78645	Csf shunt evaluation	S	5592	0.12%	$558.70	0.00%	$0.00
78650	Csf leakage imaging	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78660	Nuclear exam of tear flow	S	5591	0.02%	$409.09	0.00%	$0.00
78699	Unlisted nrvs sys px dx nuc	S	5591	0.02%	$409.09	0.00%	$0.00
78700	Kidney imaging morphol	S	5591	0.02%	$409.09	0.00%	$0.00
78701	Kidney imaging with flow	S	5591	0.02%	$409.09	0.00%	$0.00
78707	K flow/funct image w/o drug	S	5592	0.12%	$558.70	0.01%	$0.06
78708	K flow/funct image w/drug	S	5592	0.12%	$558.70	0.01%	$0.06
78709	K flow/funct image multiple	S	5592	0.12%	$558.70	0.00%	$0.00
78725	Kidney function study	S	5591	0.02%	$409.09	0.00%	$0.00
78740	Ureteral reflux study	S	5591	0.02%	$409.09	0.00%	$0.00
78799	Unlisted gu px dx nuc med	S	5591	0.02%	$409.09	0.00%	$0.00
78800	Rp loclzj tum 1 area 1 d img	S	5591	0.02%	$409.09	0.51%	$2.09
78801	Rp loclzj tum 2+area 1+d img	S	5591	0.02%	$409.09	0.04%	$0.16
78802	Rp loclzj tum whbdy 1 d img	S	5592	0.12%	$558.70	0.07%	$0.39
78803	Rp loclzj tum spect 1 area	S	5592	0.12%	$558.70	0.01%	$0.06
78804	Rp loclzj tum whbdy 2+d img	S	5592	0.12%	$558.70	0.17%	$0.95
78808	Iv inj ra drug dx study	Q1	5591	0.02%	$409.09	0.21%	$0.86
78811	Pet image ltd area	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78812	Pet image skull-thigh	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78813	Pet image full body	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78814	Pet image w/ct lmtd	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78815	Pet image w/ct skull-thigh	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78816	Pet image w/ct full body	S	5594	0.00%	"$1,471.64"	0.00%	$0.00
78830	Rp loclzj tum spect w/ct 1	S	5593	0.01%	"$1,322.82"	0.04%	$0.53
78831	Rp loclzj tum spect 2 areas	S	5593	0.01%	"$1,322.82"	0.00%	$0.00
78832	Rp loclzj tum spect w/ct 2	S	5594	0.00%	"$1,471.64"	0.01%	$0.15
78999	Unlisted misc px dx nuc med	S	5591	0.02%	$409.09	0.00%	$0.00
79005	Nuclear rx oral admin	S	5661	0.19%	$238.88	0.00%	$0.00
79101	Nuclear rx iv admin	S	5661	0.19%	$238.88	0.05%	$0.12
79403	Hematopoietic nuclear tx	S	5661	0.19%	$238.88	0.64%	$1.53
79440	Nuclear rx intra-articular	S	5661	0.19%	$238.88	0.00%	$0.00
79445	Nuclear rx intra-arterial	S	5661	0.19%	$238.88	22.27%	$53.20
80503	Path clin consltj sf 5-20	Q1	5671	0.18%	$53.64	0.00%	$0.00
80504	Path clin consltj mod 21-40	Q1	5672	0.31%	$176.06	0.00%	$0.00
80505	Path clin consltj high 41-60	Q1	5672	0.31%	$176.06	0.00%	$0.00
85097	Bone marrow interpretation	Q2	5674	1.97%	$823.03	0.30%	$2.47
86077	Phys blood bank serv xmatch	Q1	5731	0.03%	$30.81	0.00%	$0.00
86078	Phys blood bank serv reactj	Q1	5672	0.31%	$176.06	0.00%	$0.00
86079	Phys blood bank serv authrj	Q1	5671	0.18%	$53.64	0.00%	$0.00
86485	Skin test candida	Q1	5731	0.03%	$30.81	0.00%	$0.00
86486	Skin test unlisted antign ea	Q1	5731	0.03%	$30.81	0.00%	$0.00
86510	Histoplasmosis skin test	Q1	5732	0.00%	$38.91	0.00%	$0.00
86580	Tb intradermal test	Q1	5731	0.03%	$30.81	0.00%	$0.00
86850	Rbc antibody screen	Q1	5671	0.18%	$53.64	0.12%	$0.06
86860	Rbc antibody elution	Q1	5672	0.31%	$176.06	0.79%	$1.39
86870	Rbc antibody identification	Q2	5673	0.71%	$370.08	0.06%	$0.22
86880	Coombs test direct	Q1	5733	0.06%	$60.59	0.04%	$0.02
86885	Coombs test indirect qual	Q1	5672	0.31%	$176.06	0.19%	$0.33
86886	Coombs test indirect titer	Q1	5672	0.31%	$176.06	0.49%	$0.86
86890	Autologous blood process	Q1	5672	0.31%	$176.06	0.00%	$0.00
86891	Autologous blood op salvage	Q1	5674	1.97%	$823.03	44.40%	$365.43
86900	Blood typing serologic abo	Q1	5734	0.07%	$136.31	0.10%	$0.14
86901	Blood typing serologic rh(d)	Q1	5732	0.00%	$38.91	0.00%	$0.00
86902	Blood type antigen donor ea	Q1	5673	0.71%	$370.08	0.10%	$0.37
86904	Blood typing patient serum	Q1	5733	0.06%	$60.59	0.00%	$0.00
86905	Blood typing rbc antigens	Q1	5673	0.71%	$370.08	0.01%	$0.04
86906	Bld typing serologic rh phnt	Q1	5732	0.00%	$38.91	0.00%	$0.00
86920	Compatibility test spin	Q1	5672	0.31%	$176.06	0.16%	$0.28
86921	Compatibility test incubate	Q1	5672	0.31%	$176.06	0.87%	$1.53
86922	Compatibility test antiglob	Q1	5672	0.31%	$176.06	0.08%	$0.14
86923	Compatibility test electric	Q1	5672	0.31%	$176.06	0.22%	$0.39
86927	Plasma fresh frozen	S	5672	0.31%	$176.06	0.00%	$0.00
86930	Frozen blood prep	Q1	5672	0.31%	$176.06	0.00%	$0.00
86945	Blood product/irradiation	Q1	5732	0.00%	$38.91	0.00%	$0.00
86950	Leukacyte transfusion	Q1	5672	0.31%	$176.06	0.00%	$0.00
86960	Vol reduction of blood/prod	Q1	5672	0.31%	$176.06	0.00%	$0.00
86965	Pooling blood platelets	Q1	5672	0.31%	$176.06	21.38%	$37.64
86970	Rbc pretx incubatj w/chemicl	Q1	5733	0.06%	$60.59	0.00%	$0.00
86971	Rbc pretx incubatj w/enzymes	Q1	5672	0.31%	$176.06	0.00%	$0.00
86972	Rbc pretx incubatj w/density	Q1	5672	0.31%	$176.06	0.00%	$0.00
86975	Rbc serum pretx incubj drugs	Q1	5735	0.31%	$451.59	0.00%	$0.00
86976	Rbc serum pretx id dilution	Q1	5731	0.03%	$30.81	0.00%	$0.00
86977	Rbc serum pretx incubj/inhib	Q1	5672	0.31%	$176.06	0.00%	$0.00
86978	Rbc pretreatment serum	Q1	5733	0.06%	$60.59	0.00%	$0.00
86985	Split blood or products	Q1	5672	0.31%	$176.06	0.00%	$0.00
86999	Unlisted transfusion med px	Q1	5731	0.03%	$30.81	0.00%	$0.00
88104	Cytopath fl nongyn smears	Q1	5732	0.00%	$38.91	0.31%	$0.12
88106	Cytopath fl nongyn filter	Q1	5731	0.03%	$30.81	1.33%	$0.41
88108	Cytopath concentrate tech	Q1	5732	0.00%	$38.91	0.00%	$0.00
88112	Cytopath cell enhance tech	Q1	5671	0.18%	$53.64	0.07%	$0.04
88120	Cytp urne 3-5 probes ea spec	Q2	5672	0.31%	$176.06	0.05%	$0.09
88121	Cytp urine 3-5 probes cmptr	Q1	5672	0.31%	$176.06	0.00%	$0.00
88160	Cytopath smear other source	Q1	5731	0.03%	$30.81	0.00%	$0.00
88161	Cytopath smear other source	Q1	5731	0.03%	$30.81	0.00%	$0.00
88162	Cytopath smear other source	Q1	5671	0.18%	$53.64	0.00%	$0.00
88172	Cytp dx eval fna 1st ea site	Q1	5672	0.31%	$176.06	0.63%	$1.11
88173	Cytopath eval fna report	Q1	5671	0.18%	$53.64	0.02%	$0.01
88182	Cell marker study	Q2	5671	0.18%	$53.64	0.00%	$0.00
88184	Flowcytometry/ tc 1 marker	Q2	5673	0.71%	$370.08	0.09%	$0.33
88199	Unlisted cytopathology px	Q1	5671	0.18%	$53.64	0.00%	$0.00
88299	Unlisted cytogenetic study	Q1	5671	0.18%	$53.64	0.00%	$0.00
88300	Surgical path gross	Q1	5731	0.03%	$30.81	1.81%	$0.56
88302	Tissue exam by pathologist	Q1	5732	0.00%	$38.91	4.95%	$1.93
88304	Tissue exam by pathologist	Q1	5671	0.18%	$53.64	0.31%	$0.17
88305	Tissue exam by pathologist	Q1	5671	0.18%	$53.64	0.19%	$0.10
88307	Tissue exam by pathologist	Q2	5673	0.71%	$370.08	4.72%	$17.47
88309	Tissue exam by pathologist	Q2	5674	1.97%	$823.03	8.70%	$71.60
88312	Special stains group 1	Q1	5671	0.18%	$53.64	0.06%	$0.03
88313	Special stains group 2	Q1	5734	0.07%	$136.31	0.17%	$0.23
88319	Enzyme histochemistry	Q2	5674	1.97%	$823.03	0.00%	$0.00
88321	Consltj&reprt sld prep elswr	Q1	5732	0.00%	$38.91	0.00%	$0.00
88323	Consltj&reprt matrl prep sld	Q1	5671	0.18%	$53.64	0.00%	$0.00
88325	Consltj compre rvw rec reprt	Q1	5672	0.31%	$176.06	0.00%	$0.00
88329	Path consltj drg surg	Q1	5733	0.06%	$60.59	0.00%	$0.00
88331	Path consltj surg 1 blk 1spc	Q1	5672	0.31%	$176.06	0.07%	$0.12
88333	Path consltj surg cyto xm 1	Q2	5674	1.97%	$823.03	2.86%	$23.54
88342	Imhchem/imcytchm 1st antb	Q2	5672	0.31%	$176.06	0.43%	$0.76
88344	Imhchem/imcytchm ea mlt antb	Q1	5673	0.71%	$370.08	0.39%	$1.44
88346	Imfluor 1st 1antb stain px	Q2	5672	0.31%	$176.06	0.04%	$0.07
88348	Electron microscopy dx	Q2	5674	1.97%	$823.03	0.15%	$1.23
88360	Tumor immunohistochem/manual	Q2	5672	0.31%	$176.06	0.46%	$0.81
88361	Tumor immunohistochem/comput	Q2	5673	0.71%	$370.08	2.28%	$8.44
88363	Xm archive tissue molec anal	Q1	5731	0.03%	$30.81	0.00%	$0.00
88365	Insitu hybridization (fish)	Q1	5672	0.31%	$176.06	0.34%	$0.60
88366	Insitu hybridization (fish)	Q1	5672	0.31%	$176.06	0.00%	$0.00
88367	Insitu hybridization auto	Q2	5673	0.71%	$370.08	0.06%	$0.22
88368	Insitu hybridization manual	Q2	5673	0.71%	$370.08	0.08%	$0.30
88374	M/phmtrc alys ishquant/semiq	Q1	5672	0.31%	$176.06	0.00%	$0.00
88377	M/phmtrc alys ishquant/semiq	Q1	5672	0.31%	$176.06	1.26%	$2.22
88399	Unlisted surgical path px	Q1	5671	0.18%	$53.64	7.97%	$4.28
89220	Sputum specimen collection	Q1	5672	0.31%	$176.06	0.00%	$0.00
89230	Collect sweat for test	Q1	5671	0.18%	$53.64	0.00%	$0.00
89240	Unlisted misc path test	Q1	5671	0.18%	$53.64	0.00%	$0.00
89250	Cultr oocyte/embryo <4 days	Q1	5672	0.31%	$176.06	0.00%	$0.00
89254	Oocyte identification	Q1	5672	0.31%	$176.06	0.00%	$0.00
89255	Prepare embryo for transfer	Q1	5671	0.18%	$53.64	0.00%	$0.00
89258	Cryopreservation embryo(s)	Q2	5674	1.97%	$823.03	0.00%	$0.00
89259	Cryopreservation sperm	Q1	5672	0.31%	$176.06	0.00%	$0.00
89260	Sperm isolation simple	Q1	5671	0.18%	$53.64	0.00%	$0.00
89261	Sperm isolation complex	Q1	5671	0.18%	$53.64	0.00%	$0.00
89264	Identify sperm tissue	Q1	5671	0.18%	$53.64	0.00%	$0.00
89272	Extended culture of oocytes	Q2	5674	1.97%	$823.03	0.00%	$0.00
89342	Storage/year embryo(s)	Q1	5672	0.31%	$176.06	0.00%	$0.00
89343	Storage/year sperm/semen	Q1	5672	0.31%	$176.06	0.00%	$0.00
89344	Storage/year reprod tissue	Q1	5672	0.31%	$176.06	0.00%	$0.00
89353	Thawing cryopresrved sperm	Q1	5671	0.18%	$53.64	0.00%	$0.00
89398	Unlisted reprod med lab proc	Q1	5671	0.18%	$53.64	0.00%	$0.00
90471	Immunization admin	Q1	5692	0.00%	$74.57	0.00%	$0.00
90473	Immune admin oral/nasal	Q1	5692	0.00%	$74.57	0.00%	$0.00
90480	Admn sarscov2 vac 1/only cmp	S	9398	0.00%	$41.52	0.00%	$0.00
90791	Psych diagnostic evaluation	Q3	5823	0.00%	$175.26	0.00%	$0.00
90792	Psych diag eval w/med srvcs	Q3	5823	0.00%	$175.26	0.00%	$0.00
90832	Psytx w pt 30 minutes	Q3	5823	0.00%	$175.26	0.00%	$0.00
90834	Psytx w pt 45 minutes	Q3	5823	0.00%	$175.26	0.00%	$0.00
90837	Psytx w pt 60 minutes	Q3	5823	0.00%	$175.26	0.00%	$0.00
90839	Psytx crisis initial 60 min	Q3	5823	0.00%	$175.26	0.00%	$0.00
90845	Psychoanalysis	Q3	5823	0.00%	$175.26	0.00%	$0.00
90846	Family psytx w/o pt 50 min	Q3	5823	0.00%	$175.26	0.00%	$0.00
90847	Family psytx w/pt 50 min	Q3	5823	0.00%	$175.26	0.00%	$0.00
90849	Multiple family group psytx	Q3	5823	0.00%	$175.26	0.00%	$0.00
90853	Group psychotherapy	Q3	5822	0.00%	$107.63	0.00%	$0.00
90865	Narcosynthesis	Q3	5823	0.00%	$175.26	0.00%	$0.00
90867	Tcranial magn stim tx plan	S	5722	0.01%	$221.14	0.00%	$0.00
90868	Tcranial magn stim tx deli	S	5722	0.01%	$221.14	0.00%	$0.00
90869	Tcran magn stim redetemine	S	5722	0.01%	$221.14	0.00%	$0.00
90870	Electroconvulsive therapy	S	5724	0.05%	$879.34	0.00%	$0.00
90880	Hypnotherapy	Q3	5822	0.00%	$107.63	0.00%	$0.00
90899	Unlisted psyc svc/therapy	Q3	5821	0.00%	$37.46	0.00%	$0.00
90911	Biofeedback peri/uro/rectal	D				0.00%	
90935	Hemodialysis one evaluation	S	5401	0.46%	$717.20	0.54%	$3.87
90945	Dialysis one evaluation	V	5024	0.01%	$437.91	0.17%	$0.74
91010	Esophagus motility study	S	5723	0.04%	$381.96	0.08%	$0.31
91020	Gastric motility studies	S	5723	0.04%	$381.96	0.00%	$0.00
91022	Duodenal motility study	S	5723	0.04%	$381.96	0.00%	$0.00
91030	Acid perfusion of esophagus	S	5723	0.04%	$381.96	0.00%	$0.00
91034	Gastroesophageal reflux test	S	5723	0.04%	$381.96	2.30%	$8.79
91035	G-esoph reflx tst w/electrod	S	5724	0.05%	$879.34	0.78%	$6.86
91037	Esoph imped function test	S	5722	0.01%	$221.14	0.00%	$0.00
91038	Esoph imped funct test > 1hr	S	5723	0.04%	$381.96	0.56%	$2.14
91040	Esoph balloon distension tst	S	5723	0.04%	$381.96	43.16%	$164.85
91065	Breath hydrogen/methane test	S	5722	0.01%	$221.14	0.00%	$0.00
91110	Gi trc img intral esoph-ile	T	5301	3.21%	$937.33	1.63%	$15.28
91111	Gi trc img intral esophagus	T	5301	3.21%	$937.33	0.00%	$0.00
91112	Gi wireless capsule measure	T	5301	3.21%	$937.33	0.72%	$6.75
91113	Gi trc img intral colon i&r	T	5311	0.14%	$957.18	0.00%	$0.00
91117	Colon motility 6 hr study	T	5722	0.01%	$221.14	0.00%	$0.00
91120	Rectal sensation test	D				0.45%	
91122	Anorectal manometry	D				1.57%	
91132	Electrogastrography	S	5722	0.01%	$221.14	0.00%	$0.00
91133	Electrogastrography w/test	Q1	5734	0.07%	$136.31	0.00%	$0.00
91200	Liver elastography	Q1	5721	0.04%	$132.89	0.00%	$0.00
91299	Unlisted dx gi procedure	S	5721	0.04%	$132.89	0.01%	$0.01
92002	Intrm oph exam new patient	V	5012	0.00%	$134.17	0.00%	$0.00
92004	Compre oph exam new pt 1/>	V	5012	0.00%	$134.17	0.00%	$0.00
92012	Intrm oph exam est patient	V	5012	0.00%	$134.17	0.00%	$0.00
92014	Compre oph exam est pt 1/>	V	5012	0.00%	$134.17	0.00%	$0.00
92018	Compl oph exam general anes	J1	5503	0.92%	"$2,468.55"	0.23%	$5.68
92019	Lmtd oph exam general anes	J1	5503	0.92%	"$2,468.55"	0.00%	$0.00
92020	Gonioscopy	Q1	5734	0.07%	$136.31	0.00%	$0.00
92025	Cptrized corneal topography	Q1	5733	0.06%	$60.59	0.00%	$0.00
92060	Sensorimotor examination	Q1	5733	0.06%	$60.59	0.00%	$0.00
92081	Limited visual field xm	Q1	5733	0.06%	$60.59	0.00%	$0.00
92082	Intermediate visual field xm	Q1	5733	0.06%	$60.59	0.00%	$0.00
92083	Extended visual field xm	Q1	5734	0.07%	$136.31	0.00%	$0.00
92132	Cptrzd oph dx img ant sgm	Q1	5733	0.06%	$60.59	0.00%	$0.00
92133	Cptrzd oph dx img pst sgm on	Q1	5733	0.06%	$60.59	0.00%	$0.00
92134	Cptrz oph dx img pst sgm rta	Q1	5733	0.06%	$60.59	0.00%	$0.00
92136	Ophthalmic biometry	Q1	5734	0.07%	$136.31	0.00%	$0.00
92145	Corneal hysteresis deter	Q1	5733	0.06%	$60.59	0.00%	$0.00
92201	Opscpy extnd rta draw uni/bi	Q1	5733	0.06%	$60.59	0.00%	$0.00
92202	Opscpy extnd on/mac draw	Q1	5733	0.06%	$60.59	0.00%	$0.00
92227	Img rta detcj/mntr ds staff	Q1	5733	0.06%	$60.59	0.00%	$0.00
92228	Img rta detc/mntr ds phy/qhp	Q1	5732	0.00%	$38.91	0.00%	$0.00
92229	Img rta detc/mntr ds poc aly	S	5733	0.06%	$60.59	0.00%	$0.00
92235	Fluorescein angrph mltiframe	S	5722	0.01%	$221.14	0.00%	$0.00
92240	Icg angiography i&r uni/bi	S	5722	0.01%	$221.14	0.00%	$0.00
92242	Fluorescein&icg angiography	S	5722	0.01%	$221.14	0.00%	$0.00
92250	Fundus photography w/i&r	Q1	5734	0.07%	$136.31	0.00%	$0.00
92265	Ndl oculoelectromyography 1+	Q1	5733	0.06%	$60.59	0.00%	$0.00
92270	Electro-oculography w/i&r	Q1	5734	0.07%	$136.31	0.00%	$0.00
92273	Full field erg w/i&r	S	5722	0.01%	$221.14	0.00%	$0.00
92274	Multifocal erg w/i&r	S	5721	0.04%	$132.89	0.00%	$0.00
92283	Extnd color vision xm	Q1	5733	0.06%	$60.59	0.00%	$0.00
92284	Dx dark adaptation exam i&r	Q1	5735	0.31%	$451.59	0.00%	$0.00
92285	External ocular photography	Q1	5732	0.00%	$38.91	0.00%	$0.00
92286	Ant sgm img i&r speclr mic	Q1	5734	0.07%	$136.31	0.00%	$0.00
92311	Contact lens fitg aphakia 1	Q1	5735	0.31%	$451.59	0.00%	$0.00
92312	Contact lens fitg aphakia ou	Q1	5734	0.07%	$136.31	0.00%	$0.00
92313	C-lens fitg corneosclrl lens	Q1	5734	0.07%	$136.31	0.00%	$0.00
92315	C-lens fitg tech aphakia 1	Q1	5734	0.07%	$136.31	0.00%	$0.00
92325	Modification of contact lens	Q1	5734	0.07%	$136.31	0.00%	$0.00
92499	Unlisted oph svc/procedure	Q1	5731	0.03%	$30.81	0.70%	$0.22
92502	Ear and throat examination	T	5162	0.11%	$546.14	0.00%	$0.00
92511	Nasopharyngoscopy	T	5151	0.00%	$202.64	0.08%	$0.16
92512	Nasal function studies	S	5722	0.01%	$221.14	0.00%	$0.00
92516	Facial nerve function test	S	5722	0.01%	$221.14	0.00%	$0.00
92517	Vemp test i&r cervical	S	5721	0.04%	$132.89	0.00%	$0.00
92518	Vemp test i&r ocular	S	5721	0.04%	$132.89	0.00%	$0.00
92519	Vemp tst i&r cervical&ocular	S	5722	0.01%	$221.14	0.00%	$0.00
92520	Laryngeal function studies	Q1	5734	0.07%	$136.31	0.00%	$0.00
92537	Caloric vstblr test w/rec	S	5721	0.04%	$132.89	0.00%	$0.00
92538	Caloric vstblr test w/rec	S	5722	0.01%	$221.14	0.00%	$0.00
92540	Basic vestibular evaluation	S	5722	0.01%	$221.14	0.00%	$0.00
92541	Spontaneous nystagmus test	Q1	5734	0.07%	$136.31	0.00%	$0.00
92542	Positional nystagmus test	Q1	5734	0.07%	$136.31	0.00%	$0.00
92544	Optokinetic nystagmus test	S	5721	0.04%	$132.89	0.00%	$0.00
92545	Oscillating tracking test	S	5722	0.01%	$221.14	0.00%	$0.00
92546	Sinusoidal rotational test	S	5721	0.04%	$132.89	0.00%	$0.00
92548	Cdp-sot 6 cond w/i&r	Q1	5734	0.07%	$136.31	0.00%	$0.00
92549	Cdp-sot 6 cond w/i&r mct&adt	Q1	5734	0.07%	$136.31	0.00%	$0.00
92550	Tympanometry & reflex thresh	Q1	5722	0.01%	$221.14	0.00%	$0.00
92552	Pure tone audiometry air	Q1	5734	0.07%	$136.31	0.00%	$0.00
92553	Audiometry air & bone	Q1	5721	0.04%	$132.89	0.00%	$0.00
92555	Speech threshold audiometry	Q1	5733	0.06%	$60.59	0.00%	$0.00
92556	Speech audiometry complete	Q1	5733	0.06%	$60.59	0.00%	$0.00
92557	Comprehensive hearing test	Q1	5721	0.04%	$132.89	0.00%	$0.00
92562	Loudness balance test	Q1	5722	0.01%	$221.14	0.00%	$0.00
92567	Tympanometry	Q1	5732	0.00%	$38.91	0.00%	$0.00
92568	Acoustic refl threshold tst	Q1	5732	0.00%	$38.91	0.00%	$0.00
92570	Acoustic immitance testing	Q1	5721	0.04%	$132.89	0.00%	$0.00
92577	Stenger test speech	Q1	5723	0.04%	$381.96	0.00%	$0.00
92579	Visual audiometry (vra)	Q1	5722	0.01%	$221.14	0.00%	$0.00
92582	Conditioning play audiometry	Q1	5721	0.04%	$132.89	0.00%	$0.00
92583	Select picture audiometry	Q1	5733	0.06%	$60.59	0.00%	$0.00
92584	Electrocochleography	S	5721	0.04%	$132.89	0.00%	$0.00
92587	Evoked auditory test limited	S	5722	0.01%	$221.14	0.00%	$0.00
92588	Evoked auditory tst complete	S	5723	0.04%	$381.96	0.00%	$0.00
92596	Ear protector evaluation	Q1	5732	0.00%	$38.91	0.00%	$0.00
92601	Cochlear implt f/up exam <7	S	5721	0.04%	$132.89	0.00%	$0.00
92602	Reprogram cochlear implt <7	S	5721	0.04%	$132.89	0.00%	$0.00
92603	Cochlear implt f/up exam 7/>	S	5721	0.04%	$132.89	0.00%	$0.00
92604	Reprogram cochlear implt 7/>	S	5721	0.04%	$132.89	0.01%	$0.01
92620	Auditory function 60 min	Q1	5721	0.04%	$132.89	0.00%	$0.00
92622	Dx aly aud oi snd prcsr 1st	S	5721	0.04%	$132.89	0.06%	$0.08
92625	Tinnitus assessment	Q1	5721	0.04%	$132.89	0.00%	$0.00
92626	Eval aud funcj 1st hour	Q1	5721	0.04%	$132.89	0.00%	$0.00
92640	Aud brainstem implt programg	S	5721	0.04%	$132.89	0.00%	$0.00
92651	Aep hearing status deter i&r	S	5722	0.01%	$221.14	0.00%	$0.00
92652	Aep thrshld est mlt freq i&r	S	5722	0.01%	$221.14	0.00%	$0.00
92653	Aep neurodiagnostic i&r	S	5722	0.01%	$221.14	0.00%	$0.00
92700	Unlisted orl service/px	Q1	5731	0.03%	$30.81	0.00%	$0.00
92920	Prq trluml c angiop 1art&/br	J1	5192	30.02%	"$5,880.65"	32.46%	"$1,908.86"
92924	Prq trluml c athrc 1 art&/br	J1	5193	37.37%	"$11,873.70"	57.67%	"$6,847.56"
92928	Prq tcat plmt ntrac st 1 les	J1	5193	37.37%	"$11,873.70"	34.45%	"$4,090.49"
92933	Prq trlml c athrc st angiop1	J1	5194	53.20%	"$18,791.32"	54.78%	"$10,293.89"
92937	Prq trluml revsc cab grf 1	J1	5193	37.37%	"$11,873.70"	33.41%	"$3,967.00"
92943	Prq trluml revsc ch occ ant	J1	5193	37.37%	"$11,873.70"	44.56%	"$5,290.92"
92950	Heart/lung resuscitation cpr	S	5722	0.01%	$221.14	0.00%	$0.00
92953	Temporary external pacing	Q3	5781	0.03%	$682.32	3.38%	$23.06
92960	Cardioversion electric ext	S	5781	0.03%	$682.32	0.03%	$0.20
92961	Cardioversion electric int	S	5781	0.03%	$682.32	4.43%	$30.23
92977	Dissolve clot heart vessel	D				7.71%	
92986	Revision of aortic valve	J1	5192	30.02%	"$5,880.65"	38.96%	"$2,291.10"
92987	Revision of mitral valve	J1	5193	37.37%	"$11,873.70"	46.07%	"$5,470.21"
92990	Revision of pulmonary valve	J1	5193	37.37%	"$11,873.70"	33.27%	"$3,950.38"
92997	Pul art balloon repr percut	J1	5193	37.37%	"$11,873.70"	27.56%	"$3,272.39"
93005	Electrocardiogram tracing	Q1	5733	0.06%	$60.59	0.11%	$0.07
93017	Cardiovascular stress test	Q1	5722	0.01%	$221.14	0.00%	$0.00
93041	Rhythm ecg tracing	Q1	5733	0.06%	$60.59	0.44%	$0.27
93050	Art pressure waveform analys	Q1	5731	0.03%	$30.81	0.00%	$0.00
93150	Therapy activation ipnss	S	5742	0.02%	$97.17	0.00%	$0.00
93151	Interrog&prgrmg ipnss	S	5742	0.02%	$97.17	0.00%	$0.00
93152	Interrog&prgrmg ipnss polysm	S	5743	0.44%	$316.08	0.00%	$0.00
93153	Interrog w/o prgrmg ipnss	S	5742	0.02%	$97.17	0.00%	$0.00
93225	Xtrnl ecg rec<48 hrs rec	Q1	5734	0.07%	$136.31	0.00%	$0.00
93226	Xtrnl ecg rec<48 hr scan a/r	Q1	5733	0.06%	$60.59	0.00%	$0.00
93229	Remote 30 day ecg tech supp	S	5723	0.04%	$381.96	0.00%	$0.00
93242	Ext ecg>48hr<7d recording	Q1	5732	0.00%	$38.91	0.00%	$0.00
93243	Ext ecg>48hr<7d scan a/r	Q1	5734	0.07%	$136.31	0.00%	$0.00
93246	Ext ecg>7d<15d recording	Q1	5732	0.00%	$38.91	0.00%	$0.00
93247	Ext ecg>7d<15d scan a/r	Q1	5734	0.07%	$136.31	0.00%	$0.00
93260	Prgrmg dev eval impltbl sys	Q1	5741	0.00%	$38.02	0.00%	$0.00
93261	Interrogate subq defib	Q1	5741	0.00%	$38.02	0.00%	$0.00
93264	Rem mntr wrls p-art prs snr	Q1	5741	0.00%	$38.02	0.00%	$0.00
93270	Remote 30 day ecg rev/report	Q1	5741	0.00%	$38.02	0.02%	$0.01
93271	Ecg/monitoring and analysis	S	5742	0.02%	$97.17	0.00%	$0.00
93278	Ecg/signal-averaged	Q1	5733	0.06%	$60.59	0.00%	$0.00
93279	Prgrmg dev eval pm/ldls pm	Q1	5741	0.00%	$38.02	0.00%	$0.00
93280	Pm device progr eval dual	Q1	5741	0.00%	$38.02	0.00%	$0.00
93281	Pm device progr eval multi	Q1	5741	0.00%	$38.02	0.00%	$0.00
93282	Prgrmg eval implantable dfb	Q1	5741	0.00%	$38.02	0.00%	$0.00
93283	Prgrmg eval implantable dfb	Q1	5741	0.00%	$38.02	0.00%	$0.00
93284	Prgrmg eval implantable dfb	Q1	5741	0.00%	$38.02	0.00%	$0.00
93285	Prgrmg dev eval scrms ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
93288	Interrog evl pm/ldls pm ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
93289	Interrog device eval heart	Q1	5741	0.00%	$38.02	0.00%	$0.00
93290	Interrog dev eval icpms ip	Q1	5741	0.00%	$38.02	0.00%	$0.00
93291	Interrog dev eval scrms ip	Q1	5731	0.03%	$30.81	0.00%	$0.00
93292	Wcd device interrogate	Q1	5741	0.00%	$38.02	0.00%	$0.00
93293	Pm phone r-strip device eval	Q1	5741	0.00%	$38.02	0.00%	$0.00
93296	Rem interrog evl pm/ids	Q1	5741	0.00%	$38.02	0.00%	$0.00
93297	Rem interrog dev eval icpms	Q1	5741	0.00%	$38.02	0.00%	$0.00
93298	Rem interrog dev eval scrms	Q1	5741	0.00%	$38.02	0.00%	$0.00
93303	Echo transthoracic	S	5524	0.03%	$562.07	0.00%	$0.00
93304	Echo transthoracic	S	5524	0.03%	$562.07	0.00%	$0.00
93306	Tte w/doppler complete	S	5524	0.03%	$562.07	0.01%	$0.06
93307	Tte w/o doppler complete	S	5523	0.07%	$245.72	0.02%	$0.05
93308	Tte f-up or lmtd	S	5523	0.07%	$245.72	0.04%	$0.10
93312	Echo transesophageal	S	5524	0.03%	$562.07	0.06%	$0.34
93313	Echo transesophageal	S	5524	0.03%	$562.07	0.13%	$0.73
93315	Echo transesophageal	S	5524	0.03%	$562.07	0.00%	$0.00
93316	Echo transesophageal	S	5524	0.03%	$562.07	0.00%	$0.00
93318	Echo transesophageal intraop	S	5524	0.03%	$562.07	1.53%	$8.60
93350	Stress tte only	S	5524	0.03%	$562.07	0.00%	$0.00
93351	Stress tte complete	S	5524	0.03%	$562.07	0.00%	$0.00
93451	Right heart cath	J1	5191	12.83%	"$3,318.93"	11.77%	$390.64
93452	Left hrt cath w/ventrclgrphy	J1	5191	12.83%	"$3,318.93"	17.80%	$590.77
93453	R&l hrt cath w/ventriclgrphy	J1	5191	12.83%	"$3,318.93"	16.70%	$554.26
93454	Coronary artery angio s&i	J1	5191	12.83%	"$3,318.93"	12.84%	$426.15
93455	Coronary art/grft angio s&i	J1	5191	12.83%	"$3,318.93"	14.78%	$490.54
93456	R hrt coronary artery angio	J1	5191	12.83%	"$3,318.93"	16.56%	$549.61
93457	R hrt art/grft angio	J1	5191	12.83%	"$3,318.93"	17.38%	$576.83
93458	L hrt artery/ventricle angio	J1	5191	12.83%	"$3,318.93"	11.29%	$374.71
93459	L hrt art/grft angio	J1	5191	12.83%	"$3,318.93"	13.37%	$443.74
93460	R&l hrt art/ventricle angio	J1	5191	12.83%	"$3,318.93"	16.67%	$553.27
93461	R&l hrt art/ventricle angio	J1	5191	12.83%	"$3,318.93"	17.94%	$595.42
93503	Insert/place heart catheter	J1	5182	17.11%	"$1,602.15"	13.42%	$215.01
93505	Endomyocardial biopsy	J1	5183	16.69%	"$3,254.23"	8.53%	$277.59
93580	Transcath closure of asd	J1	5194	53.20%	"$18,791.32"	69.11%	"$12,986.68"
93581	Transcath closure of vsd	J1	5194	53.20%	"$18,791.32"	41.70%	"$7,835.98"
93582	Perq transcath closure pda	J1	5194	53.20%	"$18,791.32"	51.93%	"$9,758.33"
93590	Perq transcath cls mitral	J1	5194	53.20%	"$18,791.32"	39.00%	"$7,328.61"
93591	Perq transcath cls aortic	J1	5194	53.20%	"$18,791.32"	42.40%	"$7,967.52"
93593	R hrt cath chd nml nt cnj	J1	5191	12.83%	"$3,318.93"	13.15%	$436.44
93594	R hrt cath chd abnl nt cnj	J1	5191	12.83%	"$3,318.93"	20.14%	$668.43
93595	L hrt cath chd nm/abn nt cnj	J1	5191	12.83%	"$3,318.93"	11.15%	$370.06
93596	R&l hrt cath chd nml nt cnj	J1	5191	12.83%	"$3,318.93"	17.36%	$576.17
93597	R&l hrt cath chd abnl nt cnj	J1	5191	12.83%	"$3,318.93"	13.15%	$436.44
93600	Bundle of his recording	J1	5212	42.78%	"$7,971.49"	32.83%	"$2,617.04"
93602	Intra-atrial recording	J1	5212	42.78%	"$7,971.49"	32.23%	"$2,569.21"
93603	Right ventricular recording	J1	5211	2.94%	"$1,231.96"	20.57%	$253.41
93610	Intra-atrial pacing	J1	5212	42.78%	"$7,971.49"	29.43%	"$2,346.01"
93612	Intraventricular pacing	J1	5212	42.78%	"$7,971.49"	17.15%	"$1,367.11"
93615	Esophageal recording	J1	5211	2.94%	"$1,231.96"	0.00%	$0.00
93618	Indctj arrhythmia elec pacg	J1	5211	2.94%	"$1,231.96"	34.01%	$418.99
93619	Comprehensive ep evaluation	J1	5212	42.78%	"$7,971.49"	40.34%	"$3,215.70"
93620	Comp ep evl r at ven pac&rec	J1	5212	42.78%	"$7,971.49"	31.21%	"$2,487.90"
93624	Ep f-up study pacg&rec	J1	5212	42.78%	"$7,971.49"	5.21%	$415.31
93642	Ep evl 1/2chmb trnsvns cvdfb	J1	5211	2.94%	"$1,231.96"	0.93%	$11.46
93650	Icar cath abltj av node func	J1	5212	42.78%	"$7,971.49"	49.76%	"$3,966.61"
93653	Compre ep eval tx svt	J1	5213	52.15%	"$26,935.34"	45.74%	"$12,320.22"
93654	Compre ep eval tx vt	J1	5213	52.15%	"$26,935.34"	47.70%	"$12,848.16"
93656	Compre ep eval abltj atr fib	J1	5213	52.15%	"$26,935.34"	54.00%	"$14,545.08"
93660	Tilt table evaluation	S	5723	0.04%	$381.96	0.09%	$0.34
93668	Peripheral vascular rehab	S	5733	0.06%	$60.59	0.00%	$0.00
93701	Bioimpedance cv analysis	Q1	5734	0.07%	$136.31	0.00%	$0.00
93702	Bis xtracell fluid analysis	S	5721	0.04%	$132.89	0.00%	$0.00
93724	Elec alys antitchycar pm sys	S	5743	0.44%	$316.08	0.00%	$0.00
93750	Interrogation vad in person	S	5742	0.02%	$97.17	0.01%	$0.01
93786	Ambl bp mntr w/sw rec only	Q1	5734	0.07%	$136.31	0.00%	$0.00
93788	Ambl bp mntr w/sw a/r	Q1	5734	0.07%	$136.31	0.00%	$0.00
93797	Phys/qhp op car rhab wo ecg	S	5771	0.00%	$133.15	0.00%	$0.00
93798	Phys/qhp op car rhab w/ecg	S	5771	0.00%	$133.15	0.00%	$0.00
93799	Unlisted cv svc/procedure	S	5721	0.04%	$132.89	4.29%	$5.70
93880	Extracranial bilat study	S	5523	0.07%	$245.72	0.00%	$0.00
93882	Extracranial uni/ltd study	S	5522	0.00%	$107.41	0.02%	$0.02
93886	Intracranial complete study	S	5523	0.07%	$245.72	0.00%	$0.00
93888	Intracranial limited study	S	5522	0.00%	$107.41	0.00%	$0.00
93890	Tcd vasoreactivity study	D				0.00%	
93892	Tcd emboli detect w/o inj	Q1	5522	0.00%	$107.41	0.00%	$0.00
93893	Tcd std icr art ven-art shnt	Q1	5522	0.00%	$107.41	0.00%	$0.00
93922	Upr/l xtremity art 2 levels	Q1	5734	0.07%	$136.31	0.00%	$0.00
93923	Upr/lxtr art stdy 3+ lvls	S	5722	0.01%	$221.14	0.00%	$0.00
93924	Lwr xtr vasc stdy bilat	S	5722	0.01%	$221.14	0.00%	$0.00
93925	Lower extremity study	S	5523	0.07%	$245.72	0.00%	$0.00
93926	Lower extremity study	S	5522	0.00%	$107.41	0.00%	$0.00
93930	Upper extremity study	S	5523	0.07%	$245.72	0.02%	$0.05
93931	Upper extremity study	S	5522	0.00%	$107.41	0.01%	$0.01
93970	Extremity study	S	5523	0.07%	$245.72	0.00%	$0.00
93971	Extremity study	S	5522	0.00%	$107.41	0.01%	$0.01
93975	Vascular study	S	5523	0.07%	$245.72	0.00%	$0.00
93976	Vascular study	S	5522	0.00%	$107.41	0.00%	$0.00
93978	Vascular study	S	5523	0.07%	$245.72	0.00%	$0.00
93979	Vascular study	Q1	5522	0.00%	$107.41	0.00%	$0.00
93980	Penile vascular study	S	5522	0.00%	$107.41	0.00%	$0.00
93981	Penile vascular study	S	5522	0.00%	$107.41	0.00%	$0.00
93985	Dup-scan hemo compl bi std	S	5523	0.07%	$245.72	0.01%	$0.02
93986	Dup-scan hemo compl uni std	S	5522	0.00%	$107.41	0.00%	$0.00
93990	Doppler flow testing	Q1	5522	0.00%	$107.41	0.02%	$0.02
93998	Unlistd noninvas vasc dx std	Q1	5731	0.03%	$30.81	0.00%	$0.00
94002	Vent mgmt inpat init day	Q3	5801	0.76%	$653.39	1.87%	$12.22
94003	Vent mgmt inpat subq day	Q3	5801	0.76%	$653.39	0.23%	$1.50
94010	Breathing capacity test	Q1	5722	0.01%	$221.14	0.01%	$0.02
94014	Patient recorded spirometry	Q1	5735	0.31%	$451.59	36.44%	$164.56
94015	Patient recorded spirometry	Q1	5722	0.01%	$221.14	0.00%	$0.00
94060	Evaluation of wheezing	S	5723	0.04%	$381.96	0.00%	$0.00
94070	Evaluation of wheezing	S	5723	0.04%	$381.96	0.00%	$0.00
94150	Vital capacity test	Q1	5721	0.04%	$132.89	0.90%	$1.20
94200	Lung function test (mbc/mvv)	Q1	5733	0.06%	$60.59	1.32%	$0.80
94375	Respiratory flow volume loop	Q1	5722	0.01%	$221.14	0.00%	$0.00
94450	Hypoxia response curve	Q1	5721	0.04%	$132.89	0.00%	$0.00
94452	Hast w/report	Q1	5734	0.07%	$136.31	0.00%	$0.00
94453	Hast w/oxygen titrate	Q1	5734	0.07%	$136.31	0.00%	$0.00
94610	Surfactant admin thru tube	Q1	5791	0.15%	$226.65	0.00%	$0.00
94617	Exercise tst brncspsm w/ecg	Q1	5734	0.07%	$136.31	0.00%	$0.00
94618	Pulmonary stress testing	Q1	5734	0.07%	$136.31	0.01%	$0.01
94619	Exercise tst brncspsm wo ecg	Q1	5733	0.06%	$60.59	0.00%	$0.00
94621	Cardiopulm exercise testing	S	5723	0.04%	$381.96	0.02%	$0.08
94625	Phy/qhp op pulm rhb w/o mntr	S	5733	0.06%	$60.59	0.00%	$0.00
94626	Phy/qhp op pulm rhb w/mntr	S	5733	0.06%	$60.59	0.00%	$0.00
94640	Airway inhalation treatment	Q1	5791	0.15%	$226.65	0.14%	$0.32
94642	Aerosol inhalation treatment	Q1	5791	0.15%	$226.65	0.00%	$0.00
94644	Cbt 1st hour	Q1	5734	0.07%	$136.31	0.00%	$0.00
94660	Pos airway pressure cpap	Q1	5791	0.15%	$226.65	0.18%	$0.41
94662	Neg press ventilation cnp	D				0.00%	
94664	Evaluate pt use of inhaler	Q1	5791	0.15%	$226.65	0.13%	$0.29
94667	Chest wall manipulation	Q1	5734	0.07%	$136.31	0.00%	$0.00
94668	Chest wall manipulation	Q1	5734	0.07%	$136.31	0.42%	$0.57
94669	Mechanical chest wall oscill	Q1	5791	0.15%	$226.65	1.11%	$2.52
94680	Exhaled air analysis o2	Q1	5721	0.04%	$132.89	0.00%	$0.00
94681	O2 uptk exp gas alys w/co2	Q1	5723	0.04%	$381.96	0.09%	$0.34
94690	O2 uptk exp gas alys rest	Q1	5733	0.06%	$60.59	0.00%	$0.00
94726	Pulm funct tst plethysmograp	Q1	5723	0.04%	$381.96	0.01%	$0.04
94727	Pulm function test by gas	Q1	5722	0.01%	$221.14	0.00%	$0.00
94728	Airwy resist by oscillometry	Q1	5721	0.04%	$132.89	0.00%	$0.00
94762	Measure blood oxygen level	Q3	5721	0.04%	$132.89	0.17%	$0.23
94772	Breath recording infant	S	5723	0.04%	$381.96	0.00%	$0.00
94776	Ped home apnea rec downld	S	5721	0.04%	$132.89	0.00%	$0.00
94799	Unlisted pulmonary svc/px	Q1	5721	0.04%	$132.89	1.26%	$1.67
95004	Perq tests w/alrgnc xtrcs	Q1	5724	0.05%	$879.34	0.00%	$0.00
95012	Nitric oxide exp gas deter	Q1	5732	0.00%	$38.91	0.00%	$0.00
95017	All tstg perq&iq w/venoms	Q1	5731	0.03%	$30.81	0.00%	$0.00
95018	All tstg perq&iq drugs/biol	Q1	5732	0.00%	$38.91	0.00%	$0.00
95024	Iq tests w/allergenic xtrcs	Q1	5733	0.06%	$60.59	0.00%	$0.00
95027	Iq tsts seql&incrl airborne	Q1	5731	0.03%	$30.81	0.00%	$0.00
95044	Patch/application tests	Q1	5724	0.05%	$879.34	0.00%	$0.00
95052	Photo patch tests	Q1	5733	0.06%	$60.59	0.00%	$0.00
95056	Photo tests	Q1	5734	0.07%	$136.31	0.00%	$0.00
95070	Inhlj brncl challenge tstg	S	5723	0.04%	$381.96	0.00%	$0.00
95076	Ingest challenge ini 120 min	S	5723	0.04%	$381.96	0.00%	$0.00
95115	Immunotherapy one injection	Q1	5691	0.00%	$47.83	0.00%	$0.00
95117	Immunotherapy injections	Q1	5691	0.00%	$47.83	0.00%	$0.00
95144	Antigen therapy services	Q1	5691	0.00%	$47.83	0.00%	$0.00
95145	Antigen therapy services	Q1	5691	0.00%	$47.83	0.00%	$0.00
95146	Antigen therapy services	Q1	5691	0.00%	$47.83	0.00%	$0.00
95147	Antigen therapy services	Q1	5692	0.00%	$74.57	0.00%	$0.00
95148	Antigen therapy services	Q1	5692	0.00%	$74.57	0.00%	$0.00
95149	Antigen therapy services	Q1	5692	0.00%	$74.57	0.00%	$0.00
95165	Antigen therapy services	Q1	5691	0.00%	$47.83	0.00%	$0.00
95170	Antigen therapy services	Q1	5691	0.00%	$47.83	0.00%	$0.00
95180	Rapid desensitization	Q1	5735	0.31%	$451.59	0.00%	$0.00
95199	Unlisted all/immlg svc/px	Q1	5731	0.03%	$30.81	0.00%	$0.00
95249	Cont gluc mntr pt prov eqp	S	5733	0.06%	$60.59	0.00%	$0.00
95250	Cont gluc mntr phys/qhp eqp	V	5012	0.00%	$134.17	0.00%	$0.00
95700	Eeg cont rec w/vid eeg tech	S	5722	0.01%	$221.14	0.00%	$0.00
95705	Eeg w/o vid 2-12 hr unmntr	S	5722	0.01%	$221.14	1.71%	$3.78
95706	Eeg wo vid 2-12hr intmt mntr	S	5722	0.01%	$221.14	0.00%	$0.00
95707	Eeg w/o vid 2-12hr cont mntr	S	5722	0.01%	$221.14	0.00%	$0.00
95708	Eeg wo vid ea 12-26hr unmntr	S	5723	0.04%	$381.96	0.00%	$0.00
95709	Eeg w/o vid ea 12-26hr intmt	S	5723	0.04%	$381.96	0.00%	$0.00
95710	Eeg w/o vid ea 12-26hr cont	S	5723	0.04%	$381.96	0.00%	$0.00
95711	Veeg 2-12 hr unmonitored	S	5722	0.01%	$221.14	0.02%	$0.04
95712	Veeg 2-12 hr intmt mntr	S	5723	0.04%	$381.96	0.06%	$0.23
95713	Veeg 2-12 hr cont mntr	S	5723	0.04%	$381.96	0.00%	$0.00
95714	Veeg ea 12-26 hr unmntr	S	5723	0.04%	$381.96	0.00%	$0.00
95715	Veeg ea 12-26hr intmt mntr	S	5723	0.04%	$381.96	0.13%	$0.50
95716	Veeg ea 12-26hr cont mntr	S	5724	0.05%	$879.34	0.02%	$0.18
95782	Polysom <6 yrs 4/> paramtrs	S	5724	0.05%	$879.34	0.00%	$0.00
95783	Polysom <6 yrs cpap/bilvl	S	5724	0.05%	$879.34	0.00%	$0.00
95800	Slp stdy unattended	S	5722	0.01%	$221.14	0.00%	$0.00
95801	Slp stdy unatnd w/anal	Q1	5733	0.06%	$60.59	0.00%	$0.00
95803	Actigraphy testing	Q1	5733	0.06%	$60.59	0.00%	$0.00
95805	Multiple sleep latency test	S	5724	0.05%	$879.34	0.00%	$0.00
95806	Sleep study unatt&resp efft	S	5722	0.01%	$221.14	0.00%	$0.00
95807	Sleep study attended	S	5723	0.04%	$381.96	0.00%	$0.00
95808	Polysom any age 1-3> param	S	5724	0.05%	$879.34	0.00%	$0.00
95810	Polysom 6/> yrs 4/> param	S	5724	0.05%	$879.34	0.00%	$0.00
95811	Polysom 6/>yrs cpap 4/> parm	S	5724	0.05%	$879.34	0.00%	$0.00
95812	Eeg 41-60 minutes	S	5722	0.01%	$221.14	0.00%	$0.00
95813	Eeg extnd mntr 61-119 min	S	5722	0.01%	$221.14	0.00%	$0.00
95816	Eeg awake and drowsy	S	5722	0.01%	$221.14	0.00%	$0.00
95819	Eeg awake and asleep	S	5722	0.01%	$221.14	0.01%	$0.02
95822	Eeg coma or sleep only	S	5722	0.01%	$221.14	0.00%	$0.00
95824	Eeg cerebral death only	S	5723	0.04%	$381.96	0.00%	$0.00
95836	Ecog impltd brn npgt <30 d	Q1	5741	0.00%	$38.02	0.00%	$0.00
95857	Cholinesterase challenge	S	5722	0.01%	$221.14	0.00%	$0.00
95860	Needle emg 1 extremity	Q1	5734	0.07%	$136.31	0.00%	$0.00
95861	Needle emg 2 extremities	Q1	5734	0.07%	$136.31	5.96%	$8.12
95863	Needle emg 3 extremities	S	5721	0.04%	$132.89	0.00%	$0.00
95864	Needle emg 4 extremities	S	5721	0.04%	$132.89	0.00%	$0.00
95865	Needle emg larynx	Q1	5734	0.07%	$136.31	0.00%	$0.00
95866	Needle emg hemidiaphragm	Q1	5721	0.04%	$132.89	0.00%	$0.00
95867	Ndl emg cranial nrv musc uni	S	5722	0.01%	$221.14	0.00%	$0.00
95868	Ndl emg cranial nrv musc bi	S	5722	0.01%	$221.14	0.00%	$0.00
95869	Ndl emg thrc paraspinal musc	Q1	5722	0.01%	$221.14	0.00%	$0.00
95870	Ndl emg lmtd std musc 1 xtr	Q1	5734	0.07%	$136.31	0.00%	$0.00
95872	Ndl emg single fiber eltrd	S	5722	0.01%	$221.14	0.00%	$0.00
95907	Nvr cndj tst 1-2 studies	S	5722	0.01%	$221.14	0.00%	$0.00
95908	Nrv cndj tst 3-4 studies	S	5722	0.01%	$221.14	0.00%	$0.00
95909	Nrv cndj tst 5-6 studies	S	5722	0.01%	$221.14	0.00%	$0.00
95910	Nrv cndj test 7-8 studies	S	5723	0.04%	$381.96	0.00%	$0.00
95911	Nrv cndj test 9-10 studies	S	5723	0.04%	$381.96	0.00%	$0.00
95912	Nrv cndj test 11-12 studies	S	5723	0.04%	$381.96	0.00%	$0.00
95913	Nrv cndj test 13/> studies	S	5723	0.04%	$381.96	0.00%	$0.00
95921	Autonomic nrv parasym inervj	S	5721	0.04%	$132.89	0.00%	$0.00
95922	Autonomic nrv adrenrg inervj	Q1	5734	0.07%	$136.31	0.00%	$0.00
95923	Autonomic nrv syst funj test	Q1	5734	0.07%	$136.31	0.00%	$0.00
95924	Ans parasymp & symp w/tilt	S	5722	0.01%	$221.14	0.00%	$0.00
95925	Somatosensory testing	S	5722	0.01%	$221.14	0.00%	$0.00
95926	Somatosensory testing	S	5722	0.01%	$221.14	12.38%	$27.38
95927	Somatosensory testing	S	5722	0.01%	$221.14	25.91%	$57.30
95928	C motor evoked uppr limbs	S	5724	0.05%	$879.34	67.92%	$597.25
95929	C motor evoked lwr limbs	S	5723	0.04%	$381.96	0.00%	$0.00
95930	Visual ep test cns w/i&r	S	5722	0.01%	$221.14	0.00%	$0.00
95933	Blink reflex test	Q1	5733	0.06%	$60.59	0.00%	$0.00
95937	Neuromuscular junction test	S	5721	0.04%	$132.89	1.26%	$1.67
95938	Somatosensory testing	S	5724	0.05%	$879.34	42.17%	$370.82
95939	C motor evoked upr&lwr limbs	S	5724	0.05%	$879.34	16.36%	$143.86
95954	Eeg monitoring/giving drugs	S	5723	0.04%	$381.96	0.00%	$0.00
95958	Eeg monitoring/function test	S	5724	0.05%	$879.34	0.00%	$0.00
95965	Meg spontaneous	S	5724	0.05%	$879.34	0.00%	$0.00
95966	Meg evoked single	S	5724	0.05%	$879.34	0.00%	$0.00
95970	Alys npgt w/o prgrmg	Q1	5734	0.07%	$136.31	0.00%	$0.00
95971	Alys smpl sp/pn npgt w/prgrm	S	5742	0.02%	$97.17	0.35%	$0.34
95972	Alys cplx sp/pn npgt w/prgrm	S	5742	0.02%	$97.17	0.08%	$0.08
95976	Alys smpl cn npgt prgrmg	S	5741	0.00%	$38.02	0.00%	$0.00
95977	Alys cplx cn npgt prgrmg	S	5742	0.02%	$97.17	0.00%	$0.00
95981	Io anal gast n-stim subsq	Q1	5733	0.06%	$60.59	0.00%	$0.00
95982	Io ga n-stim subsq w/reprog	Q1	5741	0.00%	$38.02	0.00%	$0.00
95983	Alys brn npgt prgrmg 15 min	S	5742	0.02%	$97.17	0.00%	$0.00
95990	Spin/brain pump refil & main	S	5694	0.01%	$341.52	0.00%	$0.00
95991	Spin/brain pump refil & main	T	5441	0.09%	$312.43	2.62%	$8.19
95999	Unlisted neurological dx px	Q1	5721	0.04%	$132.89	0.00%	$0.00
96000	Motion analysis video/3d	S	5723	0.04%	$381.96	0.00%	$0.00
96001	Motion test w/ft press meas	S	5724	0.05%	$879.34	0.00%	$0.00
96002	Dynamic surface emg	S	5722	0.01%	$221.14	0.00%	$0.00
96112	Devel tst phys/qhp 1st hr	Q3	5721	0.04%	$132.89	0.00%	$0.00
96116	Nubhvl xm phys/qhp 1st hr	Q3	5722	0.01%	$221.14	0.00%	$0.00
96127	Brief emotional/behav assmt	Q1	5732	0.00%	$38.91	0.00%	$0.00
96130	Psycl tst eval phys/qhp 1st	Q3	5722	0.01%	$221.14	0.00%	$0.00
96132	Nrpsyc tst eval phys/qhp 1st	Q3	5723	0.04%	$381.96	0.00%	$0.00
96136	Psycl/nrpsyc tst phy/qhp 1st	Q3	5734	0.07%	$136.31	0.00%	$0.00
96138	Psycl/nrpsyc tech 1st	Q3	5735	0.31%	$451.59	0.00%	$0.00
96146	Psycl/nrpsyc tst auto result	Q3	5731	0.03%	$30.81	0.00%	$0.00
96156	Hlth bhv assmt/reassessment	Q3	5822	0.00%	$107.63	0.00%	$0.00
96158	Hlth bhv ivntj indiv 1st 30	Q3	5823	0.00%	$175.26	0.00%	$0.00
96160	Pt-focused hlth risk assmt	S	5821	0.00%	$37.46	0.00%	$0.00
96161	Caregiver health risk assmt	S	5821	0.00%	$37.46	0.00%	$0.00
96164	Hlth bhv ivntj grp 1st 30	Q3	5821	0.00%	$37.46	0.00%	$0.00
96167	Hlth bhv ivntj fam 1st 30	Q3	5821	0.00%	$37.46	0.00%	$0.00
96360	Hydration iv infusion init	S	5693	0.05%	$216.49	0.02%	$0.04
96361	Hydrate iv infusion add-on	S	5691	0.00%	$47.83	0.00%	$0.00
96365	Ther/proph/diag iv inf init	S	5693	0.05%	$216.49	0.05%	$0.11
96366	Ther/proph/diag iv inf addon	S	5691	0.00%	$47.83	0.00%	$0.00
96367	Tx/proph/dg addl seq iv inf	S	5692	0.00%	$74.57	0.00%	$0.00
96369	Sc ther infusion up to 1 hr	S	5693	0.05%	$216.49	0.00%	$0.00
96370	Sc ther infusion addl hr	S	5691	0.00%	$47.83	0.00%	$0.00
96372	Ther/proph/diag inj sc/im	Q1	5692	0.00%	$74.57	0.00%	$0.00
96373	Ther/proph/diag inj ia	S	5693	0.05%	$216.49	0.34%	$0.74
96374	Ther/proph/diag inj iv push	S	5693	0.05%	$216.49	0.05%	$0.11
96375	Tx/pro/dx inj new drug addon	S	5691	0.00%	$47.83	0.00%	$0.00
96377	Applicaton on-body injector	Q1	5691	0.00%	$47.83	0.00%	$0.00
96379	Unl ther/prop/diag inj/inf	Q1	5691	0.00%	$47.83	0.00%	$0.00
96401	Chemo anti-neopl sq/im	Q1	5692	0.00%	$74.57	0.00%	$0.00
96402	Chemo hormon antineopl sq/im	Q1	5692	0.00%	$74.57	0.00%	$0.00
96405	Chemo intralesional up to 7	Q1	5692	0.00%	$74.57	0.08%	$0.06
96406	Chemo intralesional over 7	S	5693	0.05%	$216.49	0.00%	$0.00
96409	Chemo iv push sngl drug	S	5694	0.01%	$341.52	0.01%	$0.03
96411	Chemo iv push addl drug	S	5692	0.00%	$74.57	0.00%	$0.00
96413	Chemo iv infusion 1 hr	S	5694	0.01%	$341.52	0.01%	$0.03
96415	Chemo iv infusion addl hr	S	5692	0.00%	$74.57	0.00%	$0.00
96416	Chemo prolong infuse w/pump	S	5694	0.01%	$341.52	0.00%	$0.00
96417	Chemo iv infus each addl seq	S	5692	0.00%	$74.57	0.00%	$0.00
96420	Chemo ia push tecnique	S	5694	0.01%	$341.52	4.58%	$15.64
96422	Chemo ia infusion up to 1 hr	S	5694	0.01%	$341.52	10.45%	$35.69
96423	Chemo ia infuse each addl hr	S	5691	0.00%	$47.83	0.00%	$0.00
96425	Chemotherapy infusion method	S	5694	0.01%	$341.52	0.00%	$0.00
96446	Chemotx admn pertl cav impl	S	5694	0.01%	$341.52	0.00%	$0.00
96450	Chemotherapy into cns	S	5694	0.01%	$341.52	0.46%	$1.57
96521	Refill/maint portable pump	S	5693	0.05%	$216.49	0.03%	$0.06
96522	Refill/maint pump/resvr syst	S	5693	0.05%	$216.49	0.00%	$0.00
96523	Irrig drug delivery device	Q1	5733	0.06%	$60.59	0.04%	$0.02
96542	Chemotherapy injection	S	5694	0.01%	$341.52	0.00%	$0.00
96549	Unlisted chemotherapy px	Q1	5691	0.00%	$47.83	0.00%	$0.00
96567	Pdt dstr prmlg les skn	Q1	5051	0.01%	$203.69	0.00%	$0.00
96573	Pdt dstr prmlg les phys/qhp	Q1	5051	0.01%	$203.69	0.00%	$0.00
96574	Dbrdmt prmlg les w/pdt	Q1	5051	0.01%	$203.69	0.00%	$0.00
96900	Actinotherapy uv light	Q1	5732	0.00%	$38.91	0.00%	$0.00
96910	Photchmtx tar&uvb/ptrltm&uvb	Q1	5733	0.06%	$60.59	0.00%	$0.00
96912	Photochemotherapy puva	Q1	5733	0.06%	$60.59	0.00%	$0.00
96913	Photochemotx sev dermatoses	T	5052	0.04%	$414.63	0.00%	$0.00
96920	Excimer lsr psriasis<250sqcm	Q1	5051	0.01%	$203.69	0.00%	$0.00
96921	Excimer lsr psriasis 250-500	Q1	5051	0.01%	$203.69	0.00%	$0.00
96922	Excimer lsr psriasis>500sqcm	Q1	5052	0.04%	$414.63	0.00%	$0.00
96999	Unlisted spec derm svc/px	Q1	5051	0.01%	$203.69	0.00%	$0.00
97037	Appl modality 1+lllt po pain	Q1	5732	0.00%	$38.91	0.00%	$0.00
97153	Adaptive behavior tx by tech	Q3	5822	0.00%	$107.63	0.00%	$0.00
97155	Adapt behavior tx phys/qhp	Q3	5823	0.00%	$175.26	0.00%	$0.00
97597	Dbrdmt opn wnd 1st 20 cm/<	T	5051	0.01%	$203.69	0.01%	$0.02
97602	Wound(s) care non-selective	Q1	5051	0.01%	$203.69	0.07%	$0.14
97605	Neg prs wnd ther dme<=50sqcm	Q1	5051	0.01%	$203.69	0.01%	$0.02
97606	Neg prs wnd ther dme>50 sqcm	Q1	5052	0.04%	$414.63	0.00%	$0.00
97607	Neg prs wnd thr ndme<=50sqcm	T	5052	0.04%	$414.63	0.01%	$0.04
97608	Neg prs wnd ther ndme>50sqcm	T	5052	0.04%	$414.63	0.00%	$0.00
97610	Low frequency non-thermal us	Q1	5051	0.01%	$203.69	0.03%	$0.06
97810	Acup 1/> wo estim 1st 15 min	S	5731	0.03%	$30.81	0.00%	$0.00
97813	Acup 1/> w/estim 1st 15 min	S	5731	0.03%	$30.81	0.00%	$0.00
98925	Osteopath manj 1-2 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98926	Osteopath manj 3-4 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98927	Osteopath manj 5-6 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98928	Osteopath manj 7-8 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98929	Osteopath manj 9-10 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98940	Chiropract manj 1-2 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98941	Chiropract manj 3-4 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98942	Chiropractic manj 5 regions	Q1	5811	0.00%	$22.25	0.00%	$0.00
98975	Rem ther mntr 1st set-up&edu	V	5012	0.00%	$134.17	0.00%	$0.00
98976	Rtm dev sply resp sys 16-30d	Q1	5741	0.00%	$38.02	0.00%	$0.00
98977	Rtm dev sply mscskl 16-30 d	Q1	5741	0.00%	$38.02	0.00%	$0.00
99195	Phlebotomy	Q1	5734	0.07%	$136.31	0.03%	$0.04
99281	Emr dpt vst mayx req phy/qhp	J2	5021	0.02%	$88.21	0.02%	$0.02
99282	Emergency dept visit sf mdm	J2	5022	0.02%	$160.92	0.02%	$0.03
99283	Emergency dept visit low mdm	J2	5023	0.01%	$285.53	0.01%	$0.03
99284	Emergency dept visit mod mdm	J2	5024	0.01%	$437.91	0.01%	$0.04
99285	Emergency dept visit hi mdm	J2	5025	0.01%	$628.26	0.01%	$0.06
99291	Critical care first hour	J2	5041	0.02%	$871.76	0.01%	$0.09
99406	Behav chng smoking 3-10 min	S	5821	0.00%	$37.46	0.00%	$0.00
99407	Behav chng smoking > 10 min	S	5821	0.00%	$37.46	0.00%	$0.00
99426	Prin care mgmt staff 1st 30	S	5822	0.00%	$107.63	0.00%	$0.00
99453	Rem mntr physiol param setup	V	5012	0.00%	$134.17	0.00%	$0.00
99454	Rem mntr physiol param 16-30	Q1	5741	0.00%	$38.02	0.00%	$0.00
99473	Self-meas bp pt educaj/train	Q1	5731	0.03%	$30.81	0.00%	$0.00
99483	Assmt & care pln pt cog imp	S	5822	0.00%	$107.63	0.00%	$0.00
99484	Care mgmt svc bhvl hlth cond	S	5821	0.00%	$37.46	0.00%	$0.00
99487	Cplx chrnc care 1st 60 min	S	5823	0.00%	$175.26	0.00%	$0.00
99490	Chrnc care mgmt staff 1st 20	S	5822	0.00%	$107.63	0.00%	$0.00
99492	1st psyc collab care mgmt	S	5822	0.00%	$107.63	0.00%	$0.00
99493	Sbsq psyc collab care mgmt	S	5822	0.00%	$107.63	0.00%	$0.00
99495	Transj care mgmt mod f2f 14d	V	5012	0.00%	$134.17	0.00%	$0.00
99496	Transj care mgmt high f2f 7d	V	5012	0.00%	$134.17	0.00%	$0.00
99497	Advncd care plan 30 min	Q1	5822	0.00%	$107.63	0.00%	$0.00
C5271	Low cost skin substitute app	D				0.15%	
C5273	Low cost skin substitute app	D				0.00%	
C5275	Low cost skin substitute app	D				0.34%	
C5277	Low cost skin substitute app	D				0.00%	
C7900	"Hopd mntl hlt, 15-29 min"	S	5821	0.00%	$37.46	0.00%	$0.00
C7901	"Hopd mntl hlt, 30-60 min"	S	5822	0.00%	$107.63	0.00%	$0.00
C7903	"Hopd mntl hlt, grp"	S	5821	0.00%	$37.46	0.00%	$0.00
C8900	"Mra w/cont, abd"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8901	"Mra w/o cont, abd"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8902	"Mra w/o fol w/cont, abd"	Q3	5572	0.04%	$358.35	0.02%	$0.07
C8903	"Mri w/cont, breast, uni"	Q3	5571	0.02%	$179.73	0.00%	$0.00
C8905	"Mri w/o fol w/cont, brst, un"	Q3	5572	0.04%	$358.35	0.43%	$1.54
C8906	"Mri w/cont, breast, bi"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8908	"Mri w/o fol w/cont, breast,"	Q3	5572	0.04%	$358.35	0.03%	$0.11
C8909	"Mra w/cont, chest"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8910	"Mra w/o cont, chest"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8911	"Mra w/o fol w/cont, chest"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8912	"Mra w/cont, lwr ext"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8913	"Mra w/o cont, lwr ext"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8914	"Mra w/o fol w/cont, lwr ext"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8918	"Mra w/cont, pelvis"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8919	"Mra w/o cont, pelvis"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8920	"Mra w/o fol w/cont, pelvis"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8921	"Tte w or w/o fol w/cont, com"	S	5573	0.02%	$802.38	0.00%	$0.00
C8922	"Tte w or w/o fol w/cont, f/u"	S	5573	0.02%	$802.38	0.00%	$0.00
C8923	"2d tte w or w/o fol w/con,co"	S	5573	0.02%	$802.38	0.03%	$0.24
C8924	"2d tte w or w/o fol w/con,fu"	S	5572	0.04%	$358.35	0.03%	$0.11
C8925	"2d tee w or w/o fol w/con,in"	S	5573	0.02%	$802.38	0.15%	$1.20
C8926	"Tee w or w/o fol w/cont,cong"	S	5573	0.02%	$802.38	0.00%	$0.00
C8927	"Tee w or w/o fol w/cont, mon"	S	5573	0.02%	$802.38	3.44%	$27.60
C8928	"Tte w or w/o fol w/con,stres"	S	5573	0.02%	$802.38	0.00%	$0.00
C8929	"Tte w or wo fol wcon,doppler"	S	5573	0.02%	$802.38	0.02%	$0.16
C8930	"Tte w or w/o contr, cont ecg"	S	5573	0.02%	$802.38	0.00%	$0.00
C8931	"Mra, w/dye, spinal canal"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8932	"Mra, w/o dye, spinal canal"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8933	"Mra, w/o&w/dye, spinal canal"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8934	"Mra, w/dye, upper extremity"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8935	"Mra, w/o dye, upper extr"	Q3	5523	0.07%	$245.72	0.00%	$0.00
C8936	"Mra, w/o&w/dye, upper extr"	Q3	5572	0.04%	$358.35	0.00%	$0.00
C8957	"Prolonged iv inf, req pump"	S	5693	0.05%	$216.49	0.00%	$0.00
C9600	Perc drug-el cor stent sing	J1	5193	37.37%	"$11,873.70"	36.73%	"$4,361.21"
C9602	Perc d-e cor stent ather s	J1	5194	53.20%	"$18,791.32"	57.11%	"$10,731.72"
C9604	Perc d-e cor revasc t cabg s	J1	5193	37.37%	"$11,873.70"	33.81%	"$4,014.50"
C9607	Perc d-e cor revasc chro sin	J1	5194	53.20%	"$18,791.32"	49.81%	"$9,359.96"
C9728	"Place device/marker, non pro"	S	5613	0.58%	"$1,430.97"	25.75%	$368.47
C9733	Non-ophthalmic fva	Q2	5572	0.04%	$358.35	0.00%	$0.00
C9734	"U/s trtmt, not leiomyomata"	J1	5115	45.04%	"$13,254.37"	5.76%	$763.45
C9739	Cystoscopy prostatic imp 1-3	J1	5375	15.32%	"$5,517.86"	65.22%	"$3,598.75"
C9740	Cysto impl 4 or more	J1	5376	46.88%	"$9,765.07"	71.92%	"$7,023.04"
C9757	Spine device implant surgery	J1	5115	45.04%	"$13,254.37"	42.41%	"$5,621.18"
C9758	Blind interatrial shunt ide	D				48.59%	
C9761	"Cysto, litho, vacuum kidney"	J1	5376	46.88%	"$9,765.07"	40.02%	"$3,907.98"
C9763	Cardiac mri seg dys stress	Q3	5524	0.03%	$562.07	0.00%	$0.00
C9764	Revasc intravasc lithotripsy	J1	5193	37.37%	"$11,873.70"	58.02%	"$6,889.12"
C9765	Revasc intra lithotrip-stent	J1	5194	53.20%	"$18,791.32"	56.30%	"$10,579.51"
C9766	Revasc intra lithotrip-ather	J1	5194	53.20%	"$18,791.32"	62.70%	"$11,782.16"
C9767	Revasc lithotrip-stent-ather	J1	5194	53.20%	"$18,791.32"	60.70%	"$11,406.33"
C9769	Cysto w/temp pros implant	D				61.05%	
C9772	Revasc lithotrip tibi/perone	J1	5193	37.37%	"$11,873.70"	49.21%	"$5,843.05"
C9773	Revasc lithotr-stent tib/per	J1	5194	53.20%	"$18,791.32"	56.44%	"$10,605.82"
C9774	Revasc lithotr-ather tib/per	J1	5194	53.20%	"$18,791.32"	54.70%	"$10,278.85"
C9775	Revasc lith-sten-ath tib/per	J1	5194	53.20%	"$18,791.32"	51.22%	"$9,624.91"
C9777	Esophag muc integ w/eso egd	J1	5303	17.68%	"$4,002.57"	27.55%	"$1,102.71"
C9778	"Colpopexy, min/inv, ex-perit"	J1	5415	14.19%	"$5,177.76"	0.15%	$7.77
C9779	Esd endoscopy or colonoscopy	J1	5303	17.68%	"$4,002.57"	8.63%	$345.42
C9780	Insert cv cath inf & sup app	S	1534		"$8,250.50"	53.31%	"$4,398.34"
C9781	Arthro/shoul surg; w/spacer	J1	5115	45.04%	"$13,254.37"	58.16%	"$7,708.74"
C9784	Endo sleeve gastro w/tube	D				12.03%	
C9785	Endo outlet restrict w/tube	J1	5362	9.03%	"$10,966.50"	11.15%	"$1,222.76"
C9787	Gastric ep mapg simult pt sx 	D				0.00%	
C9789	Instill pharm renal pelvis	T	1553		"$1,450.50"	2.21%	$32.06
C9790	Kidney histotripsy w/image	D				64.04%	
C9791	Mri hyperpolarized xenon129 	T	1551		"$1,250.50"	0.00%	$0.00
C9793	Pre 3d mdl w/ccta and/or mri	S	5724	0.05%	$879.34	0.00%	$0.00
C9794	Complex simulation w/pet-ct	D				0.00%	
C9795	Sbrt w/positron emission del	D				0.00%	
C9796	Rpr intst excl anrect fist	J1	5313	4.01%	"$2,854.26"	59.06%	"$1,685.73"
C9797	Vasc emb/occ w/prs cath	J1	5194	53.20%	"$18,791.32"	58.26%	"$10,947.82"
C9803	Hopd covid-19 spec collect	D				0.00%	
C9901	Endo defect closure gi tract	J1	5362	9.03%	"$10,966.50"	11.85%	"$1,299.53"
D0120	Periodic oral evaluation	Q1	5012	0.00%	$134.17	0.00%	$0.00
D0140	Limit oral eval problm focus	Q1	5012	0.00%	$134.17	0.00%	$0.00
D0150	Comprehensve oral evaluation	Q1	5012	0.00%	$134.17	0.00%	$0.00
D0170	"Re-eval,est pt,problem focus"	Q1	5012	0.00%	$134.17	0.00%	$0.00
D0180	Comp periodontal evaluation	Q1	5012	0.00%	$134.17	0.00%	$0.00
D0210	Intraor comprehensive series	Q1	5523	0.07%	$245.72	0.00%	$0.00
D0220	Intraoral periapical first	Q1	5521	0.08%	$89.39	0.00%	$0.00
D0272	Dental bitewings two images	Q1	5521	0.08%	$89.39	0.00%	$0.00
D0273	Bitewings - three images	Q1	5523	0.07%	$245.72	0.00%	$0.00
D0274	Bitewings four images	Q1	5523	0.07%	$245.72	0.00%	$0.00
D0330	Panoramic image	Q1	5523	0.07%	$245.72	0.00%	$0.00
D0365	Cone beam ct interprete man	Q1	5522	0.00%	$107.41	0.00%	$0.00
D0366	Cone beam ct interprete max	Q1	5522	0.00%	$107.41	0.00%	$0.00
D0371	Sialoendoscopy capt & interp	Q1	5521	0.08%	$89.39	7.65%	$6.84
D0383	Cone beam ct both jaws	Q1	5522	0.00%	$107.41	0.00%	$0.00
D1110	Dental prophylaxis adult	Q1	5012	0.00%	$134.17	0.00%	$0.00
D2161	Amalgam 4 or > surfaces perm	T	5871	0.50%	$833.46	0.00%	$0.00
D2330	Resin one surface-anterior	T	5871	0.50%	$833.46	0.00%	$0.00
D2331	Resin two surfaces-anterior	T	5871	0.50%	$833.46	0.00%	$0.00
D2332	Resin three surfaces-anterio	T	5871	0.50%	$833.46	0.00%	$0.00
D2335	Resin 4/> surf or w incis an	T	5871	0.50%	$833.46	0.00%	$0.00
D2391	Post 1 srfc resinbased cmpst	T	5871	0.50%	$833.46	0.00%	$0.00
D2392	Post 2 srfc resinbased cmpst	T	5871	0.50%	$833.46	0.00%	$0.00
D2393	Post 3 srfc resinbased cmpst	T	5871	0.50%	$833.46	0.00%	$0.00
D2740	Crown porcelain/ceramic	T	5871	0.50%	$833.46	0.00%	$0.00
D2751	Crown porcelain fused base m	T	5871	0.50%	$833.46	0.00%	$0.00
D2752	Crown porcelain w/ noble met	T	5871	0.50%	$833.46	0.00%	$0.00
D2940	Place direct restoration	T	5871	0.50%	$833.46	0.00%	$0.00
D2954	Prefab post/core + crown	T	5871	0.50%	$833.46	0.00%	$0.00
D3310	"End thxpy, anterior tooth"	T	5871	0.50%	$833.46	0.00%	$0.00
D4210	Gingivectomy/plasty 4 or mor	J1	5164	1.23%	"$3,402.23"	8.09%	$275.24
D4212	Gingivectomy/plasty rest	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
D4341	Periodontal scaling & root	T	5871	0.50%	$833.46	0.00%	$0.00
D4342	Periodontal scaling 1-3teeth	T	5871	0.50%	$833.46	0.00%	$0.00
D4346	Scaling gingiv inflammation	T	5871	0.50%	$833.46	0.00%	$0.00
D4355	Full mouth debridement	T	5871	0.50%	$833.46	0.00%	$0.00
D4910	Periodontal maint procedures	T	5871	0.50%	$833.46	0.00%	$0.00
D7140	Extraction erupted tooth/exr	T	5871	0.50%	$833.46	1.23%	$10.25
D7210	Rem imp tooth w mucoper flp	J1	5163	1.74%	"$1,589.97"	0.87%	$13.83
D7220	Impact tooth remov soft tiss	T	5871	0.50%	$833.46	0.00%	$0.00
D7230	Impact tooth remov part bony	T	5871	0.50%	$833.46	0.00%	$0.00
D7240	Impact tooth remov comp bony	T	5871	0.50%	$833.46	0.00%	$0.00
D7241	Impact tooth rem bony w/comp	T	5871	0.50%	$833.46	0.00%	$0.00
D7250	Tooth root removal	T	5871	0.50%	$833.46	0.00%	$0.00
D7251	Coronectomy	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
D7310	Alveoplasty w/ extraction	J1	5163	1.74%	"$1,589.97"	0.18%	$2.86
D7311	Alveoloplasty w/extract 1-3	J1	5163	1.74%	"$1,589.97"	0.05%	$0.79
D7320	Alveoplasty w/o extraction	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
D7411	Excision benign lesion>1.25c	J1	5163	1.74%	"$1,589.97"	0.00%	$0.00
D7450	Rem odontogen cyst to 1.25cm	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
D7451	Rem odontogen cyst > 1.25 cm	J1	5164	1.23%	"$3,402.23"	1.30%	$44.23
D7460	Rem nonodonto cyst to 1.25cm	T	5871	0.50%	$833.46	0.00%	$0.00
D7510	I&d absc intraoral soft tiss	T	5071	9.91%	$730.32	0.00%	$0.00
D7670	Closd rductn splint alveolus	J1	5164	1.23%	"$3,402.23"	0.00%	$0.00
D9930	Treatment of complications	T	5871	0.50%	$833.46	0.00%	$0.00
D9951	Limited occlusal adjustment	T	5871	0.50%	$833.46	0.00%	$0.00
G0008	Admin influenza virus vac	S	5691	0.00%	$47.83	0.00%	$0.00
G0009	Admin pneumococcal vaccine	S	5691	0.00%	$47.83	0.00%	$0.00
G0010	Admin hepatitis b vaccine	S	5691	0.00%	$47.83	0.00%	$0.00
G0019	Comm hlth intg svs sdoh 60mn	S	5822	0.00%	$107.63	0.00%	$0.00
G0023	Pin service 60m per month	S	5822	0.00%	$107.63	0.00%	$0.00
G0101	Ca screen;pelvic/breast exam	S	5822	0.00%	$107.63	0.00%	$0.00
G0104	Ca screen;flexi sigmoidscope	T	5311	0.14%	$957.18	0.02%	$0.19
G0105	Colorectal scrn; hi risk ind	T	5311	0.14%	$957.18	0.04%	$0.38
G0106	Colon ca screen;barium enema	D				0.00%	
G0117	Glaucoma scrn hgh risk direc	S	5731	0.03%	$30.81	0.00%	$0.00
G0120	Colon ca scrn; barium enema	D				0.02%	
G0121	Colon ca scrn not hi rsk ind	T	5311	0.14%	$957.18	0.06%	$0.57
G0127	Trim nail(s)	Q1	5733	0.06%	$60.59	0.00%	$0.00
G0130	Single energy x-ray study	S	5522	0.00%	$107.41	0.00%	$0.00
G0136	Adm of soc dtr assess 5-15 m	D				0.00%	
G0138	Iv cipaglucosidase alfa-atga	S	1508		$650.50	0.00%	$0.00
G0140	Nav srv peer sup 60 min pr m	S	5822	0.00%	$107.63	0.00%	$0.00
G0166	"Extrnl counterpulse, per tx"	Q1	5734	0.07%	$136.31	0.00%	$0.00
G0175	"Opps service,sched team conf"	V	5024	0.01%	$437.91	0.00%	$0.00
G0235	Pet not otherwise specified	S	5591	0.02%	$409.09	0.00%	$0.00
G0237	Therapeutic procd strg endur	S	5731	0.03%	$30.81	0.00%	$0.00
G0238	"Oth resp proc, indiv"	S	5731	0.03%	$30.81	0.00%	$0.00
G0239	"Oth resp proc, group"	S	5732	0.00%	$38.91	0.00%	$0.00
G0245	Initial foot exam pt lops	V	5012	0.00%	$134.17	0.00%	$0.00
G0246	Followup eval of foot pt lop	V	5012	0.00%	$134.17	0.00%	$0.00
G0247	Routine footcare pt w lops	Q1	5051	0.01%	$203.69	0.00%	$0.00
G0248	Demonstrate use home inr mon	V	5012	0.00%	$134.17	0.00%	$0.00
G0249	Provide inr test mater/equip	V	5012	0.00%	$134.17	0.00%	$0.00
G0257	Unsched dialysis esrd pt hos	S	5401	0.46%	$717.20	0.11%	$0.79
G0260	Inj for sacroiliac jt anesth	T	5442	0.20%	$723.92	0.07%	$0.51
G0277	"Hbot, full body chamber, 30m"	S	5061	0.00%	$142.76	0.00%	$0.00
G0293	"Non-cov surg proc,clin trial"	Q1	5732	0.00%	$38.91	0.00%	$0.00
G0296	Visit to determ ldct elig	S	5822	0.00%	$107.63	0.00%	$0.00
G0297	Ldct for lung ca screen	D				0.00%	
G0302	Pre-op service lvrs complete	S	5723	0.04%	$381.96	0.00%	$0.00
G0303	Pre-op service lvrs 10-15dos	S	5722	0.01%	$221.14	0.00%	$0.00
G0305	Post op service lvrs min 6	S	5723	0.04%	$381.96	0.00%	$0.00
G0330	Facility svs dental rehab	J1	5164	1.23%	"$3,402.23"	0.11%	$3.74
G0379	Direct refer hospital observ	J2	5025	0.01%	$628.26	0.09%	$0.57
G0380	Lev 1 hosp type b ed visit	J2	5031	0.00%	$79.62	0.00%	$0.00
G0381	Lev 2 hosp type b ed visit	J2	5032	0.00%	$103.47	0.00%	$0.00
G0382	Lev 3 hosp type b ed visit	J2	5033	0.00%	$190.87	0.00%	$0.00
G0383	Lev 4 hosp type b ed visit	J2	5034	0.00%	$290.10	0.00%	$0.00
G0384	Lev 5 hosp type b ed visit	J2	5035	0.01%	$427.11	0.01%	$0.04
G0390	Trauma respons w/hosp criti	S	5045	0.00%	"$1,377.91"	0.00%	$0.00
G0396	Alcohol/subs interv 15-30mn	S	5821	0.00%	$37.46	0.00%	$0.00
G0397	Alcohol/subs interv >30 min	S	5823	0.00%	$175.26	0.00%	$0.00
G0398	Home sleep test/type 2 porta	S	5722	0.01%	$221.14	0.00%	$0.00
G0399	Home sleep test/type 3 porta	S	5722	0.01%	$221.14	0.00%	$0.00
G0400	Home sleep test/type 4 porta	S	5722	0.01%	$221.14	0.00%	$0.00
G0402	Initial preventive exam	V	5012	0.00%	$134.17	0.00%	$0.00
G0404	Ekg tracing for initial prev	S	5731	0.03%	$30.81	0.00%	$0.00
G0412	Open tx iliac spine uni/bil	J1	5114	25.81%	"$7,533.87"	56.66%	"$4,268.69"
G0413	Pelvic ring fracture uni/bil	J1	5114	25.81%	"$7,533.87"	31.73%	"$2,390.50"
G0414	Pelvic ring fx treat int fix	J1	5114	25.81%	"$7,533.87"	44.61%	"$3,360.86"
G0415	Open tx post pelvic fxcture	J1	5113	6.24%	"$3,377.20"	0.00%	$0.00
G0416	"Prostate biopsy, any mthd"	Q2	5673	0.71%	$370.08	0.01%	$0.04
G0422	Intens cardiac rehab w/exerc	S	5771	0.00%	$133.15	0.00%	$0.00
G0423	Intens cardiac rehab no exer	S	5771	0.00%	$133.15	0.00%	$0.00
G0429	Dermal filler injection(s)	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
G0442	Annual alcohol screen 15 min	S	5821	0.00%	$37.46	0.00%	$0.00
G0443	Brief alcohol misuse counsel	S	5822	0.00%	$107.63	0.00%	$0.00
G0444	Depression screen annual	S	5821	0.00%	$37.46	0.00%	$0.00
G0446	Intens behave ther cardio dx	S	5821	0.00%	$37.46	0.00%	$0.00
G0447	Behavior counsel obesity 15m	S	5822	0.00%	$107.63	0.00%	$0.00
G0451	Devlopment test interpt&rep	Q3	5822	0.00%	$107.63	0.00%	$0.00
G0455	Fecal microbiota prep instil	T	5311	0.14%	$957.18	3.29%	$31.49
G0460	Autolog prp not diab ulcer	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
G0463	Hospital outpt clinic visit	J2	5012	0.00%	$134.17	0.01%	$0.01
G0465	Autolog prp diab wound ulcer	T	5054	0.98%	"$2,137.45"	0.00%	$0.00
G0473	Group behave couns 2-10	S	5821	0.00%	$37.46	0.00%	$0.00
G0498	Chemo extend iv infus w/pump	S	5694	0.01%	$341.52	0.00%	$0.00
G2011	Alcohol/sub misuse assess	S	5731	0.03%	$30.81	0.00%	$0.00
G2066	Inter devc remote 30d	D				0.00%	
G2082	Visit esketamine 56m or less	S	1512		"$1,050.50"	0.00%	$0.00
G2083	"Visit esketamine, > 56m"	S	1517		"$1,550.50"	0.00%	$0.00
G2086	Off base opioid tx 70min	S	5823	0.00%	$175.26	0.00%	$0.00
G2087	"Off base opioid tx, 60 m"	S	5823	0.00%	$175.26	0.00%	$0.00
G2214	Init/sub psych care m 1st 30	S	5822	0.00%	$107.63	0.00%	$0.00
M0220	Tixagev and cilgav inj	D				0.00%	
M0224	Pemivibart infusion	S	1506		$450.50	0.00%	$0.00
M0243	Casirivi and imdevi inj	D				0.00%	
M0247	Sotrovimab infusion	D				0.00%	
M0249	Adm tocilizu covid-19 1st	S	1506		$450.50	0.00%	$0.00
M0250	Adm tocilizu covid-19 2nd	S	1506		$450.50	0.00%	$0.00
P9100	Pathogen test for platelets	S	5733	0.06%	$60.59	0.24%	$0.15
Q0091	Obtaining screen pap smear	S	5731	0.03%	$30.81	0.00%	$0.00
							
